Proposed Nutrition Competencies for Medical Students and Physician Trainees: A Consensus Statement.

Autor:	Eisenberg DM; Harvard T.H. Chan School of Public Health, Boston, Massachusetts., Cole A; Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts., Maile EJ; Sprink Ltd, Woodstock, United Kingdom., Salt M; Sprink Ltd, Woodstock, United Kingdom., Armstrong E; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts., Broad Leib E; Harvard Law School, Boston, Massachusetts., Findley T; Harvard Law School, Boston, Massachusetts., Massa J; Harvard T.H. Chan School of Public Health, Boston, Massachusetts., Albin J; University of Texas Southwestern, Dallas., Alston M; Intermountain Health/Saint Joseph Hospital, Denver, Colorado., Barkoukis H; Case Western Reserve University, School of Medicine, Cleveland, Ohio., Buckhold F; Saint Louis University, St Louis, Missouri., Danoff R; Jefferson Health, Philadelphia, Pennsylvania., Delichatsios H; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts., Devries S; Gaples Institute, Deerfield, Illinois., Dewar S; University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania., Di Rocco J; University of Hawaii, Honolulu., Duggan CP; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts., Essel K; George Washington University School of Medicine & Health Sciences, Washington, DC., Frates B; Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts., Hansen P; University of Utah, Salt Lake City., Haramati A; Georgetown University School of Medicine, Center for innovation and Leadership in Education (CENTILE), Washington, DC., Harlan TS; George Washington University School of Medicine & Health Sciences, Washington, DC., Hauser ME; Department of Surgery-General Surgery, Stanford University School of Medicine, Palo Alto, California.; Medgroup Lifestyle and Weight Management Program, Veterans Affairs Palo Alto Health Care System, Palo Alto, California., Leopold D; Hackensack Meridian Health, Hackensack, New Jersey., Lewis J; Advocate Children's Hospital, Park Ridge, Illinois., Locke A; University of Utah, Salt Lake City., Mann JR; University of Mississippi Medical Center, Jackson., McClure A; The Dartmouth Institute, Lebanon, New Hampshire., McWhorter JW; Suvida Healthcare, Houston, Texas., Misra S; A.T. Still University, Kirksville College of Osteopathic Medicine, Kirksville, Missouri., Murano T; Columbia University, New York, New York., Oxentenko A; Mayo Clinic-Rochester, Rochester, Minnesota., Pierce-Talsma S; University of New England College of Osteopathic Medicine, Biddeford, Maine., Potts S; UMass Chan Medical School, Worcester, Massachusetts., Reilly JM; Keck School of Medicine of University of Southern California, Los Angeles., Ring M; Northwestern University, Chicago, Illinois., Sampang S; Child and Adolescent Psychiatry, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, Ohio., Shafto K; Earl E. Bakken Center for Spirituality and Healing, University of Minnesota Medical School, Minneapolis.; Integrative Health, Internal Medicine, Hennepin Healthcare, Minneapolis, Minnesota., Shiue L; Department of Adult and Family Medicine, Kaiser Permanente, San Francisco, California.; Department of Clinical Science, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California., Slusser W; University of California, Los Angeles., Stone T; Georgetown University Medical Center, Washington, DC., Studer K; Loma Linda University, Loma Linda, California., Thomas O; Boston Medical Center, Boston, Massachusetts., Trilk J; University of South Carolina School of Medicine Greenville, Greenville, South Carolina., Edgar L; Accreditation Council for Graduate Medical Education, Chicago, Illinois.
Jazyk:	angličtina
Zdroj:	JAMA network open [JAMA Netw Open] 2024 Sep 03; Vol. 7 (9), pp. e2435425. Date of Electronic Publication: 2024 Sep 03.
DOI:	10.1001/jamanetworkopen.2024.35425
Abstrakt:	Importance: In 2022, the US House of Representatives passed a bipartisan resolution (House of Representatives Resolution 1118 at the 117th Congress [2021-2022]) calling for meaningful nutrition education for medical trainees. This was prompted by increasing health care spending attributed to the growing prevalence of nutrition-related diseases and the substantial federal funding via Medicare that supports graduate medical education. In March 2023, medical education professional organizations agreed to identify nutrition competencies for medical education. Objective: To recommend nutrition competencies for inclusion in medical education to improve patient and population health. Evidence Review: The research team conducted a rapid literature review to identify existing nutrition-related competencies published between July 2013 and July 2023. Additional competencies were identified from learning objectives in selected nutrition, culinary medicine, and teaching kitchen curricula; dietetic core competencies; and research team-generated de novo competencies. An expert panel of 22 nutrition subject matter experts and 15 residency program directors participated in a modified Delphi process and completed 4 rounds of voting to reach consensus on recommended nutrition competencies, the level of medical education at which they should be included, and recommendations for monitoring implementation and evaluation of these competencies. Findings: A total of 15 articles met inclusion criteria for competency extraction and yielded 187 competencies. Through review of gray literature and other sources, researchers identified 167 additional competencies for a total of 354 competencies. These competencies were compiled and refined prior to voting. After 4 rounds of voting, 36 competencies were identified for recommendation: 30 at both undergraduate and graduate levels, 2 at the undergraduate level only, and 4 at the graduate level only. Competencies fell into the following nutrition-related themes: foundational nutrition knowledge, assessment and diagnosis, communication skills, public health, collaborative support and treatment for specific conditions, and indications for referral. A total of 36 panelists (97%) recommended nutrition competencies be assessed as part of licensing and board certification examinations. Conclusions and Relevance: These competencies represent a US-based effort to use a modified Delphi process to establish consensus on nutrition competencies for medical students and physician trainees. These competencies will require an iterative process of institutional prioritization, refinement, and inclusion in current and future educational curricula as well as licensure and certification examinations.
Databáze:	MEDLINE
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