Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students

Özgüç, Halil; Narmanlı, Mustafa; Isik, Ozgen

doi:10.47717/turkjsurg.2023.5639

Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students

Halil ÖZGÜÇ, (Özel Medicabil Hastanesi, Cerrahi Kliniği, Bursa, Türkiye)

Mustafa NARMANLI, (Özel Medicabil Hastanesi, Cerrahi Kliniği, Bursa, Türkiye)

Özgen IŞIK (Uludağ Üniversitesi, Tıp Fakültesi, Cerrahi Anabilim Dalı, Bursa, Türkiye)

Turkish Journal of Surgery

5 1

Yıl: 2023 Cilt: 39 Sayı: 1 Sayfa Aralığı: 63 - 69 Metin Dili: İngilizce DOI: 10.47717/turkjsurg.2023.5639 İndeks Tarihi: 03-06-2023

Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students

Öz:

Objective: Bariatric and metabolic surgery (BMS) is the most effective treatment method of morbid obesity. Optimum education of medical students regarding BMS is important for proper assessment of morbidly obese patients in the future. Material and Methods: Medical students from five and six years were determined as the targeted study population. A survey including 17 questions was applied through a web-based survey platform. Students who replied the survey were classified into two groups: distinct bariatric and metabolic surgery education program (BMSEP) (+) and (-). The answers of two groups were compared using Chi-square test. Results: In total, 845 students replied the survey. Surgery referral rates were higher (33.4% vs. 26.5%, p< 0.05), referring to alternative treatment methods were low (4.9% vs. 11.9%, p< 0.05), the answer rate of “absolutely agree” was higher and “have no idea” was lower in questions regarding the indications of BMS for the sample patient with body mass index (BMI)> 40 kg/m2 and the sample patient with BMI between 35-40 kg/m2 in the BMSEP (+) group (p< 0.05). However, the two groups were comparable for the answers given for the sample patient of BMI 30-35 kg/m2 with uncontrolled diabetes. The rate of first-degree relative referral to BMS when indicated was higher in the BMSEP (+) group. Effectiveness of surgery, cost and risk perception were comparable between the two groups. Conclusion: This study showed that medical students who have a distinct BMSEP in their medical school have better level of knowledge and comparable risk perception regarding BMS. Structured education programs in BMS may directly improve knowledge, perception, and attitude of medical students and indirectly increase the role of primary care physicians in patient referral to BMS and long-term follow-up.

Anahtar Kelime:

Bariyatrik ve metabolik cerrahi dersinin tıp öğrencilerinin bilgi ve tutum düzeylerine etkisi: Türkiye anket çalışması

Öz:

