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营养治疗体验式学习对医学生的影响。

Impact of Experiential Learning of Nutrition Therapy on Medical Students.

作者信息

Christensen Heather R, Marshall Aaron M, Rebitski Joanna

机构信息

Department of Medical Education, College of Medicine, University of Cincinnati, 231 Albert Sabin Way, Cincinnati, OH 45267 USA.

出版信息

Med Sci Educ. 2023 Mar 21;33(2):499-505. doi: 10.1007/s40670-023-01771-6. eCollection 2023 Apr.

Abstract

Despite the recognition that nutrition is a critical component of health and disease, many medical schools struggle to incorporate nutrition education into their dense curriculum. We designed this study to determine whether a brief, experiential learning project would be an effective option for teaching this content. Medical students voluntarily enrolled in the study, agreeing to (1) attempt a 2-week "medically prescribed" diet and (2) participate in small group lunch discussions related to their diet experience. Data on student perception of nutrition in medicine was collected through validated surveys. Custom surveys were designed to capture student confidence in using nutrition counseling, while qualitative analysis of lunch discussions revealed themes of experiential learning. Participants reported an overall positive sentiment and named the most impactful learning component as actively attempting the diet. Student participants showed a variety of adherence to their assigned diet, yet as a cohort demonstrated increased confidence over their non-participant peers in the use of nutrition counseling in a clinical setting. In addition, diet participants demonstrated an increased perception of the importance of physician efficacy and the physician-patient relationship in the broader landscape of nutrition in patient care (compared to the control group). This study demonstrates the educational value of a short, immersive, extracurricular opportunity in bolstering an already demanding undergraduate medical education curriculum.

摘要

尽管人们认识到营养是健康与疾病的关键组成部分,但许多医学院仍难以将营养教育纳入其紧凑的课程体系。我们开展这项研究,以确定一个简短的体验式学习项目是否是教授该内容的有效方式。医学生自愿报名参加该研究,同意(1)尝试为期两周的“医学规定”饮食,以及(2)参与与他们的饮食体验相关的小组午餐讨论。通过经过验证的调查收集学生对医学中营养的看法的数据。定制的调查旨在了解学生在使用营养咨询方面的信心,而对午餐讨论的定性分析揭示了体验式学习的主题。参与者总体上表达了积极的看法,并将最具影响力的学习部分命名为积极尝试这种饮食。学生参与者对指定饮食的坚持程度各不相同,但作为一个群体,他们在临床环境中使用营养咨询方面比未参与的同龄人表现出更高的信心。此外(与对照组相比),参与饮食项目的人更加认识到在患者护理的更广泛营养领域中医生效能和医患关系的重要性。这项研究证明了一个简短、沉浸式的课外机会在强化本就要求很高的本科医学教育课程方面的教育价值。

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