Nutrition in medicine: nutrition education for medical students and residents.

Kelly M Adams, Martin Kohlmeier, Margo Powell, Steven H Zeisel
Author Information
  1. Kelly M Adams: Department of Nutrition, University of North Carolina, Chapel Hill, NC 27599-7461, USA. kadams@unc.edu

Abstract

Proper nutrition plays a key role in disease prevention and treatment. Many patients understand this link and look to physicians for guidance diet and physical activity. Actual physician practice, however, is often inadequate in addressing the nutrition aspects of diseases such as cancer, obesity, and diabetes. Physicians do not feel comfortable, confident, or adequately prepared to provide nutrition counseling, which may be related to suboptimal knowledge of basic nutrition science facts and understanding of potential nutrition interventions. Historically, nutrition education has been underrepresented at many medical schools and residency programs. Our surveys over a decade show that most medical schools in the United States are still not ensuring adequate nutrition education, and they are not producing graduates with the nutrition competencies required in medical practice. Physicians, residents, and medical students clearly need more training in nutrition assessment and intervention. The Nutrition in Medicine (NIM) project, established to develop and distribute a core nutrition curriculum for medical students, offers a comprehensive online set of courses free of charge to medical schools. The NIM medical school curriculum is widely used in the United States and abroad. A new initiative, Nutrition Education for Practicing Physicians, offers an innovative online medical nutrition education program for residents and other physicians-in-training, but with targeted, practice-based educational units designed to be completed in 15 minutes or less. The NIM project is strengthening medical nutrition practice by providing a free, comprehensive, online nutrition curriculum with clinically relevant, evidence-based medical education for undergraduate and postgraduate learners.

References

  1. Prev Med. 1996 Jan-Feb;25(1):63-5 [PMID: 8778769]
  2. Acad Med. 1996 Sep;71(9):969-71 [PMID: 9125984]
  3. Prev Med. 1995 Nov;24(6):546-52 [PMID: 8610076]
  4. Am J Clin Nutr. 1997 Jun;65(6 Suppl):2007S-2009S [PMID: 9174511]
  5. Am J Clin Nutr. 2001 Jun;73(6):1107-12 [PMID: 11382667]
  6. Acad Med. 2010 Sep;85(9):1537-42 [PMID: 20736683]
  7. J Clin Gastroenterol. 2009 Jul;43(6):559-64 [PMID: 19384248]
  8. Fam Med. 1995 Oct;27(9):576-80 [PMID: 8829982]
  9. Public Health Rep. 1994 Nov-Dec;109(6):824-6 [PMID: 7800795]
  10. Aust N Z J Med. 1996 Oct;26(5):640-5 [PMID: 8958358]
  11. Am J Clin Nutr. 2000 Apr;71(4):873-7 [PMID: 10731491]
  12. J Am Coll Nutr. 2008 Apr;27(2):287-98 [PMID: 18689561]
  13. Am J Clin Nutr. 1997 May;65(5):1559-61 [PMID: 9157789]
  14. Am J Clin Nutr. 1993 Feb;57(2):115-9 [PMID: 8424377]
  15. Fam Med. 2003 Feb;35(2):105-11 [PMID: 12607807]
  16. J Am Coll Nutr. 1999 Feb;18(1):26-9 [PMID: 10067655]
  17. J Nutr. 2003 Feb;133(2):541S-3S [PMID: 12566498]
  18. Prev Med. 2004 Jun;38(6):819-27 [PMID: 15193904]
  19. Med Educ Online. 2001 Dec;6(1):4526 [PMID: 28253745]
  20. Am J Clin Nutr. 2003 Apr;77(4 Suppl):1025S-1027S [PMID: 12663312]
  21. Prev Med. 2004 Oct;39(4):753-9 [PMID: 15351542]
  22. Arch Fam Med. 1995 Jul;4(7):589-93 [PMID: 7606295]
  23. Am J Clin Nutr. 2006 Apr;83(4):985S-987S [PMID: 16600961]
  24. Am J Clin Nutr. 2006 Apr;83(4):941S-944S [PMID: 16600952]
  25. Am J Clin Nutr. 1989 Oct;50(4):707-12 [PMID: 2801575]
  26. Nutr J. 2003 Dec 01;2:19 [PMID: 14641920]
  27. Nutr J. 2005 Jan 13;4:2 [PMID: 15649324]
  28. Am J Clin Nutr. 2002 Jan;75(1):154-61 [PMID: 11756073]
  29. Am J Clin Nutr. 2001 Aug;74(2):164-70 [PMID: 11470716]
  30. J Gen Intern Med. 2008 Jul;23(7):1066-70 [PMID: 18612746]
  31. Am J Clin Nutr. 1998 Oct;68(4):894-8 [PMID: 9771868]
  32. Acad Med. 2007 Jun;82(6):602-7 [PMID: 17525551]
  33. Fam Med. 2004 Nov-Dec;36(10):722-6 [PMID: 15531987]
  34. Am J Clin Nutr. 2004 Feb;79(2):198-203 [PMID: 14749223]
  35. Pediatrics. 1997 Oct;100(4):E2 [PMID: 9310535]

Grants

  1. P30 DK056350/NIDDK NIH HHS
  2. R25 CA065474/NCI NIH HHS
  3. R25 CA134285/NCI NIH HHS

MeSH Term

Curriculum
Education, Medical, Continuing
Education, Medical, Undergraduate
Humans
Internet
Internship and Residency
Nutritional Sciences
Professional Competence
United States

Word Cloud

Created with Highcharts 10.0.0nutritionmedicaleducationpracticePhysiciansschoolsresidentsstudentsNutritionNIMcurriculumonlineUnitedStatesprojectofferscomprehensivefreeProperplayskeyrolediseasepreventiontreatmentManypatientsunderstandlinklookphysiciansguidancedietphysicalactivityActualphysicianhoweverofteninadequateaddressingaspectsdiseasescancerobesitydiabetesfeelcomfortableconfidentadequatelypreparedprovidecounselingmayrelatedsuboptimalknowledgebasicsciencefactsunderstandingpotentialinterventionsHistoricallyunderrepresentedmanyresidencyprogramssurveysdecadeshowstillensuringadequateproducinggraduatescompetenciesrequiredclearlyneedtrainingassessmentinterventionMedicineestablisheddevelopdistributecoresetcourseschargeschoolwidelyusedabroadnewinitiativeEducationPracticinginnovativeprogramphysicians-in-trainingtargetedpractice-basededucationalunitsdesignedcompleted15minuteslessstrengtheningprovidingclinicallyrelevantevidence-basedundergraduatepostgraduatelearnersmedicine:

Similar Articles

Cited By (64)