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Strategies to Fill the Gaps in Nutrition Education for Health Professionals through Continuing Medical Education

  • Nutrition (P. Kris-Etherton and K. Petersen, Section Editors)
  • Published:
Current Atherosclerosis Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Recent studies have documented that diet quality in the US is poor and linked to higher rates of cardiovascular disease (CVD), other non-communicable diseases, and total mortality. As a result, nutrition counseling in clinical practice is an evidence-based strategy endorsed by numerous stakeholders. However, medical nutrition education (MNE) in the US has been inadequate, and physician knowledge, competencies, and practices related to diet counseling have been documented to be insufficient. National scientific meetings and conferences offer opportunities to translate new scientific evidence, guidelines, and competencies to clinicians in attendance and to publicize this evidence widely. This review assessed the adequacy of, and trends in, nutrition education provided at recent major US scientific meetings that offer continuing medical education (CME), with a focus on CVD-related conferences.

Recent Findings

The authors found no reviews that have assessed the scope and type of nutrition-related educational programming at major conferences. We therefore investigated nutrition-related programming at CVD-related CME conferences in the US from 2013 to 2018.

Summary

National scientific CVD-related conferences in the USA have offered variable amounts of programming related to practical applications of nutrition science. We did not observe an increase in nutrition-related offerings, despite the increase in diet-related diseases and the growing evidence base for the role of nutrition in the prevention and management of chronic disease. Increasing nutrition-related CME programming at national scientific meetings can lead to greater translation of nutrition evidence to patients by healthcare providers and improved health outcomes in the population.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. Benjamin EJ, Virani SS, Callaway CW, Chamberlain AM, Chang AR, Cheng S, et al. Heart disease and stroke statistics - 2018 update: a report from the American Heart Association. Circulation. American Heart Association. 2018;137:E67–492. https://doi.org/10.1161/CIR.0000000000000558.

    Article  PubMed  Google Scholar 

  2. US Burden of Disease Collaborators. The State of US Health, 1990–2010: Burden of Diseases, Injuries, and Risk Factors. JAMA. 2013;310:591–608 Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436627/.

    Article  Google Scholar 

  3. •• Devries S. A deficiency of nutrition education and practice in cardiology. Amer J Med. 2017;130(11):1298–305. https://doi.org/10.1016/j.amjmed.2017.04.043. The authors conducted a survey to collect information on the educational experiences, attitudes, and practices relating to nutrition among cardiovascular professionals at various stages of training (n=930). Providers reportedly recognize their role in providing their patients with nutrition information. However, among cardiologists, 90% reported receiving no or minimal nutrition education during fellowship training, 59% reported no nutrition education during internal medicine training, and 31% reported receiving no nutrition education in medical school. Collectively, these data demonstrate that nutrition training provided to cardiologists and trainees at all stages of training programs is inadequate.

    Article  PubMed  Google Scholar 

  4. Dietary Guidelines Advisory Committee. U.S. Department of Health and Human Services and U.S. Department of Agriculture. In: Scientific Report of the 2015 Dietary Guidelines Advisory Committee: Advisory Report to the Secretary of Health and Human Services and the Secretary of Agriculture. Washington, DC: U.S. Department of Agriculture, Agricultural Research Service; 2015. Available from: https://health.gov/dietaryguidelines/2015-scientific-report/pdfs/scientific-report-of-the-2015-dietary-guidelines-advisory-committee.pdf.

  5. USDA Center for Nutrition Policy and Promotion. What We Eat in America/National Health and Nutrition Examination Survey, 2013-2014. Data-National Cent Heal Stat. Available from: https://www.cnpp.usda.gov. Accessed 7 Nov 2018.

  6. US Departmentment of Health and Human Services. Office of health promotion and disease prevention. In: Healthy people 2020: Nutrition and weight status objectives. Heal People 2020. 2018. Available from: https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status/objectives.Accessed 7 Nov 2018.

  7. Harkin N, Johnston E, Mathews T, Guo Y, Schwartzbard A, Berger J, et al. Physicians’ dietary knowledge, attitudes, and counseling practices: The experience of a single health care center at changing the landscape for dietary education. Am J Lifestyle Med 2018; https://doi.org/10.1177/1559827618809934.

  8. Adams K, Butsch W, Kohlmeier M. The state of nutrition education at US medical schools. J Biomed Educ. 2015;2015:7.

    Article  Google Scholar 

  9. •• Aspry KE. Medical nutrition education, training, and competencies to advance guideline-based diet counseling by physicians: a science advisory from the American Heart Association. Circulation. 2018;137(23):e821–41. https://doi.org/10.1161/CIR.0000000000000563. This article provides a review of important evidence for nutrition interventions in cardiovascular disease prevention and management. It also discusses gaps in nutrition education of physicians and provides specific competencies to help improve nutrition in medical education and training.

    Article  PubMed  Google Scholar 

  10. Adamski M, Gibson S, Leech M, Truby H. Are doctors nutritionists? What is the role of doctors in providing nutrition advice? Nutr Bull. Wiley/Blackwell. 2018;43:147–52. https://doi.org/10.1111/nbu.12320.

    Article  Google Scholar 

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Correspondence to Emily Johnston.

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Emily Johnston, Tony Mathews, Karen Aspry, Monica Aggarwal, and Eugenia Gianos declare no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Nutrition

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Johnston, E., Mathews, T., Aspry, K. et al. Strategies to Fill the Gaps in Nutrition Education for Health Professionals through Continuing Medical Education. Curr Atheroscler Rep 21, 13 (2019). https://doi.org/10.1007/s11883-019-0775-9

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  • DOI: https://doi.org/10.1007/s11883-019-0775-9

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