Below is a small sample of the references upon which The Patient Promise is based.
“U.S. Obesity Trends.” The Centers for Disease Control and Prevention. Available: http://www.cdc.gov /obesity/data/trends.html
“The Hippocratic Oath.” National Library of Medicine, NIH. Available: http://www.nlm.nih.gov/hmd/greek/greek_oath.html.
Bleich SN, Bennett WL, Gudzune KA, Cooper LA (2012). “Impact of Physician BMI on Obesity Care and Beliefs.” Obesity (Advanced Online Publication, January 19, 2012). Available: http://www.nature.com/oby/journal/vaop/ncurrent/full/oby2011402a.html
“Improving physician well-being by encouraging healthy lifestyle and/or weight loss may have the secondary effect of improving physician care of obese patients.”
Rose AE, Frank E, and Carrera JS (2011). “Factors affecting weight counseling attitudes and behaviors among U.S. Medical Students.” Academic Medicine 86(11): 1462-72. Available: http://www.ncbi.nlm.nih.gov/pubmed/21952055.
“Promoting healthy personal behaviors and encouraging acquisition of skills in weight management across all specialties would likely improve clinical practice.”
Smith AW, et al. (2011). “U.S. primary care physicians’ diet-, physical activity-, and weight- related care of adult patients.” American Journal of Preventive Medicine 41(1): 33-42. Available: http://www.ncbi.nlm.nih.gov/pubmed/21665061
“PCPs' assessment and behavioral management of overweight and obesity in adults is at a low level relative to the magnitude of the problem in the U.S.”
Spencer EH, et al. (2006). “Predictors of nutrition counseling behaviors and attitudes in US medical students.” American Journal of Clinical Nutrition 84(3): 655-662. Available: http://www.ncbi.nlm.nih.gov/pubmed/16960182.
“The perceived relevance of nutrition counseling by US medical students declined throughout medical school, and students infrequently counseled their patients about nutrition.”
Evans, M. “23 and ½ hours: What is the single best thing we can do for our health.”
YouTube video, available: http://www.youtube.com/watch?v=aUaInS6HIGo.
Passalacqua SA and Segrin C (2011). “The Effect of Resident Physician Stress, Burnout, and Empathy on Patient-Centered Communication During the Long-Call Shift.” Health Communications, Available: http://www.ncbi.nlm.nih.gov/pubmed/21970629.
“This study suggests that residents who perceive high levels of stress are at risk for burnout and deterioration in empathy toward their patients, both of which may compromise the quality of their interactions with patients.”
Drybye LN. et al. (2010). “Relationship between burnout and professional conduct and attitudes among US medical students.” JAMA, Available: http://www.ncbi.nlm.nih.gov/pubmed/20841530
Frank E, et al. (2007). “Predictors of US medical students’ prevention counseling practices.” Preventive Medicine 44(1): 76-81.
“The avidity with which medical schools encourage students to be healthy significantly influences their reported patient counseling. These findings can give a fresh, evidence-based direction to help create physicians who counsel patients about prevention.”
Puhl, R. et al. “Weight Bias and Stigma.” Yale Rudd Center for Food Policy and Obesity. Associated Resources Available: http://www.yaleruddcenter.org/what_we_do.aspx?id=10.
Mold F and Forbes A (2011). “Patients’ and professionals’ experiences and perspectives of obesity in health-care settings: a synthesis of current research.” Health Expectations, epub online.
“Obesity is a stigmatized condition that impacts negatively on the relationship between patients and health-care providers.”
Example of physicians promoting healthy lifestyle behaviors in their communities:
Walk with a Doc program, Available - http://www.walkwithadoc.org/.