The effect of obesity on medical students' approach to patients with abdominal pain

Journal of General Internal Medicine
R S Wigton, W C McGaghie

Abstract

Because widely held stereotypes characterize obese people as less intelligent, unhappy, lacking in self control and more prone to psychological problems, we tested whether obese appearance alone would affect medical students' decisions about the diagnosis and management of simulated patients. We videotaped 4 patient simulators presenting each of 4 cases in 2 states: normal and obese (by using padding and bulky clothing). Seventy-two clinical students at 2 medical schools viewed the cases and answered questions about diagnostic tests and management. We found the expected biases toward patients when in their obese form as well as pessimism about patient compliance and success of therapy, but there were no significant differences in tests or treatments ordered except where appropriate for an obese patient (e.g., weight reduction diet). Thus, the appearance of obesity alone biased the students' impressions of the patients, but did not affect diagnostic test ordering.

References

Sep 2, 1978·British Medical Journal·A P ManningA F Morris
Jan 1, 1977·Journal of Medical Education·L M BreytspraakJ T Moore
Oct 15, 1989·Annals of Internal Medicine·N J TalleyA R Zinsmeister
Sep 1, 1985·Journal of Health and Social Behavior·L M Young, B Powell
Oct 1, 1982·The Journal of Nervous and Mental Disease·W C McGaghie, D C Whitenack
Jul 1, 1994·Medical Decision Making : an International Journal of the Society for Medical Decision Making·R StarmansJ A Knottnerus

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Citations

Sep 8, 2010·International Journal of Obesity : Journal of the International Association for the Study of Obesity·S Persky, C P Eccleston
Jul 11, 2012·Teaching and Learning in Medicine·Mara Z VitolinsJohn G Spangler
Apr 28, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·Delese WearJoseph Zarconi
Dec 28, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Edward H IpJohn Spangler
May 25, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·David P MillerSonia J Crandall
Jan 24, 2013·BMC Pregnancy and Childbirth·Kate MulherinRachel Thompson
Nov 13, 2012·PloS One·Birte PantenburgSteffi G Riedel-Heller
Apr 21, 2001·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·P DodekR Hogg
Feb 16, 2016·American Journal of Preventive Medicine·Tiara N RosemondAidyn L Iachini
Oct 27, 2010·Applied Nursing Research : ANR·Geraldine M BuddKathleen Falkenstein
Oct 9, 2007·The American Journal of Emergency Medicine·Esther H ChenAngela M Mills
Sep 16, 2003·Obesity Research·Marlene B SchwartzCharles Billington
Jan 24, 2009·Obesity·Rebecca M Puhl, Chelsea A Heuer
Mar 11, 2015·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·S M PhelanM van Ryn
Mar 3, 2015·Journal of Marital and Family Therapy·Keeley J PrattYin Cai
Jan 17, 2004·Journal of the American Academy of Child and Adolescent Psychiatry·Alan J ZametkinSuzanne Munson
Mar 3, 2009·Journal of the American Dietetic Association·Rebecca PuhlChelsea Heuer
Jun 6, 2014·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Christin-Melanie VauclairChristopher Bratt
Jul 20, 2005·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Marc L CohenJack A Yanovski
Aug 1, 2015·Journal of Medical Radiation Sciences·Nhat Tan Thanh LeSarah J Lewis
May 12, 2016·Clinical Obesity·A S AlbergaS Russell-Mayhew
Oct 14, 2016·Advances in Health Sciences Education : Theory and Practice·Timothy K BakerMelissa Piasecki
Oct 19, 2005·International Journal of Obesity : Journal of the International Association for the Study of Obesity·N K AmyL Keranen
Apr 13, 2004·Medicine and Science in Sports and Exercise·Heather O ChamblissSteven N Blair
Aug 1, 2019·Physiotherapy Theory and Practice·C Allyson Jones, Mary Forhan
Mar 18, 2020·Medical Education Online·Adeline L GossHorace M DeLisser
Apr 25, 2001·Journal of General Internal Medicine·C M Mangione, E Reynolds
Jan 17, 2017·Frontiers in Psychology·Jennifer A Lee, Cat J Pausé
Aug 23, 2018·Cadernos de saúde pública·Angélica Almeida ObaraMarle Dos Santos Alvarenga
Aug 11, 2020·Obesity Surgery·Christian TapkingFelix Nickel
Sep 1, 2021·Soins; la revue de référence infirmière·Vanessa Folope

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