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Medical Science Educator

, Volume 29, Issue 1, pp 113–119 | Cite as

The Resident Experience of an Obesity-Focused Home Visiting Curriculum

  • Kofi D. EsselEmail author
  • Erin K. Hysom
  • Ellen F. Goldman
  • Cara Lichtenstein
Original Research

Abstract

Background

The prevalence of obesity in the USA has risen to 39.8% of adults and 18.5% of children, yet there has not been a compensatory rise in residency training to reflect this epidemic.

Objectives

To examine pediatric residents’ lived experiences of completing a novel home visitation curriculum for children with obesity in resource-poor areas of Washington, DC.

Methods

Pediatric residents completed a home visiting curriculum consisting of four modules followed by two home visits to families with a child struggling with obesity. Within 2 weeks of completing the curriculum, individual interviews were conducted with participants about their experience. Inductive coding was used to analyze the data, followed by clustering and theming.

Results

Saturation was reached after individual interviews with 13 residents between 2013 and 2015. Five themes emerged describing the residents’ experiences: (1) enhanced understanding of home and community life, (2) awareness of personal biases and assumptions, (3) challenges of losing control and not being intrusive, (4) deeper relationship and enhanced empathy with patient and family, and (5) changes in delivery of care.

Conclusions

The findings from this study suggest that an obesity-focused home visiting curriculum may provide residents with a deeper understanding of social determinants of obesity and the opportunity to gain other necessary skills that may help them better care for individuals with obesity.

Keywords

Home visit Obesity Pediatrics Residency Social determinants of health 

Notes

Acknowledgments

We would like to give special thanks to the families who allowed us to learn from them. We would also like to thank Dr. Sirisha Yalamanchi for assisting with our coding analysis, Dr. Ellen Hamburger for assisting with our interviews, and Dr. Pamela Hinds and Dr. Katherine Mead for helping us with the data analysis.

Funding Source

Dr. Essel’s salary was supported by the 0020HRSA Faculty Training Grant, Award # D55HP23194 during work on this project. HRSA had no involvement in study design, data collection, analysis and interpretation of data, writing of the report, nor in the decision to submit the article for publication.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Supplementary material

40670_2018_642_MOESM1_ESM.docx (16 kb)
ESM 1 (DOCX 15 kb)

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Copyright information

© International Association of Medical Science Educators 2018

Authors and Affiliations

  • Kofi D. Essel
    • 1
    Email author
  • Erin K. Hysom
    • 2
  • Ellen F. Goldman
    • 3
    • 4
  • Cara Lichtenstein
    • 1
  1. 1.General Pediatrics & Community HealthThe George Washington University School of Medicine and Health Sciences and Children’s National Health SystemWashington, DCUSA
  2. 2.US GovernmentWashington, DCUSA
  3. 3.Graduate School of Education and Human DevelopmentThe George Washington University School of Medicine and Health SciencesWashington, DCUSA
  4. 4.General Pediatrics & Community HealthThe George Washington School of Medicine and Health Sciences & Children’s National Health SystemWashington, DCUSA

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