Doxey Richmond S, Krug Michael F, Tivis Rick
University of Washington-Boise VA Internal Medicine Residency, Boise, Idaho.
Boise VA Medical Center, Boise, Idaho.
Am J Lifestyle Med. 2021 Feb 19;15(3):249-255. doi: 10.1177/1559827621994499. eCollection 2021 May-Jun.
Despite the burden of chronic disease attributable to lifestyle, most internal medicine residents do not receive adequate training in nutrition and nutrition counseling.
We held a culinary medicine workshop in September 2018, followed by didactic sessions throughout the academic year. Changes were made to lunch conference food to more closely follow the Mediterranean diet and to encourage healthy eating. With a modified NUTCOMP (Nutrition Competence Questionnaire) instrument, we assesses residents' perceived competence with nutrition counseling before and after the curriculum.
Twenty-six of 30 residents completed the pre-curriculum and post-curriculum surveys (not the same 26). The mean NUTCOMP score increased from 3.5 to 4.0 ( < .0001), indicating an increased perceived competence with nutritional counseling. Residents felt that nutritional counseling was important before and after the curriculum (4.2 to 4.3, = .48). Conference food was more nutritious at the end of the intervention (Mediterranean diet score range 1-4 to 4-7) and residents enjoyed the food more.
An innovative, multimodal nutrition curriculum centered on changes to catered lunch conference food improved resident's confidence with nutritional counseling. This could feasibly be integrated into other residency programs with supportive leadership and adequate training.
尽管慢性病负担可归因于生活方式,但大多数内科住院医师在营养和营养咨询方面未接受充分培训。
我们在2018年9月举办了一次烹饪医学研讨会,随后在整个学年开展了教学课程。对午餐会议食物进行了调整,使其更符合地中海饮食,并鼓励健康饮食。使用改良的NUTCOMP(营养能力问卷)工具,我们评估了住院医师在课程前后对营养咨询的感知能力。
30名住院医师中有26名完成了课程前和课程后的调查(并非同一26人)。NUTCOMP平均得分从3.5提高到4.0(<.0001),表明营养咨询的感知能力有所提高。住院医师在课程前后都认为营养咨询很重要(从4.2到4.3,P =.48)。干预结束时会议食物更营养(地中海饮食评分范围从1 - 4提高到4 - 7),住院医师也更享受这些食物。
以调整会议午餐食物为中心的创新多模式营养课程提高了住院医师在营养咨询方面的信心。在有支持性领导和充分培训的情况下,这可以切实地整合到其他住院医师培训项目中。