scholarly journals Culinary nutrition course equips future physicians to educate patients on healthy diet

2020 ◽  
Author(s):  
Nathan I Wood ◽  
Rebecca D Gleit ◽  
Diane L Levine
Keyword(s):  
Medical Students ◽  
Dietary Habits ◽  
Retention Rate ◽  
The United States ◽  
Ordinary Least Squares ◽  
Healthy Diet ◽  
Post Intervention ◽  
Nutrition Course ◽  
Culinary Knowledge

Abstract BACKGROUND Poor-quality diet is associated with one in five deaths globally. In the United States, it is the leading cause of death, representing a bigger risk factor than even smoking. For many, education on a healthy diet comes from their physician. However, as few as 25% of medical schools currently offer a dedicated nutrition course. We hypothesized that an active learning, culinary nutrition experience for medical students would improve the quality of their diets and better equip them to counsel future patients on food and nutrition. METHODS This was a prospective, interventional, uncontrolled, non-randomized study. Ten first-year medical students at the Wayne State University School of Medicine completed a 4-part, 8-hour course in culinary-nutritional instruction and hands-on cooking. Online assessment surveys were completed immediately prior to, immediately following, and 2 months after intervention. There was a 100% retention rate and 98.8% item-completion rate on the questionnaires. The primary outcome was changes in attitudes regarding counseling patients on a healthy diet. Secondary outcomes included changes in dietary habits and acquisition of culinary knowledge. Average within-person change between timepoints was determined using ordinary least squares fixed-effect models. Statistical significance was defined as P ≤ .05. RESULTS Participants felt better prepared to counsel patients on a healthy diet immediately post-intervention (coefficient = 2.8; 95% confidence interval: 1.6 to 4.0 points; P < .001) and 2 months later (2.2 [1.0, 3.4]; P = .002). Scores on the objective test of culinary knowledge increased immediately after (3.6 [2.4, 4.9]; P < .001) and 2 months after (1.6 [0.4, 2.9]; P = .01) the intervention. Two months post-intervention, participants reported that a higher percentage of their meals were homemade compared to pre-intervention (13.7 [2.1, 25.3]; P = .02). CONCLUSIONS An experiential culinary nutrition course may improve medical students’ readiness to provide dietary counseling. Further research will be necessary to determine what effects such interventions may have on the quality of participants’ own diets.

scholarly journals Culinary nutrition course equips future physicians to educate patients on a healthy diet: an interventional pilot study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nathan I. Wood ◽  
Rebecca D. Gleit ◽  
Diane L. Levine
Keyword(s):  
Medical Students ◽  
Pilot Study ◽  
Dietary Habits ◽  
The United States ◽  
Ordinary Least Squares ◽  
Healthy Diet ◽  
Post Intervention ◽  
Nutrition Course ◽  
Culinary Knowledge

Abstract Background Poor-quality diet is associated with one in five deaths globally. In the United States, it is the leading cause of death, representing a bigger risk factor than even smoking. For many, education on a healthy diet comes from their physician. However, as few as 25% of medical schools currently offer a dedicated nutrition course. We hypothesized that an active learning, culinary nutrition experience for medical students would improve the quality of their diets and better equip them to counsel future patients on food and nutrition. Methods This was a prospective, interventional, uncontrolled, non-randomized, pilot study. Ten first-year medical students at the Wayne State University School of Medicine completed a 4-part, 8-h course in culinary-nutritional instruction and hands-on cooking. Online assessment surveys were completed immediately prior to, immediately following, and 2 months after the intervention. There was a 100% retention rate and 98.8% item-completion rate on the questionnaires. The primary outcome was changes in attitudes regarding counselling patients on a healthy diet. Secondary outcomes included changes in dietary habits and acquisition of culinary knowledge. Average within-person change between timepoints was determined using ordinary least squares fixed-effect models. Statistical significance was defined as P ≤ .05. Results Participants felt better prepared to counsel patients on a healthy diet immediately post-intervention (coefficient = 2.8; 95% confidence interval: 1.6 to 4.0 points; P < .001) and 2 months later (2.2 [1.0, 3.4]; P = .002). Scores on the objective test of culinary knowledge increased immediately after (3.6 [2.4, 4.9]; P < .001) and 2 months after (1.6 [0.4, 2.9]; P = .01) the intervention. Two months post-intervention, participants reported that a higher percentage of their meals were homemade compared to pre-intervention (13.7 [2.1, 25.3]; P = .02). Conclusions An experiential culinary nutrition course may improve medical students’ readiness to provide dietary counselling. Further research will be necessary to determine what effects such interventions may have on the quality of participants’ own diets.

scholarly journals Have Lifestyle Habits and Psychological Well-Being Changed among Adolescents and Medical Students Due to COVID-19 Lockdown in Croatia?

