A global deficiency of nutrition education in physician training: the low hanging fruit in medicine remains on the vine

Devries, Stephen

doi:10.1016/s2542-5196(19)30173-1

Cited by 19 publications

(13 citation statements)

References 5 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While many studies show the health benefits of proper nutrition, exercise, and other healthy behaviors, there is a lack of adequate education on nutrition counseling among health care professionals, residents, and medical students. 21,33,35,36 Studies of medical students and residents show that while they are interested in nutrition education and they think it is important, they lack confidence in their knowledge of nutrition and nutrition counseling. 20,21,23,37,38 Our residents corroborated these findings in our preintervention survey.…”

Section: Discussionmentioning

confidence: 99%

The Lunch Conference Diet: Fostering Resident Engagement in Culinary Medicine Through a Curriculum Centered on Changes to Provided Conference Food

Doxey

Krug

Tivis

2021

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

Background. Despite the burden of chronic disease attributable to lifestyle, most internal medicine residents do not receive adequate training in nutrition and nutrition counseling. Methods. We held a culinary medicine workshop in September 2018, followed by didactic sessions throughout the academic year. Changes were made to lunch conference food to more closely follow the Mediterranean diet and to encourage healthy eating. With a modified NUTCOMP (Nutrition Competence Questionnaire) instrument, we assesses residents’ perceived competence with nutrition counseling before and after the curriculum. Results. Twenty-six of 30 residents completed the pre-curriculum and post-curriculum surveys (not the same 26). The mean NUTCOMP score increased from 3.5 to 4.0 ( P < .0001), indicating an increased perceived competence with nutritional counseling. Residents felt that nutritional counseling was important before and after the curriculum (4.2 to 4.3, P = .48). Conference food was more nutritious at the end of the intervention (Mediterranean diet score range 1-4 to 4-7) and residents enjoyed the food more. Conclusions. An innovative, multimodal nutrition curriculum centered on changes to catered lunch conference food improved resident’s confidence with nutritional counseling. This could feasibly be integrated into other residency programs with supportive leadership and adequate training.

show abstract

Section: Discussionmentioning

confidence: 99%

The Lunch Conference Diet: Fostering Resident Engagement in Culinary Medicine Through a Curriculum Centered on Changes to Provided Conference Food

Doxey

Krug

Tivis

2021

American Journal of Lifestyle Medicine

View full text Add to dashboard Cite

show abstract

“…21 This may imply that in addition to an insufficient number of hours spent on nutritional education, the focus of nutritional education is less applicable to the majority of the American population than more practical principles of micro-and macro nutrition and nutritional management of hospitalized patients. 10,17 The latter point becomes increasingly important when considering that recent studies have demonstrated significantly improved surgical patient mortality outcomes, decreased hospital length of stay, and decreased incidence of wound infection with early enteral nutritional support. 5,22 Although nutritional counseling and management is of greatest benefit when implemented early in the patient treatment plan, our findings that resident respondents were associated with reporting challenges with successfully managing all routes of nutrition, as well as substantial proportions of faculty surgeons reporting challenges with enteral routes of nutrition, further substantiate the notion of an insufficient amount of focus given to in-hospital nutritional management of patients during medical school and residency.…”

Section: Discussionmentioning

confidence: 99%

“…7 Furthermore, the lack of attention paid to the topic of nutrition during medical school has been shown to create deficits in the ability of students to identify patients at risk of malnutrition and properly counsel patients on adequate nutrition. 9,10 The insufficient amount of nutritional education received in medical school has prompted the creation of yearlong nutrition fellowships for internal medicine physicians and surgeons who have completed their residency and wish to have a more comprehensive and detailed understanding of nutrition. 11 However, as these programs are in existence for those who have already completed their residency, only a small fraction of newly graduated residents will go on to complete a nutrition fellowship as compared to a fellowship which may be more relevant to their desired specialty.…”

Section: Introductionmentioning

confidence: 99%

The Need for Nutritional Education Reform in US Medical Education System

Sutherland

McKenney

Shanahan

et al. 2020

The American Surgeon

View full text Add to dashboard Cite

Background To compare the setting, quality, and utility of nutritional education received by general surgery residents and faculty surgeons and their perceptions and challenges in managing patient nutritional needs. Methods Cross-sectional analysis utilizing anonymous survey data distributed by the Association of Program Directors in Surgery (APDS) to its affiliated general surgery residency programs. Results 90.2% (n = 65) of residents and 85.7% (n = 24) of faculty surgeons reported having received nutritional education. The majority (78%) of respondents utilize patient nutrition on a regular basis (monthly or more often), with 54% reporting utilization daily or weekly. Overall, 65% of respondents reported experiencing challenges in managing patient nutritional needs, and 86% agreed that additional nutritional education during training would assist with patient care. Residents and faculty surgeons both significantly reported challenges in determining which specific nutritional formula to use ( X2 = 22.414, P = .049). Residents were associated with reporting challenges in successfully managing oral, enteral, and parenteral routes of nutrition ( X2 = 16.241, P = .023). Conclusions Despite receiving nutritional education, the majority of surgery residents and faculty surgeons report difficulty in managing their patients nutritional needs. Surgery residents report difficulties with all delivery modes of nutrition, including oral, parenteral, and enteral. Revising medical school nutritional education competencies to focus on more practical aspects of nutrition, reform of formal course format, greater interprofessional collaboration with dieticians starting at the student level, and enforcement of nutritional education requirements by medical school and residency program accrediting bodies can serve to advance physicians’ nutritional knowledge and improve patient outcomes.

show abstract

“…Medicine advancements have made substantial progress in the diagnosis of NCDs, but preventive strategies, tools of prediction, and active therapeutic agents are not yet established. Regarding prevention, despite the pivotal role of diet and the other environmental factors on disease onset and progression, physicians lack proper knowledge and tools to assess and improve them (Strong et al 2006;Tinetti et al 2012;Devries 2019). Besides, current treatment approaches have proved beneficial for only 30-60% of the patients, and an additional 30% experience severe adverse effects indicating a large gap that needs to be addressed.…”

Section: Introductionmentioning

confidence: 99%

Responsible Innovation in Industry: The Role of Firm’s Multi-Stakeholder Network

et al. 2021

View full text Add to dashboard Cite

the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

show abstract

A global deficiency of nutrition education in physician training: the low hanging fruit in medicine remains on the vine

Cited by 19 publications

References 5 publications

The Lunch Conference Diet: Fostering Resident Engagement in Culinary Medicine Through a Curriculum Centered on Changes to Provided Conference Food

The Lunch Conference Diet: Fostering Resident Engagement in Culinary Medicine Through a Curriculum Centered on Changes to Provided Conference Food

The Need for Nutritional Education Reform in US Medical Education System

Responsible Innovation in Industry: The Role of Firm’s Multi-Stakeholder Network

Contact Info

Product

Resources

About