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An examination of eating disorder education and experience in a 1-month adolescent medicine rotation: what is sufficient to foster adequate self-efficacy?

  • Tracie L. Pasold EMAIL logo , Jennifer L. Woods , Maria G. Portilla , James D. Nesmith and Beatrice A. Boateng
Published/Copyright: June 28, 2018

Abstract

Objective

Medical students and professionals report receiving limited education/training related to treating eating disorders. Because medical professionals are the point of initial contact for these patients and are involved necessarily in their treatment, sufficient knowledge on identification and intervention are imperative. This research set out to examine the impact of the eating disorder education and experience offered through a 1-month Adolescent Medicine rotation at a medical university on medical student/resident self-efficacy.

Methods

The 1-month rotation includes a standardized patient (SP) simulation, 1.5 h of didactic education, and 1 day observing the MD, nutritionist and psychologist within the outpatient Multidisciplinary Child/Adolescent Eating Disorders Clinic. All residents’ (n = 132) eating disorder self-efficacy was assessed before (PRE) completing simulation and didactic session and again at the end of the 1-month rotation (END). Self-efficacy was also assessed after simulation and before the didactic session for group 1 (n = 92) and after simulation and didactic session for group 2 (n = 40).

Results

For group 1, self-efficacy was not significantly impacted PRE to POST. For group 2, self-efficacy significantly improved PRE to POST. POST to END changes were significant for both groups; however, group 2 scored significantly better across all self-efficacy areas at END.

Conclusion

Resident training in eating disorders requires more than is offered in many residency programs. SP simulation is strengthened as an effective training tool in assessing and promoting resident self-efficacy if it is followed by didactic education. Clinical observation and extended practice that includes ongoing guidance/feedback on performance is recommended in fostering self-efficacy.

Appendix A

Study measures

Working with Adolescent Patients: Resident Physician Self Efficacy Questionnaire

Circle Time of Questionnaire:   Pre-Modules   Post-Modules Post-Rotation

Name:__________________________________

Date:_______________________

Year of residency:_____________

Rate your perceived level of confidence in the following areas:

Recognizing eating disordered behaviorsNot at all confidentHave some confidenceConfidentVery confident
1. General knowledge of eating disorders in children and adolescents
2. Knowledge of specific information for ascertaining whether disordered eating and associated behaviors are likely
3. Interviewing skills in identifying disordered eating and associated behaviors
4. Counseling on medical impact of unhealthy eating and associated behaviors
5. Formulating your impressions regarding problematic eating and making recommendations
6. Knowledge of treatment for disordered eating
7. Knowledge of appropriate referral for treatment of eating disordered behaviors

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Received: 2017-12-10
Accepted: 2018-05-25
Published Online: 2018-06-28

©2018 Walter de Gruyter GmbH, Berlin/Boston

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