scholarly journals The State of Nutrition Education at US Medical Schools

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Kelly M. Adams ◽  
W. Scott Butsch ◽  
Martin Kohlmeier
Keyword(s):  
Metabolic Syndrome ◽  
Clinical Practice ◽  
Nutrition Education ◽  
Response Rate ◽  
Medical Schools ◽  
The State ◽  
Realistic Expectation ◽  
Hospital Malnutrition ◽  
Nutrition Instruction ◽  
Academic Year

Purpose. To assess the state of nutrition education at US medical schools and compare it with recommended instructional targets. Method. We surveyed all 133 US medical schools with a four-year curriculum about the extent and type of required nutrition education during the 2012/13 academic year. Results. Responses came from 121 institutions (91% response rate). Most US medical schools (86/121, 71%) fail to provide the recommended minimum 25 hours of nutrition education; 43 (36%) provide less than half that much. Nutrition instruction is still largely confined to preclinical courses, with an average of 14.3 hours occurring in this context. Less than half of all schools report teaching any nutrition in clinical practice; practice accounts for an average of only 4.7 hours overall. Seven of the 8 schools reporting at least 40 hours of nutrition instruction provided integrated courses together with clinical practice sessions. Conclusions. Many US medical schools still fail to prepare future physicians for everyday nutrition challenges in clinical practice. It cannot be a realistic expectation for physicians to effectively address obesity, diabetes, metabolic syndrome, hospital malnutrition, and many other conditions as long as they are not taught during medical school and residency training how to recognize and treat the nutritional root causes.

scholarly journals Analysis of Nutrition Education in Osteopathic Medical Schools

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Kathaleen Briggs Early ◽  
Kelly M. Adams ◽  
Martin Kohlmeier
Keyword(s):  
Nutrition Education ◽  
Online Survey ◽  
Response Rate ◽  
Descriptive Statistics ◽  
Osteopathic Medicine ◽  
Nutrition Instruction ◽  
Academic Year ◽  
Nutrition Practice ◽  
Prevention Of Cardiovascular Disease ◽  
Osteopathic Physicians

Purpose. Describe nutrition education at US colleges of osteopathic medicine; determine if it meets recommended levels. Method. We surveyed 30 US colleges of osteopathic medicine (US COM) with a four-year curriculum about the amount and form of required nutrition education during the 2012/13 academic year. The online survey asked about hours of required nutrition across all 4 years and also in what types of courses this instruction occurred. We performed descriptive statistics to analyze the data. Results. Twenty-six institutions (87% response rate) completed the survey. Most responding US COM (22/26, 85%) do not meet the recommended minimum 25 hours of nutrition education; 8 (31%) provide less than half as much. Required nutrition instruction is largely confined to preclinical courses, with an average of 15.7 hours. Only 7 of the 26 responding schools report teaching clinical nutrition practice, providing on average 4.1 hours. Conclusions. Most US COM are inadequately preparing osteopathic physicians for the challenges they will face in practice addressing the nutritional concerns of their patients. Doctors of osteopathy cannot be expected to properly treat patients or guide the prevention of cardiovascular disease, obesity, cancer, diabetes, and metabolic syndrome if they are not trained to identify and modify the contributing lifestyle factors.

The state of ethical-legal oaths in UK medical practice today: Is it time to look at standardising?

2016 ◽  
Vol 84 (4) ◽  
pp. 200-202
Author(s):  
RL Atenstaedt
Keyword(s):  
Medical Students ◽  
Medical Practice ◽  
Response Rate ◽  
Medical Schools ◽  
Hippocratic Oath ◽  
The State ◽  
Rite Of Passage ◽  
Medical Practitioners ◽  
Electronic Survey ◽  
The Uk

The taking of an ethical-legal oath is a “rite of passage” for many medical practitioners. A 1997 paper noted that half of medical schools in the UK administer an oath. I performed a survey of UK medical schools to see whether these are still used today. An electronic survey was sent to 31 UK medical schools, asking them whether the Hippocratic Oath (in any version) was taken by their medical students; non-respondents were followed up by telephone. Information was obtained from 21 UK medical schools, giving a response rate of 68% (21/31). A total of 18 (86%) institutions use an oath. Ethical-legal oaths are therefore taken in the vast majority of UK medical schools today. However, a great variety are used, and there are advantages in standardisation. My recommendation is that the Standard Medical Oath of the UK (SMOUK) is adopted by all medical schools, and that this is also taken regularly by doctors as part of revalidation.

