Effect of an integrated nutrition curriculum on medical education, student clinical performance, and student perception of medical-nutrition training

Douglas L Taren, Cynthia Thomson, N. A. Koff, Paul R Gordon, M. J. Marian, Tamsen L Bassford, J. V. Fulginiti, C. K. Ritenbaugh

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background: Ninety-eight percent of medical schools report nutrition as a component of medical education. However, most schools do not have an identifiable nutrition curriculum. Medical schools that do include nutrition have not evaluated its effect on clinical skills. Objective: The objective was to determine the efficacy of an integrated undergraduate medical curriculum to increase the quantity of nutrition instruction and to advance nutrition clinical skills demonstrated by medical students. Design: A quasiexperimental design was constructed to determine whether an integrated nutrition curriculum increased the performance on nutrition-oriented clinical examinations of medical school classes that received 1, 2, or 3 y of the curriculum. The evaluation of the curriculum focused on 3 areas: 1) hours of nutrition instruction, 2) the application of nutrition within a clinical setting, and 3) perceptions about the nutrition curriculum. The Objective Structured Clinical Examination (OSCE) nutrition score was compared between graduating classes by use of analysis of variance. Data from the American Association of Medical Colleges were analyzed to determine the change in the proportion of students who reported that the amount of time devoted to nutrition was adequate. Results: The implementation of the integrated nutrition curriculum resulted in a doubling of the total hours of required instruction in the medical curriculum (35 compared with 75 h). The mean (± 1 SEM) OSCE nutrition score significantly improved after the implementation of the curriculum (41.7 ± 0.9% compared with 50.6 ± 1.1%) and the percentage of students who reported that the amount of nutrition taught during medical school was inadequate decreased (68.4% compared with 11.5%). Conclusion: Medical students improved their clinical nutrition practice skills through participation in an integrated nutrition curriculum.

Original languageEnglish (US)
Pages (from-to)1107-1112
Number of pages6
JournalAmerican Journal of Clinical Nutrition
Volume73
Issue number6
StatePublished - 2001

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medical education
curriculum
Medical Education
Medical Students
Curriculum
students
nutrition
Medical Schools
Clinical Competence
clinical examination
clinical nutrition
Students
American Medical Association
Analysis of Variance
college students

Keywords

  • Curriculum evaluation
  • Medical education
  • Medical school curriculum
  • Nutrition education

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

Cite this

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abstract = "Background: Ninety-eight percent of medical schools report nutrition as a component of medical education. However, most schools do not have an identifiable nutrition curriculum. Medical schools that do include nutrition have not evaluated its effect on clinical skills. Objective: The objective was to determine the efficacy of an integrated undergraduate medical curriculum to increase the quantity of nutrition instruction and to advance nutrition clinical skills demonstrated by medical students. Design: A quasiexperimental design was constructed to determine whether an integrated nutrition curriculum increased the performance on nutrition-oriented clinical examinations of medical school classes that received 1, 2, or 3 y of the curriculum. The evaluation of the curriculum focused on 3 areas: 1) hours of nutrition instruction, 2) the application of nutrition within a clinical setting, and 3) perceptions about the nutrition curriculum. The Objective Structured Clinical Examination (OSCE) nutrition score was compared between graduating classes by use of analysis of variance. Data from the American Association of Medical Colleges were analyzed to determine the change in the proportion of students who reported that the amount of time devoted to nutrition was adequate. Results: The implementation of the integrated nutrition curriculum resulted in a doubling of the total hours of required instruction in the medical curriculum (35 compared with 75 h). The mean (± 1 SEM) OSCE nutrition score significantly improved after the implementation of the curriculum (41.7 ± 0.9{\%} compared with 50.6 ± 1.1{\%}) and the percentage of students who reported that the amount of nutrition taught during medical school was inadequate decreased (68.4{\%} compared with 11.5{\%}). Conclusion: Medical students improved their clinical nutrition practice skills through participation in an integrated nutrition curriculum.",
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AU - Marian, M. J.

AU - Bassford, Tamsen L

AU - Fulginiti, J. V.

AU - Ritenbaugh, C. K.

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