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:
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.
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.
Step 5. Resources to Support FFR Curriculum
Resources Designed for Resident Teaching: Physical Activity Guidelines, AAP CPTI Advocacy Goals & Objectives, Activity Menu, Asset Mapping, Promising Provider Practices Guest Speaker List, QI Methods, Resident Observation Checklist, Resource List
Step 7. Evaluation of the FFR Curriculum
Step 8. Sustaining the FFR Curriculum
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.
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