THE IMPACT OF SLEEP DISORDERS ON THE STATE OF PSYCHOEMOTIONAL SPHERE IN METABOLIC SYNDROME

2017 ◽  
Vol 19 (2) ◽  
pp. 11-14
Author(s):  
N.S. Alekseeva ◽  
◽  
O.I. Salmina-Khvostova ◽  
E.V. Beloborodova ◽  
◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Sleep Disorders ◽  
The State ◽  
The Impact

Importance of Pramana Pareeksha in Clinical Practice

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Rajendra Pai N. ◽  
U. Govindaraju
Keyword(s):  
Clinical Practice ◽  
The State ◽  
Pathological Examination ◽  
Complete Knowledge

In Ayurveda the term Pareeksha is used in place of Pramana. The synonyms of Pareeksha are Pramana, Saadana, Jnana, Upalabdhi. Pariksha means through which investigation cognition of valid apprehension of the state of the object arise is called Pariksha. Which is investigated in depth, establishment of reality of an object is Pareeksha. “Rogamadou Pareekshet Tathonantaram Aoushadam” it is very essential that before planning any treatment one should have complete knowledge of Roga and Rogibala. The purpose of examination is to obtain knowledge regarding span of life, strength and intensity of morbidity. Hence patient to be examined in respect of Prakruti (constitution of body), Vikruti (pathological examination), Sara (examination of elemental tissue and mind), Samhana (examination of compactness of body), Pramana (measurement), Satmya (suitability), Satva (examination of mental constitution), Aaharashakti (examination of digestive power), Vyayamashakti (examination of strength by exercise), Vaya (examination of age). Among these Dashavidha Pareeksha except Vikruti Pareeksha is to be done to understand the overview condition of the person. Vikrutipariksha is to be done to elicit the factors which are responsible for the pathogenesis of the diseases.

The state of telehealth education at U.S. medical schools

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 100522
Author(s):  
Dhruv Khullar ◽  
Samyukta Mullangi ◽  
Jiani Yu ◽  
Kamilah Weems ◽  
Scott A. Shipman ◽  
...  
Keyword(s):  
Medical Schools ◽  
The State

scholarly journals Individual Diet Modification Reduces the Metabolic Syndrome in Patients Before Pharmacological Treatment

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2102
Author(s):  
Małgorzata Elżbieta Zujko ◽  
Marta Rożniata ◽  
Kinga Zujko
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
Fatty Acids ◽  
Waist Circumference ◽  
Nutrition Education ◽  
Dietary Habits ◽  
Fasting Glucose ◽  
Intervention Group ◽  
Control Group ◽  
The Metabolic Syndrome

Modification of lifestyle, including healthy nutrition, is the primary approach for metabolic syndrome (MetS) therapy. The aim of this study was to estimate how individual nutrition intervention affects the reduction of MetS components. Subjects diagnosed with MetS were recruited in the Lomza Medical Centre. The study group consisted of 90 participants and was divided into one intervention group (individual nutrition education group (INEG)) and one control group (CG). The research was conducted over 3 months. The following measurements were obtained during the first visit and after completion of the 3 months intervention: body mass, waist circumference, body composition, blood pressure, fasting glucose, and blood lipids. Dietary assessments were performed before and post-intervention using 3-day 24-h dietary recalls. Dietary knowledge was evaluated with the KomPAN questionnaire. The total polyphenol content of the diet was calculated. Sociodemographic and lifestyle characteristics were collected from a self-reported questionnaire. The physical activity was assessed by the short version of the International Physical Activity Questionnaire (IPAQ). It was found that the individual nutrition education was an effective method to improve the knowledge, dietary habits, and physical activity of the study participants. The modification of the diet in terms of higher intake of polyphenols (flavonoids and anthocyanins), fiber, polyunsaturated fatty acids (PUFA), PUFA n-3, and lower intake of saturated fatty acids (SFA) had a significant impact on the improvement of some MetS risk factors (waist circumference, fasting glucose, and HDL-cholesterol).

