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Design and Implementation of a Lifestyle Medicine Curriculum in Undergraduate Medical Education

机译:本科医学教育生活方式医学课程的设计与实现

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摘要

While scientific evidence demonstrates conclusive associations between unhealthy lifestyle behaviors and increased morbidity and mortality related to noncommunicable chronic diseases (NCDs), most physicians are not formally taught the root causes of NCDs nor how to counsel patients regarding their lifestyle behaviors for disease prevention and treatment. Since its inception in 2012, the University of South Carolina School of Medicine Greenville has designed, developed, and implemented an innovative, formalized lifestyle medicine curriculum to provide required undergraduate medical student training with a graduating program-level goal to "Deliver total health care using lifestyle medicine to prevent and treat morbidity and mortality related to chronic diseases." The process was guided by the Association of American Medical Colleges' Core Entrustable Professional Activities (required for graduates entering residency) and aimed to satisfy the Quadruple Aim components of better outcomes, lower cost, improved patient experience, and improved physician experience. Four essential instructional design phases, Analysis, Design, Development, and Evaluation, were used as systematic steps to create and deploy the curriculum. This article describes the evidence-based approach used and offers guidance to other undergraduate medical schools that may wish to implement lifestyle medicine training to improve physicians' medical knowledge and clinical skills for optimum health care.
机译:虽然科学证据表明了不健康的生活方式行为之间的决定性协会和与非传染性慢性疾病(NCDS)相关的发病率和死亡率增加,但大多数医生没有正式教授NCD的根本原因,也没有如何向患者提供疾病预防和治疗的生活方式行为的律师的根本原因。自2012年成立以来,南卡罗来纳大学医学院Greenville设计了创新,制定和实施了一种创新的,正式的生活方式医学课程,以提供所需的本科医学学生培训,以毕业的计划级别目标“提供全部医疗保健生活方式药物预防和治疗与慢性病相关的发病率和死亡率。“该过程由美国医学院核心委托专业活动协会(进入居住地所需的毕业生所必需),并旨在满足更好的成果,较低成本,改善患者体验和改善的医生体验的四倍目标组件。四个基本的教学设计阶段,分析,设计,开发和评估,用作系统步骤来创建和部署课程。本文介绍了所使用的基于证据的方法,并为其他可能希望实施生活方式医学培训的其他本科医学院提供指导,以改善医生的医学知识和最佳保健的临床技能。

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