Radrigán M E, Fernández E
Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de Chile.
Rev Chil Pediatr. 1990 Nov-Dec;61(6):342-5.
Training in nutrition does not seem a priority in postgraduate programs in Pediatrics; rotations in Nutrition units have been, at the most, electives. We hereby report our teaching experience with respect to 51 residents in Pediatrics that stayed for 4 to 6 weeks at the Nutrition Unit in the years 1981 to 1987. A diagnostic test of 40 multiple choice questions was applied the first day of work at the Nutrition Unit; the same subjects were evaluated at the end of their stay, by means of a short essay test, designed to evaluate the candidate's proficiency in problem solving. Overall results revealed that 17% of residents answered correctly 70% or more of the questions in the diagnostic test, proportion that improved to 45% of residents in the final test. However, when we studied the performance of each subject with himself we were surprised by the fact that 16 residents (31%) had impaired their initial scores. Tentative explanations for this observation could be: lack of interest for this subspeciality as compared to others (intensive care, for instance), poor studiousness, high requirements of the tests applied, etc. Whichever might be the case, we think that, given both the development of new techniques of nutritional support (not necessarily intensive) and the high number of moderate and severely malnourished children under 6 years of age in Chile, training in Nutrition should be emphasized.
在儿科研究生项目中，营养培训似乎并非优先事项；在营养科的轮转最多只是选修课。在此，我们报告1981年至1987年间在营养科停留4至6周的51名儿科住院医师的教学经验。在营养科开始工作的第一天进行了一次包含40道选择题的诊断测试；在他们停留结束时，通过一篇短文测试对相同主题进行评估，该测试旨在评估候选人解决问题的能力。总体结果显示，17%的住院医师在诊断测试中正确回答了70%或更多的问题，这一比例在最终测试中提高到了45%。然而，当我们研究每个受试者自身的表现时，我们惊讶地发现有16名住院医师（31%）的初始分数有所下降。对此观察结果的初步解释可能是：与其他亚专业（例如重症监护）相比，对该亚专业缺乏兴趣、学习积极性差、所应用测试的要求高等。无论情况如何，我们认为，鉴于营养支持新技术（不一定是强化技术）的发展以及智利6岁以下中度和重度营养不良儿童的数量众多，应强调营养培训。
