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Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes

机译：预防医学住院医师计划的生活方式医学课程：实施和成果

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BackgroundThe vast majority of the healthcare problems burdening our society today are caused by disease-promoting lifestyles (e.g., physical inactivity and unhealthy eating). Physicians report poor training and lack of confidence in counseling patients on lifestyle changes.ObjectiveTo evaluate a new curriculum and rotation in lifestyle medicine for preventive medicine residents.MethodsTraining included didactics (six sessions/year), distance learning, educational conferences, and newly developed lifestyle medicine rotations at the Institute of Lifestyle Medicine, the Yale-Griffin Prevention Research Center, and the Integrative Medicine Center. We used a number of tools to assess residents’ progress including Objective Structured Clinical Examinations (OSCEs), self-assessments, and logs of personal health habits.ResultsA total of 20 residents participated in the lifestyle medicine training between 2010 and 2013. There was a 15% increase in residents’ discussions of lifestyle issues with their patients based on their baseline and follow-up surveys. The performance of preventive medicine residents on OSCEs increased each year they were in the program (average OSCE score: PGY1 73%, PGY2 83%, PGY3 87%, and PGY4 91%, p =0.01). Our internal medicine and preliminary residents served as a control, since they did participate in didactics but not in lifestyle medicine rotations. Internal medicine and preliminary residents who completed the same OSCEs had a slightly lower average score (76%) compared with plural for resident, preventive medicine residents (80%). However, this difference did not reach statistical significance (p =0.11).ConclusionIncorporating the lifestyle medicine curriculum is feasible for preventive medicine training allowing residents to improve their health behavior change discussions with patients as well as their own personal health habits.
机译：背景技术当今困扰我们社会的绝大多数医疗保健问题都是由促进疾病的生活方式（例如缺乏运动和饮食不健康）引起的。医师报告说他们的培训不足并且缺乏为患者咨询生活方式改变的信心。目的是为预防医学居民评估生活方式医学的新课程和轮换方法方法培训包括教学法（每年六节），远程学习，教育会议和新开发的生活方式生活方式医学研究所，耶鲁大学格里芬预防研究中心和中西医结合中心的医学轮换。我们使用了多种工具来评估居民的进展，包括客观结构化临床检查（OSCE），自我评估和个人健康习惯日志。结果在2010年至2013年期间，共有20名居民参加了生活方式医学培训。根据他们的基线和随访调查，居民与患者就生活方式问题进行的讨论增加了15％。预防医学住院医师在OSCE中的表现逐年提高（平均OSCE得分：PGY1 73％，PGY2 83％，PGY3 87％和PGY4 91％，p = 0.01）。我们的内科药物和初级居民作为对照，因为他们确实参加了教学，但没有参加生活方式医学的轮换。内科医师和完成相同OSCE的初步居民的平均分数（76％）略低于居民，预防医学居民的复数（80％）。但是，这种差异并没有达到统计学上的显着性（p = 0.11）。结论纳入生活方式医学课程对于预防医学培训是可行的，使居民能够改善与患者的健康行为改变讨论以及他们自己的个人健康习惯。

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