Giriş ve Amaç: Bariyatrik ve metabolik cerrahi (BMC), morbid obezitenin en etkili tedavi yöntemidir. Tıp öğrencilerinin BMC konusunda optimum eğitimi, gelecekte morbid obez hastaların doğru değerlendirilmesi için önemlidir. Gereç ve Yöntem: Beşinci ve altıncı yıllarındaki tıp öğrencileri hedef kitle olarak belirlendi. Web tabanlı bir anket platformu aracılığıyla 17 sorudan oluşan bir anket uygulandı. Anketi yanıtlayan öğrenciler iki gruba ayrıldı: farklı bariyatrik ve metabolik cerrahi eğitim programı (BMCEP) (+) ve (-). İki grubun cevapları ki-kare testi kullanılarak karşılaştırıldı. Bulgular: Toplamda 845 öğrenci anketi yanıtladı. BMCEP (+) grubunda (p< 0,05) cerrahi sevk oranları daha yüksek (%33,4’e karşı %26,5, p< 0,05), alternatif tedavi yöntemlerine başvurma oranı düşük (%4,9’a karşı %11,9, p< 0,05), vücut kütle indeksi (VKİ)> 40 kg/m2 olan örnek hasta ile VKİ 35-40 kg/m2 arasında olan örnek hasta için BMC endikasyonlarına ilişkin sorularda “kesinlikle katılıyorum” yanıt oranı daha yüksek ve “fikrim yok” daha düşüktü. Ancak, VKİ 30-35 kg/m2 ve kontrolsüz diyabetli örnek hasta için verilen cevaplar açısından iki grup benzerdi. Birinci derece akraba endike olduğunda BMC’ye sevk oranı BMCEP (+) grubunda daha yüksekti. Ameliyatın etkinliği, maliyet ve risk algısı iki grup arasında benzerdi. Sonuç: Bu çalışma, tıp fakültelerinde belirgin bir BMCEP’e sahip olan tıp öğrencilerinin BMC ile ilgili daha iyi bilgi düzeyine ve karşılaştırılabilir risk algısına sahip olduğunu göstermiştir. BMC’de yapılandırılmış eğitim programları, tıp öğrencilerinin bilgi, algı ve tutumlarını doğrudan geliştirebilir; dolaylı olarak birinci basamak hekimlerinin BMC’ye hasta sevki ve uzun süreli izlemdeki rolünü artırabilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Cardoso L, Rodrigues D, Gomes L, Carrilho F. Short and long-term mortality after bariatric surgery: A systematic review and meta-analysis. Diabetes Obes Metab 2017; 19: 1223-32. https://doi.org/10.1111/ dom.12922
2. Bray GA, Frühbeck G, Ryan DH, Wilding JP. Management of obesity. Lancet 2016; 387: 1947-56. https://doi.org/10.1016/S0140- 6736(16)00271-3
3. Colbert JA, Jangi S. Training physicians to manage obesity - back to the drawing board. N Engl J Med 2013; 369: 1389-91. https://doi. org/10.1056/NEJMp1306460
4. Kallies KJ, Borgert AJ, Kothari SN. Patient perceptions of primary care providers’ knowledge of bariatric surgery. Clin Obes 2019; 9: e12297. https://doi.org/10.1111/cob.12297
5. Ozguc H, Narmanli M, Cirnaz H. Turkish primary care physicians’ attitudes and knowledge of obesity and bariatric surgery: A survey study. Turk J Surg 2021; 37: 266-76. https://doi.org/10.47717/turkjsurg.2021.5149
6. Fang V, Gillespie C, Crowe R, Popeo D, Jay M. Associations between medical students’ beliefs about obesity and clinical counseling proficiency. BMC Obes 2019; 6: 5. https://doi.org/10.1186/s40608-018- 0222-4
7. Metcalf M, Rossie K, Stokes K, Tanner B. The perceptions of medical school students and faculty toward obesity medicine education: Survey and needs analysis. JMIR Med Educ 2017; 3: e22. https://doi. org/10.2196/mededu.7361
8. Pantenburg B, Sikorski C, Luppa M, Schomerus G, König HH, Werner P, et al. Medical students attitudes towards overweight and obesity. PLoS One 2012; 7: e48113. https://doi.org/10.1371/journal.pone.0048113
9. Lee SY. Obesity education in medical school curricula in Korea. J Obes Metab Syndr 2018; 27: 35-8. https://doi.org/10.7570/ jomes.2018.27.1.35
10. Mezuniyet Öncesi Tıp Eğitimi Ulusal Çekirdek Eğitim Programı 2020. Available from: https://www.yok.gov.tr/Documents/Kurumsal/ egitim_ogretim_dairesi/Ulusal-cekirdek-egitimi-programlari/mezuniyet-oncesi-tip-egitimi-cekirdek-egitimi-programi.pdf. (Accessed date: 02.10.2021).
11. USA Association of American Medical Colleges; 2007. Report VIII: Contemporary Issues in Medicine. The Prevention and Treatment of Overweight and Obesity (Medical School Objectives Project).
12. Vitolins MZ, Crandall S, Miller D, Ip E, Marion G, Spangler JG. Obesity educational interventions in U.S. medical schools: A systematic review and identified gaps. Teach Learn Med 2012; 24(3): 267-72. https://doi. org/10.1080/10401334.2012.692286
13. Jay M, Schlair S, Caldwell R, Kalet A, Sherman S, Gillespie C. From the patient’s perspective: The impact of training on resident physician’s obesity counseling. J Gen Intern Med 2010; 25: 415-37. https://doi. org/10.1007/s11606-010-1299-8
14. Stanford FC, Johnson ED, Claridy MD, Earle RL, Kaplan LM. The role of obesity training in medical school and residency on bariatric surgery knowledge in primary care physicians. Int J Family Med 2015; 2015: 841249. https://doi.org/10.1155/2015/841249
15. Banasiak M, Murr MM. Medical school curricula do not address obesity as a disease. Obes Surg 2001; 11: 677-9. https://doi. org/10.1381/09608920160558597
16. Nawawi A, Arab F, Linjawi H, Fallatah H, Alkhaibari R, Jamal W. An evaluation of knowledge regarding surgical treatment of obesity among final year medical students and recent graduate physicians from King Abdulaziz University. Med Ed Publish 2017; 6. https://doi. org/10.15694/mep.2017.000012
17. Matłok M, Pędziwiatr M, Major P, Nowakowski M, Rubinkiewicz M, Wyleżoł M, et al. The knowledge of Polish medical students about surgical treatment of obesity. Eur Surg 2015; 47: 266-70. https://doi. org/10.1007/s10353-015-0331-y
18. Roberts DH, Kane EM, Jones DB, Almedia JM, Bell SK, Weinstein AR, et al. Teaching medical students about obesity: A pilot program to address an unmet need through longitudinal relationships with bariatric surgery patients. Surg Innov 2011; 18: 176-83. https://doi. org/10.1177/1553350611399298
19. Tsai AG, Remmert JE, Butryn ML, Wadden TA. Treatment of obesity in primary care. Med Clin North Am 2018; 102: 35-47. https://doi. org/10.1016/j.mcna.2017.08.005
20. Di Lorenzo N, Antoniou SA, Batterham RL, Busetto L, Godoroja D, Iossa A, et al. Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: Update 2020 endorsed by IFSO-EC, EASO and ESPCOP. Surg Endosc 2020; 34: 2332-58. https:// doi.org/10.1007/s00464-020-07555-y

