内分泌与营养医学住院医师的营养培训：我们有何变化？

Training in nutrition for medical residents in endocrinology and nutrition: How have we changed?

作者信息

Ballesteros Pomar María D, Álvarez Hernández Julia, Bretón Lesmes Irene

机构信息

Sección de Endocrinología y Nutrición, Complejo Asistencial Universitario de León, León, España; Área de Nutrición de la Sociedad Española de Endocrinología y Nutrición (SEEN).

Servicio de Endocrinología y Nutrición, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, España; Área de Nutrición de la Sociedad Española de Endocrinología y Nutrición (SEEN).

出版信息

Endocrinol Diabetes Nutr (Engl Ed). 2019 Jun-Jul;66(6):346-352. doi: 10.1016/j.endinu.2019.02.002. Epub 2019 Apr 4.

DOI:10.1016/j.endinu.2019.02.002

PMID:30954443

Abstract

OBJECTIVE

Our aim is to assess the changes in clinical nutrition and dietetics education of the residents in endocrinology and nutrition for the last 10 years.

METHODS

During the yearly update course in Clinical Nutrition and Dietetics held by SEEN, a survey about medical training is conducted since 2006. Descriptive data for the last 10 years are reported.

RESULTS

Every hospital accredited for medical training in endocrinology and nutrition has a unit of nutrition, depending on endocrinology and nutrition departments in 94.5%. While 13.3% of the residents required a different hospital for training in nutrition in 2006, all of them had enough resources in their own hospital in 2018. The training started in their third year of residency in 62.6%. The rotation has been increasing its length and now it lasts 6 months for 66% of the residents. 41.9% of the residents think it should be longer than 6 months. Education in dietetics should be extended the most. The residents take part in study protocols or publications in 72.5%, against only 27.9% in 2009. There is still a percentage of 10.1% to 19% of the residents grading their training in nutrition as insufficient.

CONCLUSION

The residents consider their global training in nutrition has improved in these last 10 years, although there is still a chance for optimization in areas such as dietetics.

摘要

目的

我们的目的是评估过去10年内分泌与营养专业住院医师临床营养与饮食学教育的变化。

方法

自2006年以来，在西班牙内分泌学会举办的临床营养与饮食学年度更新课程期间，开展了一项关于医学培训的调查。报告了过去10年的描述性数据。

结果

每一家获得内分泌与营养医学培训认证的医院都有一个营养科，94.5%的营养科隶属于内分泌科和营养科。2006年，13.3%的住院医师需要到不同的医院进行营养培训，而到2018年，他们所有人在自己的医院都有足够的资源。62.6%的住院医师在住院第三年开始培训。轮转时间一直在增加，现在66%的住院医师的轮转时间为6个月。41.9%的住院医师认为轮转时间应超过6个月。饮食学教育最应得到扩展。72.5%的住院医师参与研究方案或发表论文，而2009年这一比例仅为27.9%。仍有10.1%至19%的住院医师将他们的营养培训评为不足。