Frates Beth, Ortega Hugo A, Freeman Kelly J, Co John Patrick T, Bernstein Melissa
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charleston, MA.
American College of Lifestyle Medicine, Chesterfield, MO.
Mayo Clin Proc Innov Qual Outcomes. 2024 Aug 24;8(5):451-474. doi: 10.1016/j.mayocpiqo.2024.07.003. eCollection 2024 Oct.
The relationship between lifestyle behaviors and common chronic conditions is well established. Lifestyle medicine (LM) interventions to modify health behaviors can dramatically improve the health of individuals and populations. There is an urgent need to meaningfully integrate LM into medical curricula horizontally across the medical domains and vertically in each year of school and training. Including LM content in medical and health professional curricula and training programs has been challenging. Barriers to LM integration include lack of awareness and prioritization of LM, limited time in the curricula, and too few LM-trained faculty to teach and role model the practice of LM. This limits the ability of health care professionals to provide effective LM and precludes the wide-reaching benefits of LM from being fully realized. Early innovators developed novel tools and resources aligned with current evidence for introducing LM into didactic and experiential learning. This review aimed to examine the educational efforts in each LM pillar for undergraduate and graduate medical education. A PubMed-based literature review was undertaken using the following search terms: . We map the LM competencies to the core competency domains of the Accreditation Council for Graduate Medical Education. We highlight opportunities to train faculty, residents, and students. Moreover, we identify available evidence-based resources. This article serves as a "call to action" to incorporate LM across the spectrum of medical education curricula and training.
生活方式行为与常见慢性病之间的关系已得到充分证实。旨在改变健康行为的生活方式医学（LM）干预措施能够显著改善个人和人群的健康状况。迫切需要将生活方式医学有意义地横向融入医学各领域的医学课程中，并纵向贯穿于学校和培训的每一年。将生活方式医学内容纳入医学和卫生专业课程及培训项目一直具有挑战性。生活方式医学整合的障碍包括对生活方式医学缺乏认识和重视、课程时间有限，以及接受过生活方式医学培训以教授该课程并树立其实践榜样的教师过少。这限制了医疗保健专业人员提供有效生活方式医学服务的能力，也妨碍了生活方式医学的广泛益处得以充分实现。早期创新者开发了与当前证据相符的新颖工具和资源，用于将生活方式医学引入理论教学和实践学习。本综述旨在研究本科和研究生医学教育中生活方式医学各支柱方面的教育工作。使用以下检索词进行了基于PubMed的文献综述：……我们将生活方式医学能力映射到毕业后医学教育认证委员会的核心能力领域。我们强调培训教师、住院医师和学生的机会。此外，我们确定可用的循证资源。本文旨在发出“行动呼吁”，将生活方式医学纳入整个医学教育课程和培训体系。
