title: Medical curricula and preventing childhood obesity: pooling the resources of medical students and primary care to inform curricula.
abstract: OBJECTIVE
  The study aimed to firstly provide a small self-selecting group of medical students with the opportunity to explore current approaches and opportunities addressing the prevention of childhood obesity and, secondly, to consider what aspects could be part of the taught curriculum.
  
  
  METHODS
  Medical students in their third and fourth year were invited to self-design special study modules (SSMs) exploring interventions and processes addressing the growing concern about childhood obesity. One student looked at the role of the primary care teams, two looked at community-based opportunities to improve physical activity in urban areas where there is significant deprivation and one student explored the complex role of the media as a social determinant of dietary patterns and sedentary behaviour.
  
  
  RESULTS
  Primary care health professionals questioned their role in regard to raising the topic of obesity in the consultation and had limited awareness of current NICE guidelines and local interventions for referral. Local authority physical activity programmes have an important role in preventing and tackling obesity and although the media are regulated, there is limited impact on reducing obesity. Conversely, the influence of the media is complex and enables medical students and teachers to be aware of some of the social determinants influencing health-related behaviour.
  
  
  CONCLUSIONS
  About a third of UK GP practices have some role in medical undergraduate education. It will therefore be inevitable that students will encounter GPs working with prevention and management of childhood obesity, however limited, and this will increasingly be part of the teaching agenda, whether formal and planned or opportunistic. Curricula could include being familiar with the evidence that informs NICE guidelines, observing these guidelines being implemented and their limitations, awareness of local schemes for referral to prevent or treat obesity and the influence of wider determinants on diet and physical activity behaviour, including the media.
authors.affiliation: Undergraduate Medical Education Team, Department of General Practice and Primary Care, King's College London School of Medicine at Guy's, King's College and St Thomas' Hospitals, London, UK. ann.wylie@kcl.ac.uk
authors.forename: Ann
authors.initials: A
authors.lastname: Wylie
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Furmedge
authors.forename: Amber
authors.initials: A
authors.lastname: Appleton
authors.forename: Helen
authors.initials: H
authors.lastname: Toop
authors.forename: Tom
authors.initials: T
authors.lastname: Coats
mesh_terms: D002648:Child; D003479:Curriculum; D004501:Education, Medical / Q000379:methods*; D005194:Family Practice / Q000193:education*; D006801:Humans; D009765:Obesity / Q000517:prevention & control* / Q000628:therapy; D010865:Pilot Projects; D011320:Primary Health Care / Q000379:methods*; D018794:Problem-Based Learning / Q000379:methods