Polak Rani, Dacey Marie L, Keenan Hillary, Phillips Edward M
Institute of Lifestyle Medicine, Physical Medicine and Rehabilitation, Harvard Medical School, Joslin Diabetes Center, One Joslin Place, Boston, MA, USA.
School of Arts & Sciences, MCPHS University, 179 Longwood Ave, Boston, MA, USA.
BMC Med Educ. 2014 Dec 30;14:1045. doi: 10.1186/s12909-014-0271-4.
The emerging field, Lifestyle Medicine (LM), is the evidence-based practice of assisting individuals and families to adopt and sustain behaviors that can improve health. While competencies for LM education have been defined, and undergraduate curricula have been published, there are no published reports that address graduate level fellowship in LM. This paper describes the process of planning a LM fellowship curriculum at a major, academic teaching institution.
In September 2012 Harvard Medical School Department of Physical Medicine and Rehabilitation approved a "Research Fellowship in Lifestyle Medicine". A Likert scale questionnaire was created and disseminated to forty LM stakeholders worldwide, which measured perceived relative importance of six domains and eight educational experiences to include in a one-year LM fellowship. Statistical procedures included analysis of variance and the Wilcoxon signed-rank test.
Thirty-five stakeholders (87.5%) completed the survey. All domains except smoking cessation were graded at 4 or 5 by at least 85% of the respondents. After excluding smoking cessation, nutrition, physical activity, behavioral change techniques, stress resiliency, and personal health behaviors were rated as equally important components of a LM fellowship curriculum (average M = 4.69, SD = 0.15, p = 0.12). All educational experiences, with the exception of completing certification programs, research experience and fund raising, were graded at 4 or 5 by at least 82% of the responders. The remaining educational experiences, i.e. clinical practice, teaching physicians and medical students, teaching other health care providers, developing lifestyle interventions and developing health promotion programs were ranked as equally important in a LM fellowship program (average M = 4.23, SD = 0.11, p = 0.07).
Lifestyle fellowship curricula components were defined based on LM stakeholders' input. These domains and educational experiences represent the range of competencies previously noted as important in the practice of LM. As the foundation of an inaugural physician fellowship, they inform the educational objectives and future evaluation of this fellowship.
新兴的生活方式医学（LM）领域是基于证据的实践，旨在帮助个人和家庭采用并维持能够改善健康的行为。虽然已经定义了生活方式医学教育的能力要求，并且本科课程也已公布，但尚无关于生活方式医学研究生水平奖学金项目的公开报告。本文描述了在一所主要的学术教学机构规划生活方式医学奖学金课程的过程。
2012年9月，哈佛医学院物理医学与康复系批准了一项“生活方式医学研究奖学金”。创建了一份李克特量表问卷并分发给全球40位生活方式医学利益相关者，该问卷测量了六个领域和八项教育经历在为期一年的生活方式医学奖学金项目中的相对重要性。统计程序包括方差分析和威尔科克森符号秩检验。
35位利益相关者（87.5%）完成了调查。除戒烟外，所有领域至少85%的受访者将其评为4分或5分。排除戒烟后，营养、体育活动、行为改变技巧、压力恢复能力和个人健康行为被评为生活方式医学奖学金课程同样重要的组成部分（平均M = 4.69，标准差 = 0.15，p = 0.12）。除完成认证项目、研究经验和筹款外，所有教育经历至少82%的受访者将其评为4分或5分。其余的教育经历，即临床实践、教授医生和医学生、教授其他医疗保健提供者、制定生活方式干预措施和制定健康促进项目，在生活方式医学奖学金项目中被评为同样重要（平均M = 4.23，标准差 = 0.11，p = 0.07）。
生活方式医学奖学金课程的组成部分是根据生活方式医学利益相关者的意见确定的。这些领域和教育经历代表了先前在生活方式医学实践中被认为重要的一系列能力要求。作为首届医生奖学金的基础，它们为该奖学金的教育目标和未来评估提供了依据。
Zotero 插件
