Devries Stephen, Freeman Andrew M
Gaples Institute for Integrative Cardiology, Deerfield, IL and Northwestern University Feinberg School of Medicine, 655 Deerfield Road, Suite 100-328, Deerfield, IL, 60015, USA.
Division of Cardiology, Department of Medicine, National Jewish Health, Denver, CO, USA.
Curr Cardiol Rep. 2017 Sep;19(9):77. doi: 10.1007/s11886-017-0890-6.
Nutrition is a cornerstone of cardiovascular health, yet the training of cardiovascular specialists in nutrition has been called into question. This report summarizes the current state of nutrition education in the training of cardiovascular specialists and offers recommendations for curricular enhancements.
Medical students receive an average of fewer than 20 h of nutrition education, largely confined to basic sciences and discussion of vitamin deficiency states. Current guidelines for Internal Medicine residency and cardiovascular fellowship training do not contain any specific requirement for nutrition education. A recent survey showed that the vast majority of cardiologists report having received minimal nutrition training, although most cardiologists believe it is their personal responsibility to provide nutritional counseling to their patients. Cardiologists typically receive minimal training in nutrition and are not well equipped to deliver effective nutritional counseling and recognize opportunities for appropriate referral. The potential for cardiologists to become more effective team members in delivering nutritional interventions is considerable.
营养是心血管健康的基石，但心血管专科医生在营养方面的培训受到了质疑。本报告总结了心血管专科医生培训中营养教育的现状，并提出了课程改进建议。
医学生平均接受的营养教育时间少于20小时，主要局限于基础科学和维生素缺乏状态的讨论。目前内科住院医师培训和心血管专科培训指南中没有对营养教育的任何具体要求。最近一项调查显示，绝大多数心脏病专家表示接受的营养培训极少，尽管大多数心脏病专家认为为患者提供营养咨询是他们的个人责任。心脏病专家通常接受的营养培训极少，没有充分能力提供有效的营养咨询，也无法识别适当转诊的机会。心脏病专家在提供营养干预方面成为更有效团队成员的潜力相当大。
