Advancing Nutrition Education

1

Provides evidence-based, culturally sensitive nutrition and food recommendations to patients for the prevention and treatment of disease

MEDI 6120 (Core competencies: 1.5, 2.1, 2.7, 4.1, 4.6)

MEDI 6130 (Core competencies: 1.5, 2.1, 2.7, 6.3)

MEDI 6240 (Core competencies: 1.5, 2.1, 2.7) (Wk. 43 L: Urinary tract infections)

Healthcare Across the Lifespan (Core competencies: 1.5, 1.6, 4.6) (Wk. 64 L: Considerations for healthcare of the Latinx Community)

.25

.75

Pre-Clerkship

2

Screens for food insecurity and nutrition insecurity and makes appropriate referrals for those identified at risk

MEDI 6120 (Core competencies: 6.3, 8.2)

Pre-Clerkship

3

Works with other health professionals to deliver a multidisciplinary approach to nutrition care

MEDI 6120 (Core competencies: 6.1)

MEDI 6130 (Core competencies: 6.1)

MEDI 6230 (Core competencies: 6.1) (Wk. 36 L: Food as Medicine)

1

Pre-Clerkship

4

Identifies pathophysiological and/or socioeconomic circumstances that may lead to metabolic syndrome or malnutrition

MEDI 6120 (Core competencies: 1.2, 6.3, 8.2) (Wk. 3 L: Metabolic foundations, L: Energy balance – over and under nutrition, L: Minor pathways of hexose metabolism and associated diseases, Disorders of lipid metabolism, L: Cholesterol metabolism, L: Plasma Lipid transport, L: Clinical aspects of amino acid metabolism, L: Integration of metabolic pathways)

MEDI 6230 (Core competencies: 6.3, 8.2)

MEDI 6240 (Core competencies 1.2, 2.2) (Wk. 37 L: Disorders of the stomach and esophagus I, L: Digestion and absorption of macronutrients, L: Disorders of the stomach and esophagus II; Wk. 39 L: Development of the GI system; Holistic patient care lecture series)

8.5

4

Pre-Clerkship

5

Assesses the nutritional status of a patient with a brief diet and food history or questionnaire, anthropometric measurements, and appropriate laboratory tests

MEDI 6120 (Core competencies: 2.2, 2.4)

MEDI 6240 (Core competencies: 2.4) Wk. 46 L: Diabetes TBL)

1

Pre-Clerkship

6

Starts a sensitive, nonjudgmental conversation about food and lifestyle in a brief consultation within a primary or secondary care setting

MEDI 6120 (Core competencies: 4.1, 4.2, 4.5, 4.6)

MEDI 6130 (Core competencies: 4.1, 4.2)

Pre-Clerkship

7

Demonstrates knowledge of the nutritional content of foods, including the major dietary sources of macronutrients and micronutrients

MEDI 6120 (Core competencies: 1.1) (Wk. 2 L: Amino acids, proteins, and enzymes; Wk. 3 L: Metabolic Foundations)

MEDI 6240 (Core competencies: 1.1, 1.2, 1.5) (Wk. 39 L: Water soluble vitamins, Wk. 40 L: Fat soluble vitamins)

2

Pre-Clerkship

8

Integrates evidence-based nutrition information from national nutrition guidelines, scientific publications, and other sources into patient care

MEDI 6120 (Core competencies: 1.5, 1.6)

MEDI 6230 (Core competencies: 1.6, 3.1) (Wk. 36 L: Food as Medicine, L: Integrating evidence-based information into health care practice)

1

Pre-Clerkship

9

Demonstrates knowledge of public health nutrition, including the social determinants of health, and how it can reduce the burden of disease and improve access to adequate, healthy food

Healthcare Across the Lifespan (Core competencies:8.2)

MEDI 6120 (Core competencies: 6.3, 8.1, 8.2)

MEDI 6230 (Core competencies: 6.3, 8.2) (Wk. 36 L: Public health in Georgia, L: The two Georgia’s, L: What does ‘making a difference’ for rural GA healthcare look like?, L: Food as Medicine, L: Sustainability in medicine, L: Cardiovascular disease & pregnancy – public health & clinical approaches)

5

Pre-Clerkship

10

Demonstrates sensitivity to the social, cultural, emotional, economic, educational, and psychological factors that may affect an individual’s nutrition behavior, food choices, and health status

Healthcare Across the Lifespan (Core competencies:4.1, 4.3, 4.4, 5.5)

MEDI 6120 (Core competencies: 6.3, 8.1, 8.2)

MEDI 6130 (Core competencies: 4.1, 4.2, 4.5, 4.6, 8.2)

MEDI 6220 (Core competencies: 6.3) (Wk. 33 L: Holistic Patient Care – lung cancer)

MEDI 6230 (Core competencies: 6.3) Wk. 36 L: Food as Medicine; Wk. 59 L: Eating disorders)

MEDI 6240 (Core competencies: 2.2, 6.3)

MEDI 6320 (Core competencies: 6.3, 8.2) (Wk. 56 L: Neurological complications of disease; Wk. 59 L: Eating Disorders, L: Principles of addiction medicine)

