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Proposed Nutrition Competencies for Medical Students and Physician Trainees: A Consensus Statement.

David M Eisenberg1, Alexis Cole2, Edward J Maile3

  • 1Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

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Summary

A consensus of 36 nutrition competencies was established for medical trainees to address rising nutrition-related diseases. These competencies will be integrated into medical education and assessments to improve patient health outcomes.

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Area of Science:

  • Medical Education
  • Nutrition Science
  • Public Health

Background:

  • Rising healthcare costs linked to nutrition-related diseases necessitate improved medical training.
  • US House Resolution 1118 (117th Congress) called for enhanced nutrition education for medical trainees.
  • Medical professional organizations committed to defining nutrition competencies in March 2023.

Purpose of the Study:

  • To recommend essential nutrition competencies for medical education.
  • To enhance patient and population health through improved nutrition knowledge in physicians.

Main Methods:

  • A rapid literature review identified 187 nutrition competencies from 15 articles (July 2013-July 2023).
  • An additional 167 competencies were sourced from curricula and expert-generated lists, totaling 354.
  • A modified Delphi process with 37 experts (22 nutrition specialists, 15 program directors) involved 4 voting rounds to reach consensus.

Main Results:

  • 36 nutrition competencies were recommended for medical education: 30 for both undergraduate and graduate levels, 2 for undergraduate only, and 4 for graduate only.
  • Key themes included foundational knowledge, assessment, communication, public health, and condition-specific treatment.
  • 97% of panelists (36/37) supported assessing these competencies in licensing and board certification exams.

Conclusions:

  • This study established consensus on 36 US-based nutrition competencies for medical students and physician trainees.
  • Implementation requires institutional prioritization, curriculum integration, and inclusion in examinations.
  • These competencies are crucial for improving nutrition care and addressing the burden of nutrition-related diseases.