Department of Family Medicine and Public Health, UC San Diego Health, San Diego, CA 92093, USA.
Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520, USA.
Nutrients. 2023 Sep 27;15(19):4166. doi: 10.3390/nu15194166.
While nutritional interventions are first-line therapy for many chronic diseases, most medical trainees receive minimal nutrition education, leaving them unprepared to address nutritional issues with patients. An interactive, single-session, virtual nutrition curriculum was taught online to 80 physician assistant (PA) students. Topics included plant-based nutrition, dietary history-taking and counseling, and culinary medicine. Students were surveyed before, immediately after, and four weeks after the curriculum to assess changes to nutrition-related knowledge, attitudes, confidence, and personal dietary behaviors. Seventy-three PA students (91%) completed the pre-survey, 76 (95%) completed the post-survey, and 42 (52.5%) completed the delayed post-survey. Knowledge scores increased immediately post-intervention (48.9% to 78.9%; < 0.001) and persisted four weeks later (78.9% to 75.8%; = 0.54). Post-intervention, students felt more confident in dietary history-taking (55% vs. 95%; = 0.001) and nutrition counseling (53% vs. 84%; = 0.003) and agreed that dietary changes alone could reverse type 2 diabetes (74% vs. 97%; = 0.027) and coronary artery disease (66% vs. 92%; = 0.039). Curricula using virtual teaching kitchens may be a scalable approach to nutrition education for medical trainees.
虽然营养干预是许多慢性病的一线治疗方法，但大多数医学实习生接受的营养教育很少，导致他们无法为患者解决营养问题。我们在线向 80 名医师助理 (PA) 学生教授了一个互动的、单次的、虚拟的营养课程。课程包括植物性营养、饮食史采集和咨询以及烹饪医学。在课程之前、之后和四周后，学生们接受调查，以评估与营养相关的知识、态度、信心和个人饮食行为的变化。73 名 PA 学生（91%）完成了预调查，76 名（95%）完成了后调查，42 名（52.5%）完成了延迟后调查。知识得分在干预后立即提高（48.9%至 78.9%；<0.001），并在四周后持续（78.9%至 75.8%；=0.54）。干预后，学生们对饮食史采集（55%对 95%；=0.001）和营养咨询（53%对 84%；=0.003）更有信心，并同意仅通过饮食改变就可以逆转 2 型糖尿病（74%对 97%；=0.027）和冠心病（66%对 92%；=0.039）。使用虚拟教学厨房的课程可能是为医学实习生提供营养教育的一种可扩展方法。