.25

1.5

Pre-Clerkship

11

Demonstrates knowledge of the pathological states that can affect the absorption of macronutrients, micronutrients, and other food-based compounds

MEDI 6120 (Core competencies: 1.1, 1.2, 1.4) (Wk. 2 L: Cellular & molecular foundations, L: Amino acids, proteins, and enzymes, L: Membrane transport, L: Newborn screening & genetic counseling for sing gene disorders)

MEDI 6130 (Core competencies: 1.1, 1.2, 1.3) Wk. 17 L: Mitochondrial diseases and metabolic myopathies

MEDI 6220 (Core competencies: 1.1, 1.2) (Wk. 25 L: Anemia; Wk. 26 L: Infection in the neutropenic patient; Wk. 27 L: Circulatory & Capillary Hemodynamics, Holistic patient care; Wk. 29 L: Physiology of shock and rapid blood pressure control; Wk. 30 L: Holistic patient care; Wk. 33 L: Holistic patient care for lung cancer)

MEDI 6240 (Core competencies: 1.2 – 1.5) (Wk. 37 L: GI motility and related reflexes, L: Disorders of the stomach and esophagus I, L: Digestion and absorption of macronutrients, L: Drugs of the upper GI tract, L: Disorders of the stomach and esophagus II; Wk. 39 L: Water soluble vitamins, L: Bacterial infections – enteric and peritoneal, L: Disorders of the small and large intestines; Wk. 40 L: Physiology of liver and biliary tree, L: Physiology of pancreas, L: Diagnosis and management of pancreatic disorders,  L: Fat soluble vitamins; Wk. 41 L: Tubular reabsorption and secretion, L: Renal Sodium, L: Renal handling of K, Ca, and PO4; Wk. 42 L: Disorders of potassium homeostasis, L: Fluid and electrolyte clinical correlations; Wk. 43 L: Urinary tract infections; Wk. 44 L: Breast histology; Wk. 45 L: Physiological changes in pregnancy, L: Complications of pregnancy;  Wk. 46 L: Endocrine histology,  L: Pathophysiology of diabetes and obesity, L: Diabetes-induced dysregulation of lipid metabolism, L: Pathology of Diabetes; L: Diabetes TBL; Wk. 47 L: Thyroid pathology; Holistic patient care lecture series)

MEDI 6320 (Core competencies: 1.1, 1.2, 1.3) (Wk. 53 L: Phytopharmacology; Wk. 55 L: Limbic system)

1.25

.5

1.5

10.75

1.25

Pre-Clerkship

12

Identifies nutrient deficiencies and recommends foods and/or supplements as needed

MEDI 6120 (Core competencies: 1.1, 1.2, 1.3)

MEDI 6320 (Core competencies: 1.4) (Wk. 53 L: Phytopharmacology)

MEDI 6240 (Core competencies: 1.4, 2.7)

1

Pre-Clerkship

13

Demonstrates empathy and sensitivity when counseling patients with obesity and eating disorders

MEDI 6320 (Core competencies: 2.1, 4.1, 4.2, 4.6) (Wk. 59 L: HPC – Cognitive behavioral therapy)

1

Pre-Clerkship

14

Assesses diet and food intake and performs a comprehensive nutrition-focused physical examination to identify factors affecting a patient’s health status

Pre-Clerkship

15

Utilizes evidence-based models of behavior change to assess patients’ readiness to effectively counsel patients on how to modify their diet and food choices to improve health

MEDI 6130 (Core competencies: 1.5)

MEDI 6120 (Core competencies: 2.2) (Wk. 4 L: Holistic Patient Care - Motivational Interviewing: A pathway to healthy behavior change; Wk. 8 L: Holistic Patient Care – Nonjudgmental understanding of patient goals & perspectives)

MEDI 6150 (Core competencies: 1.5, 6.3, 8.2) (Wk. 30 L: Behavioral aspects of CHF)

Healthcare Across the Lifespan (Core competencies:8.2, 4.6)

2

1

Pre-Clerkship

16

Guides patients about food choices in establishing lifelong dietary patterns to promote healthy weight and prevent or address chronic disease

MEDI 6120 (Core competencies: 1.5, 2.7, 4.6, 8.1)

MEDI 6130 (Core competencies: 2.7,4.5, 4.6)

MEDI 6220 (Core competencies: 1.4, 1.5, 4.1, 4.6) (Wk. 31 L: Clinical approach to COPD)

MEDI 6230 (Core competencies: 4.6) (Wk. 36 L:  Food as Medicine)

0.25

Pre-Clerkship

17

Identifies community-based nutrition resources for patients experiencing food and nutrition insecurity

Healthcare Across the Lifespan (Core competencies:8.3)

MEDI 6230 (Core competencies: 8.3) (Wk. 36 L: Food as Medicine)

Pre-Clerkship

18

Communicates diet, food, and nutrition information to patients using their preferred language, via interpretative services if needed, based on education and health literacy levels

Healthcare Across the Lifespan (Core competencies: 4.2, 4.5, 4.6) Wk. 64 L: Considerations for healthcare of the Latinx Community)

