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Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students

BACKGROUND: US medical schools are increasingly integrating lifestyle medicine competencies into their academic programs. Yet, physician assistant (PA) academic programs have been slower to respond. METHODS: We developed, implemented, and evaluated a nutrition-centered lifestyle medicine curriculum...

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Autores principales: Wetherill, Marianna S., Davis, Gracen C., Kezbers, Krista, Carter, Valarie, Wells, Elizabeth, Williams, Mary B., Ijams, Shannon D., Monlezun, Dominique, Harlan, Timothy, Whelan, Lori J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8368925/
https://www.ncbi.nlm.nih.gov/pubmed/34457464
http://dx.doi.org/10.1007/s40670-018-00655-4
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author Wetherill, Marianna S.
Davis, Gracen C.
Kezbers, Krista
Carter, Valarie
Wells, Elizabeth
Williams, Mary B.
Ijams, Shannon D.
Monlezun, Dominique
Harlan, Timothy
Whelan, Lori J.
author_facet Wetherill, Marianna S.
Davis, Gracen C.
Kezbers, Krista
Carter, Valarie
Wells, Elizabeth
Williams, Mary B.
Ijams, Shannon D.
Monlezun, Dominique
Harlan, Timothy
Whelan, Lori J.
author_sort Wetherill, Marianna S.
collection PubMed
description BACKGROUND: US medical schools are increasingly integrating lifestyle medicine competencies into their academic programs. Yet, physician assistant (PA) academic programs have been slower to respond. METHODS: We developed, implemented, and evaluated a nutrition-centered lifestyle medicine curriculum for 2nd-year PA students (n = 24). The 4-week hybrid, 2-credit hour course activities aligned with the American College of Lifestyle Medicine competencies for primary care providers and reinforced four of the Accreditation Standards for PA Education. We combined didactic lectures with weekly hands-on cooking modules from the “Health meets Food” courseware for medical students. We employed a pre-post evaluation design including a comparison group of 2nd-year PA students in a separate program. We assessed changes in personal nutrition behaviors and knowledge and confidence for counseling in nutrition, exercise/physical activity, weight, smoking, and alcohol, using the modified 5A’s framework (assess, advise, agree, assist, and arrange) for lifestyle counseling. RESULTS: Students receiving the intervention demonstrated significantly higher gains in both knowledge and confidence for the 5A’s of nutrition counseling compared to the control group. Self-reported knowledge and confidence for the 5A’s of counseling for the other lifestyle behaviors similarly improved among the intervention group compared to the control group, but to a lesser extent. CONCLUSION: A nutrition-centered lifestyle medicine course can demonstrate PA academic program adherence to accreditation standards, while also introducing students to nutrition and lifestyle medicine competencies. Hands-on experiences that reinforce didactic instruction may maximize student knowledge and self-efficacy for implementing lifestyle medicine into their practice.
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spelling pubmed-83689252021-08-26 Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students Wetherill, Marianna S. Davis, Gracen C. Kezbers, Krista Carter, Valarie Wells, Elizabeth Williams, Mary B. Ijams, Shannon D. Monlezun, Dominique Harlan, Timothy Whelan, Lori J. Med Sci Educ Original Research BACKGROUND: US medical schools are increasingly integrating lifestyle medicine competencies into their academic programs. Yet, physician assistant (PA) academic programs have been slower to respond. METHODS: We developed, implemented, and evaluated a nutrition-centered lifestyle medicine curriculum for 2nd-year PA students (n = 24). The 4-week hybrid, 2-credit hour course activities aligned with the American College of Lifestyle Medicine competencies for primary care providers and reinforced four of the Accreditation Standards for PA Education. We combined didactic lectures with weekly hands-on cooking modules from the “Health meets Food” courseware for medical students. We employed a pre-post evaluation design including a comparison group of 2nd-year PA students in a separate program. We assessed changes in personal nutrition behaviors and knowledge and confidence for counseling in nutrition, exercise/physical activity, weight, smoking, and alcohol, using the modified 5A’s framework (assess, advise, agree, assist, and arrange) for lifestyle counseling. RESULTS: Students receiving the intervention demonstrated significantly higher gains in both knowledge and confidence for the 5A’s of nutrition counseling compared to the control group. Self-reported knowledge and confidence for the 5A’s of counseling for the other lifestyle behaviors similarly improved among the intervention group compared to the control group, but to a lesser extent. CONCLUSION: A nutrition-centered lifestyle medicine course can demonstrate PA academic program adherence to accreditation standards, while also introducing students to nutrition and lifestyle medicine competencies. Hands-on experiences that reinforce didactic instruction may maximize student knowledge and self-efficacy for implementing lifestyle medicine into their practice. Springer US 2018-12-06 /pmc/articles/PMC8368925/ /pubmed/34457464 http://dx.doi.org/10.1007/s40670-018-00655-4 Text en © The Author(s) 2018 https://creativecommons.org/licenses/by/4.0/Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Research
Wetherill, Marianna S.
Davis, Gracen C.
Kezbers, Krista
Carter, Valarie
Wells, Elizabeth
Williams, Mary B.
Ijams, Shannon D.
Monlezun, Dominique
Harlan, Timothy
Whelan, Lori J.
Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students
title Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students
title_full Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students
title_fullStr Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students
title_full_unstemmed Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students
title_short Development and Evaluation of a Nutrition-Centered Lifestyle Medicine Curriculum for Physician Assistant Students
title_sort development and evaluation of a nutrition-centered lifestyle medicine curriculum for physician assistant students
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8368925/
https://www.ncbi.nlm.nih.gov/pubmed/34457464
http://dx.doi.org/10.1007/s40670-018-00655-4
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