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Background Although a poor diet is the number one risk factor for early death in the United States and globally, physicians receive little to no training in dietary interventions and lack confidence counseling patients about lifestyle modifications. Innovative, interprofessional strategies to address these gaps include the emergence of culinary medicine, a hands-on approach to teaching the role of food in health outcomes. We sought to assess the impact of a culinary medicine elective on counseling confidence, awareness of an evidence-based approach to nutrition, and understanding of the role of interprofessional teamwork in dietary lifestyle change among medical students at one undergraduate medical school. Methods We administered pre- and post-course surveys to two cohorts of medical students (n = 64 at pre-test and n = 60 at post-test) participating in a culinary medicine enrichment elective. Chi-square analysis was used to assess the relationship between participation in the course and a positive response to each survey item. Results Compared with the baseline, students participating in culinary medicine were more likely to feel confident discussing nutrition with patients (29% vs 92%; p < 0.001), to feel familiar with the Mediterranean diet (54% vs. 97%; p < 0.001), and to understand the role of dietitians in patient care (37% vs. 93%; p < 0.001). Conclusions Culinary medicine shows promise as an impactful educational strategy among first-year medical students for increasing counseling confidence, promoting familiarity with evidence-based nutrition interventions, and augmenting understanding of the role of interprofessional engagement to address lifestyle-related disease.

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An ion-tcmpcraturc~gradient driven instability is investigated in the Columbia Linear Machinc (CLM). A transit-time r.f. techniquc is used to heat the core of the plasma column. This produces the

Most tokamak experimental results [Nucl. Fusion 33, 1205 (1993)]] and basic physics experiments [Phys. Rev. Lett. 89, 095001 (2002)]] in the Columbia Linear Machine indicate dependence of the ion thermal conductivity on the isotopic mass close to chi( perpendicular ) approximately A(-0.5)(i), i.e., inverse gyro-Bohm. This is in stark contradiction to most present theoretical models predicting Bohm (A(0)(i)) or gyro-Bohm (A(0.5)(i)) scaling. A series of experiments designed to explore the physics basis of this scaling appears to lead to a new model for this scaling based on 3-wave coupling of two ion temperature gradient radial harmonics and an ion acoustic wave.