Drexel University, Philadelphia, Pennsylvania.
Ann N Y Acad Sci. 2013 Dec;1306:21-40. doi: 10.1111/nyas.12334.
The current nutrition education curricula for students in U.S. medical schools, and schools of other health professions, such as nursing and oral health, do not provide enough opportunity to gain knowledge of the interactions among micro- and macronutrients, their role in maintaining optimal body functions, factors that interfere with these interactions, or, importantly, how to integrate this knowledge into medical practice. There is a need to better prepare healthcare professionals for identifying nutrition risk and managing hospitalized patients, especially those with chronic conditions, using an interprofessional, team-based approach. A major goal of this report is to revisit current nutrition training programs for physicians and other healthcare professionals in order to explore opportunities for providing healthcare providers with the essential tools of preventative and therapeutic nutrition intervention strategies. The issues addressed include whether a consensus exists on how to integrate basic and applied nutrition into the general healthcare professional curriculum, and if so, at which stages of training and at what depth should these integrations occur; how nutrition education is dealt with and achieved throughout all the health professions; and whether current nutrition education models are sufficient. To help address these issues, the report will review current nutrition education practices-their strengths and weaknesses-as well as evaluate promising new initiatives, and offer proposals for new directions for nutrition education training of future generation of medical practitioners.
美国医学院校和其他健康专业(如护理和口腔健康)的学生目前的营养教育课程并没有提供足够的机会来获得关于微量营养素和宏量营养素之间的相互作用、它们在维持最佳身体功能中的作用、干扰这些相互作用的因素的知识,或者,重要的是,如何将这些知识整合到医学实践中。需要更好地为医疗保健专业人员做好准备,以便通过跨专业、团队为基础的方法来识别营养风险并管理住院患者,特别是那些患有慢性疾病的患者。本报告的一个主要目标是重新审视目前针对医生和其他医疗保健专业人员的营养培训计划,以探讨为医疗服务提供者提供预防性和治疗性营养干预策略的基本工具的机会。所涉及的问题包括是否就如何将基础和应用营养纳入一般医疗保健专业人员的课程达成共识,如果有共识,这些整合应该在培训的哪个阶段以及在什么深度进行;营养教育在所有健康专业中是如何处理和实现的;以及当前的营养教育模式是否足够。为了帮助解决这些问题,本报告将审查当前的营养教育实践——其优缺点——并评估有前途的新举措,并为未来一代医学从业者的营养教育培训提出新的方向建议。