Lenders Carine M, Twillman Gwen B
Boston University School of Medicine, Pediatric Nutrition Support Services/Nutrition for Life program, Boston Medical Center, Boston, Massachusetts, USA,
American Society for Nutrition, Education and Professional Development Department, Rockville, Maryland, USA.
Nestle Nutr Inst Workshop Ser. 2019;92:151-160. doi: 10.1159/000499558. Epub 2019 Nov 28.
Although physicians are expected to counsel their patients about nutrition-related health conditions, surveys report minimal to no medical nutrition education improvements in the United States medical schools. From 1998 to 2005, the National Institutes of Health (NIH) introduced and funded the Nutrition Academic Award program among 21 medical schools to incorporate nutrition into their curricula. Since then, nutrition champions have developed several education models and continue to advocate for inclusion of nutrition content in the U.S. Medical Licensing Examination and for recognition of nutrition as a national subspecialty in medicine. As a result, the American Society for Nutrition (ASN) and NIH published recommendations for remodeling nutrition education, training, and research. As medical education has shifted to a competency-based system, an inter-professional and competency-based approach to curricular changes was recommended. As a result, ASN aims to launch a coordinating center using a public-private partnership platform to achieve those goals. This collaborative will further allow for inclusion of all healthcare professionals engaged in improving patients' nutrition-related outcomes. This article describes the educational context and steps needed to advance the field of medical nutrition, metabolism, and lifestyles in the United States.
尽管期望医生就与营养相关的健康状况向患者提供咨询,但调查显示,美国医学院校的医学营养教育改善甚微或毫无改善。1998年至2005年期间,美国国立卫生研究院(NIH)在21所医学院校引入并资助了营养学术奖项目,将营养纳入其课程体系。从那时起,营养倡导者们开发了几种教育模式,并继续倡导在美国医师执照考试中纳入营养内容,以及将营养认可为医学领域的一个全国性亚专业。结果,美国营养学会(ASN)和NIH发布了重塑营养教育、培训和研究的建议。随着医学教育转向基于能力的体系,建议采用跨专业和基于能力的方法进行课程改革。因此,ASN旨在利用公私合作平台设立一个协调中心以实现这些目标。这种合作还将进一步使所有致力于改善患者营养相关结局的医疗保健专业人员参与进来。本文描述了推进美国医学营养、代谢和生活方式领域发展所需的教育背景和步骤。