Certified Obesity Medical Physician (COMP)

Domain 03: Treatment

Behavioral/Psychosocial
Nutrition/Diet
Physical Activity
Pharmacotherapy
Surgery
Header TBD

Behavioral/Psychosocial

• Behavior treatment (e.g., behavior modification techniques, cognitive behavioral therapy)
• Self-monitoring tools (e.g., Internet, PDA, food/physical activity diaries)
• Family support and participation (e.g., role of parenting style, spousal support, sabotage)
• Individual, group, family therapy

Nutrition/Diet

• Calorie and micro/macronutrient prescription and management
• Very-low calorie diet prescription and management
• Meal replacement strategies
• Available resources (e.g., books, Internet, commercial programs)
• Diet tailoring to co-morbid conditions
• Pediatric nutritional guidelines
  

Physical Activity

• FITTE (frequency, intensity, type, time, enjoyment)
• Types, risks, and benefits of physical activity
• Prescription tailoring (children/elderly)
• Exercise tools (e.g., pedometer, accelerometer, WiiFiT)
• Methods to reduce sedentary behaviors
• Partnerships with community based programs, YMCA, leagues, etc.

Pharmacotherapy

• Types, mechanisms of action
• Risks, benefits, and adverse effects
• Indications/contraindications (age specific)
• Monitoring and follow-up
• Prescription (dose and frequency)
• Drug-drug, drug-nutrient, and drug-herbal interactions
• Off label usage/OTC
• Multi-drug/combination therapy
• Interaction between obesity and pharmacokinetics
• Management of drug-induced weight gain
• Local regulations on usage
• Alternative therapies
  

Surgery

• Types, risks, benefits of weight loss surgical procedures
• Indications and contraindications
• Complications - short and long term, emergent and subacute
• Pre-op medical assessment and preparation
• Pre-op nutritional assessment and preparation
• Pre-op psychological assessment and preparation
• Post-op medical management (inpatient)
• Post-op medical management (outpatient)
• Post-op nutritional management (outpatient)
• Post-op psychological management (outpatient)
• Adolescent surgery
• Medical/legal consent forms
• Patient education
  

 

(Header TBD)

• Particulars of obesity treatment at different ages
• Emerging and investigational therapies
• Appropriate rate of weight loss and weight goal for the individual patient (e.g., pediatric, geriatric, sex, disability, co-morbid conditions)
• Risks associated with excessive weight loss
• Treatment of the resistant patient, including medical, surgical, and psychological, and Intervention and management strategies
• Weight gain prevention strategies (e.g., primary prevention, relapse prevention, maintenance), including role of physical activity, other strategies [e.g., diet, behavioral, pharmacotherapy], and factors affecting outcome
• Management of weight plateau
• Strategies to prevent obesity
• Management of comorbid conditions during weight loss
• Patient management with special populations (e.g., mental retardation, meningomyelocele)

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