Virtual Mentor

Virtual Mentor. April 2010, Volume 12, Number 4: 253-356.

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April 2010 Contents

Medical Ethics Confronts Obesity

Ethics Poll

Obesity researchers and clinicians agree that many factors, including genetic and environmental influences and will power in regulating food intake and activity level, contribute to unwanted weight gain and obesity. Which of the following do you think is the greatest contributor to overweight and obesity?
Genetics
Lack of willpower
Environment

People who are overweight and obese report that they experience weight-related stigma from many sources and that bias occurs in hiring and promotion decisions. Which of the following best describes how you think weight-related bias operates in the job market? Biases against people who are overweight:
Play little or no role in employment practices.
Affect hiring practices in fashion and on-camera jobs such as television news anchors.
Operate at the management level; fewer people who are overweight hold upper management positions.
Operate at all levels of employment; people who are overweight have more difficulty being hired for entry-level positions than their counterparts who are not overweight.

Many policymakers believe that America is in the midst of an obesity crisis, but there is disagreement about whether and to what extent government should intervene. Which of the following interventions do you think government should undertake in attempting to curb the nation's obesity crisis? Check all that apply.
Play no role in trying to change what people eat and how they behave.
Enforce full and accurate food labeling so that consumers are aware of the nutritional value of their food.
Enforce warnings on labels of foods that are high in calories and low in nutrients..
Levy taxes on high-calorie, low-nutrient foods such as sugary drinks.
Stop subsidizing crops that end up in low-nutrient foods.
Ban certain ingredients like trans fats that have been shown to contribute to disease risk factors.

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From the Editor

Obesity Takes Center Stage
Fatima Cody Stanford
Full Text | PDF
Virtual Mentor. 2010; 12:256-257.

Educating for Professionalism

Clinical Cases

Weight-Based Stigma and Physician Bias
Commentary by Lawrence J. Cheskin, Scott Kahan, and Gail Geller
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Virtual Mentor. 2010; 12:258-262.

Does Pediatric Obesity Indicate Child Neglect?
Commentary by Todd Varness
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Virtual Mentor. 2010; 12:263-267.

Weight-Related Denial of Insurance for an Infant
Commentary by Nancy F. Krebs
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Virtual Mentor. 2010; 12:268-271.

Medical Education

It Is Time for Obesity Medicine
Nadia N. Ahmad and Lee M. Kaplan
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Virtual Mentor. 2010; 12:272-277.

Applying the Principles of Professionalism to Preventing, Identifying, and Treating Obesity
Colleen Gillespie and Melanie Jay
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Virtual Mentor. 2010; 12:278-285.

The Code Says

AMA Code of Medical Ethics’ Opinion on Respect for All Patients
Full Text | PDF
Virtual Mentor. 2010; 12:286.

Journal Discussion

Weight Bias in Health Care
Natasha Schvey
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Virtual Mentor. 2010; 12:287-291.

Clinical Pearl

Diagnosing Obesity: Beyond BMI
Francisco Lopez-Jimenez and William R. Miranda
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Virtual Mentor. 2010; 12:292-298.

“Can We Talk About Your Weight for a Few Minutes, Mr. Jones?”
Adam Gilden Tsai and Nia Mitchell
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Virtual Mentor. 2010; 12:299-304.

Law, Policy, and Society

Health Law

Obesity-Related Legislation Meets American Individualism
Drew McCormick
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Virtual Mentor. 2010; 12:305-308.

Policy Forum

A Rationale for Policy Intervention in Reducing Obesity
Robin A. McKinnon
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Virtual Mentor. 2010; 12:309-315.

What’s Wrong with the U.S. Approach to Obesity?
Barry M. Popkin
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Virtual Mentor. 2010; 12:316-320.

Medicine and Society

Media Portrayal of People Who are Obese
John Whyte
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Virtual Mentor. 2010; 12:321-324.

History, Art, and Narrative

Medical Narrative

Plus Seating
Audiey C. Kao
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Virtual Mentor. 2010; 12:325-326.

Op-Ed and Correspondence

Op-Ed

A Call for Collaborative Action against America’s Greatest Health Threat
Richard H. Carmona
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Virtual Mentor. 2010; 12:327-330.

Physician BMI and Weight Counseling
Pamela M. Peeke
Full Text | PDF
Virtual Mentor. 2010; 12:331-334.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2010; 12:335-352.

About the Contributors
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Virtual Mentor. 2010; 12:353-356.