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 97
Author(s):  
Ružica Dragun ◽  
Nikolina Nika Veček ◽  
Mario Marendić ◽  
Ajka Pribisalić ◽  
Gabrijela Đivić ◽  
...  
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Dietary Habits ◽  
Healthy Lifestyle ◽  
Well Being ◽  
Lifestyle Medicine ◽  
Psychological Well Being ◽  
Mobile Phone Use ◽  
Beneficial Effects

Objective: To investigate dietary habits, sleep and psychological well-being of adolescents and medical students during COVID-19 lockdown in Split, Croatia. Methods: We surveyed 1326 students during 2018 and 2019, and compared their responses with 531 students enrolled in May 2020. Perceived stress, quality of life (QoL), happiness, anxiety, and optimism were assessed as proxies of psychological well-being, using general linear modelling. Results: We found no substantial differences in dietary pattern between pre-lockdown and lockdown periods, including the overall Mediterranean diet (MD) adherence. However, the MD pattern changed, showing increased adherence to the MD pyramid for fruit, legumes, fish, and sweets, while cereals, nuts, and dairy intake decreased during COVID-19 lockdown. A third of students reported weight loss during lockdown, 19% reported weight gain, while physical activity remained rather stable. The most prominent change was feeling refreshed after a night’s sleep, reported by 31.5% of students during lockdown vs. 8.5% before; median length of sleep duration increased by 1.5 h. Lockdown significantly affected QoL, happiness, optimism (all p < 0.001), and perceived stress in students (p = 0.005). MD adherence was positively correlated with QoL and study time, and negatively with TV and mobile phone use in pre-lockdown period (all p < 0.001). Interestingly, higher MD adherence was correlated with less perceived hardship and greater happiness and QoL during lockdown. Conclusion: These insights provide valuable information for tailored interventions aimed at maintaining healthy lifestyle in young population. Given the numerous beneficial effects associated with MD adherence, modification of lifestyle through application of lifestyle medicine deserves a priority approach.

scholarly journals Expanding medical student interaction in neurology with a redesigned student interest group in neurology (sign) chapter

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rohit Gummi ◽  
Ross Smith ◽  
Raghav Govindarajan
Keyword(s):  
Medical Education ◽  
Medical Students ◽  
Interest Group ◽  
The United States ◽  
Student Interest ◽  
Post Intervention ◽  
Journal Clubs ◽  
Hands On ◽  
Neurology Clinic ◽  
Second Year

Abstract Background Student Interest Group in Neurology (SIGN) chapters across the medical schools in the United States provide opportunities for medical students to participate in clinical, research, and service activities in neurology. Despite these, applicants for the field of neurology have traditionally been low. Methods Following changes were introduced: an open board style SIGN chapter executive committee with greater active engagement of first and second year students. New activities included journal clubs, hands on workshops, celebration/cause events (example ALS walk). In addition, a free neurology clinic was introduced. Activities were planned in consultation with office of medical education, and were organized during ‘down times’. Data on student enrollment, activities successfully carried out, students interested in neurology residency, number of neurology-related research projects with student involvement were collected prior to changes and compared to values after changes were introduced. Results Post intervention, student engagement in neurology activities and projects increased significantly. However, a similar increase in applications to neurology residency was not yet observed. Conclusions An open chapter with early engagement and involvement of first and second year medical students, creating a variety of chapter activities with greater hands on involvement, planned in conjunction with office of medical education has reinvigorated our SIGN chapter.

scholarly journals The impact of the economic availability of food in Russia on consumption patterns and health of the nation

2019 ◽  
Vol 27 (3) ◽  
pp. 429-441
Author(s):  
Marina L. Vartanova
Keyword(s):  
Dietary Habits ◽  
Healthy Lifestyle ◽  
Healthy Diet ◽  
Daily Diet ◽  
Health Products ◽  
Quality Of Food ◽  
Processed Products ◽  
The Impact ◽  
Modern Technologies

