A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents

Introduction Primary care providers play a critical role in reducing patients' risk for cardiovascular disease, including providing dietary counseling. However, few physicians feel adequately trained to provide this counseling, and most internal medicine (IM) residencies do not offer nutrition...

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Autores principales:	Seema Jain, Robert Feldman, Andrew D. Althouse, Carla Spagnoletti, Siobhan Proksell
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Preventive Medicine Nutrition Cardiovascular Disease Counseling Primary Care Cardiovascular Medicine Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/9052dcf31faa4658946d8cddf431bed6
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spelling	oai:doaj.org-article:9052dcf31faa4658946d8cddf431bed62021-11-19T15:13:46ZA Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents10.15766/mep_2374-8265.110272374-8265https://doaj.org/article/9052dcf31faa4658946d8cddf431bed62020-11-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.11027https://doaj.org/toc/2374-8265Introduction Primary care providers play a critical role in reducing patients' risk for cardiovascular disease, including providing dietary counseling. However, few physicians feel adequately trained to provide this counseling, and most internal medicine (IM) residencies do not offer nutrition education. Methods We created an interactive, case-based activity for IM residents to improve the delivery of nutrition counseling to patients with hypertension, hyperlipidemia, overweight, and obesity. The curriculum was given over two in-person small-group sessions facilitated by physician preceptors. It reviewed evidence for relevant dietary patterns, provided resources for dietary referrals, and allowed residents to practice counseling based on a patient's stage of behavioral change. Results Residents completed electronic surveys prior to curriculum implementation, immediately after, and 2 months after completion of the curriculum. Aggregate percent correct scores of knowledge questions improved significantly in the immediate postsurvey (n = 24 paired responses, p = .004). We also reviewed electronic health records of patients with body mass index ≥ 25, hypertension, or hyperlipidemia who were seen in our resident clinics 2 months prior (n = 503) and 2 months after (n = 473) curriculum delivery. Residents' documented nutrition counseling increased from 35% to 41% (odds ratio, 1.27; 95% CI, 0.97–1.67; p = .085). Discussion We demonstrated improved knowledge of nutrition interventions to reduce cardiovascular risk and reported improvement of resident-provided nutrition counseling for appropriate patients. This activity offers IM residents effective initial nutrition training for patients at risk for cardiovascular disease and is practical to implement as part of an ambulatory curriculum.Seema JainRobert FeldmanAndrew D. AlthouseCarla SpagnolettiSiobhan ProksellAssociation of American Medical CollegesarticlePreventive MedicineNutritionCardiovascular DiseaseCounselingPrimary CareCardiovascular MedicineMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Preventive Medicine Nutrition Cardiovascular Disease Counseling Primary Care Cardiovascular Medicine Medicine (General) R5-920 Education L
spellingShingle	Preventive Medicine Nutrition Cardiovascular Disease Counseling Primary Care Cardiovascular Medicine Medicine (General) R5-920 Education L Seema Jain Robert Feldman Andrew D. Althouse Carla Spagnoletti Siobhan Proksell A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents
description	Introduction Primary care providers play a critical role in reducing patients' risk for cardiovascular disease, including providing dietary counseling. However, few physicians feel adequately trained to provide this counseling, and most internal medicine (IM) residencies do not offer nutrition education. Methods We created an interactive, case-based activity for IM residents to improve the delivery of nutrition counseling to patients with hypertension, hyperlipidemia, overweight, and obesity. The curriculum was given over two in-person small-group sessions facilitated by physician preceptors. It reviewed evidence for relevant dietary patterns, provided resources for dietary referrals, and allowed residents to practice counseling based on a patient's stage of behavioral change. Results Residents completed electronic surveys prior to curriculum implementation, immediately after, and 2 months after completion of the curriculum. Aggregate percent correct scores of knowledge questions improved significantly in the immediate postsurvey (n = 24 paired responses, p = .004). We also reviewed electronic health records of patients with body mass index ≥ 25, hypertension, or hyperlipidemia who were seen in our resident clinics 2 months prior (n = 503) and 2 months after (n = 473) curriculum delivery. Residents' documented nutrition counseling increased from 35% to 41% (odds ratio, 1.27; 95% CI, 0.97–1.67; p = .085). Discussion We demonstrated improved knowledge of nutrition interventions to reduce cardiovascular risk and reported improvement of resident-provided nutrition counseling for appropriate patients. This activity offers IM residents effective initial nutrition training for patients at risk for cardiovascular disease and is practical to implement as part of an ambulatory curriculum.
format	article
author	Seema Jain Robert Feldman Andrew D. Althouse Carla Spagnoletti Siobhan Proksell
author_facet	Seema Jain Robert Feldman Andrew D. Althouse Carla Spagnoletti Siobhan Proksell
author_sort	Seema Jain
title	A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents
title_short	A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents
title_full	A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents
title_fullStr	A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents
title_full_unstemmed	A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents
title_sort	nutrition counseling curriculum to address cardiovascular risk reduction for internal medicine residents
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/9052dcf31faa4658946d8cddf431bed6
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A Nutrition Counseling Curriculum to Address Cardiovascular Risk Reduction for Internal Medicine Residents

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