Sandefur Kelsea J, Frates Elizabeth P, Phillips Edward
Case Western MetroHealth, Cleveland, OH, USA (KS); American College of Lifestyle Medicine, Chesterfield, MO, USA (KS, EF, EP); Massachusetts General Hospital, Boston, MA, USA (EF, EP); Spaulding Rehabilitation Hospital, Charlestown, MA, USA (EF, EP); Harvard Medical School, Boston, MA, USA (EF, EP); and VA Boston Healthcare System, Boston, MA, USA (EP).
Am J Lifestyle Med. 2023 Mar 14;18(6):785-790. doi: 10.1177/15598276231162803. eCollection 2024 Nov-Dec.
Lifestyle is the root cause of most chronic disease, disability, and death. Lifestyle Medicine (LM) is an established, board certifiable field of medicine. Physical Medicine and Rehabilitation (PM&R) is a multidisciplinary field which focuses on function and quality of life. The symbiosis of PM&R and LM is increasingly being recognized. To gauge the awareness of, use of, and interest in LM of PM&R residents and ask if they think PM&R physicians should be leaders in LM. Cross sectional survey of PM&R residents across PM&R programs in the USA. Fifty-three percent of PM&R residents were familiar with LM. 85 and 84% of their medical schools and residencies had no LM education. PM&R residents "sometimes" included LM principles in their patient encounters. 88 and 89% of PM&R residents thought that medical schools and residencies should have LM education and 78% thought that PM&R physicians should be leaders of LM. This is the first study assessing the views on LM of PM&R residents. Despite the fact that PM&R residents lacked LM education, over half knew about LM. The vast majority felt that there should be more LM education in medical school and residency, and that PM&R physicians should be leaders of LM.
生活方式是大多数慢性病、残疾和死亡的根本原因。生活方式医学（LM）是一个已确立的、有资格获得委员会认证的医学领域。物理医学与康复（PM&R）是一个多学科领域，专注于功能和生活质量。PM&R与LM的共生关系越来越受到认可。旨在评估美国PM&R住院医师对LM的认知、使用情况和兴趣，并询问他们是否认为PM&R医生应该成为LM领域的领导者。对美国各地PM&R项目中的PM&R住院医师进行横断面调查。53%的PM&R住院医师熟悉LM。他们所在的医学院和住院医师培训项目中，分别有85%和84%没有提供LM教育。PM&R住院医师在患者诊疗过程中“有时”会纳入LM原则。88%和89%的PM&R住院医师认为医学院和住院医师培训项目应该开展LM教育，78%的人认为PM&R医生应该成为LM领域的领导者。这是第一项评估PM&R住院医师对LM看法的研究。尽管PM&R住院医师缺乏LM教育，但超过半数的人了解LM。绝大多数人认为医学院和住院医师培训项目应该增加LM教育，并且PM&R医生应该成为LM领域的领导者。
