Nutrition Education for Practicing Physicians

描述（由申请人提供）：我们建议为住院医师和其他研究生医师学习者提供基于网络的循证医学营养培训计划。我们将开发一套全面的学习模块，涵盖医生有效治疗患者或就预防癌症等慢性疾病提供咨询所必需的关键营养相关知识和实践技能。每个模块都将涵盖一个紧密集中的营养主题，允许医生以适度的时间投资来提高他们的知识。该计划将强调临床技能建设，将最新的指导方针和临床经验转化为具有良好教学效果和用户友好的格式。现有营养指导的一个局限是，它涵盖了基本的内容，但如何将这些概念付诸实践并将其应用于个别患者，这取决于学习者的解释。演讲的重点将放在实际应用上——如何将指导方针转化为提供高质量的病人护理。完成任何学习单元的医生都将了解如何实施指南，而不会受到机械性解释的阻碍。尽管如此，在我们的计划中，基本的营养信息将根据需要进行审查。

DESCRIPTION (provided by applicant): We propose the web-based delivery of an evidence-based medical nutrition training program for medical residents and other postgraduate physician learners. We will develop a comprehensive set of learning modules covering the critical nutrition-related knowledge and practice skills essential for physicians to effectively treat their patients or to counsel them on preventing chronic diseases such as cancer. Each module will cover a tightly focused nutrition topic, allowing physicians to improve their knowledge with modest time investments required. The program will emphasize clinical skill building, translating the most current guidelines and clinical experience into an instructionally sound and user-friendly format. A limitation of existing nutrition instruction is that it covers basic content, but leaves it up to the interpretation of the learner how to put the concepts into practice and apply them to individual patients. The emphasis of the presentation will be on practical applications - how to translate guidelines into providing quality patient care. Physicians completing any learning unit will understand how to implement the guidelines without being encumbered by mechanistic explanations. Nonetheless, in our program basic nutrition information will be available for review as needed. The modular and flexible format of our instructional units will optimize learning efficacy during postgraduate training by facilitating the brief and tightly focused coverage of critical nutrition topics for the increasingly busy health professional. We plan to implement a software strategy that will computer-tailor content delivery based on the learner's pre-existing knowledge. Built-in remediation components based on concurrent monitoring of learning efficacy will strengthen the efficiency of our instructional approach for all learners. We expect that efficient use of the learner's time will increase use and retention of this material. We will evaluate the degree to which physicians change their nutrition practices after using the curriculum. Because of the sophistication in our data collection and tracking system, we can collect anonymous information on the extent physicians utilize important clinical nutrition practices, at baseline and at least 3 months after completing a given module. We expect a very high response rate because the assessment questions will be embedded into the modules dynamically, based on a specific user's learning history. We can continue to poll each user periodically to measure the continuing impact the curriculum has on practice skills. With NCI support we will make the material available to all US medical residents without cost. We will actively promote the curriculum with oncology residency program directors as well as other residencies nationwide. We have been working for many years with a steadily growing group of experienced clinical nutrition educators, and we will collaborate with them to promote clinical nutrition education to the medical trainees they routinely contact.