Currently, Russia is implementing the project “Demography”, which involves the formation of motivation of people to a healthy lifestyle, including a healthy diet. In the article the author reveals the problem of the lack of quality and vital for health products in the daily diet of the majority of the population due to the lack of opportunities to purchase them. Falling incomes and purchasing power of the population shifts the food vector to the consumption of products rich in vegetable fats and sugars or processed products made from inexpensive imported products. High prices for quality products remain the main factor determining the structure of consumption and health of the nation. In this regard, enterprises should start from the regional characteristics both in terms of income levels and dietary habits, and age composition of the target audience, because of the quality of food depends on maintaining the health and longevity of the population and the gene pool of future generations. It is necessary to take measures to promote a healthy diet, create “separate shelves” with natural products, reduce cheating on products, ranging from excise duties to logical costs. Issues of production of environmentally friendly products come to the fore today. In this regard, modern technologies in agriculture are in great demand today, allowing to increase the purity of products.

scholarly journals Toward an Anti-Racist Curriculum: Incorporating Art into Medical Education to Improve Empathy and Structural Competency

2020 ◽  
Vol 7 ◽  
pp. 238212052096524
Author(s):  
Bria Adimora Godley ◽  
Diana Dayal ◽  
Elizabeth Manekin ◽  
Sue E Estroff
Keyword(s):  
Health Care ◽  
Medical Students ◽  
The United States ◽  
Course Evaluation ◽  
Racial Minorities ◽  
Free Text ◽  
Important Thing ◽  
Structural Competency ◽  
Racial Issues

Background: There is an urgent need for medical school curricula that address the effects of structural influences, particularly racism, on health, healthcare access, and the quality of care for people of color. Underrepresented racial minorities in the United States receive worse health care relative to their White counterparts. Structural competency, a framework for recognizing and understanding social influences on health, provides a means for understanding the structural violence that results from and perpetuates racism in classroom and clinical education. Some medical schools have incorporated art into their curricula to increase empathy generally, yet few programs use art to address racial disparities in medicine specifically. Objective: “Can We Talk About Race?” (CWTAR) aims to increase medical students’ empathy for racial minorities and increase the ease and ability of students to address racial issues. CWTAR also provides a unique context for ongoing conversations about racism and structural inequality within the health care system. Methods: Sixty-four first-year medical students were randomly selected to participate in CWTAR. The on-campus Ackland Art Museum staff and trained student facilitators lead small group discussions on selected artworks. A course evaluation was sent to all participants consisting of 4 questions: (1) Likert scale rating the quality of the program, (2) the most important thing learned from the program, (3) any differences between discussion at this program versus other conversations around race, and (4) suggestions for changes to the program. Free text responses were content coded and analyzed to reveal common themes. Results: Out of 64 students, 63 (98%) responded to at least one course evaluation question. The majority (89%) of participants rated the program quality as either “Very Good” or “Excellent.” Of the 37 students who responded to the free text question regarding the most important thing they learned from the program, 16 (44%) responses revealed students felt that they were exposed to perspectives that differed from their own, and 19% of respondents reported actively viewing a subject through another’s perspective. Of the 33 students who responded to the free text question regarding any differences between discussion at this program versus other conversations around race, 48% noted an increased comfort level discussing race during the program. A common theme in responses to the question regarding suggested changes to the program was a more explicit connection to medicine in the discussion around race. Conclusions: Student responses to CWTAR suggest that the program is effective in engaging students in discussions of racial issues. More investigation is needed to determine whether this methodology increases empathy among medical students for racial minorities specifically.

scholarly journals Children's acceptance of Pilot program of School meals in rural region of northern Croatia

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Helena Tomic-Obrdalj ◽  
Davorka Gajari ◽  
Jasmina Ranilovic
Keyword(s):  
Focus Groups ◽  
Nutritional Quality ◽  
Dietary Habits ◽  
Healthy Diet ◽  
Pilot Program ◽  
School Meals ◽  
Rural Region ◽  
New Varieties ◽  
Qualitative Discussion

