Lawrence J. Cheskin, MD, Scott Kahan, MD, MPH, and Gail Geller, ScD, MHS
Many health professionals harbor negative biases toward individuals who are obese. Cultivating an awareness of our own biases is the best way to avoid acting on them.
Physicians have an ethical responsibility to caregivers whose psychological distress is caused by their experience of the patient’s illness and treatment.
AMA J Ethics. 2017;19(5):493-500. doi:
10.1001/journalofethics.2017.19.5.msoc3-1705.
Residents can be better prepared to treat patients who are obese by understanding that care as an expression of the core principles of professionalism: responsibility, self-regulation, patient-centered care, and teamwork.
A breastfed infant in a high weight-for-length percentile is not necessarily at greater risk for future health problems than a leaner infant; a physician would be justified in advocating for such a child to receive insurance coverage.
Medical students and residents should be taught clear principles to help them educate families about their children's nutritional requirements from the age of birth in order to prevent childhood obesity.
Pediatricians should be aware of the cultural issues surrounding body image when they counsel certain patients and their parents about the importance of weight loss and the related health concerns.
A physician advocate who has taken public advocacy stances against the federal government while employed by the government talks about the conflicts that arise between medicine and politics.
Physicians who are interested providing care to uninsured patients can consider a number of options to balance his altruistic desires with his personal needs.