4-Role of Physician Health Flashcards

1
Q

All of the following are correct except:

A) Doctors who exercise are more likely to counsel patients on exercise than doctors who don’t exercise.

B) Male internists’ personal health practices for smoking, alcohol, seat belt use and physical activity were all positively associated with counseling for each of those health behaviors.

C) Female physicians who consumed a vegetarian diet were more likely to counsel patients on weight loss and nutrition.

D) Physicians were more likely to record an obesity diagnosis if they perceived the patient’s weight to be more than their own body weight.

E) All the above are correct

A

B.
Male internists’ personal health practices for smoking, seat belt use, and physical activity were all positively associated with counseling for each health behavior, except physician alcohol use was not positively associated.

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2
Q

You want to set an example for your office staff and patients. Which of the strategies below represents a collaborative and effective strategy to promote wellness and behavior change in the office setting?

A) Stop serving meals at staff meetings and encourage employees to choose their own food.

B) Encourage employees to order their favorite items for lunch meetings.

C) Reward employees who have purchased smartwatches with an extra vacation day.

D) Incorporate 10-minute team “walk breaks” in the office during the workday to encourage physical activity.

E) All the above represent a collaborative and effective strategy.

A

D.
Specific strategies associated with healthier office settings include providing healthy food options at staff meetings (helps create a low-risk environment to explore new foods); incorporating technology to create mini-challenges and health competitions incentivizing movement (not simply the purchase of a smartwatch, but the actual utilization); and allowing for time to get involved in the local community to promote healthier changes. Encouraging employees to order their favorite items may backfire if it promotes the consumption of unhealthy foods that harm the employee’s health. Mandating food policies, choices and preferences are touchy subjects in the workplace. An easy and more collaborative place to start might be choice ‘D’, incorporating walk breaks into the office setting to promote activity.

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3
Q

Again, you want to set an example for your office staff and patients. Which of the strategies below represents a collaborative and effective strategy to promote wellness and behavior change in the office setting?

A) Provide less healthy meals for office gatherings, as your staff do not prefer as healthy of food as you like.

B) Continue to use standard desks for employees, as it is too expensive to offer standing alternatives.

C) Use technology tracking devices to engage your team in health challenges.

D) Encourage physical activity outside the office, but do not allow time during office hours as you are too understaffed to accommodate this.

E) None of the above represent a collaborative and effective strategy.

A

C.
Technology tracking devices can be useful to engage the team. Promote healthy meals in and outside the office and do not serve or provide unhealthy meals. Promote a culture of wellness in the office by encouraging physical activity and consider installing standing work stations or treadmill desks, especially for those who work primarily on the computer.

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4
Q

Examples of lifestyle medicine advocacy include which of the following:

A) The Blue Zones Project

B) The Robert Wood Johnson Foundation: Creating a Culture of Health

C) Dean Ornish, MD

D) All the above are correct

A

D.

All are examples of lifestyle medicine advocacy.

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5
Q

In preparing a personal readiness assessment for a personal action plan, you should include all of the following except:

A) Assess readiness to change

B) Assess confidence to change

C) Start working on at least two focus areas or behaviors that need to be changed

D) Chose a time to reassess

E) All the above should be included

A

C.

You want to pick one focus area or behavior to change, not multiple areas. Other statements are correct.

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6
Q

In a 2012 survey, what percentage of primary health physicians were obese ?

52%
50%
53%
49%
55%
A

53%

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7
Q

In regard to conducting a personal readiness assessment and developing a personal action plan, which of the following is true?

a. Self-readiness can be assessed using the transactional stages of readiness.
b. Focus on the overall goal rather than one specific area or behaviour.
c. The stages of change, in order, are: Preparation, d.Precontemplative, Contemplative, Action, Maintenance, Relapse.
e. Thinking about a change in the next month” refers to the Contemplative stage.
f. Timely follow up involves reassessing progress and confidence, and celebrating successes.

A

E
Corrections: transtheoretical stages of readiness; pick one area or behaviour to focus on; order = Precontemplative, Contemplative, Preparation, Action, Maintenance, Relapse; “Thinking about change in next month” = Preparation stage, “next 6 months” = Contemplative.

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8
Q

8.(mariana Sousa)
In a 2012 survey, what percentage of primary health physicians were obese?

a. 52%
b. 50%
c. 53%
d. 49%
e. 55%

A

C

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9
Q
  1. (Vas Thoroughgood)
    Which of the following is NOT one of the nine common characteristics associated with longevity, shared by communities in the Blue Zones Project?

a. Eat a mainly plant-based diet
b. Sleep for 7-8 hours a night
c. Make physical activity part of day to day life instead of going to the gym
d. Stop eating after being 80% full
e. Put family first by investing time in nourishing close personal relationships

A

b

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10
Q

10.(Paola Barzelatto)
In a cross-sectional study of 1,349 internists, which personal health practice in the male internist group was not associated with counseling for that particular health behavior:

a. Smoking
b. Alcohol use
c. Seat belt use
d. Physical exercise

A

b

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11
Q

11 (Richard Baxter)
In regard to conducting a personal readiness assessment and developing a personal action plan, which of the following is true?

a. Self-readiness can be assessed using the transactional stages of readiness.
b. Focus on the overall goal rather than one specific area or behaviour.
c. The stages of change, in order, are: Preparation, Precontemplative, Contemplative, Action, Maintenance, Relapse.
d. “Thinking about a change in the next month” refers to the Contemplative stage.
e. Timely follow up involves reassessing progress and confidence, and celebrating successes.

A

e

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12
Q
  1. (Lolu)
    All of the following strategies are recommended to help implement a culture of wellness in the office except :

a. Installing standing workstations for those who work primarily on the computer
b. Tracking colleagues’ activities using technology
c. On-site gym equipment that employees are encouraged to use
d. Establishing a monthly curry night to encourage connectedness
e. Allow time for providers to get involved in local community changes to encourage healthy living

A

D - Establishing a monthly curry night to encourage connectedness

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