TEACHING NUTRITION TO PREVENT CARDIOVASCULAR DISEASES

作为哈佛医学院(HMS)营养部主任，Allan Walker博士将指导课程的开发和实施，向医学生、家庭工作人员和执业医生传授预防心血管疾病、高血压、糖尿病和肥胖的营养原理和临床实践技能。营养主题将丰富和延伸当前的课程和核心临床助理职位，并创建新的选修临床轮换。其具体目标是：1)通过a)开发教学讲座，为HMS学生开发针对心血管疾病的四年制营养课程；b)基于Welty博士的二级预防计划、心脏和鞋底以及妇女和脂肪诊所的患者开发临床案例，以进行基于案例的教学；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，开发关于妇女、饮食和心脏病的教学模块。所有讲座、案例和迷你课程将以网络为基础，面向HMS学生、其他医学院和执业医生，作为CME学分；2)通过a)提供营养和心脏病预防住院教学服务，教会学生应用营养技能和医学知识和门诊助理；b)为医学生、住院医生和研究员增加新的门诊预防心脏病临床轮换；c)开发关于心脏和唯一保留地的原住民项目，为来自许多学校的医学生提供关于营养和心脏病的选修课；以及d)增加营养和预防心血管疾病的研究机会；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，其中一部分涉及在卫生与公众服务部已有的客观结构化临床考试(欧安组织)中增加营养站；欧安组织可向其他医学院传播；5)通过提供继续医学教育课程和网站，扩大保健专业人员接触心脏疾病营养联系的机会。这一职业奖项将使沃克博士成为营养学医学教育的领导者，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.