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Related Experiment Video

Updated: Jul 2, 2025

'Boden Food Plate': Novel Interactive Web-based Method for the Assessment of Dietary Intake
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Screening for Food Insecurity: A Curriculum for Medical Students.

Yumi Shitama Jarris1, Heidi Chang1, Sarah Kureshi1

  • 1Georgetown University School of Medicine, Washington, DC.

Primer (Leawood, Kan.)
|February 26, 2024
PubMed
Summary

A longitudinal food insecurity (FI) screening curriculum improved medical students' knowledge, attitudes, and behavior. Students trained in FI screening were more likely to perform it, enhancing future patient care.

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Area of Science:

  • Medical Education
  • Public Health
  • Nutrition Science

Background:

  • Food insecurity (FI) affects access to adequate nutrition for a healthy life.
  • Physicians' role in addressing FI is crucial but often met with student discomfort.
  • Effective screening and intervention strategies are needed in clinical practice.

Purpose of the Study:

  • To assess the impact of a longitudinal food insecurity screening curriculum on medical students' knowledge, attitudes, and behavior.
  • To evaluate changes in students' confidence and practical application of FI screening.
  • To compare screening performance between students who received the curriculum and a control group.

Main Methods:

  • A prospective, single-institution study involving a 3-year longitudinal curriculum.
  • Pre- and post-curriculum surveys and written reflections were administered to the intervention cohort.
  • Objective structured clinical exams (OSCEs) were used to evaluate FI screening behavior, compared against a control group.

Main Results:

  • Significant improvement in knowledge scores post-curriculum (45.24% to 74.74%, P<.001).
  • Increased student confidence in screening for and following up on FI.
  • Intervention group demonstrated higher rates of FI screening during OSCEs compared to controls (28.21% vs 10.71%, P<.001).

Conclusions:

  • A longitudinal curriculum, even with minimal time, effectively enhances medical students' FI screening capabilities.
  • The curriculum improved students' recognition of the need for and performance of FI screening.
  • This educational approach is expected to increase future clinical identification and intervention for food insecurity.