As the obesity epidemic continues rising, many physicians recognize the urgent need for specialized training beyond traditional weight loss advice.
Gitanjali Srivastava, MD, professor of medicine, pediatrics & surgery, and the medical director of Obesity Medicine at Vanderbilt University School of Medicine in Nashville, Tennessee, was nearly 10 years into practicing pediatric medicine when she graduated from the obesity medicine fellowship at Massachusetts General Hospital in Boston in 2013."We were the very first sort of fellows to speak of then; there were no standards or curriculum," she said.
For so long, the advice for obesity was about lifestyle. Move more, eat less, and harness willpower,"which really is a fallacy," said Kimberly Gudzune, MD, MPH, an obesity medicine specialist and chief medical officer for the American Board of Obesity Medicine Foundation. For people with obesity,"your brain is operating differently," she said."Your body really is set up to work against you.
In addition to the medical education gap, until recently there was a"paucity of robust evidence," Srivastava said. Leaders in the field wanted to establish standards and guidelines, but there wasn't enough strong evidence on obesity and its treatments to build them, she said. The ABOM offers two board certification pathways: 60 hours of CME credits or a 12-month fellowship. Both paths require doctors to pass the board's exam.
Some doctors return to their previous specialties after fellowship. But many will go on to take obesity medicine–specific roles or set aside clinic hours for obesity medicine. Their credentials are"really attractive to institutions, especially those looking to open up obesity medicine or weight management programs," said Srivastava.
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