Status of nutrition education in medical schools
Status of nutrition education in medical schools
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DOI：
10.1093/ajcn/83.4.941s
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发表时间：
2006-04-01
影响因子：
7.1
通讯作者：
Zeisel, SH
中科院分区：
文献类型：
--
作者：
Adams, KM;Lindell, KC;Zeisel, SH
背景：在过去的20年里，为了提高医学生和医生的营养知识和技能，人们进行了无数次的恳求。目的：目的：确定美国医学院营养指导的数量和类型，特别是包括指定营养课程之外的指导。设计：一项由12个项目组成的调查要求营养教育者确定其医学院的营养指导(必修、选修或不提供)的特征，并量化指定营养课程内外的营养接触时间。2004年，我们对当时获得认证的所有126所美国医学院进行了调查。结果：共收回问卷106份，应答率为84%。在接受调查的106所学校中，99所学校需要某种形式的营养教育；然而，只有32所学校(30%)要求开设单独的营养学课程。学生在医学院期间平均接受23.9小时的营养指导(范围为2-70小时)。只有40所学校需要美国国家科学院推荐的最低25小时。大多数教师(88%)表示需要在他们的机构进行额外的营养指导。结论：随着许多医学院转向更综合的课程和以问题为基础的学习，总体营养指导的很大一部分发生在专门针对营养的课程之外。医学院校的营养教育数量仍然不足。
Background: Numerous entreaties have been made over the past 2 decades to improve the nutrition knowledge and skills of medical students and physicians. However, most graduating medical students continue to rate their nutrition preparation as inadequate.Objective: The objective was to determine the amount and type of nutrition instruction at US medical schools, especially including the instruction that occurs outside designated nutrition courses.Design: A 12-item survey asked nutrition educators to characterize nutrition instruction at their medical schools (required, optional, or not offered) and to quantify nutrition contact hours occurring both inside and outside designated nutrition courses. During 2004, we surveyed all 126 US medical schools accredited at that time.Results: A total of 106 surveys were returned for a response rate of 84%. Ninety-nine of the 106 schools responding required some form of nutrition education; however, only 32 schools (30%) required a separate nutrition course. On average, students received 23.9 contact hours of nutrition instruction during medical school (range: 2-70 h). Only 40 schools required the minimum 25 h recommended by the National Academy of Sciences. Most instructors (88%) expressed the need for additional nutrition instruction at their institutions.Conclusion: With the move to a more integrated curriculum and problem-based learning at many medical schools, a substantial portion of the total nutrition instruction is occurring outside courses specifically dedicated to nutrition. The amount of nutrition education in medical schools remains inadequate.