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Drs nutritionppt3 Drs nutritionppt3 Presentation Transcript

  • Physicians and Nutrition Education
    Presented by:
    Deena Wang
    JoceneiaTimas
    Cristina Rosario
  • Background
    Most Americans say that their physician is their primary source for nutrition information
    Nutrition education is not mandatory for a medical degree
    Electives in nutrition are limited
    Lack of communication between physicians, nutritionists and dieticians
  • Significance
    Without proper nutrition education, physicians are not able to give dietary instructions to their patients
    Patients cannot always afford consults with dieticians or nutritionists
    The public can be mislead about proper nutrition
  • Goals and Objectives
    Goal
    Improve physicians’ knowledge of nutrition, so that they may better serve their patients’ needs.
    Objectives
    To teach physicians nutrition principles
    Increase communication between nutritionist/dietitians and physicians
  • Who is involved?
    Professionals
    Physicians and Family Practitioners
    Nutritionists and Dietitians
    Policy Makers
    Organizations
    Hospitals
    Clinics/Healthcare Centers
    Medical Institutions
  • Evidence
    How much does your Doctors know about Nutrition? The New York Times
    “I know we’re supposed to know about nutrition and diet, but none of us really does.”
    “Physician’s Nutrition Education Lacking”
    Surveyd 126 schools American Dietitian Association
    Separate nutrition course: 30
    Minimum 25 h recommendation met: 40
    Avg of 21 hours in 4 yr curriculum
    93 (88%) needs more
    “Physician’s Nutrition Education Lacking”
    “What Do Resident Physicians Know about Nutrition? An Evaluation of Attitudes, Self-Perceived Proficiency and Knowledge
    94% - felt obligated to discuss with patients
    14% - felt adequately trained
  • More Evidence
    Nutrition Education for Physician, Medical school Review (1978-1995)
    Effective: family practice residency, noon time lecture conference series model, registered dietitians involvement
    Innovative Teaching Strategies for Training Physicians in Clinical Nutrition
    Incorporate nutrition assessment into busy medical practices
    Effective in helping patient overcome nutrition-related maladies (ASNS, 2003)
    Total Nutritional Therapy: A Nutrition Education Program for Physicians
    2-day course in clinical nutrition
    Increased use of nutrition assessment
    Increased number of patients placed on nutrition therapy (Nutr Hosp 2004)
  • Implications for Health Education & Program Planning
    Raising physicians’ awareness of their insufficient knowledge and education options
    Healthy People
    Healthy People 2020
    Objectives Retained But Modified From Healthy People 2010
    Increase the proportion of physician offices visits that include counseling or education related to nutrition or weight.
  • Implications (con’t.)
    Health Education
    Provide in-person training sessions and online courses
    Evaluate effectiveness of training sessions and courses
    ex. Nutrition Therapy & Nutrition Assessment
    Coordinate patient care with other providers and other health institutions if needed
    Improve communication among nutritionist/dieticians and physicians
    Provide culturally relevant nutritional care to patients from multicultural backgrounds
  • Implications (con’t.)
    Health Advocacy
    Advocate to policy makers and medical school administrators to implement mandatory nutritional education for physicians
    Advocate to physicians the need for proper nutrition education and its benefits to their patients
    Provide cultural competent health literacy materials for patients that are from other countries
    Promote physician nutrition education at different health and academic institutions
  • Challenges
    Policies, costs, time constraints and proper nutrition education
    It is difficult to provide the education at a specific point during a physician’s career
    May seem relatively unimportant and it is difficult to provide nutrition education in already crowded medical curriculum of medical schools
    Evaluation of training courses
  • Questions
    Do you think physicians should be educated in nutrition or should they just refer to nutritionist/dietitians?
    When would you give physicians nutrition education? During pre-med, medical school, residency, or later on?
    How much nutrition education do you think is appropriate?
  • References
    Physicians' Nutrition Education Lacking, American Dietetic Association, Retrieved on http://www.medicalnewstoday.com/articles/42226.php
    Vetter, et al (2008) What Do Resident Physicians Know about Nutrition? An Evaluation of Attitudes, Self-Perceived Proficiency and Knowledge Division of General Internal Medicine, Section of Primary Care, Department of Medicine, New York University School of Medicine, New York, New York Retrieved on http://www.jacn.org/cgi/content/abstract/27/2/287
    Kelly et al (2008) Status of nutrition education in medical schools. Department of nutrition, University of North Carolina. Retrieved on http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2430660/?tool=pubmed
    Novick, Jeffrey S. (2000). Effects of a Nutrition Education Program on the Related Knowledge and Behaviors of Family Practice Residents, Dept. of Family and Consumer Sciences, Indiana State University. Retired on
    http://www.beyondveg.com/novick-j/nutrition-education/physicians-1.shtml
    Thoresen, L., Rothenberg, E., Beck, A. M., Irtun, Ø. and on behalf of the Scandinavian Nutrition Group (SNG) (2008), Doctors and nurses on wards with greater access to clinical dietitians have better focus on clinical nutrition. Journal of Human Nutrition and Dietetics, 21: 239–247.
    Walker W. (2003). Innovative Teaching Strategies for Training Physicians in Clinical Nutrition: An Overview. Division of Nutrition, Harvard Medical School. Retrieved on http://jn.nutrition.org/cgi/content/full/133/2/541S
    Healthy People 2010 & Healthy People 2020 http://www.healthypeople.gov/
    Waitzberg, DL (2004) otal Nutrition Therapy, A Nutrition Education Program for Physicians, Nrtr, Susp. Retrieved on http://www.scielo.isciii.es/pdf/nh/v19n1/original.pdf