Nutrition Education for Practicing Physicians

描述(由申请者提供)：我们建议为住院医师和其他医学研究生学员提供基于证据的医学营养培训计划。我们将开发一套全面的学习单元，涵盖与营养相关的关键知识和实践技能，这些知识和实践技能对于医生有效地治疗患者或就预防癌症等慢性疾病提供咨询是必不可少的。每个模块将涵盖一个高度集中的营养主题，使医生能够以最少的时间投资提高他们的知识。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教学合理和用户友好的形式。现有营养指导的局限性在于它涵盖了基本内容，但将如何将概念付诸实践并应用于个别患者的问题留给了学习者的解释。演讲的重点将放在实际应用上-如何将指南转化为提供高质量的患者护理。完成任何学习单元的医生都将了解如何实施指南，而不受机械解释的阻碍。尽管如此，在我们的计划中，基本营养信息将在需要时供审查。 我们教学单元的模块化和灵活的形式将通过促进对日益繁忙的卫生专业人员的关键营养主题的简短和密切的关注来优化研究生培训期间的学习效率。我们计划实施一项软件战略，根据学习者先前存在的知识，通过计算机定制内容交付。基于对学习效果的同步监控的内置补救组件将增强我们针对所有学习者的教学方法的效率。我们预计，有效利用学习者的时间将增加对这些材料的使用和保留。 我们将评估医生在使用课程后改变其营养实践的程度。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的程度的匿名信息。我们希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嵌入模块中。我们可以继续定期对每位用户进行调查，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。我们将在全国范围内与肿瘤学住院医师项目主任以及其他住院医师一起积极推广该课程。多年来，我们一直与经验丰富的临床营养教育者团队合作，我们将与他们合作，向他们经常接触的医学实习生推广临床营养学教育。

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.