医学教育中的生活方式医学:最大化影响

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引用次数: 0

摘要

生活方式行为与常见慢性病之间的关系已得到公认。改变健康行为的生活方式医学(LM)干预措施可显著改善个人和人群的健康状况。目前迫切需要将生活方式医学有意义地纳入医学课程,横向贯穿医学领域,纵向贯穿学校和培训的每一年。将 LM 内容纳入医学和健康专业课程及培训计划一直是一项挑战。将 LM 纳入课程的障碍包括缺乏对 LM 的认识和优先考虑、课程时间有限、接受过 LM 培训的教师太少,无法教授和示范 LM 的实践。这限制了医护专业人员提供有效 LM 的能力,使 LM 的广泛益处无法充分实现。早期的创新者开发了与当前证据相一致的新型工具和资源,用于将 LM 引入教学和体验式学习中。本综述旨在研究本科生和研究生医学教育中 LM 各支柱的教育工作。我们使用以下检索词进行了基于 PubMed 的文献综述:生活方式医学、教育、医学院、住院医师培训和医疗保健专业人员。我们将生活方式医学的能力与医学研究生教育认证委员会的核心能力领域相匹配。我们强调了培训教师、住院医师和学生的机会。此外,我们还确定了可用的循证资源。本文是将 LM 纳入医学教育课程和培训的 "行动号召"。
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Lifestyle Medicine in Medical Education: Maximizing Impact

The relationship between lifestyle behaviors and common chronic conditions is well established. Lifestyle medicine (LM) interventions to modify health behaviors can dramatically improve the health of individuals and populations. There is an urgent need to meaningfully integrate LM into medical curricula horizontally across the medical domains and vertically in each year of school and training. Including LM content in medical and health professional curricula and training programs has been challenging. Barriers to LM integration include lack of awareness and prioritization of LM, limited time in the curricula, and too few LM-trained faculty to teach and role model the practice of LM. This limits the ability of health care professionals to provide effective LM and precludes the wide-reaching benefits of LM from being fully realized. Early innovators developed novel tools and resources aligned with current evidence for introducing LM into didactic and experiential learning. This review aimed to examine the educational efforts in each LM pillar for undergraduate and graduate medical education. A PubMed-based literature review was undertaken using the following search terms: lifestyle medicine, education, medical school, residency, and healthcare professionals. We map the LM competencies to the core competency domains of the Accreditation Council for Graduate Medical Education. We highlight opportunities to train faculty, residents, and students. Moreover, we identify available evidence-based resources. This article serves as a “call to action” to incorporate LM across the spectrum of medical education curricula and training.

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来源期刊
Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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Prognostic Factors and Epidemiology of Amyotrophic Lateral Sclerosis in Southeastern United States Rethinking Measures and Mortality Attribution in Health Care: The Diabetes and Endocrinology Example Lifestyle Medicine in Medical Education: Maximizing Impact
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