Setting priorities for research in medical nutrition education: an international approach

Ball, Lauren; Barnes, Katelyn; Laur, Celia; Crowley, Jennifer; Ray, Sumantra

doi:10.1136/bmjopen-2016-013241

Cited by 16 publications

(14 citation statements)

References 27 publications

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“…In concordance with other studies, participants in this study appreciated the need for nutrition education but were less confident in their nutrition knowledge and clinical skills (Vetter et al, 2008;Sunguya et al, 2013;Ball et al, 2016;Perlstein et al, 2016). Students had the communication tools necessary to discuss nutrition with patients.…”

Section: Discussionsupporting

confidence: 67%

Medical students’ perceptions and confidence in their ability to apply nutrition principles in clinical practice

Lennon¹,

Muir²

2020

MedEdPublish

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Background: Due to the rising rates of malnutrition, which can adversely affect health, doctors must be competent in addressing nutrition concerns in practice. This study explored medical students' perceptions and confidence in applying nutrition principles in practice: nutrition assessment, patient counselling, and interventions. Methods: A small scale exploratory case study was conducted using semi-structured interviews with eight undergraduate medical students. An inductive thematic analysis was carried out. Documentary analysis was completed using policy and Medical School curriculum documents to review nutrition-related text in terms of the learning outcomes for nutrition education. Results: The findings highlight aspects which influenced students' nutrition practice for patient assessment and intervention: students' experience of nutrition both in education and practice, roles, importance of nutrition, concerns regarding application, barriers, and nutrition theme teaching. Documentary analysis results showed that the General Medical Council (GMC) and Dundee Medical School curriculum addressed higher level learning outcomes but students felt they were not achieving them. Conclusions: This study identifies factors which contribute to students' confidence in applying nutrition principles in practice with particular emphasis on nutrition curriculum and managing nutrition concerns in practice. It offers suggestion for curriculum review and development.

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Section: Discussionsupporting

confidence: 67%

Medical students’ perceptions and confidence in their ability to apply nutrition principles in clinical practice

Lennon¹,

Muir²

2020

MedEdPublish

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“…However, few studies acknowledge the complex learning environment of medical training that involves strong elements of enculturation and normative behaviour 23. In line with this limitation, the degree to which medical students place an emphasis on nutrition during medical training has been identified as an important ongoing research question in the field 24…”

Section: Introductionmentioning

confidence: 99%

Hidden curriculum within nutrition education in medical schools

Martin

Sturgiss

Douglas

et al. 2020

BMJNPH

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IntroductionPrevious attempts to enhance medical nutrition education have typically focussed on students’ acquiring nutrition knowledge or skills. Given that medical training uses an apprenticeship model of training, surprisingly few studies have explored the ‘hidden curriculum’ that students experience regarding expectations of behaviour, roles and responsibilities regarding nutrition. This study explored medical students’ perceptions and experiences regarding medical nutrition education, focussing on the context in which nutrition teaching has been provided, the presented place of nutrition within medicine and their subsequent views on their role in providing nutrition care.MethodsIndividual semi-structured qualitative interviews were conducted with 14 postgraduate medical students at different stages of their medical degree in Australia. The interviews were conducted using case studies followed by interview questions. Data were audio recorded, transcribed, coded and then underwent inductive thematic analysis.ResultsThree themes were discovered (i) Valuing nutrition in the medical management of patients whereby students perceived nutrition to be a foundational and central component of ideal medical management for patients, particularly those with chronic disease; (ii) Fluctuating emphasis on nutrition which showed that students experienced diversity in the importance placed on nutrition by others and (iii) Working with others whereby students expressed their understanding of their role in nutrition and the roles of team members such as dietitians.ConclusionTo enhance medical nutrition education, consideration needs to extend beyond counting dedicated teaching hours and mapping nutrition content, to a more contextual understanding of the situated learning that occurs for medical students.

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“…Poor nutrition is one of the most dominant lifestyle-related risk factors for chronic diseases [ 1 , 2 ] and has also been shown to have adverse effects on acute illnesses [ 3 ]. Epidemiological data show that seven out of the ten leading causes of death are chronic diseases that possess a critical nutrition component, such as heart disease, cancer and diabetes [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…Nutrition care refers to any practice undertaken by a health professional to improve an individual’s food-related behavior and subsequent health outcomes [ 1 , 2 , 6 , 14 , 15 , 16 ]. Studies have shown that GPs can be very effective in enhancing patients’ nutrition behavior through the implementation of nutrition care [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes toward Nutrition Care among General Practitioners in Croatia

Dumić

Miškulin

Pavlović

et al. 2018

JCM

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Nutrition care should be an integral part of general practitioners’ (GPs’) daily work with patients. The aim of this study was to assess the attitudes of Croatian GPs toward nutrition and nutrition care, and to evaluate the interconnection between their attitudes and implementation of nutrition care in GPs offices. A cross-sectional study was conducted among 17.0% of randomly selected GPs, from May to July of 2013, via a specially designed anonymous questionnaire. The study showed that 36.0% of the Croatian GPs had satisfactory number of positive attitudes (5 or more) toward nutrition and nutrition care. There was statistically significant difference in the median number of positive attitudes based on the additional education of GPs in nutrition and their ailment from chronic diseases (p < 0.001 and p = 0.022, respectively). The Spearman rank correlation between GPs’ attitudes toward nutrition and nutrition care and their practice, i.e., the implementation of nutrition care in GPs’ everyday work with patients was rs = −0.235 (p < 0.001). In order to provide nutrition care in GPs’ offices in Croatia, strategies for changing GPs’ attitudes toward nutrition and nutrition care are needed.

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Setting priorities for research in medical nutrition education: an international approach

Cited by 16 publications

References 27 publications

Medical students’ perceptions and confidence in their ability to apply nutrition principles in clinical practice

Medical students’ perceptions and confidence in their ability to apply nutrition principles in clinical practice

Hidden curriculum within nutrition education in medical schools

Attitudes toward Nutrition Care among General Practitioners in Croatia

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