Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599-7461, USA.
Acad Med. 2010 Sep;85(9):1537-42. doi: 10.1097/ACM.0b013e3181eab71b.
To quantify the number of required hours of nutrition education at U.S. medical schools and the types of courses in which the instruction was offered, and to compare these results with results from previous surveys.
The authors distributed to all 127 accredited U.S. medical schools (that were matriculating students at the time of this study) a two-page online survey devised by the Nutrition in Medicine Project at the University of North Carolina at Chapel Hill. From August 2008 through July 2009, the authors asked their contacts, most of whom were nutrition educators, to report the nutrition contact hours that were required for their medical students and whether those actual hours of nutrition education occurred in a designated nutrition course, within another course, or during clinical rotations.
Respondents from 109 (86%) of the targeted medical schools completed some part of the survey. Most schools (103/109) required some form of nutrition education. Of the 105 schools answering questions about courses and contact hours, only 26 (25%) required a dedicated nutrition course; in 2004, 32 (30%) of 106 schools did. Overall, medical students received 19.6 contact hours of nutrition instruction during their medical school careers (range: 0-70 hours); the average in 2004 was 22.3 hours. Only 28 (27%) of the 105 schools met the minimum 25 required hours set by the National Academy of Sciences; in 2004, 40 (38%) of 104 schools did so.
The amount of nutrition education that medical students receive continues to be inadequate.
量化美国医学院校所需的营养教育时数以及提供教学的课程类型,并将这些结果与之前的调查结果进行比较。
作者向当时正在招收学生的 127 所美国医学院校(均已获得认证)分发了由北卡罗来纳大学教堂山分校的“医学中的营养”项目设计的两页在线调查。在 2008 年 8 月至 2009 年 7 月期间,作者请他们的联系人(其中大多数是营养教育者)报告其医学生所需的营养联系时间,以及这些实际的营养教育时间是在指定的营养课程中,还是在其他课程中,还是在临床轮转中进行。
来自 109 所(86%)目标医学院校的受访者完成了调查的某些部分。大多数学校(103/109)都要求进行某种形式的营养教育。在 105 所回答课程和联系时间问题的学校中,只有 26 所(25%)要求开设专门的营养课程;2004 年,106 所学校中有 32 所(30%)。总体而言,医学生在医学院期间接受了 19.6 个小时的营养指导(范围:0-70 小时);2004 年的平均水平为 22.3 小时。只有 105 所学校中的 28 所(27%)达到了国家科学院规定的 25 小时的最低要求;2004 年,104 所学校中有 40 所(38%)达到了这一要求。
医学生接受的营养教育量仍然不足。