Nutrition Education for Practicing Physicians

执业医师营养教育

• 批准号: 8282993
• 负责人: Steven H Zeisel
• 金额: $ 31.6万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-29 至 2013-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8282993
• 关键词: Algorithms; American; American Dietetic Association; Cancer Patient; Cancer and Nutrition; Caring; Chronic Disease; Clinical; Clinical Nutrition; Clinical Skills; Computer software; Computers; Continuing Education; Counseling; Data Collection; Diet; Dietary Intervention; Education Projects; Educational Curriculum; Ensure; Evaluation; Foundations; Guidelines; Health Professional; Individual; Instruction; Investments; Knowledge; Learning; Link; Malignant Neoplasms; Measures; Medical; Mission; Monitor; Nutrition Assessment; Online Systems; Patient Care; Patients; Pattern; Physicians; Professional Practice; Recommendation; Recording of previous events; Reporting; Residencies; Science; Solid; Specialist; Speed; System; Teaching Hospitals; Time; Training; Training Programs; Translating; Update; Work; base; clinical practice; clinically relevant; continuing medical education; cost; disorder prevention; evidence base; experience; flexibility; improved; nutrition; nutrition education; oncology; practical application; prevent; programs; remediation; response; skills; sound; tool; user-friendly

DESCRIPTION (provided by applicant): We propose the web-based delivery of an evidence-based medical nutrition training program for medical residents and other postgraduate physician learners. We will develop a comprehensive set of learning modules covering the critical nutrition-related knowledge and practice skills essential for physicians to effectively treat their patients or to counsel them on preventing chronic diseases such as cancer. Each module will cover a tightly focused nutrition topic, allowing physicians to improve their knowledge with modest time investments required. The program will emphasize clinical skill building, translating the most current guidelines and clinical experience into an instructionally sound and user-friendly format. A limitation of existing nutrition instruction is that it covers basic content, but leaves it up to the interpretation of the learner how to put the concepts into practice and apply them to individual patients. The emphasis of the presentation will be on practical applications - how to translate guidelines into providing quality patient care. Physicians completing any learning unit will understand how to implement the guidelines without being encumbered by mechanistic explanations. Nonetheless, in our program basic nutrition information will be available for review as needed. The modular and flexible format of our instructional units will optimize learning efficacy during postgraduate training by facilitating the brief and tightly focused coverage of critical nutrition topics for the increasingly busy health professional. We plan to implement a software strategy that will computer-tailor content delivery based on the learner's pre-existing knowledge. Built-in remediation components based on concurrent monitoring of learning efficacy will strengthen the efficiency of our instructional approach for all learners. We expect that efficient use of the learner's time will increase use and retention of this material. We will evaluate the degree to which physicians change their nutrition practices after using the curriculum. Because of the sophistication in our data collection and tracking system, we can collect anonymous information on the extent physicians utilize important clinical nutrition practices, at baseline and at least 3 months after completing a given module. We expect a very high response rate because the assessment questions will be embedded into the modules dynamically, based on a specific user's learning history. We can continue to poll each user periodically to measure the continuing impact the curriculum has on practice skills. With NCI support we will make the material available to all US medical residents without cost. We will actively promote the curriculum with oncology residency program directors as well as other residencies nationwide. We have been working for many years with a steadily growing group of experienced clinical nutrition educators, and we will collaborate with them to promote clinical nutrition education to the medical trainees they routinely contact.

描述（由申请人提供）：我们建议为住院医师和其他研究生医师学习者提供基于网络的循证医疗营养培训计划。我们将开发一套全面的学习模块，涵盖医生有效治疗患者或为他们预防癌症等慢性疾病所必需的关键营养相关知识和实践技能。每个模块都将涵盖一个紧密关注的营养主题，使医生能够以适当的时间投入来提高他们的知识。该计划将强调临床技能建设，将最新的指南和临床经验转化为有指导性的、用户友好的格式。现有营养指导的局限性在于它涵盖了基本内容，但如何将这些概念付诸实践并将其应用于个体患者则取决于学习者的解释。演讲的重点是实际应用——如何将指南转化为提供优质的患者护理。完成任何学习单元的医生将了解如何实施这些指南，而不受机械解释的阻碍。尽管如此，在我们的计划中，基本营养信息将根据需要提供供审查。 我们教学单元的模块化和灵活的格式将通过促进对日益忙碌的健康专业人员的关键营养主题的简短和集中的报道来优化研究生培训期间的学习效率。我们计划实施一项软件策略，根据学习者预先存在的知识，通过计算机定制内容交付。基于同时监控学习效果的内置补救组件将提高我们对所有学习者的教学方法的效率。我们期望有效利用学习者的时间将增加对这些材料的使用和保留。 我们将评估医生在使用该课程后改变其营养实践的程度。由于我们数据收集和跟踪系统的复杂性，我们可以在基线和完成给定模块后至少 3 个月内收集有关医生利用重要临床营养实践程度的匿名信息。我们期望非常高的响应率，因为评估问题将根据特定用户的学习历史动态地嵌入到模块中。我们可以继续定期对每个用户进行民意调查，以衡量课程对实践技能的持续影响。 在 NCI 的支持下，我们将免费向所有美国医疗居民提供这些材料。我们将与肿瘤住院医师项目主任以及全国其他住院医师一起积极推广该课程。多年来，我们一直在与一批经验丰富的临床营养教育者稳步增长，我们将与他们合作，向他们经常接触的医学实习生推广临床营养教育。