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We Physicians Preach What We Practice, and That Matters
| January 03, 2008 |
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Each month a
Doctor/Professor offers his thoughts on specific events and activities
in the world of medicine and its impact on the way doctors manage.
"What Do YOU Think?"
invites readers to
respond and
selections from these responses are made available in gulfmd. |
Physician well-being, patients' preventive care, and global
warming: What do these 3 issues have in common? Both physician
well-being and patients' preventive care are important contributors
to climate change. Here's how it goes:
First, physician well-being: Contrary to myth, US physicians
tend to live several years longer than nonphysicians,[1] largely
because we typically do have very good health habits; for example,
very few of us smoke -- about 4% of doctors in the States.[2,3]
But there are 2 other important areas where our habits are better
than others' but could still use considerable improvement. These
are diet and exercise.
Second, patients' preventive care: Physicians tend to preach
to patients what we ourselves practice. Many studies have now
shown that (starting with freshman medical students) physicians
with healthy personal habits are more likely to encourage our
patients to adopt such habits.[3,4]
This is specifically true for both diet and exercise: Physicians
who eat less fat are half as likely to test patients' cholesterol,[3,5]
and those who exercise more are significantly more likely to
counsel their patients about exercise. And it's also been shown
that patients find doctors with healthier diet and exercise
habits to be more believable and more successfully motivating
in both diet and exercise.[6]
So the last, the healthy climate preservation part, then is,
if you eat lower on the food chain by eating less meat and more
locally grown fruits and vegetables, and if you walk or bike
more instead of driving, we will help our patients consume fewer
resources and pollute less, too.
So, while behavioral change is complex, it's clear that our
personal actions as physicians, and the way that our actions
help our patients make better choices, are a good place to start
healing ourselves, our patients, and our planet.
Resources:-
Gulfmd would like to extend heartfelt thanks to Dr. Erica Frank,
Professor and Canada Research Chair at the University of British
Columbia, and Founder and Principal Investigator of the Healthy
Doc = Healthy Patient initiative.
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