Recent medical graduates’ attitudes towards nutrition education and its role in medical practice

L. Melanson, D. Ramsay, O. Theou, Peri H. Fenwick, Alyson Colborne, L. Cahill
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Abstract

The objective of this study was to investigate recent Dalhousie Medical School graduates’ perceptions of nutrition in three domains: attitudes towards its use in medical practice generally, learned body of knowledge in medical school and residency, and satisfaction with how undergraduate and postgraduate medical education aligned their attitudes and knowledge of nutrition in medicine. Graduates of Dalhousie University’s undergraduate medical program from 2013 to 2018 were contacted to complete an internet-based questionnaire of 13 five-point Likert scale questions about attitudes, knowledge, and satisfaction with nutrition education in their undergraduate medical studies and medical practice. Responses ranged from one, “strongly disagree” to five, “strongly agree”. Most respondents (90.2%) agreed that ‘nutrition counseling can make a positive difference to patient outcomes’ and 80.5% agreed that ‘physicians can influence patient behavior related to nutrition’. However, fewer (61.0%) agreed that ‘physicians play a key role in improving patients’ nutritional habits.’ Even fewer participants agreed that nutritional assessment (34.1%) and nutritional counselling (41.5%) should be a routine part of care, regardless of specialty. The mean (standard deviation) overall score of participants with regards to their attitudes about nutrition assessment, counselling, and role in patient health, was 3.60 (0.633). Scores ranged from 1 to 5 with higher score indicating morepositive attitude. Mean overall knowledge and satisfaction scores were 3.76 (0.702) and 2.70 (0.898), respectively. There is a lack of consensus regarding the role of physicians in delivering nutrition care to patients, despite its perceived importance to patient health, requiring further exploration.
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近期医学毕业生对营养教育的态度及其在医学实践中的作用
本研究的目的是调查最近达尔豪斯医学院毕业生在三个领域对营养的看法:对在医疗实践中使用营养的态度,医学院和住院医师的学习知识体系,以及对本科和研究生医学教育如何使他们对医学营养的态度和知识保持一致的满意度。我们联系了2013年至2018年达尔豪斯大学本科医学项目的毕业生,让他们完成一份基于互联网的问卷调查,问卷由13个李克特五点量表组成,内容涉及他们在本科医学学习和医疗实践中对营养教育的态度、知识和满意度。回答从1分“非常不同意”到5分“非常同意”不等。大多数受访者(90.2%)同意“营养咨询可以对患者的预后产生积极影响”,80.5%同意“医生可以影响患者与营养相关的行为”。然而,更少的人(61.0%)同意“医生在改善患者的营养习惯方面发挥着关键作用”。更少的参与者认为营养评估(34.1%)和营养咨询(41.5%)应该是护理的常规部分,而不管专业是什么。参与者对营养评估、咨询和在患者健康中的作用的态度的平均(标准差)总分为3.60(0.633)。得分范围从1到5分,得分越高表明态度越积极。平均总体知识和满意度得分分别为3.76(0.702)和2.70(0.898)。关于医生在向患者提供营养护理方面的作用缺乏共识,尽管它被认为对患者健康很重要,需要进一步探索。
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