Heber D, Halsted C H, Brooks C M, Chesney R W, DiGirolamo M, Heimburger D C, Hensrud D D, Mark D A, Sitrin M D, Tillman H H
Department of Medicine, University of California, Davis.
Am J Clin Nutr. 1993 Apr;57(4):463-9. doi: 10.1093/ajcn/57.4.463.
This is the fourth survey of physician clinical-nutrition training programs. As in previous reports, current fellowship training programs were identified, descriptive information obtained, and program content surveyed. In addition, a questionnaire developed by the American Board of Nutrition Committee on Fellowship Training Programs was used to determine the degree of emphasis given to content in the areas of basic nutrition science, clinical applications, and research training. Among the 38 programs identified, uniform ratings of importance were found in all major topic areas. There was also uniformity in most subtopics, with minor exceptions. As expected, in the area of nutrition in the life cycle, pediatric training programs emphasized infancy and childhood whereas medical-surgical programs emphasized adulthood and aging. Alcoholism was emphasized in medical-surgical training programs whereas cystic fibrosis and inborn errors of metabolism were emphasized in pediatric programs. Nutrition in burn patients received minor emphasis in all programs. The overall uniformity of curricular content in training programs confirms the contention that clinical nutrition has a defined clinical scope and should be considered for establishment as a recognized subspecialty in American medicine.
这是对医师临床营养培训项目的第四次调查。与之前的报告一样，确定了当前的进修培训项目，获取了描述性信息，并对项目内容进行了调查。此外，美国营养委员会进修培训项目委员会编制的一份问卷被用于确定在基础营养科学、临床应用和研究培训等领域对内容的重视程度。在确定的38个项目中，所有主要主题领域的重要性评级一致。大多数子主题也具有一致性，仅有少数例外。正如预期的那样，在生命周期营养领域，儿科培训项目强调婴儿期和儿童期，而内科-外科培训项目强调成年期和衰老。内科-外科培训项目强调酒精中毒，而儿科项目强调囊性纤维化和先天性代谢缺陷。烧伤患者的营养在所有项目中都未得到太多重视。培训项目课程内容的总体一致性证实了这样一种观点，即临床营养有明确的临床范围，应考虑在美国医学中确立为一个公认的亚专业。