AbstractIn the rural region of northern Croatian county Koprivnica Krizevci, new school meals program “Smart meals for smart kids” was implemented since the beginning of 2019. Analysis of nutritional quality of standard school meals served in 18 primary schools indicated high consumption of cereal products, meat, particularly meat products, pastry and sweets, and lacking of fruits, vegetables, fish and legumes. New menu was designed with the aim of improving nutritional quality of schools’ meals through a new recipes based on gastronomy heritage, dietary habits and National guidelines, but also education and testing of children's acceptance. Initial step of the project was to test new menu through Pilot program in six schools during two weeks. Process was accompanied by educational activities through originally designed leaflet about healthy diet, new meals and nutritional benefits, and was distributed among all students. Children's acceptance of Pilot menu of 10 meals was analyzed on a 9-point pictured hedonic scale and qualitative discussion through focus groups. In every school questionnaire was distributed in 4th (age 9 to 10) and 7th grade (age 12 to 13). In total, 237 children filled out the questionnaire, 104 from 4th grade and 133 from 7th grade. In focus groups, 26 participated 14 students and 12 teachers. Results show that best accepted meals were Spaghetti Bolognese, Breaded fish with cabbage savoy and potatoes, and Chicken risotto. High acceptance of this meals can be explained by familiarity to the children, often being served at school, relatively simple dishes with lesser amount of known ingredients and adequate taste profile. Least preferred meals were Chickpea with barley and corn, and Gnocchi with turnip, these meals were in most schools served for the first time, ingredients were unfamiliar, and combination of tastes was not according to the children's preferences. Qualitative discussion revealed that children noticed the difference from standard meals, particularly increase in serving of fruits and different and new varieties of vegetables, and believe that new meals are healthier. They also liked the educational leaflet and think it is a good way of communicating about healthy diet. Teachers welcome the new menus, differences were noticeable in intensity of spiciness, new varieties of vegetables and legumes, and more served fruits. For a successful and sustainable Program follow-up, school meals should be adapted to children's dietary habits gradually with careful introduction of the new food and tastes, followed by continuous nutritional education.

scholarly journals An online academic writing and publishing skills course: Help Syrians find their voice

2017 ◽  
Vol 07 (03) ◽  
pp. 103-109
Author(s):  
Ammar Sabouni ◽  
Abdelkader Chaar ◽  
Yamama Bdaiwi ◽  
Abdulrahman Masrani ◽  
Heba Abolaban ◽  
...  
Keyword(s):  
Medical Students ◽  
Student Satisfaction ◽  
Academic Writing ◽  
Low Cost ◽  
The United States ◽  
Online Course ◽  
Research Papers ◽  
Arab Region ◽  
Academic Paper

Abstract Purpose: A group of Arab-American physicians and researchers in the United States organized a blended online course in academic writing and publishing in medicine targeting medical students and physicians in war-torn Syria. This was an effort to address one of the reasons behind the poor quantity and quality of scientific research papers in Syria and the Arab region. In this paper, we report on the design, conduct, and outcome of this course and attempt to evaluate its effectiveness. Methods: The educational intervention was a 2-month blended online course. We administered a questionnaire to assess satisfaction and self-reported improvement in knowledge, confidence, and skills of academic writing and publishing. Results: The course succeeded in reaching more than 2588 physicians and medical students from the region; 159 of them completed most of the course. Eighty-three percent of the participants felt that they were confident enough to write an academic paper after the course and 95% felt the learning objectives were achieved with an average student satisfaction of 8.4 out of 10. Conclusion: Physicians in Syria and neighboring countries are in need of training to become an active part of the global scientific community and to document and communicate the crisis their countries are going through from a medical perspective. Low-cost online educational initiatives help respond, at least partially, to those needs.

scholarly journals A STUDY OF RELATION BETWEEN BODY MASS INDEX AND DYSMENORRHEA AND ITS IMPACT ON DAILY ACTIVITIES OF MEDICAL STUDENTS

2016 ◽  
Vol 9 (9) ◽  
pp. 297 ◽  
Author(s):  
Dipti Mohapatra ◽  
Tapaswini Mishra ◽  
Manasi Behera ◽  
Priyambada Panda
Keyword(s):  
Quality Of Life ◽  
Body Mass Index ◽  
Medical Students ◽  
Body Mass ◽  
Dietary Habits ◽  
World Health ◽  
Chi Square ◽  
Positive Correlation ◽  
Menstrual History