Pre-Clerkship

19

Listens carefully, compassionately, and nonjudgmentally while taking a nutrition history

MEDI 6120 (Core competencies: 4.1) (Holistic Patient Care)

1

Pre-Clerkship

20

Demonstrates knowledge of the difference between food allergies and food intolerance

MEDI 6120 (Core competencies: 1.1, 1.2, 1.3) (Wk. 6 Foundations of Immunology)

1

Pre-Clerkship

21

Interprets physical examination data and biomarkers against reference ranges to identify patients at risk of malnutrition

MEDI 6120 (Core competencies: 2.4)

MEDI 6130 (Core competencies: 2.2, 2.3, 2.4)

Pre-Clerkship

22

Demonstrates awareness of one’s own biases about food, food choices, obesity, and “healthy eating.”

Healthcare Across the Lifespan (Wk. 64 L: Considerations for healthcare of the Latinx Community)

Pre-Clerkship

23

Provides brief counseling interventions to help patients decrease visceral adiposity or reduce risk of metabolic syndrome

MEDI 6120 (Core competencies: 2.1, 4.6)

Pre-Clerkship

24

Demonstrates knowledge of how energy and nutrient requirements in health and disease states differ across the lifespan

MEDI 6120 (Core competencies: 1.3) (Wk. 3 L: Energy balance – over and under nutrition, L: Minor pathways of hexose metabolism and associated diseases, Clinical aspects of amino acid metabolism; Wk. 9 L: Prenatal timeline and congenital anomalies)

MEDI 6130 (Core competencies: 1.3) (Wk. 18 L: Musculoskeletal aging)

MEDI 6240 (Core competencies: 1.3) (Wk. 44 L: Breast histology; Wk. 45 L: Physiological changes in pregnancy, L: Complications of pregnancy)

Healthcare Across the Lifespan (Core competencies: 1.1, 1.3) (Wk. 65 L: Aging and Healthy Elderly, Wellness, Disease Prevention, L: Frailty and mobility)

.25

.25

2

1.25

Pre-Clerkship

25

Demonstrates knowledge of possible drug-nutrient interactions between certain foods, beverages, and medications

MEDI 6320 (Core competencies: 1.4) (Wk. 53 L: Phytopharmacology)

MEDI 6220 (Core competencies: 1.4) (Wk. 25 L: Anticoagulant therapy; Wk. 29 L: Antihypertensives, L: Lipid-lowering drugs; Wk. 30 L: Congestive heart failure treatment III, L: Holistic patient care)

MEDI 6240 (Core competencies: 1.4, 6.2) (Wk. 37 L: Drugs of the upper GI tract; Wk. 42 L: Control of micturition and diuretics review; Wk. 46 L: Insulin and oral hypoglycemics clinical applications; Wk. 47 L: Thyroid and parathyroid drugs)

MEDI 6320 (Core competencies: 1.4) (Wk. 53 L: Phytopharmacology, L: Migraine treatment strategies; Wk. 58 L: SSRI, SNRI, atypical antidepressant pharmacology, L: Mood stabilizer pharmacology, L: Anti-psychotic pharmacology)

1

2.75

1.75

Pre-Clerkship

26

Demonstrates knowledge of nutritional differences between unprocessed, minimally processed, and ultra-processed foods

Pre-Clerkship

27

Interprets information on nutrition facts panels, nutrition labels, and menus to make appropriate recommendations to support patients’ individual needs and food choices

Pre-Clerkship

28

Identifies factors that affect their personal health and nutrition status

MEDI 6230 (Core competencies: 7.1, 7.3) (Wk. 36 L: Dimensions of medical school well-being – mindsets)

MEDI 6130 (Core competencies: 7.1, 7.3)

1

Pre-Clerkship

29

Demonstrates knowledge of the environmental impact of food production and how food choices can promote or diminish both personal and planetary health

Pre-Clerkship

30

Demonstrates knowledge of how to create culinary nutrition SMART goals for personal use and for patient care

Pre-Clerkship

31

Adding to current curriculum

MEDI 6110 : Pre-clerkship PCL: (2 hours – Anemia case and demonstration of how to conduct a nutrition history and read food labels.)

2

Clerkship

32

Clerkship

• Pediatrics
• OB/Gyn
• Surgery

Pediatrics: Academic ½ day currently includes FTT & nutritional deficiencies workup

OB/Gyn: Academic ½ day currently includes nutritional requirements & weight gain recs

Surgery: Academic ½ day currently includes perioperative nutrition, enteral, & parenteral feeding

12

Clerkship

33

4^th Year Family Medicine Elective: Food as Medicine

Clerkship

34

4^th Year Ambulatory Selective

Preventive medicine focus

Asynchronous module OR podcast + Quiz

Topic 1

• Nutrition self-assessment
• Focus on nutrition for chronic disease prevention

Topic 2

• Nutrition guidelines for HTN/CVD
• Case study & practical application

Topic 3

• Nutrition guidelines for DM/Obesity
• Case study & practical application

Topic 4

• Resources & evidence-based nutrition info
• When & how to consult RDN

4 

Enrichment