TEACHING NUTRITION TO PREVENT CARDIOVASCULAR DISEASES

作为哈佛医学院（HMS）营养学部主任，Allan Walker博士将指导课程的开发和实施，向医学生、医院工作人员和执业医生教授预防心血管疾病、高血压、糖尿病和肥胖的营养原则和临床实践技能。营养主题将丰富和扩展目前的课程和核心临床实习，并创建一个新的选修临床轮转。具体目标是：1)通过a)开展教学讲座，为HMS学生开发一门为期四年的心血管疾病营养课程；b)以Welty博士的二级预防项目、心脏和脚底、妇女和脂质诊所的患者为基础，开发临床病例，进行病例教学；c)与美国国立卫生研究院资助的哈佛妇女健康卓越中心合作，开发一个关于妇女、饮食和心脏病的教学模块。所有的讲座、案例和迷你课程都将在网上为HMS学生和其他医学院提供，并作为执业医生的继续教育学分；2)通过以下方式增加临床教学的内容：a)提供营养和心脏病预防住院教学服务，教学生将营养技能和知识应用于医学和门诊实习；b)为医科学生、住院医师和研究员增加新的门诊预防心脏病临床轮转；c)在印第安人保留地开展心脏和Sole项目，为许多学校的医科学生提供营养和心脏病选修课；d)增加营养和心血管疾病预防方面的研究机会；3)设计和实施教师发展和培训材料；4)评估营养课程的影响，其中一部分包括在HMS已经实施的客观结构化临床考试（OSCE）中增加营养站；欧安组织可以向其他医学院传播；5)通过提供CME课程和网站，扩大医疗保健专业人员对心脏病营养联系的了解。这个职业奖将确立沃克博士在营养学医学教育领域的领导地位，这是他的长期职业目标。

As Director of the Division of Nutrition at Harvard Medical School (HMS), Dr. Allan Walker will direct the development and implementation of a curriculum to teach nutrition principles and clinical practice skills for the prevention of cardiovascular diseases, hypertension, diabetes and obesity to medical students, house staff and practicing physicians. The nutrition theme will enrich and extend the current curriculum and core clinical clerkships and create a new elective clinical rotation. The specific aims are to: 1) develop a four-year, cardiovascular disease specific nutrition curriculum for HMS students by a) developing didactic lectures; b) developing clinical cases based on patients in Dr. Welty's secondary prevention program, Heart and Sole, and women's and lipid clinics for case-based teaching; c) developing a teaching module on women, diet and heart disease in collaboration with the NIH funded Harvard Center of Excellence in Women's Health. All lectures, cases and minicourses will be Web-based for HMS students, other medical schools and as CME credit for practicing physicians; 2) add content to the clinical years by a) providing a Nutrition and Heart Disease Prevention Inpatient Teaching Service which will teach students to apply nutrition skills and knowledge on Medicine and Ambulatory Clerkships; b) adding a new outpatient Preventive Cardiology Clinical Rotation for medical students, residents and fellows; c) developing the Heart and Sole program on a Native-American reservation to provide an elective on nutrition and heart disease for medical students from many schools; and d) increasing research opportunities in nutrition and prevention of cardiovascular diseases; 3) designing and implementing faculty development and training materials; 4) evaluating the impact of the nutrition curriculum, a portion of which involves adding nutrition stations to the objective structured clinical exam (OSCE) already in place at HMS; the OSCE could be disseminated to other medical schools; and 5) broaden exposure to the heart- disease nutrition connection among health care professionals by providing a CME course and web site. This career award will establish Dr. Walker as a leader in medical education in nutrition, his long-term career goal.