Background: The dietary behaviors of physicians and medical students are strongly associated with their nutrition counseling practices. Little research to date describes their dietary intakes and no recent studies hav...Background: The dietary behaviors of physicians and medical students are strongly associated with their nutrition counseling practices. Little research to date describes their dietary intakes and no recent studies have assessed the adequacy of their micronutrient intakes. As micronutrient imbalances are associated with a variety of chronic diseases, public guidelines target increasing dietary nutrient density. The purpose of this study was to identify micronutrient imbalances in the diets of medical students and determine whether intakes are becoming more compliant with dietary guidelines over time. Methods: From 2000 to 2006, 409 second-year Vanderbilt University medical students completed the Block Brief 2000 food frequency questionnaire prior to the required “Introduction to Clinical Nutrition” course. Nutrient data were compared to Dietary Reference Intake values. Results: Dietary intakes of male students were consistently inadequate for vitamin E, vitamin D, calcium, magnesium and potassium across the six cohorts. Despite a significant increase over time in the number of vegetable servings consumed, the intakes of female students revealed the same inadequacies, as well as inadequate folate and iron intakes. Multivitamin and multimineral supplementation, consumed regularly by 51% of students, closed the gap in meeting estimated micronutrient requirements, except vitamin E. Conclusions: These data can be used to inform the content of nutrition interventions for medical students focused on making optimal food selection choices as well as the content of nutrition education in the medical school curriculum. It is important to enhance medical students’ preparedness as fu- ture health care providers—not only to serve as role models for healthy dietary behaviors, but also to better recognize the nutrition needs of their future patients.展开更多
口腔医学专业本科生第五年进入实习阶段,牙周临床实习内容与实验课相比有差距,实习质量有待提高。以案例为基础,利用浙江大学医学院附属口腔医院医学影像管理系统(picture archiving and communication system,PACS)查看X线片和口内照...口腔医学专业本科生第五年进入实习阶段,牙周临床实习内容与实验课相比有差距,实习质量有待提高。以案例为基础,利用浙江大学医学院附属口腔医院医学影像管理系统(picture archiving and communication system,PACS)查看X线片和口内照及牙周系统检查表电子化,在学生标准化病人(student as standardized patient,SSP)培训过程中予以辅助,保障SSP的使用。在牙周实习"讲授-示范-操作-反馈"(tell-showdo-feedback,TSDF)椅旁教学过程中,利用数字化辅助SSP,循序渐进、从简到难教学,并结合口腔数字示教系统教学超声洁治,逐步提高实习生病史采集能力、诊疗能力、医患沟通能力和超声洁治技能,保障实习生对常见牙周疾病的掌握,提高临床实践能力,为将来住院医师规范化培训打好基础。展开更多
文摘Background: The dietary behaviors of physicians and medical students are strongly associated with their nutrition counseling practices. Little research to date describes their dietary intakes and no recent studies have assessed the adequacy of their micronutrient intakes. As micronutrient imbalances are associated with a variety of chronic diseases, public guidelines target increasing dietary nutrient density. The purpose of this study was to identify micronutrient imbalances in the diets of medical students and determine whether intakes are becoming more compliant with dietary guidelines over time. Methods: From 2000 to 2006, 409 second-year Vanderbilt University medical students completed the Block Brief 2000 food frequency questionnaire prior to the required “Introduction to Clinical Nutrition” course. Nutrient data were compared to Dietary Reference Intake values. Results: Dietary intakes of male students were consistently inadequate for vitamin E, vitamin D, calcium, magnesium and potassium across the six cohorts. Despite a significant increase over time in the number of vegetable servings consumed, the intakes of female students revealed the same inadequacies, as well as inadequate folate and iron intakes. Multivitamin and multimineral supplementation, consumed regularly by 51% of students, closed the gap in meeting estimated micronutrient requirements, except vitamin E. Conclusions: These data can be used to inform the content of nutrition interventions for medical students focused on making optimal food selection choices as well as the content of nutrition education in the medical school curriculum. It is important to enhance medical students’ preparedness as fu- ture health care providers—not only to serve as role models for healthy dietary behaviors, but also to better recognize the nutrition needs of their future patients.
文摘口腔医学专业本科生第五年进入实习阶段,牙周临床实习内容与实验课相比有差距,实习质量有待提高。以案例为基础,利用浙江大学医学院附属口腔医院医学影像管理系统(picture archiving and communication system,PACS)查看X线片和口内照及牙周系统检查表电子化,在学生标准化病人(student as standardized patient,SSP)培训过程中予以辅助,保障SSP的使用。在牙周实习"讲授-示范-操作-反馈"(tell-showdo-feedback,TSDF)椅旁教学过程中,利用数字化辅助SSP,循序渐进、从简到难教学,并结合口腔数字示教系统教学超声洁治,逐步提高实习生病史采集能力、诊疗能力、医患沟通能力和超声洁治技能,保障实习生对常见牙周疾病的掌握,提高临床实践能力,为将来住院医师规范化培训打好基础。
