title: Barriers to obesity training for pediatric residents: a qualitative exploration of residency director perspectives.
abstract: BACKGROUND
  Obesity affects many children and has serious health consequences. Pediatricians are expected to help halt this epidemic, but little is known about either existing obesity curricula during residency or barriers to curriculum development.
  
  
  OBJECTIVE
  The purpose of the study was to explore the following topics related to obesity training in pediatric residencies: current training offered, perceived barriers to training, recommendations for improving training, and educators' attitudes and beliefs regarding the role of the pediatrician in obesity prevention and management.
  
  
  METHODS
  We conducted in-depth interviews with a purposeful sample of pediatric residency program directors (n = 16), and analyzed them using grounded theory.
  
  
  RESULTS
  Limited training is currently offered in the area of obesity prevention and management in pediatric residencies. We developed a taxonomy of barriers to curriculum development and recommendations for improving training based on analysis of participant interviews. We also describe the varied findings regarding program directors' attitudes and beliefs about the pediatricians' role in obesity prevention and management.
  
  
  CONCLUSIONS
  Pediatric residency program directors recognize obesity as a significant health issue, but little structured training is offered in this area. Numerous barriers limit curriculum development and implementation, but suggestions for curriculum development offered in these interviews may help in development of obesity curricula for pediatric residency programs.
authors.affiliation: Departments of Internal Medicine and Pediatrics, University of Massachusetts Medical School, Worcester, Massachusetts 01072, USA. goffs@ummhc.org
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Goff
authors.forename: Eric S
authors.initials: ES
authors.lastname: Holmboe
authors.forename: Leslie
authors.initials: L
authors.lastname: Curry
mesh_terms: D001291:Attitude of Health Personnel; D003479:Curriculum; D006801:Humans; D007396:Internship and Residency; D007407:Interviews as Topic; D009765:Obesity / Q000517:prevention & control / Q000628:therapy; D010372:Pediatrics / Q000193:education*; D010819:Physician's Role; D014481:United States