Department of Surgery, Oregon Health and Sciences University, Portland, Oregon.
Nutr Clin Pract. 2014 Jun;29(3):332-7. doi: 10.1177/0884533614525212. Epub 2014 Apr 1.
Nutrition education for physicians in the United States is limited in scope, quality, and duration due to a variety of factors. As new data and quality improvement initiatives highlight the importance of nutrition and a generation of nutrition experts retire, there is a need for new physician educators and leaders in clinical nutrition. Traditional nutrition fellowships and increased didactic lecture time in school and postgraduate training are not feasible strategies to develop the next generation of physician nutrition specialists in the current environment. One strategy is the development of short immersion courses for advanced trainees and junior attendings. The most promising courses include a combination of close mentorship and adult learning techniques such as lectures, clinical experiences, literature review, curricular development, research and writing, multidisciplinary interactions, and extensive group discussion. These courses also allow the opportunity for advanced discourse, development of long-term collaborative relationships, and continued longitudinal career development for alumni after the course ends. Despite these curricular developments, ultimately the field of nutrition will not mature until the American Board of Medical Specialties recognizes nutrition medicine with specialty board certification.
由于多种因素,美国医生的营养教育培训在范围、质量和持续时间方面都受到限制。随着新数据和质量改进计划强调了营养的重要性,以及一代营养专家退休,临床营养领域需要新的医生教育者和领导者。在当前环境下,传统的营养研究员培训和增加学校和研究生培训中的理论授课时间都不是培养下一代医生营养专家的可行策略。一种策略是为高级学员和初级主治医生开发短期强化课程。最有前途的课程包括密切指导和成人学习技术(如讲座、临床经验、文献综述、课程开发、研究和写作、多学科互动以及广泛的小组讨论)相结合。这些课程还为学员提供了在课程结束后进行高级讨论、发展长期合作关系以及继续进行纵向职业发展的机会。尽管有这些课程发展,但在美国医学专业委员会(American Board of Medical Specialties)通过专业委员会认证承认营养医学之前,营养领域不会成熟。