NUTRITION ACADEMIC AWARD

有压倒性的证据表明，饮食强烈影响患心脏病的风险。 心血管疾病、高血压、糖尿病、肥胖和一些癌症。 已经制定了国家饮食指南，以帮助减少 这些疾病的发病率，但大多数人没有 坚持这些原则。更具体地说，全国胆固醇教育 NCEP计划倡导将饮食作为治疗糖尿病的基石 心血管疾病，但很少有医生准备提供 饮食建议。 营养影响着每个患者的健康状况，无论是年轻人还是老年人， 住院或门诊，无论是什么诊断，但目前只有22% 的美国医学院开设了营养学的必修课。在某种程度上，这 反映了对儿童营养的极低关注 全国委员会考试。1993年，董事会中只有12%的问题与 营养。因为大多数医学院即使有医学教师，也很少 有证书，有培训，对营养感兴趣，几乎没有 在课程开发中不支持此科目。现有教职员工 具有营养专业知识的人通常专注于临床实践或 研究对教学几乎没有或有激励作用。医生指出 他们觉得也准备好提供或促进饮食咨询 表明他们在医学院接受的训练中包括了这一点。 这项建议的目的是开发、教学和测试一个全面的 提高营养知识的医学营养教育模式， 医学生态度及相关临床行为的调查与提高 在预防和治疗中对营养的可见性和支持 疾病。有效应用这些目标的关键是 支持性环境，其中标准化的营养评估和 有效的饮食干预通常是由以下人员实施和示范的 住院医生和主治医生。为了实现这些结果，教职员工 将为以问题为基础的学习课程的导师提供营养 相关指南。此外，还有各种继续教育机会， 结束访问营养学者项目，计划于 住院医生、研究员、教职员工和校园内的其他卫生专业人员。 注册营养师将接受培训，在这些方面发挥辅助作用 在学术和临床实践方面都做出了努力。的最终目标是 这一组合策略是为了努力改善患者的饮食行为 预防和治疗疾病。这一模型的泛化能力 潜在的与其他医学领域的合作研究机会 学校在测试这些策略中的一些策略是进一步阐述的。

There is overwhelming evidence that diet strongly influences risk of cardiovascular diseases, hypertension, diabetes, obesity and some cancers. National dietary guidelines have been established to help reduce the incidence of these diseases, but the majority of the population does not adhere to them. More specifically, the National Cholesterol Education Program (NCEP) advocates diet as the cornerstone of treatment of cardiovascular disease, but few physicians feel prepared to provide dietary advice. Nutrition impacts the health status of every patient, young or old, inpatient or outpatient, whatever the diagnosis but tat present only 22% of US medical schools offer a required course in nutrition. In part, this is a reflection of the minimal attention paid tot nutrition on the National Board Exams. In 1993, only 12% of the board questions related to nutrition. Since most medical schools have few, if any, medical faculty with credentials, training, and interest in nutrition there is little or no support for this subject in curriculum development. Existing faculty with nutrition expertise are often preoccupies with clinical practice or research leaving little or incentive for teaching. Physicians who indicate they feel prepared to provide or facilitate dietary counseling also indicate that their medical school training included it. The purpose of this proposal is to develop, teach and test a comprehensive medical nutrition education model that improves nutrition knowledge, attitude and related clinical behavior of medical students and raises the visibility and support for nutrition in prevention and treatment of disease. Essential to effective application of these objectives is a supportive environment where standardized nutritional assessment and effective dietary intervention is commonly practiced and modeled by residents and attending physicians. To achieve these outcomes, faculty tutors for Problem Based Learning Courses will be provided with nutrition related guidelines. Also, a variety of continuing education opportunities, concluding a Visiting Nutrition Scholar program, are planned for residents, fellows, faculty and other health professionals on campus. Registered dietitians will be trained to play a supporting role in these efforts both academically and in clinical practice. The ultimate goal of this combined strategy is to improve patients' dietary behavior in efforts to prevent and treat disease. The generalizability of this model with potentially collaborative research opportunities with other medical schools in testing some of these strategies are further addressed.