Williams April, Diffenderfer Anna, Carlyle Kellie
Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, VA USA.
Individual Interdisciplinary Program, Montana State University, Bozeman, MT USA.
Med Sci Educ. 2020 Oct 14;30(4):1591-1598. doi: 10.1007/s40670-020-01109-6. eCollection 2020 Dec.
Educating physicians early and often on how to have conversations with patients about diet to prevent and treat chronic disease is imperative, yet under realized. Some innovative medical schools have begun implementing hands-on cooking (HOC) programs to fill this gap, but how these programs are promoted is unknown. This study assessed the prevalence and innovation characteristics of HOC programs offered to medical students in the USA. Content analysis of webpages was conducted using a Diffusion of Innovation (e.g., relative advantage, compatibility, complexity, trialability, and observability) framework. Themes of included increasing students' confidence, improvements in medical and interprofessional education, and translating into a benefit to patients through improved care. codes showed only a quarter of webpages referred to the program as "evidence-based." codes showed most (86%) webpages clearly described the course. About half the webpages described the program as an elective, suggesting of this innovation. Many (43%) of the programs referenced use of a standardized "culinary medicine" curriculum, contributing to the of this innovation. Within the sample of schools, 35% provided HOC programs for their students. These findings suggest HOC programs have a strong foothold in healthcare education and provide a framework from which future studies might examine what effects innovative, successful HOC programs have on curriculum development, student experience, and, ultimately, patient outcomes.
尽早并经常对医生进行关于如何与患者谈论饮食以预防和治疗慢性病的教育势在必行,但目前尚未得到充分实现。一些创新型医学院校已开始实施实践烹饪(HOC)项目来填补这一空白,但这些项目的推广方式尚不清楚。本研究评估了美国向医学生提供的HOC项目的普及程度和创新特征。使用创新扩散(例如,相对优势、兼容性、复杂性、可试验性和可观察性)框架对网页进行了内容分析。主题包括增强学生信心、改善医学和跨专业教育,以及通过改善护理为患者带来益处。编码显示只有四分之一的网页将该项目称为“循证的”。编码显示大多数(86%)网页清楚地描述了课程。约一半的网页将该项目描述为选修课,表明了这种创新的可选择性。许多(43%)项目提及使用标准化的“烹饪医学”课程,这有助于这种创新的标准化。在学校样本中,35%为其学生提供了HOC项目。这些发现表明HOC项目在医疗保健教育中具有坚实的基础,并提供了一个框架,未来的研究可以据此考察创新、成功的HOC项目对课程发展、学生体验以及最终患者结局有何影响。