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

CONCEPTUALIZATION OF THE DIAGNOSED CLINICAL SITUATION COMPONENTS FOR ELECTRONIC MONITORING OF THE TREATMENT QUALITY

2021 ◽  
Vol 67 (1) ◽  
pp. 10-10
Author(s):  
T.K. Lugovkina ◽  
Keyword(s):  
Clinical Practice ◽  
Care Delivery ◽  
The State ◽  
Information Environment ◽  
Medical Specialties ◽  
Philosophical Foundations ◽  
Conceptual Schemes ◽  
Quality Of Treatment ◽  
General Terms

Significance. Free care delivery within the framework of the State Guarantee Programs substantiates the development of electronic platforms for information support of doctors in prescribing medicines and monitoring quality of treatment. Conceptualization of the unified information environment of clinical practice, unified interpretation of the terms and components of the diagnosed clinical situations are important conditions for effective performance of the medical electronic platforms. Purpose: to conceptualize the scheme of information environment of clinical practice to support decision-making and monitor quality of treatment. Material and methods. The conceptual schemes of the information environment of clinical practice have been developed in accordance with the system principles. The methodology for constructing conceptual schemes is based on the general principles of philosophical foundations of science. Results. The conceptual schemes, conceptual apparatus, and information environment of structural elements of the model of information environment of clinical practice have been developed. A glossary of general terms and concepts of the information environment of clinical practice has been created. The structural model of information environment was tested at the prototype electronic platforms across different medical specialties. Conclusion. The use of ontologies and intelligent systems based on the expert knowledge in combination with digital coding of the diagnosed clinical situations serve a promising approach to monitor and control quality of care delivery and cost accounting within the framework of the State Guarantee Programs implementation. Scope of application. The concepts of the components of the diagnosed clinical situations meet the requirements of the interdisciplinary level of the information environment and are applicable for creating electronic platforms in various specialized areas of clinical practice.

scholarly journals Do our newly graduated medical doctors have adequate knowledge about neonatal resuscitation?

2007 ◽  
Vol 125 (3) ◽  
pp. 180-185
Author(s):  
Ana Paula de Carvalho Panzeri Carlotti ◽  
Maria Lúcia Silveira Ferlin ◽  
Francisco Eulógio Martinez
Keyword(s):  
Medical School ◽  
Neonatal Resuscitation ◽  
Medical Schools ◽  
Sao Paulo ◽  
The State ◽  
Basic Knowledge ◽  
São Paulo ◽  
Cross Sectional ◽  
Resuscitation Training ◽  
Practical Exam

CONTEXT AND OBJECTIVE: Neonatal resuscitation should be part of medical school curriculums. We aimed to evaluate medical school graduates' knowledge of neonatal resuscitation. DESIGN AND SETTING: Cross-sectional study on the performance of candidates sitting a medical residency exam at Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, in 2004. METHODS: There were two questions on neonatal resuscitation. One question in the theory test aimed at evaluating basic knowledge on the initial approach towards newly born infants. The question in the practical exam was designed to evaluate the candidate's ability to perform the initial steps of resuscitation and to establish bag-mask ventilation. RESULTS: Out of 642 candidates from 74 medical schools, 151 (23.5%) answered the theory question correctly. Significantly more physicians from public medical schools in the State of São Paulo answered correctly than did those from other schools in Brazil (52.5% versus 9.2%; p < 0.05). A total of 436 candidates did the practical exam. The grades among graduates from medical schools belonging to the State of São Paulo were significantly higher than among those from other schools (5.9 ± 2.6 versus 4.1 ± 2.1; p < 0.001). The grades for the practical question among candidates who had answered the theory question correctly were significantly higher than those obtained by candidates who had given wrong answers (p < 0.05). CONCLUSION: Medical school graduates' knowledge of neonate resuscitation in the delivery room is quite precarious. Emphasis on neonatal resuscitation training is urgently needed in medical schools.

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