Evidence map›Paper›PMID 27507540›Full record

ArticleMedical education online2016

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

Haq Nawaz, Paul V Petraro, Christina Via, Saif Ullah, Lionel Lim, Dorothea Wild, Mary Kennedy, Edward M Phillips

Open access · goldAbstract read
In one paragraph

Article in Medical education online, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Nutritional Education in Medical Curricula and Clinical Practice: A Scoping Review on the Knowledge Deficit Amongst Medical Students and Doctors.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Haq NawazDepartment of Preventive Medicine, Griffin Hospital, Derby, CT, USA.
Paul V PetraroDepartment of Preventive Medicine, Griffin Hospital, Derby, CT, USA.
Christina ViaDepartment of Preventive Medicine, Griffin Hospital, Derby, CT, USA.
Saif UllahDepartment of Preventive Medicine, Griffin Hospital, Derby, CT, USA.
Lionel LimDepartment of Preventive Medicine, Griffin Hospital, Derby, CT, USA.
Dorothea WildDepartment of Preventive Medicine, Griffin Hospital, Derby, CT, USA.
Mary KennedyInstitute of Lifestyle Medicine, Physical Medicine & Rehabilitation Service, VA Boston Healthcare System, Brockton, MA, USA.
Edward M PhillipsInstitute of Lifestyle Medicine, Physical Medicine & Rehabilitation Service, VA Boston Healthcare System, Brockton, MA, USA.
Yale University · USGriffin Hospital · USVA Boston Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

objectiveTo evaluate a new curriculum and rotation in lifestyle medicine for preventive medicine residents.

methodsTraining 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.

resultsA 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).

conclusionIncorporating 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.

Indexed as

Life StyleAdultClinical CompetenceCurriculumDiet, HealthyEducation, DistanceFemaleHabitsHumansInternship and ResidencyMalePatient-Centered CarePhysical FitnessPhysician's RolePreventive MedicineSmoking Cessationlifestyle medicinemedical educationpreventive medicine

Identifiers

PMID27507540
PMCPMC4978856
OpenAlexW2504722397

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.