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评估初级保健住院医师培训计划中结构化营养课程的需求。

Assessing the Need for a Structured Nutrition Curriculum in a Primary Care Residency Program.

机构信息

Wake Forest School of Medicine, Department of Family and Community Medicine, Winston Salem, North Carolina.

出版信息

J Am Coll Nutr. 2020 Mar-Apr;39(3):243-248. doi: 10.1080/07315724.2019.1644251. Epub 2019 Aug 9.

Abstract

Given the epidemic of diet-related illnesses, medical training regarding nutrition counseling is not fully known. Historically, there is a lack of formalized nutrition training in both medical school and residency programs. This study surveyed a group of family medicine residents to elicit previous nutrition education and outlook on nutrition counseling. A measure of resident attitudes toward nutrition education and comfort with relaying nutrition education to patients was conducted. A validated, self-administered questionnaire was administered. The survey was composed of 32 questions with yes/no or Likert scale response. Participants were 30 family medicine residents in the final quarter of their individual postgraduate year of training (PGY1-3). A total of 23 residents electively responded. The majority surveyed conveyed nutrition education in routine care is important in a physician-patient relationship. Except in diabetes, the overwhelming majority reported they were not adequately trained to give nutrition education in specific disease states. The group was not familiar with types of diets, the role of fatty acids, or the impact of specific vitamins on health. The data from this survey indicate a need for formalized nutrition education in primary care training. From the survey data results, the next steps include building a nutrition curriculum to be implemented in the residency program and potentially set a standard for nutrition education in the North Carolina region and beyond.

摘要

鉴于与饮食相关的疾病流行,医学培训中关于营养咨询的内容并不完全为人所知。从历史上看,医学院校和住院医师培训计划中都缺乏正规的营养培训。本研究调查了一组家庭医学住院医师,以了解他们以前的营养教育情况以及对营养咨询的看法。对住院医师对营养教育的态度和向患者传达营养教育的舒适度进行了衡量。采用了经过验证的自我管理问卷进行调查。该调查由 32 个问题组成,采用是/否或李克特量表回答。参与者为 30 名处于个人研究生培训最后一个季度(PGY1-3)的家庭医学住院医师。共有 23 名住院医师选修了该课程。大多数接受调查的人表示,在医患关系中,常规护理中的营养教育很重要。除了糖尿病之外,绝大多数人表示他们在特定疾病状态下没有接受过足够的营养教育培训。该小组对饮食类型、脂肪酸的作用或特定维生素对健康的影响不熟悉。这项调查的数据表明,在初级保健培训中需要进行正规的营养教育。根据调查数据结果,下一步包括在住院医师培训计划中建立营养课程,并有可能为北卡罗来纳州及其他地区的营养教育制定标准。

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