Abreu Alyssa, Keyes Sarah-Ann K, Faries Mark D
Alyssa Abreu, MS, is a medical student in the School of Osteopathic Medicine at the University of the Incarnate Word, San Antonio, Texas.
Sarah-Ann Keyes, MS, PA-C, is an assistant professor in the School of Health Professions at Baylor College of Medicine, Waco, Texas.
J Physician Assist Educ. 2021 Jun 1;32(2):97-101. doi: 10.1097/JPA.0000000000000355.
With nearly two-thirds of chronic disease attributed to lifestyle, there is a need for physician assistants (PA) to develop competencies in Lifestyle Medicine (LM). The purpose of this study was to assess PA students' skill competencies in exercise and dietary prescription to guide curriculum implementation efforts.
An online survey was administered to PA students at a single institution.
Overall, 74 (63%) students completed the survey, self-reporting moderate competence (range: 1-6) in conducting a physical exam to approve an exercise program (4.17 ± 1.22), designing a nutritional plan (3.76 ± 1.32), and designing an exercise prescription (3.50 ± 1.32). Only about half of the clinical students felt competent in conducting a physical examination to approve an exercise program (56%), determine maximal heart rate (54%), and design a nutritional plan (58%), and only 25% reported competence in designing an exercise prescription. Additionally, 84% of clinical students reported time spent on LM in their program as "poor" or inadequate, and 100% wanted to learn more.
PA students reported inadequate competence and knowledge in LM but expressed an unanimous interest in learning more about LM during their educational training.
由于近三分之二的慢性病归因于生活方式，医师助理（PA）需要培养生活方式医学（LM）方面的能力。本研究的目的是评估PA学生在运动和饮食处方方面的技能能力，以指导课程实施工作。
对一所机构的PA学生进行了在线调查。
总体而言，74名（63%）学生完成了调查，自我报告在进行身体检查以批准运动计划（4.17±1.22）、设计营养计划（3.76±1.32）和设计运动处方（3.50±1.32）方面具有中等能力（范围：1 - 6）。只有大约一半的临床学生认为自己有能力进行身体检查以批准运动计划（56%）、确定最大心率（54%）和设计营养计划（58%），只有25%的学生报告有能力设计运动处方。此外，84%的临床学生报告其课程中用于LM的时间“差”或不足，100%的学生希望学习更多相关内容。
PA学生报告在LM方面能力和知识不足，但在教育培训期间对学习更多关于LM的内容表达了一致的兴趣。
