Evidence map›Paper›PMID 33766841›Full record

ReviewBMJ open2021

Nutrition competencies for medicine: an integrative review and critical synthesis.

Breanna Lepre, Kylie J Mansfield, Sumantra Ray, Eleanor J Beck

Abstract readReview
In one paragraph

Review in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Resources Exist to Integrate Nutrition into Graduate Medical Education.Journal of medical education and curricular development
    Article
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

4 authors.

Breanna LepreSchool of Medicine, University of Wollongong, and Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia bl778@uowmail.edu.au.ORCID http://orcid.org/0000-0003-0154-1960
Kylie J MansfieldSchool of Medicine, University of Wollongong, and Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia.
Sumantra RayNNEdPro Global Centre for Nutrition and Health, St John's Innovation Centre, Cambridge, UK.
Eleanor J BeckSchool of Medicine, University of Wollongong, and Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGlobally, 11 million deaths are attributable to suboptimal diet annually, and nutrition care has been shown to improve health outcomes. While medically trained clinicians are well-placed to provide nutrition care, medical education remains insufficient to support clinicians to deliver nutrition advice as part of routine clinical practice. Competency standards provide a framework for workforce development and a vehicle for aligning health priorities with the values of a profession. Although, there remains an urgent need to establish consensus on nutrition competencies for medicine. The aim of this review is to provide a critical synthesis of published nutrition competencies for medicine internationally.

designIntegrative review. DATA SOURCES: CINAHL, Medline, Embase, Scopus, Web of Science and Global Health were searched through April 2020. ELIGIBILITY CRITERIA: We included published Nutrition Competency Frameworks. This search was complemented by handsearching reference lists of literature deemed relevant. DATA EXTRACTION AND SYNTHESIS: Data were extracted into summary tables and this matrix was then used to identify common themes and to compare and analyse the literature. Miller's pyramid, the Knowledge to Action Cycle and the Dreyfus model of skill acquisition were also used to consider the results of this review.

resultsUsing a predetermined search strategy, 11 articles were identified. Five common themes were identified and include (1) clinical practice, (2) health promotion and disease prevention, (3) communication, (4) working as a team and (5) professional practice. This review also identified 25 nutrition competencies for medicine, the majority of which were knowledge-based.

conclusionsThis review recommends vertical integration of nutrition competencies into existing medical education based on key, cross-cutting themes and increased opportunities to engage in relevant, skill-based nutrition training.

Indexed as

Education, MedicalMedicineNutrition TherapyClinical CompetenceDelivery of Health CareHumanseducation & training (see medical education & training)medical education & trainingnutrition & dietetics

Identifiers

PMID33766841
PMCPMC7996665

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.