Event Details
Share
Description
In 1998-2005, the National Heart, Lung, and Blood Institute (NHLBI) and the National Institute for Digestive, Diabetes and Kidney Disease (NIDDK) introduced and funded the Nutrition Academic Award Program (NAA) among 21 medical schools to incorporate nutrition into their curricula. The NAA curricula objectives have been applied world-wide since that time, but there is a need to update and initiate novel objectives due to new nutrition knowledge and guidance since 2005. In addition, major changes in medical school curricula and new trends in medical education have altered the scope, approach, and content over these years, requiring further adjustments in the nutrition curricula. A 2012 NHLBI workshop recommended revision of the NAA curricula objectives and inclusion of new and emerging research topics to accompany the evolving curricula.
The purpose of this 2017 workshop was to convene an interdisciplinary team consisting of experts in nutrition, metabolism, medicine, and lifestyle to plan the process for updating the NAA objectives with the goal of supporting the work of medical educators, administrators, and researchers in teaching and training physicians and medical-care providers within the currently shifting models of medical education. The workshop is consistent with the NHLBI Strategic Vision Objectives, which include the need to develop, diversify, and sustain the scientific workforce and with the critical challenge “to develop curricula and resources for education of health-care workers in evidenced-based care”. The NIH Office of Dietary Supplements co-sponsored the workshop and many NIH staff served on the planning committee and participated in the workshop.
The workshop participants consisted of clinical and academic health professionals in a variety of fields such as pediatrics, family medicine, internal medicine, bioinformatics, nursing, dietetics and nutrition, and population health, as well as medical (allopathic and osteopathic) and dental school faculty, medical school deans and course directors, and directors of nutrition programs. In addition, there were representatives from various medical organizations, including those from the National Board of Medical Examiners (NBME®), the Accreditation Council for Graduate Medical Education (ACGME), the Licensing Committee of Medical Education (LCME), the American Society for Nutrition- Medical Nutrition Council, and the Academy of Nutrition and Dietetics.
Agenda
David Goff, MD, PhD, Director, DCVS/NHLBI
Charlotte Pratt, PhD, RD
Linda Van Horn, PhD, RD, and Carine Lenders, MD, MS, ScD
Linda Van Horn, PhD, RD
9:05-9:25 am
The Shifting Model of Medical Education: Definitions, Lessons Learned and Need for an Outcome-based Patient-Centered Outcomes Approach.
Carine Lenders, MD, MS, ScD
Questions
9:25-9:45 am
Recent survey in US medical schools conducted by the International Association of Medical Science Educators
Janet E. Lindsley, PhD and Kathryn Thompson, PhD, RD
9:45-9:55 am
Survey results by a collaborative effort with the American Society for Nutrition
Carine Lenders, MD, MS, SCD.
Questions
9:55 -10:05 am
Medical Nutrition Education Efforts by the American Heart Association
Linda Van Horn, PhD, RD
Questions
10:05-10:20 am
Overview of Nutrition in Medicine Survey, 2000-present
Martin Kohlmeier, MD, PhD
10:20-10:40 am
GROUP DISCUSSION
Moderator: Linda Van Horn, PhD, RD
10:40-10:50 am
-
BREAK
10:50-11:15 am
Competencies Needed in A Nutrition Curriculum: Obesity Competencies as a Model
William H. Dietz, MD, PhD.
11:15-11:55 pm
Panel Perspectives on Nutrition in the Medical School Curricula
(Each speaker may have 3-5 slides followed by discussions)
Nancy Krebs, MD; Kathryn Kolasa, PhD; Bettina M. Beech, DrPH, MPH.
Panel Discussions:
- What should be the role of nutrition education in the medical school curriculum?
- How has the topic evolved to modern status as an evidence-based topic in patient care?
- How has your medical school addressed these changes or might be planning to do so?
- What could a group like this contribute towards facilitating that effort?
- What would you like to see in a revised curriculum?
Moderator: Linda Van Horn, PhD, RD
11:55-12:15 am
Role and Implementation of Entrustable Professional Activities
Suzanne Rose, MD, MSEd
12:15-12:35 pm WORKING LUNCH BREAK- Room 3087
12:35-1:05 pm Panel Perspectives on Nutrition for Residents and Fellows
(Each speaker may have 3-5 slides followed by discussions)
Suzanne Rose, MD, MSEd; Paul George, MD; Sumantra Ray, MD (NNEdPro Global Centre for Nutrition and Health, Cambridge, UK).
Panel Discussions
- What are some valued nutrition competencies that should be addressed in residency/fellowship training and that should be included the curricular?
- Are there approaches your program has developed or utilized to facilitate nutrition skill related training?
- Are there areas you would like to see expanded or enhanced that might help achieve the desired outcomes?
- Are Residents/Fellows able to model these patient care skills for medical students in their clerkships?
