Advancing Nutrition Education, Training, and Research for Medical Students, Residents, Fellows, Attending Physicians, and Other Clinicians: Building Competencies and Interdisciplinary Coordination

Horn, Linda Van; Lenders, Carine; Pratt, Charlotte; Beech, Bettina M.; Carney, Patricia A.; Dietz, William H.; DiMaria‐Ghalili, Rose Ann; Harlan, Timothy S.; Hash, Robert B.; Kohlmeier, Martin; Kolasa, Kathryn M.; Krebs, Nancy F.; Kushner, Robert F.; Lieh-Lai, Mary; Lindsley, Janet E.; Meacham, Susan; Nicastro, Holly L.; Nowson, Caryl; Palmer, Carole A.; Paniagua, Miguel; Philips, E; Ray, Sumantra; Rose, Suzanne; Salive, Marcel E.; Schofield, Marsha; Thompson, Kathryn; Trilk, Jennifer L.; Twillman, Gwen; White, Jeffrey D.; Zappalà, Giuseppe; Vargas, Ashley J.; Lynch, Christopher D.

doi:10.1093/advances/nmz083

Cited by 75 publications

(68 citation statements)

References 70 publications

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“…Numerous recommendations have been made over the past 20 years to advance policies to increase nutrition education, but change remains elusive 34. Theories for the lack of progress include lack of leadership or faculty level nutrition champions at many medical schools, lack of compelling training opportunities (such as fellowships) focused on nutrition, and rapidly advancing nutrition science coupled with rampant public nutrition misinformation might have minimised the perceived credibility of nutrition science among physicians 34353637. Most physicians, however, recognise their lack of sufficient nutrition education, and would like more information to tackle this key driver of health 38…”

Section: Integration In Healthcarementioning

confidence: 99%

Food is medicine: actions to integrate food and nutrition into healthcare

Downer

Berkowitz

Harlan

et al. 2020

BMJ

233

190

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Section: Integration In Healthcarementioning

confidence: 99%

Food is medicine: actions to integrate food and nutrition into healthcare

Downer

Berkowitz

Harlan

et al. 2020

BMJ

233

190

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show abstract

“…Further, many schools relegate nutrition education to electives, which are only taken by a self-selecting subset of students, and about half offer any clinical practice session(s) in nutrition. A recent update to the findings of Adams et al [ 18 ] shows no improvement in these statistics [ 19 ]. This is despite evidence that nutrition education is a strong predictor (perhaps the strongest) of success on the United States Medical Licensing Examination (USMLE) [ 20 , 21 , 22 ].…”

Section: Nutrition Education and Health Carementioning

confidence: 99%

“…The National Heart, Lung, and Blood Institute (NHLBI) held a workshop to address the “gap in knowledge by convening experts in clinical and academic health professional school” [ 19 ]. This workshop included presentations from the National Board of Medical Examiners, the Accreditation Council for Graduate Medical Education, the Liaison Committee on Medical Education, as well as the American Society for Nutrition.…”

Section: Nutrition Education and Health Carementioning

confidence: 99%

Nutrition, a Tenet of Lifestyle Medicine but Not Medicine?

Peterson

2021

IJERPH

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Nutrition is a foundation of health and one of six pillars of Lifestyle Medicine. The importance of nutrition in clinical care is now widely recognized by health care professionals and the public. However, clinicians are not comfortable counselling their patients on nutrition due to inadequate or lack of training, leaving a significant need in patient care. This gap can be closed with evidence-based curricula in medical schools and in the trainings of other health care professionals. This communication presents the current state of nutrition knowledge in health care, emphasizing nutrition education for physicians, and presents a model of how pre- through post-professional health care providers may become proficient in nutrition counseling including appropriate referral to more specialized providers. With these skills, health care professionals will be able to initiate patient-centered lifestyle plans. This includes improving diet and utilization of team-based medicine and referrals.

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“…NIN would also promote and support the training of a diverse 21st century nutrition science workforce, including in cross-disciplinary priority areas like quantitative methods, personalization, and technology. Given NIH's roles in supporting training of health care professionals, NIN would also guide and support innovative programs to build a cadre of well-trained health professionals for both clinical care and basic and translational science in nutrition ( 269 , 323 ).…”

Section: Options For Strengthening National Nutrition Researchmentioning

confidence: 99%

Strengthening national nutrition research: rationale and options for a new coordinated federal research effort and authority

Fleischhacker

Woteki

Coates

et al. 2020

The American Journal of Clinical Nutrition

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Background The US faces remarkable food and nutrition challenges. A new federal effort to strengthen and coordinate nutrition research could rapidly generate the evidence base needed to address these multiple national challenges. However, the relevant characteristics of such an effort have been uncertain. Objectives Our aim was to provide an objective, informative summary of 1) the mounting diet-related health burdens facing our nation and corresponding economic, health equity, national security, and sustainability implications; 2) the current federal nutrition research landscape and existing mechanisms for its coordination; 3) the opportunities for and potential impact of new fundamental, clinical, public health, food and agricultural, and translational scientific discoveries; and 4) the various options for further strengthening and coordinating federal nutrition research, including corresponding advantages, disadvantages, and potential executive and legislative considerations. Methods We reviewed government and other published documents on federal nutrition research; held various discussions with expert groups, advocacy organizations, and scientific societies; and held in-person or phone meetings with >50 federal staff in executive and legislative roles, as well as with a variety of other stakeholders in academic, industry, and nongovernment organizations. Results Stark national nutrition challenges were identified. More Americans are sick than are healthy, largely from rising diet-related illnesses. These conditions create tremendous strains on productivity, health care costs, health disparities, government budgets, US economic competitiveness, and military readiness. The coronavirus disease 2019 (COVID-19) outbreak has further laid bare these strains, including food insecurity, major diet-related comorbidities for poor outcomes from COVID-19 such as diabetes, hypertension, and obesity, and insufficient surveillance on and coordination of our food system. More than 10 federal departments and agencies currently invest in critical nutrition research, yet with relatively flat investments over several decades. Coordination also remains suboptimal, documented by multiple governmental reports over 50 years. Greater harmonization and expansion of federal investment in nutrition science, not a silo-ing or rearrangement of existing investments, has tremendous potential to generate new discoveries to improve and sustain the health of all Americans. Two identified key strategies to achieve this were as follows: 1) a new authority for robust cross-governmental coordination of nutrition research and other nutrition-related policy and 2) strengthened authority, investment, and coordination for nutrition research within the NIH. These strategies were found to be complementary, together catalyzing important new science, partnerships, coordination, and returns on investment. Additional complementary actions to accelerate federal nutrition research were identified at the USDA. Conclusions The need and opportunities for strengthened federal nutrition research are clear, with specific identified options to help create the new leadership, strategic planning, coordination, and investment the nation requires to address the multiple nutrition-related challenges and grasp the opportunities before us.

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Advancing Nutrition Education, Training, and Research for Medical Students, Residents, Fellows, Attending Physicians, and Other Clinicians: Building Competencies and Interdisciplinary Coordination

Cited by 75 publications

References 70 publications

Food is medicine: actions to integrate food and nutrition into healthcare

Food is medicine: actions to integrate food and nutrition into healthcare

Nutrition, a Tenet of Lifestyle Medicine but Not Medicine?

Strengthening national nutrition research: rationale and options for a new coordinated federal research effort and authority

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