Current Status of Nutrition Training in Graduate Medical Education From a Survey of Residency Program Directors

Daley, Brian; Cherry-Bukowiec, Jill R.; Way, Charles W. Van; Collier, Bryan R.; Gramlich, Leah; McMahon, M. Molly; McClave, Stephen A.

doi:10.1177/0148607115571155

Cited by 51 publications

(50 citation statements)

References 15 publications

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“…Globally, medical curricula have been described as lacking sufficient nutrition education (Daley et al . ; Frantz et al . ; Mogre et al .…”

Section: Challenges and Barriers For Doctors In Providing Nutrition Amentioning

confidence: 99%

“…Studies in the US have described nutrition education within medical degrees as insufficient and highlighted the lack of standardised competencies, resulting in nutrition education ranging across medical programmes from none, to short lectures, to nutrition rotations (Daley et al . ; Frantz et al . ).…”

Section: Challenges and Barriers For Doctors In Providing Nutrition Amentioning

confidence: 99%

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Are doctors nutritionists? What is the role of doctors in providing nutrition advice?

et al. 2018

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Diet and nutritional status impact on health outcomes. The global rise of dietrelated non-communicable diseases plus the double burden of obesity and malnutrition means that it is imperative more than ever that all healthcare professionals are able to provide at least basic evidence-based nutrition advice. Improving an individual's diet requires more than just information provision, it requires consistent and long-term support to change and maintain new behaviours. Doctors acknowledge that nutrition plays a crucial role in health and agree that providing nutrition advice is part of their role. However, providing sufficiently detailed nutrition advice that is relevant to a patient's health goals, useful for the patient, and that results in measurable changes, is not common in practice settings. Numerous challenges and barriers have been identified for why doctors do not provide nutrition recommendations to their patients. A lack of nutrition education and training, time constraints during appointments, and patients who have access to an ever-growing body of nutrition and health information via the Internet and social media, together may explain why doctors tend not to include nutrition advice in their care plans. This paper outlines both short-and long-term strategies for improving doctors' engagement with nutrition interventions and collaborative working with dietitians in the context of collaborative care. Having doctors support and advocate for evidenced-based nutrition practice is a crucial element of the World Health Organization's Decade of Action on Nutrition achieving measurable success.

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“…Globally, medical curricula have been described as lacking sufficient nutrition education (Daley et al . ; Frantz et al . ; Mogre et al .…”

Section: Challenges and Barriers For Doctors In Providing Nutrition Amentioning

confidence: 99%

Section: Challenges and Barriers For Doctors In Providing Nutrition Amentioning

confidence: 99%

Are doctors nutritionists? What is the role of doctors in providing nutrition advice?

et al. 2018

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“…Changes in the current medical environment and federal rulings have led to an increased number of PN prescribers from all healthcare disciplines, as well as a decrease in the pool of nutrition physicians and nutrition support teams. Surveys report that physicians at all levels of training are undertrained in the discipline of nutrition 3 . ‐ 9 This inadequate education extends to many other healthcare fields, further heightening the need for nutrition education and PN‐prescribing competency for clinicians of many disciplines 10 .…”

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confidence: 99%

Management of Parenteral Nutrition in Hospitalized Adult Patients

Mundi

Nystrom

Hurley

et al. 2016

J Parenter Enteral Nutr

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Despite the high prevalence of malnutrition in adult hospitalized patients, surveys continue to report that many clinicians are undertrained in clinical nutrition, making targeted nutrition education for clinicians essential for best patient care. Clinical practice models also continue to evolve, with more disciplines prescribing parenteral nutrition (PN) or managing the cases of patients who are receiving it, further adding to the need for proficiency in general PN skills. This tutorial focuses on the daily management of adult hospitalized patients already receiving PN and reviews the following topics: (1) PN basics, including the determination of energy and volume requirements; (2) PN macronutrient content (protein, dextrose, and intravenous fat emulsion); (3) PN micronutrient content (electrolytes, minerals, vitamins, and trace elements); (4) alteration of PN for special situations, such as obesity, hyperglycemia, hypertriglyceridemia, refeeding, and hepatic/renal disease; (5) daily monitoring and adjustment of PN formula; and (6) PN-related complications (PN-associated liver disease and catheter-related complications).

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“…Changes in the medical environment and federal rulings have led to an increased number of PN prescribers from a broad spectrum of healthcare disciplines as well as a decrease in the pool of nutrition physicians and nutrition support teams. Surveys report that physicians at all levels of training are undertrained about the discipline of nutrition . This inadequate education extends to many other healthcare specialists.…”

Section: Introductionmentioning

confidence: 99%

Current Status of Nutrition Training in Graduate Medical Education From a Survey of Residency Program Directors

Cited by 51 publications

References 15 publications

Are doctors nutritionists? What is the role of doctors in providing nutrition advice?

Are doctors nutritionists? What is the role of doctors in providing nutrition advice?

Management of Parenteral Nutrition in Hospitalized Adult Patients

42nd ASPEN President's Address: Nutrition Support: Integrating Technology and Clinical Expertise

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