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Physician Nutrition Education Program (PNEP): Survey and Continuing Medical Education (CME) Development to Increase Nutrition Knowledge

机译：医师营养教育计划（PNEP）：开展调查和继续医学教育（CME）以增加营养知识

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摘要

Physicians hold the most influence among healthcare providers, when it comes to providing guidance regarding the general health and well-being of patients. The contact between physicians and their patients during scheduled appointments serve as prime opportunities for providing nutrition and lifestyle counseling. For decades, nutritionists and health care experts have expressed the need to increase the number and availability of nutrition education programs for physicians. However, nationwide physicians lack the education in nutrition and lifestyle counseling, thus report limited counseling in practice settings. This dissertation seeks to address this challenge, and is in two parts: 1) develop a survey needs assessment (the PNEP survey) to determine interest in nutrition education opportunities and 2) perform an evaluation of online continuing medical education (CME) courses focused on nutrition topics.;The initial survey was administered online between May 2015 and August 2015 to Texas physicians to determine interest in nutrition education. The baseline needs assessment confirmed the demand for nutrition education courses, specifically an interest in online CME. This research is important because it confirms the supposition of limited opportunities for nutrition in medicine. Our findings indicate physicians recognize that nutrition focused CME courses will add value to their practices and are interested in enrolling in them.;For phase two of the study, online CME courses were developed based on the topics of interest identified from the PNEP survey. A total of three courses were developed by collaboration between a practicing physician and a practicing dietitian. These courses were then subsequently accredited and made available to physicians through state-level medical education platforms. Results from March 2017 showed one-hundred and twenty physicians participated in these courses, with ongoing participation beyond data collection for this dissertation. This phase was important because it fulfilled the current gap in the literature regarding nutrition focused continuing education course development for physicians in Texas. Unique to these courses was the development of the course structure. Structure utilizes the ARCS Model of Motivation and the IOM Core Competencies to develop nutrition knowledge and practical application tools to apply knowledge into patient care. This unique course design brings forth a concept that can be adapted for future nutrition CME course development.;Preliminary research showed a wide gap in educational offerings focused on nutrition concepts, this work contributed to filling this gap by demonstrating need in the survey and producing course offerings available to physicians. Future research is recommended to continue to develop online nutrition CME courses to determine if online delivery has clinical impact on patient health outcomes.
机译：在提供有关患者总体健康状况的指导方面，医师在医疗保健提供者中影响最大。在预定的约会中，医师及其患者之间的联系是提供营养和生活方式咨询的主要机会。几十年来，营养学家和卫生保健专家表示需要增加针对医生的营养教育计划的数量和可用性。但是，全国范围内的医生缺乏营养和生活方式咨询方面的教育，因此报告在实践环境中的咨询有限。本文旨在解决这一挑战，分为两个部分：1）进行调查需求评估（PNEP调查），以确定对营养教育机会的兴趣； 2）对专注于在线继续医学教育（CME）课程进行评估营养主题。最初的调查于2015年5月至2015年8月间在线进行，供德克萨斯州的医生进行，以确定对营养教育的兴趣。基线需求评估确认了对营养教育课程的需求，尤其是对在线CME的兴趣。这项研究很重要，因为它证实了医学营养机会有限的假设。我们的发现表明，医生认识到以营养为中心的CME课程将为他们的实践增加价值，并有兴趣加入这些课程。在研究的第二阶段，根据PNEP调查确定的感兴趣的主题开发了在线CME课程。由执业医师和营养师共同开发了总共三门课程。这些课程随后经过认证，并通过州级医学教育平台提供给医生。 2017年3月的结果显示，一百二十二十名医生参加了这些课程，除了本论文的数据收集之外，还在持续参与其中。这个阶段很重要，因为它填补了目前有关德克萨斯州医师针对营养的继续教育课程开发方面的文献空白。这些课程的独特之处在于课程结构的发展。结构利用ARCS动机模型和IOM核心能力来开发营养知识和实际应用工具，以将知识应用于患者护理。这种独特的课程设计提出了一个可以适应未来营养CME课程开发的概念。；初步研究表明，针对营养概念的教育课程存在很大差距，这项工作通过证明调查和生产课程的需求来弥补了这一差距提供给医师。建议进行进一步的研究，以继续开发在线营养CME课程，以确定在线交付是否对患者健康结果产生临床影响。

著录项

  • 作者

    Hicks, Kristen.;

  • 作者单位

    Texas A&M University.;

  • 授予单位 Texas A&M University.;
  • 学科 Nutrition.
  • 学位 Ph.D.
  • 年度 2017
  • 页码 99 p.
  • 总页数 99
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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