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Fit for Residency Curriculum

Introduction - Fit for Residents Curriculum

It is with great pleasure that we share with you the Fit for Residents curriculum guide. This curriculum helps support the education of pediatric, family physician, and medical-pediatric residents to promote the health of children and their families through healthy eating, optimal exercise and emotional well-being. The University of California, Los Angeles Schools of Medicine and Public Health in collaboration with the American Academy of Pediatrics (AAP) Chapter 2, the AAP nationally, the American Academy of Family Physicians (AAFP), and a group of national obesity experts developed this childhood overweight prevention and management curriculum as a resource for residency training programs. The goal of the Fit for Residents project is to provide the platform for the future physician workforce to be better prepared to face the expanded physician role in prevention and management of pediatric obesity and in turn prevent type 2 diabetes and heart disease. This project was supported by a grant from the Anthem Blue Cross Foundation.

The curriculum has two unique features:

  1. the curriculum is evidence based and written in such a way that it is "adaptable" - it can be implemented into pediatric, family practice, medicine/pediatric residency programs.
  2. the curriculum was written with particular attention to cultural and socioeconomic issues to provide specific information to physicians-in-training working with racially, ethnically and socio-economically diverse populations.

Expert Panel

To develop the curriculum, we selected fifteen physicians with significant experience in teaching obesity prevention, management and advocacy skills to pediatric and family physician residents to participate in an expert panel.  Representatives from the AAP and AAFP were part of this expert panel as well. The expert panel designed the curriculum through a selection of learning objectives, activities and teaching resources based on evidence and expert based guidelines detailed in the 2007 Expert Committee Recommendations and other evidence based resources. The experts then rated the goals, objectives, activities and teaching resources and a final document was produced. The final curriculum had knowledge and practice-based objectives in the core content areas of prevention, management and advocacy.


Pilot Program

We chose to pilot and evaluate the curriculum with a small group of pediatric and family physician residency programs to test the curriculum and evaluate its effectiveness in changing resident knowledge, skills and practice. This publication is a compilation of the materials developed and assembled during the project's three years. We hope this will help provide you with tools and resources so you can incorporate the Fit for Residents curriculum into your residency training program.


What can be found in the publication of the Fit for Residents Curriculum Guide?

  • A step-by-step approach to guide in the planning, implementation, and evaluation of a pediatric obesity curriculum for residency training program
  • Tools, worksheets, and resources to guide the planning, implementation, and evaluation of a pediatric obesity curriculum for residency training programs.
  • Success stories and promising practices from California pediatric and family medicine residency programs that have piloted the curriculum into their residency programs.

                                                                    

Access the Curriculum and Resources

       What is the Purpose of this Curriculum?

Step 1. Getting Started, Curriculum by ACGME competencies, Curriculum by Major Topic Areas

Step 2. What are you Already Teaching?Program Inventory Tool

Step 3. Faculty Involvement, Faculty Development & Involvement Worksheet

Step 4. Clinical Inventory, Clinical Activities Inventory Tool

Step 5. Resources to Support FFR Curriculum

Resources Designed for Continuity Clinic:  BP Measurement Pocket Guidelines, Lifestyle Log, Decision Tree

Resources Designed for Resident Teaching:  Physical Activity Guidelines, AAP CPTI Advocacy Goals & Objectives, Activity Menu, Asset MappingPromising Provider Practices  Guest Speaker List, QI Methods, Resident Observation Checklist, Resource List

Step 6. Implementing FFR Curriculum, Implementation Tool, Activity Menu

Step 7. Evaluation of the FFR Curriculum

Reviewing and Tracking Clinical Data: Chart Review Tool, Chart Review Instructions, Data Feedback Tool, Data Feedback Instructions

Resident Evaluation Tools: Observation Clinic Assessment Tool,  Knowledge and Attitude Survey (revised 2015), Resident Self-Evaluation Tool

Step 8. Sustaining the FFR Curriculum

 

Acknowledgements

A special acknowledgement goes to all of the champions at the resident sites and our program staff that participated in the Fit for Residents Pilot project for their hard work and vision. In particular we would like to acknowledge the following champions:

1. Cinnie Chou, MD, Contra Costa Family Practice, Contra Costa County
2. Shaila Serpas, MD, Scripps Family Practice, San Diego
3. Lydia TinajeroDeck, MD, Children's Hospital & Research Center Oakland Pediatrics, Oakland
4. Sylvia Yeh, MD, Harbor Pediatrics, Los Angeles
5. Antonio Zamora, MD, White Memorial Family Practice and Pediatrics, Los Angeles

A special thanks to the program staff:  Margaret Whitley, Sandra Portocarrero and Ericka Gee.

We also want to thank the members of our expert and advisory committees, especially Drs. Sandra Hassink and Lori Feldman Winter for their support and guidance.

Finally, we thank Anthem Blue Cross Foundation for funding this project. Their vision and belief in the project allowed us to train the next generation of physicians to promote the health of children and their families through healthy eating, optimal exercise and emotional well-being.

Sincerely,


Wendy Slusser, MD, MS
Associate Clinical Professor
Medical Director, Mattel Children's Hospital, UCLA Fit for Health

 

Debra Lotstein, MD, MPH
Associate Clinical Professor
Medical Director, Mattel Children's Hospital, UCLA Transition Clinic

 

Alma Guerrero, MD, MPH
Assistant Clinical Professor, MD, MPH

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