Phillips Edward, Pojednic Rachele, Polak Rani, Bush Jennifer, Trilk Jennifer
Institute of Lifestyle Medicine, Joslin Diabetes Center, Harvard Medical School, Boston, MA, USA.
LevelSmart Consulting, Atlanta, GA, USA.
Med Educ Online. 2015 Feb 3;20:26150. doi: 10.3402/meo.v20.26150. eCollection 2015.
Currently, there is no model to integrate the discipline of lifestyle medicine (LM) into undergraduate medical education. Furthermore, there are no guidelines, validated assessment tools, or evaluation or implementation plans in place.
The World Health Organization predicts that by 2020, two-thirds of disease worldwide will be the result of poor lifestyle choices. Fewer than 50% of US primary care physicians routinely provide specific guidance on nutrition, physical activity, or weight control.
We are establishing a plan to integrate LM into medical school education in collaboration with the investing stakeholders, including medical school deans and students, medical curriculum developers and researchers, medical societies, governing bodies, and policy institutes. Three planning and strategy meetings are being held to address key areas of focus - with a particular interest in nutrition, physical activity, student self-care, and behavior change - to develop specific implementation guidelines and landmarks.
After the first two meetings, the proposed areas of focus were determined to be: 1) supporting of deans and key personnel, 2) creation of federal and state policy commitments, 3) use of assessment as a driver of LM, 4) provision of high-quality evidence-based curricular material on an easily navigated site, and 5) engaging student interest. Implementation strategies for each focus area will be addressed in an upcoming planning meeting in early 2015.
This initiative is expected to have important public health implications by efficiently promoting the prevention and treatment of non-communicable chronic disease with a scalable and sustainable model to educate physicians in training and practice.
目前，尚无将生活方式医学学科融入本科医学教育的模式。此外，也没有相关指南、经过验证的评估工具或评估及实施计划。
世界卫生组织预测，到2020年，全球三分之二的疾病将是不良生活方式选择的结果。美国不到50%的初级保健医生会定期就营养、体育活动或体重控制提供具体指导。
我们正在与包括医学院院长和学生、医学课程开发者和研究人员、医学协会、管理机构及政策机构在内的投资利益相关者合作，制定一项将生活方式医学融入医学院教育的计划。正在召开三次规划和战略会议，以解决关键重点领域——尤其关注营养、体育活动、学生自我保健和行为改变——以制定具体的实施指南和里程碑。
在前两次会议之后，确定的拟重点关注领域为：1）支持院长和关键人员；2）做出联邦和州政策承诺；3）将评估用作生活方式医学的推动因素；4）在易于浏览的网站上提供高质量的循证课程材料；5）激发学生兴趣。每个重点领域的实施策略将在2015年初即将召开的规划会议上讨论。
预计该倡议将通过采用可扩展且可持续的模式，有效地促进非传染性慢性病的预防和治疗，对公共卫生产生重要影响，从而对接受培训和执业的医生进行教育。
