Future Doctors' Perceptions about Incorporating Nutrition into Standard Care Practice

Schoendorfer, Niikee; Gannaway, Deanne; Jukic, Katherine; Ulep, Robin; Schafer, J. Ben

doi:10.1080/07315724.2017.1333928

Cited by 25 publications

(31 citation statements)

References 22 publications

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“…The studies encompassed descriptive cross-sectional quanti tative surveys (n=16), [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] qualitative interview studies (n=3), [35][36][37] and evaluations of curriculum initiatives (n=5; table). [38][39][40][41][42] Of the 16 quantitative survey studies, eight involved medical students only, [20][21][22][26][27][28][29][30] three involved recent medical graduates (ie, ≤4 years), 24,25,32 two involved medical directors only, 31,34 one involved medical students and faculty, 23 and two involved health professional students. 19,33 Participant numbers for the studies ranged widely, from 15 to 3248, and all were between 15 and 1038, with the exception of one larger study (n=3248).…”

Section: Resultsmentioning

confidence: 99%

Nutrition in medical education: a systematic review

Crowley

Ball

Hiddink

2019

The Lancet Planetary Health

306

274

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Background In many countries, doctors are recommended to provide nutrition care to patients to improve the dietary behaviours of individuals and populations. Here, we present a systematic review that aims to critically synthesise literature on nutrition education provided to medical students.Methods In this systematic review, a literature search was done between May 1 and July 1, 2018, for articles on medical students' nutrition knowledge, skills, and confidence to counsel patients, from Nov 1, 2012, to Dec 31, 2018. Search terms related to medical students included "nutrition in medical education", "medical nutrition education", and "undergraduate medical nutrition education". Search terms for topic of interest included "nutrition", "knowledge", "skills", "nutrition counselling", "confidence", "nutrition care", or "nutrition education". Included studies examined any aspect of recently graduated (ie, ≤4 years) or current medical students' nutrition knowledge, attitudes, skills, or confidence (or all three) in nutrition or nutrition counselling; evaluated nutrition curriculum initiatives for medical students; or assessed recently graduated or current medical students' perceptions of nutrition education. Quality assessment appraisal of the studies was done using a Mixed Methods Appraisal Tool. Curriculum initiatives were also appraised.Findings 66 studies were identified by the search and 24 were eligible for full-text analysis. 16 quantitative studies, three qualitative studies, and five curriculum initiatives from the USA (n=11), Europe (n=4), the Middle East (n=1), Africa (n=1), and Australasia (n=7) met the inclusion criteria. Our analysis of these studies showed that nutrition is insufficiently incorporated into medical education, regardless of country, setting, or year of medical education. Deficits in nutrition education affect students' knowledge, skills, and confidence to implement nutrition care into patient care. A modest positive effect was reported from curriculum initiatives.Interpretation Despite the centrality of nutrition to healthy lifestyle, medical students are not supported to provide high-quality, effective nutrition care. Medical education can be enhanced by institutional commitment to make nutrition education compulsory in medical training, establishment of nutrition competencies to provide a benchmark for nutrition knowledge and skills to be included in curricula, and supported by funding for innovative curriculum initiatives. These initiatives will improve nutrition in medical training to support future doctors for the 21st century.

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Section: Resultsmentioning

confidence: 99%

Nutrition in medical education: a systematic review

Crowley

Ball

Hiddink

2019

The Lancet Planetary Health

306

274

View full text Add to dashboard Cite

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“…These results were not unexpected and are corroborated by the literature. Previously published studies highlight students' recognition of the value of nutrition care during patient encounters (20)(21)(22).…”

Section: Discussionmentioning

confidence: 99%

Implementation of an Interprofessional Nutrition Workshop to Integrate Nutrition Education into a Preclinical Medical School Curriculum

Petrizzo

Block

Olvet

et al. 2020

Journal of the American College of Nutrition

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Objective: The patient-physician encounter provides an ideal opportunity to assess a patient's dietary history and its impact on total health. However, nutrition assessments and counseling in physician-patient encounters is often lacking. Insufficient nutrition education during medical school may lead to insecurity in assessing and counseling patients. Methods: Physicians and registered dietitians (RD) co-developed and co-facilitated a nutrition workshop for first-year medical students. Goals included increasing recognition of nutrition's impact on health and promoting student confidence and skills when attaining a nutrition history, assessing risk factors, and advising. Results: Seventy percent of students attested to having "sufficient" knowledge to counsel a patient on nutrition after the session compared to 38% before (Z¼ À4.46, p < 0.001). Sixty eight percent felt comfortable completing a nutritional assessment after the session compared to 35% before (Z¼ À4.30, p < 0.001). Sixty-three percent felt confident in advising patients about nutrition after the session compared to 32% before (Z¼ À4.20, p < 0.001). Students also significantly outperformed a control cohort on a nutrition-related component of an Objective Standardized Clinical Examination. Conclusions: Clinical nutrition education can be successfully integrated into the medical school curriculum as early as the first year. Interprofessional collaboration with RDs provided evidencebased content and authentic clinical experience in both the development of the workshop and in facilitating student discussion.

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“…19 However, lifestyle medicine education in medical schools today is composed of superficial topics, such as calculation of body mass index, waist-hip ratio, significance of moderate weight loss with type 2 diabetes, and importance of decreasing alcohol consumption. 30 Comprehensive and practical lifestyle medicine principles and lifestyle behavior counseling are tremendously lacking in medical curricula and clinical training. This is a real medical gap that leads to apparent challenges in performing a lifestyle assessment and relaying effective lifestyle medicine recommendations to patients.…”

Section: Resultsmentioning

confidence: 99%

Catalysts for Change: Accelerating the Lifestyle Medicine Movement Through Professionals in Training

Mondala

Sannidhi

2019

American Journal of Lifestyle Medicine

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While the Western diet has evolved to become increasingly high in saturated fat, cholesterol, protein, sugar, and salt intake, nutrition education and training of health care professionals to counsel their patients on the hazards of such a diet has trailed behind. Primary care physicians have an opportunity to bridge the gap by providing nutrition and dietary counseling as key components in the delivery of preventive services. Increasing research points to the value of a whole-foods plant-based diet in combating chronic disease, yet the knowledge of health professionals about the topic is comparable to that of the general public. This education crisis is apparent in medical training with restricted time for dedicated lectures on nutrition, physical activity, restorative sleep, emotional well-being, and avoidance of risky substance use. Together, educators and learners are valuable catalysts for culture change in medical education, training, and clinical practice. Barriers to physician ability to counsel about lifestyle are many, but one that stands out is lack of training and comfort with counseling. This has implications for the training of health care professionals. American College of Lifestyle Medicine has a committee, Professionals in Training, composed of interprofessional and multidisciplinary students, residents, and fellows nationally and worldwide who are committed to expanding exposure to lifestyle medicine and implementation of lifestyle medicine in parallel curriculum and personal care.

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Future Doctors' Perceptions about Incorporating Nutrition into Standard Care Practice

Cited by 25 publications

References 22 publications

Nutrition in medical education: a systematic review

Nutrition in medical education: a systematic review

Implementation of an Interprofessional Nutrition Workshop to Integrate Nutrition Education into a Preclinical Medical School Curriculum

Catalysts for Change: Accelerating the Lifestyle Medicine Movement Through Professionals in Training

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