While we are regularly told that we should provide patients with realistic expectations when it comes to weight management, are we physicians realistic about our expectations? No doubt it would be wonderful were family physicians able to help cultivate sustainable patient losses by means of brief office visits but I wonder how realistic that expectation might be. Should the focus for office based family physician delivered weight management be changed from one of loss to one of maintenance, and what might a weight maintenance family practice approach look like?
1. Explore some of our current recommendations for family physicians' weight management practices.
2. Consider whether or not "loss" is the outcome we should be looking for in a primary care.
3. Follow through a framework of how a weight maintenance primary care program might look.
Dr. Yoni Freedhoff, MDYoni Freedhoff, MD, is an assistant professor in the Department of Medicine at the University of Ottawa where he's the founder and medical director of the Bariatric Medical Institute—dedicated to non-surgical weight management since 2004. Dr. Freedhoff sounds off daily on his award-winning blog, Weighty Matters, and has been referred to as a "Nutritional watchdog" by the Canadian Medical Association and is known by many to be Canada's most outspoken obesity expert. He prefers the briefest of introductions as he always gets bored listening to lengthy ones.
|