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。每个模块将涵盖一个密切关注的营养主题，使医生能够提高他们的知识与所需的适度时间投资。该计划将强调临床技能建设，将最新的指南和临床经验转化为一个合理的和用户友好的格式。现有营养指导的一个局限性是，它涵盖了基本内容，但留给学习者如何将概念付诸实践并将其应用于个别患者的解释。演讲的重点将放在实际应用上-如何将指南转化为提供优质的患者护理。完成任何学习单元的医生都将理解如何实施指南，而不会受到机械解释的阻碍。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。 我们的教学单元的模块化和灵活的格式将优化研究生培训期间的学习效率，通过促进日益繁忙的忙碌专业人员的关键营养主题的简短和紧密的重点覆盖。我们计划实施一项软件战略，根据学习者已有的知识，通过计算机定制内容。内置的补救组件的基础上，同时监测学习效果将加强我们的教学方法的效率为所有学习者。我们希望有效地利用学习者的时间将增加使用和保留这一材料。 我们将评估医生在使用课程后改变营养实践的程度。由于我们的数据收集和跟踪系统的复杂性，我们可以在基线和完成给定模块后至少3个月收集关于医生利用重要临床营养实践程度的匿名信息。我们期望有非常高的响应率，因为评估问题将根据特定用户的学习历史动态地嵌入到模块中。我们可以继续定期调查每个用户，以衡量课程对实践技能的持续影响。 在NCI的支持下，我们将免费向所有美国医疗居民提供材料。我们将积极推动与肿瘤住院医师项目主任以及全国其他住院医师的课程。多年来，我们一直与一批经验丰富的临床营养教育工作者合作，我们将与他们合作，向他们经常接触的医学学员推广临床营养教育。

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.