Moderator: Carine Lenders, MD, MS, ScD
1:05- 1:25 pm
Development of Competency-Based Nutrition Curriculum - Example 1
Caryl Nowson, PhD (Deakin Univ., Aus.)
Questions
1:25-1:45 pm
Development of Competency-Based Nutrition Curriculum –
Example 2
Robert Kushner, MD, MS.
Questions
1:45-2:00 pm
DISCUSSION
Moderator: Nicole Redmond, MD, PhD, MPH
2:00-2:15 am
BREAK
2:15-3:15 pm
Panel Discussion: Members from LCME, ACGME, NBME
(Each speaker may have 3-5 slides followed by discussions)
Robert Hash, MD (LCME); Mary Lieh-Lai, MD, FAAP, FCCP (ACGME); Miguel Paniagua, MD, MSEd (NBME)
- What are the current number and content of items that relate to nutrition in the board exams? Does the USMLE perceive a need to increase the number and content of items that address nutrition?
- What drives inclusion of nutrition questions and how are they designed and monitored in terms of student response?
- What evidence is needed to incorporate modern topics of medical interest that are especially relevant to nutrition?
- What is the possibility of identifying nutrition (and obesity) as a select committee to quickly populate the examination with evidence based nutrition (obesity) items?
- How can we assure that nutrition and its application are well represented in the board examinations? How can we assure that nutrition competencies are in included in accreditation requirements?
Moderator: Linda Van Horn, PhD, RD
3:15 -4:00 pm
BREAKOUT DISCUSSION ON MODELS OF EFFECTIVE SUSTAINABILITY
ROUNDTABLE DISCUSSION – Rooms 3091 and 3087
- What makes it possible for Medical Schools that already offer a strong nutrition curriculum/integrative program to sustain this? And how can those who have not had strong programs incorporate nutrition in their curriculum and sustain it? (Marcel Salive, MD; Room 3091)
- What barriers exist to enhancing nutrition education across all medical schools and resident programs. How can these problems be addressed? (Kathryn McMurry, MS; Room 3091)
- What role should NIH/ASN/AAMC/ Other organizations play in implementing and sustaining a strong nutrition curriculum? (Ashley Vargas, PhD, MPH, RD; Room 3087)
- How do we develop nutrition mentors for continuing medical education? (Janet De Jesus, MPH, RD; Room 3087)
4:00- 4:30 pm
Report Back from Table Reporters
Moderator: Carine Lenders, MD, MS, ScD
Charlotte A. Pratt, PhD, RD
Linda Van Horn, PhD, RD, Carine Lenders, MD, MS, ScD
Gina Wei, MD, Associate Director, DCVS/NHLBI
9:10 -9:30 am
Developing Behavioral Science Competencies to address Nutrition in Medicine: The Science of Learning
Patty Carney, PhD
9:30-10:00 am
Physical Activity Competencies: A Lifestyle Approach to Medicine
Jennifer Trilk, PhD; Edward Phillips, PhD
10:00-10:30 am
Innovative Educational Approaches
William McGaghie, PhD; Tim Harlan, MD.
10:30 -10:40 am
DISCUSSION
Moderator: Carine Lenders, MD, MS, ScD
10:40-10:50 am
BREAK
10:50-11:30 am
Competencies in Team-Based Care: Inter-Professional Approach (Team care: Physicians collaborating with registered dietitians, physician assistants, nurse practitioners, dentists, pharmacists, social workers.)
(Each speaker may have 5 -8slides followed by discussions)
Marsha Schofield, MS RD; Carole Palmer, EdD, RD, LDN; Rose DiMaria-Ghalili, PhD, RN
11:30-11:45 am
DISCUSSION
Moderator: Carine Lenders, MD, MS, ScD
11:45- 12:05 pm
The Delphi Process- An Approach to Gather Input from the Medical Community on Revised Curricular Objectives
Gwen Tillman, MS
12:05 -12:15 pm
Questions
12:15 am-12:30 pm
Research Needs in Nutrition in Medicine: A Portfolio analysis of NIH funding
Charlotte Pratt, PhD, RD and Holly Nicastro, PhD, MPH
12:30 am-1:30 pm
WORKING LUNCH - Room 3087
ROUNDTABLE DISCUSSIONS ON RESEARCH NEEDS TO ACCOMPANY CURRICULUM REVISIONS.
NIH Volunteers: Marcel Salive MD, Kathryn McMurry, MS, Ashley Vargas, PhD, Janet De Jesus, MPH, RD
1:30-2:00pm
Report back
Moderator: Linda Van Horn, PhD, RD
2:00-2:30 pm
Revising the NAA Objectives: Writing Group Expectations and Process
Linda Van Horn, PhD, RD, and Carine Lenders, MD, MS, ScD
Charlotte Pratt, PhD
Lawrence Fine, MD, DrPH. Branch Chief, DCVS/CAPB