In part 2 of this Exclusive Interview, Dr. Scott Kahan shares tips for medial professional without an expertise in nutrition and obesity during a discussion with Diabetes in Control Associate Medical Editor Joy Pape during the AACE 2018 convention in Boston, MA.
Scott Kahan, MD, MPH is the Director of the National Center for Weight and Wellness in Washington, D.C.
Transcript of this video segment:
Pape: Can you tell me some of those tips?
Kahan: Yes. Actually, I wrote an article in JAMA last year on this. There are a few things. The first thing is, start the conversation ideally before you even meet with the patient. What I mean by that is, especially in a busy primary care practice or endocrinology practice, you can have questionnaires and forms that patients fill out about their dietary patterns, about their likes and dislikes, about their weight history so that even before you see them, you’re going to have information that you can look at so you’re not starting from scratch. So that’s very valuable and then you can use that to build from there. That’s one example.
Another step is to use a structured framework that makes sense to you. Now, the one that I tend to use, because it makes sense to me, is the “5 A’s” framework that was initially developed for smoking cessation counseling. It’s ask, assess, advise, agree, and assist. You can apply that to so many different things but for clinicians who didn’t learn much about that in medical school, like I didn’t either, and who don’t do this day-in and day-out like you and I do, it gives them a basic framework that they can go back to; it’s sort of a cheat-cheat, if you will, to help think through what are the pieces that will make up the encounter as they go about trying to help patients around weight management. I gave a number of further steps like that and I’ll refer you to the article in JAMA that I published late last year with the full list.