Skip to content
Licensed Unlicensed Requires Authentication Published by De Gruyter August 1, 2015

Basic nutrition knowledge of recent medical graduates entering a pediatric residency program

  • Marigold Castillo EMAIL logo , Ronald Feinstein , James Tsang and Martin Fisher

Abstract

Objective:

This study assesses the basic nutritional knowledge of fourth year medical/osteopathic school graduates entering a pediatric residency program and compares the knowledge of the medical students to that of the patients and parents who completed the same survey previously.

Methods:

Medical and osteopathic school graduates entering a pediatric residency program completed an 18-question nutrition survey during resident orientation in June of 2011 and 2012.

Results:

The incoming interns averaged answering 52% of the questions correctly. Interns did better than both groups but the only statistically significant difference was between the interns and the non-eating disorder adolescents and their parents (p<0.001).

Conclusion:

Incoming residents to a pediatric residency program appear to be deficient in basic nutritional knowledge. With the ever increasing burden of obesity and its associated co-morbidities on society, it is imperative that medical education focuses on preparing physicians to appropriately counsel all populations on proper nutrition.

Appendix

1. What is the daily recommended amount of calories for a moderately active adolescent female (14–18 years of age)?

a. 1000–1200 calories

b. 1400–1600 calories

c. 2000–2200 calories

d. 2400–2800 calories

2. What is the daily recommended amount of calories for a moderately active adolescent male (14–18 years of age)?

a. 1000–1200 calories

b. 1400–1600 calories

c. 2000–2200 calories

d. 2400–2800 calories

3. What percentage of an adolescent’s total daily calories should come from carbohydrates?

a. 20%–29%

b. 30%–39%

c. 40%–49%

d. 50%–59%

4. What percentage of an adolescent’s total daily calories should come from proteins?

a. 10%–20%

b. 21%–30%

c. 31%–40%

d. 41%–50%

5. What percentage of an adolescent’s total daily calories should come from fats?

a. 5%–15%

b. 16%–24%

c. 25%–35%

d. 36%–45%

6. Approximately how many calories will a person “burn” whilerunningone mile?

a. 10 calories

b. 100 calories

c. 1000 calories

d. 10,000 calories

7. Approximately how many calories will a person “burn” whilewalking2 miles?

a. 50 calories

b. 100 calories

c. 200 calories

d. 300 calories

8. To lose the equivalent of 1 pound, approximately how many calories does an individual have to “burn”?

a. 35 calories

b. 350 calories

c. 3500 calories

d. 35,000 calories

9. Approximately, how many calories are in a medium-sized banana?

a. 10 calories

b. 100 calories

c. 200 calories

d. 300 calories

10. Approximately, how many calories are in a three ounce piece of plain grilled chicken?

a. 100 calories

b. 175 calories

c. 250 calories

d. 350 calories

11. Approximately, how many calories are in a regular 12 ounce can of soda?

a. 70 calories

b. 140 calories

c. 280 calories

d. 560 calories

12. What mineral is important for growing bones?

a. sodium

b. potassium

c. fluoride

d. calcium

13. A lacto-vegetarian diet excludes all of the followingexcept?

a. eggs

b. fish

c. fowl

d. cheese

14. The amount of sodium in 8 ounces of the most popular sport drink is?

a. 110 mg

b. 150 mg

c. 180 mg

d. 200 mg

15. Three ounces of meat are about the size of?

a. deck of cards

b. a large bottle of soda

c. a library book

d. a key

16. One cup of raw vegetables is about the size of?

a. Frisbee

b. regular light bulb

c. large bottle of soda

d. a library book

17. How many calories are in the following: a 4 ounce cheeseburger on a bun with one slice of cheese?

a. 200–300

b. 500–600

c. 700–800

d. 1000–1100

18. How many calories are in the following: a 4 ounce turkey sandwich on a roll with a banana and 1 ounce of pretzels?

a. 200–300

b. 500–600

c. 700–800

d. 1000–1100

References

1. Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey. Available at: http://www.cdc.gov/nchs/nhanes.htm.Search in Google Scholar

2. Office of Disease Prevention and Health Promotion. Healthy People 2020: leading health indicators: nutrition, physical activity and obesity. Available at: https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Nutrition-Physical-Activity-and-Obesity. Accessed February 2015.Search in Google Scholar

3. Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributable to obesity: payer- and service-specific estimates. Health Aff 2009;28:w822–31.10.1377/hlthaff.28.5.w822Search in Google Scholar PubMed

4. International Food Information Council Foundation. 2011 Food & health survey: consumer attitudes toward food safety, nutrition & health. Available at: http://www.foodinsight.org/2011_Food_Health_Survey_Consumer_Attitudes_Toward_Food_Safety_Nutrition_Health. Accessed February 2015.Search in Google Scholar

5. Bipartisan Policy Center. Teaching nutrition and physical activity in medical school: training doctors for prevention-oriented care. Available at: http://bipartisanpolicy.org/events/teaching-nutrition-and-physical-activity-medical-school-training-doctors-prevention/.Search in Google Scholar

6. Castillo M, Feinstein R, Tsang J, Fisher M. An assessment of basic nutrition knowledge of adolescents with eating disorders and their parents. Int J Adolesc Med Health 2015;27:11–17.10.1515/ijamh-2013-0340Search in Google Scholar PubMed

7. Raman M, Violato C, Coderre S. How much do gastroenterology fellows know about Nutrition?. J Clin Gastroenterol 2009;43:559–64.10.1097/MCG.0b013e318172d647Search in Google Scholar PubMed

8. