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烹饪医学作为医学生创新营养教育:一项范围综述

Culinary Medicine as Innovative Nutrition Education for Medical Students: A Scoping Review.

作者信息

Newman Courtney, Yan Justin, Messiah Sarah E, Albin Jaclyn

机构信息

C. Newman is a medical student, University of Texas at Southwestern Medical School, and a graduate student, University of Texas School of Public Health, Dallas, Texas; ORCID: https://orcid.org/0000-0003-3018-6101 .

J. Yan is a medical student, University of Texas at Southwestern Medical School, Dallas, Texas; ORCID: https://orcid.org/0000-0002-9468-2211 .

出版信息

Acad Med. 2023 Feb 1;98(2):274-286. doi: 10.1097/ACM.0000000000004895. Epub 2022 Aug 2.

Abstract

PURPOSE

Lifestyle-related disease substantially impacts health, but physicians lack adequate nutrition education to discuss behavioral change with patients. Many medical schools have developed culinary medicine programs as a nutrition education strategy, but common elements of success have not been defined.

METHOD

The authors conducted a scoping review of the literature on culinary medicine programs for medical students. They searched PubMed, Ovid MEDLINE, and MedEdPORTAL databases to identify English-language studies published between January 1, 2012, and October 15, 2021. Multiple search terms were used to identify medical student-focused culinary medicine programs. The authors focused inclusion criteria on medical student learners, curricular description, hands-on cooking components, reflection or application to patient care, and assessment. Additionally, the authors reviewed 2 online databases which list programs delivering culinary medicine education for U.S. medical students.

RESULTS

Authors identified 251 studies, of which 12 met inclusion criteria. These studies described programs that used a kitchen or similar space adaptable for food preparation to enable hands-on learning, and some programs provided opportunities for practical application. Most programs administered surveys to assess course impact, but the type of survey and cohort size varied. Culinary medicine programs for medical students varied in learner level, number of participants, course length and structure, and instructor background but consistently improved student knowledge in key areas of nutrition application and changed knowledge and attitudes about food and nutrition. Funding was often noted as a barrier to program sustainability. When funding source was provided, it derived from philanthropic or academic sources. When the authors reviewed the 2 online databases, they identified 34 programs offering medical student-focused culinary medicine courses.

CONCLUSIONS

As culinary education programs emerge across academic centers, standardizing programmatic and curricular elements, best practices, and assessment strategies will be vital for quality control, sustainability, and optimal population health impact.

摘要

目的

与生活方式相关的疾病对健康有重大影响,但医生缺乏足够的营养教育来与患者讨论行为改变。许多医学院校已将烹饪医学课程作为一种营养教育策略来开展,但尚未明确成功的共同要素。

方法

作者对关于医学生烹饪医学课程的文献进行了范围综述。他们检索了PubMed、Ovid MEDLINE和MedEdPORTAL数据库,以识别2012年1月1日至2021年10月15日期间发表的英文研究。使用了多个检索词来识别以医学生为重点的烹饪医学课程。作者将纳入标准聚焦于医学生学习者、课程描述、实践烹饪环节、对患者护理的反思或应用以及评估。此外,作者还查阅了2个在线数据库,这些数据库列出了为美国医学生提供烹饪医学教育的课程。

结果

作者识别出251项研究,其中12项符合纳入标准。这些研究描述的课程使用了厨房或类似适合食物准备的空间以实现实践学习,一些课程还提供了实际应用的机会。大多数课程进行了调查以评估课程影响,但调查类型和队列规模各不相同。医学生烹饪医学课程在学习者水平、参与者数量、课程长度和结构以及教师背景方面存在差异,但始终提高了学生在营养应用关键领域的知识,并改变了对食物和营养的知识及态度。资金通常被认为是课程可持续性的障碍。当提供资金来源时,其来自慈善或学术来源。当作者查阅这2个在线数据库时,他们识别出34个提供以医学生为重点的烹饪医学课程的项目。

结论

随着烹饪教育项目在各学术中心不断涌现,对项目和课程要素、最佳实践以及评估策略进行标准化,对于质量控制、可持续性以及对人群健康产生最佳影响至关重要。

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