APA	Özgüç H, Narmanlı M, Isik O (2023). Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. , 63 - 69. 10.47717/turkjsurg.2023.5639
Chicago	Özgüç Halil,Narmanlı Mustafa,Isik Ozgen Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. (2023): 63 - 69. 10.47717/turkjsurg.2023.5639
MLA	Özgüç Halil,Narmanlı Mustafa,Isik Ozgen Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. , 2023, ss.63 - 69. 10.47717/turkjsurg.2023.5639
AMA	Özgüç H,Narmanlı M,Isik O Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. . 2023; 63 - 69. 10.47717/turkjsurg.2023.5639
Vancouver	Özgüç H,Narmanlı M,Isik O Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. . 2023; 63 - 69. 10.47717/turkjsurg.2023.5639
IEEE	Özgüç H,Narmanlı M,Isik O "Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students." , ss.63 - 69, 2023. 10.47717/turkjsurg.2023.5639
ISNAD	Özgüç, Halil vd. "Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students". (2023), 63-69. https://doi.org/10.47717/turkjsurg.2023.5639

APA	Özgüç H, Narmanlı M, Isik O (2023). Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. Turkish Journal of Surgery, 39(1), 63 - 69. 10.47717/turkjsurg.2023.5639
Chicago	Özgüç Halil,Narmanlı Mustafa,Isik Ozgen Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. Turkish Journal of Surgery 39, no.1 (2023): 63 - 69. 10.47717/turkjsurg.2023.5639
MLA	Özgüç Halil,Narmanlı Mustafa,Isik Ozgen Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. Turkish Journal of Surgery, vol.39, no.1, 2023, ss.63 - 69. 10.47717/turkjsurg.2023.5639
AMA	Özgüç H,Narmanlı M,Isik O Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. Turkish Journal of Surgery. 2023; 39(1): 63 - 69. 10.47717/turkjsurg.2023.5639
Vancouver	Özgüç H,Narmanlı M,Isik O Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students. Turkish Journal of Surgery. 2023; 39(1): 63 - 69. 10.47717/turkjsurg.2023.5639
IEEE	Özgüç H,Narmanlı M,Isik O "Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students." Turkish Journal of Surgery, 39, ss.63 - 69, 2023. 10.47717/turkjsurg.2023.5639
ISNAD	Özgüç, Halil vd. "Impact of bariatric and metabolic surgery education program on the knowledge and attitude of medical students". Turkish Journal of Surgery 39/1 (2023), 63-69. https://doi.org/10.47717/turkjsurg.2023.5639