The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.
Anne-Marie Laberge, MD, PhD and Wylie Burke, MD, PhD
Physicians and counselors must address the importance of communicating genetic test results to family members in the pre-test counseling and informed-consent processes prior to testing.
The rationale for policy intervention to reduce obesity rates appears compelling. Justification for intervening in the case of children is particularly strong, and precedent suggests that society will more readily accept appropriate restrictions to youth behavior.
For a medical school admissions committee to consider social networking activities during the selection process without informing candidates would violate the principles of transparency and consistency and could lead to worthy applications being rejected.
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.