Beyond BMI

Credit

Handouts/Brochure

Speaker

Lisa Erlanger, MD Related seminars and products

University of Washington -- The Emily Program

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Lisa Erlanger, MD, is a board-certified family physician whose practice focuses on primary care of larger-bodied individuals, and medical care of eating disorders and mental health concerns. As a Clinical Professor of Family Medicine, she teaches courses including patient-centered care and communication, and ecology of health and medicine. She speaks nationally about weight stigma, weight inclusive primary care and eating disorders. Dr. Erlanger is a Certified Body Trust (R) Provider through Be Nourished in Portland, OR. She believes all people deserve trauma informed, gender affirming, weight inclusive health care.

 

Speaker Disclosures:
Financial: Dr. Lisa Erlanger has employment relationships with the University of Washington School of Medicine and Capstone. She is a medical consultant with Coopersmith Health Law and Strategy. Dr. Erlanger receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Lisa Erlanger is the President and Founder of Association for Weight and Size Inclusive Medicine. She is a member of the American Academy of Family Physicians, the Society of Teachers of Family Medicine, the International Association for Eating Disorders, the Academy of Eating Disorders, and the Association for Size Diversity and Health.

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Objectives

1. Examine the history of the BMI and its impact on healthcare.
2. Evaluate the relationships among weight, weight stigma and health.
3. Critically interpret weight-related interventions and research through an anti-bias lens.
4. Apply evidence-based practices to improve the health of patients of all size.

Outline

• Relevance to personal and professional practice
• Framing the conundrum of increasing focus on weight/spending on weight loss with increasing population weight
• Patient and provider frustration
• Clinical Case (for use throughout the presentation for reflection and clinical application)

• Deconstructing focus on weight
• History of BMI, including its accuracy at measuring adiposity
• Correlation with health, roots in racism, impacts
• Harms of weight-focus/anti-fat bias: definition of stigma, stereotype threat, prevalence in healthcare, analyzing impact on health and healthcare

• Addressing diets
• GLP-1s
• Bariatric surgery
• Risks of intentional weight loss, including weight cycling, disordered eating, undernourishment

• Apply analysis to studies of weight loss medications and surgery.

• Weight inclusive care as a method of improving health for all patients.  
• Principles, evidence, approach.  
• Combating stereotype threat in the office, practical applications.

Resources

• Disease specific weight inclusive care
• Community and further learning

• Limitations
• Key points
• Action steps

Target Audience

• Nurses
• Advanced Practice Nurses
• Nurse Practitioners
• Midwives
• Clinical Nurse Specialists
• Physician Assistants
• Physicians