Cargando…

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

BACKGROUND: The 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. OBJECTIVE: To evaluate...

Descripción completa

Detalles Bibliográficos
Autores principales: Nawaz, Haq, Petraro, Paul V., Via, Christina, Ullah, Saif, Lim, Lionel, Wild, Dorothea, Kennedy, Mary, Phillips, Edward M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Co-Action Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4978856/
https://www.ncbi.nlm.nih.gov/pubmed/27507540
http://dx.doi.org/10.3402/meo.v21.29339
_version_ 1782447229704863744
author Nawaz, Haq
Petraro, Paul V.
Via, Christina
Ullah, Saif
Lim, Lionel
Wild, Dorothea
Kennedy, Mary
Phillips, Edward M.
author_facet Nawaz, Haq
Petraro, Paul V.
Via, Christina
Ullah, Saif
Lim, Lionel
Wild, Dorothea
Kennedy, Mary
Phillips, Edward M.
author_sort Nawaz, Haq
collection PubMed
description BACKGROUND: The 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. OBJECTIVE: To evaluate a new curriculum and rotation in lifestyle medicine for preventive medicine residents. METHODS: Training 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. RESULTS: A 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). CONCLUSION: Incorporating 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.
format Online
Article
Text
id pubmed-4978856
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Co-Action Publishing
record_format MEDLINE/PubMed
spelling pubmed-49788562016-08-26 Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes Nawaz, Haq Petraro, Paul V. Via, Christina Ullah, Saif Lim, Lionel Wild, Dorothea Kennedy, Mary Phillips, Edward M. Med Educ Online Research Article BACKGROUND: The 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. OBJECTIVE: To evaluate a new curriculum and rotation in lifestyle medicine for preventive medicine residents. METHODS: Training 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. RESULTS: A 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). CONCLUSION: Incorporating 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. Co-Action Publishing 2016-08-08 /pmc/articles/PMC4978856/ /pubmed/27507540 http://dx.doi.org/10.3402/meo.v21.29339 Text en © 2016 Haq Nawaz et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.
spellingShingle Research Article
Nawaz, Haq
Petraro, Paul V.
Via, Christina
Ullah, Saif
Lim, Lionel
Wild, Dorothea
Kennedy, Mary
Phillips, Edward M.
Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
title Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
title_full Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
title_fullStr Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
title_full_unstemmed Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
title_short Lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
title_sort lifestyle medicine curriculum for a preventive medicine residency program: implementation and outcomes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4978856/
https://www.ncbi.nlm.nih.gov/pubmed/27507540
http://dx.doi.org/10.3402/meo.v21.29339
work_keys_str_mv AT nawazhaq lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT petraropaulv lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT viachristina lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT ullahsaif lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT limlionel lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT wilddorothea lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT kennedymary lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes
AT phillipsedwardm lifestylemedicinecurriculumforapreventivemedicineresidencyprogramimplementationandoutcomes