ABSTRACTObjective: Dysmenorrhea is a condition, in which there is a severe, painful, cramping sensation in the lower abdomen which occurs just before orduring the menses. It has a major impact on the quality of life and social and occupational roles of females in the society. It also results in insignificantwork, school, and college absences in girls. As previous studies have failed to show a definite relation between dysmenorrhea and body massindex (BMI), the aim of our study was to find out an association between BMI and dysmenorrhea among medical students.Methods: The study was conducted on 200 medical students. Each one was supplied with a questionnaire with detailed menstrual history, familyhistory of dysmenorrhea, and detailed H/O of physical exercise and dietary habits. BMI was calculated by the formula weight in kg/height2 in meter,and based on the BMI criteria by the World Health Organization, the students were classified into four groups: Underweight, normal, overweight, andobese groups. The data obtained were statistically analyzed by Pearson Chi-square test, and p<0.5 was considered significant.Result: From our study, we found out that there is a positive correlation between dysmenorrhea and low BMI.Conclusion: As there is a positive correlation between BMI and dysmenorrhea, our aim was to educate people about dysmenorrhea and createawareness on diet and dysmenorrhea to assist in improving the quality of life in females.Keywords: Dysmenorrhea, Body mass index, Quality of life.

scholarly journals Pre-clinical remote undergraduate medical education during the COVID-19 pandemic: a survey study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bita Shahrvini ◽  
Sally L. Baxter ◽  
Charles S. Coffey ◽  
Bridget V. MacDonald ◽  
Lina Lander
Keyword(s):  
Medical Students ◽  
Clinical Skills ◽  
The United States ◽  
Living Environment ◽  
Learning Material ◽  
Quality Of Instruction ◽  
Skills Laboratory ◽  
Second Year ◽  
Remote Learning

Abstract Background The Coronavirus Disease 2019 (COVID-19) pandemic has necessitated a sudden transition to remote learning in medical schools. We aimed to assess perceptions of remote learning among pre-clinical medical students and subsequently to identify pros and cons of remote learning, as well as uncover gaps to address in ongoing curricular development. Methods A survey was distributed to first- and second-year medical students at the University of California San Diego School of Medicine in March 2020. Frequencies of responses to structured multiple-choice questions were compared regarding impacts of remote learning on quality of instruction and ability to participate, value of various remote learning resources, living environment, and preparedness for subsequent stages of training. Responses to open-ended questions about strengths and weaknesses of the remote curriculum and overall reflections were coded for thematic content. Results Of 268 students enrolled, 104 responded (53.7% of first-year students and 23.9% of second-year students). Overall, students felt that remote learning had negatively affected the quality of instruction and their ability to participate. Most (64.1%) preferred the flexibility of learning material at their own pace. Only 25.5% of respondents still felt connected to the medical school or classmates, and feelings of anxiety and isolation were noted negatives of remote learning. Most second-year students (56.7%) felt their preparation for the United States Medical Licensing Examination Step 1 exam was negatively affected, and 43.3% felt unprepared to begin clerkships. In narrative responses, most students appreciated the increased flexibility of remote learning, but they also identified several deficits that still need to be addressed, including digital fatigue, decreased ability to participate, and lack of clinical skills, laboratory, and hands-on learning. Conclusions Videocasted lectures uploaded in advance, electronic health record and telehealth training for students, and training for teaching faculty to increase technological fluency may be considered to optimize remote learning curricula.

scholarly journals A Study of Regional Economic Policy Focusing on Three Approaches

2005 ◽  
Vol 20 (1) ◽  
pp. 35-48
Author(s):  
Sam Youl Lee
Keyword(s):  
Economic Growth ◽  
Human Capital ◽  
The United States ◽  
Ordinary Least Squares ◽  
Regional Economic Growth ◽  
High Tech ◽  
Regional Economic ◽  
Quality Of Place ◽  
Industrial Mix

Regional economic growth can have a quite different dynamic and logic than national economic growth. This paper empirically investigates whether three major approaches to regional economic development: industrial mix, human capital, and quality of place significantly contribute to the regional economy. This paper tests the hypotheses using ordinary least squares (OLS) based on state-level data from the United States. The OLS results indicated a significant effect of industrial mix on regional economic growth when other factors were controlled for, though significance levels differed depending on the definition of "high-tech industry". The joint hypothesis test on human capital and quality of place showed they were statistically insignificant. The insignificance of the human-capital variables was different from the expectation. This may be caused by the fact that the level of analysis of this study is a state rather than a city, which may dilute the concentration of human capital in major cities. The significance of the industrial mix variables is meaningful because the positive relation between the concentration of high-tech industries and regional economic growth supports regional governments' efforts in Korea to establish or lure more high-tech industries into their regions. However, because the result is sensitive to various definitions of high-tech industries, it needs cautious interpretation.

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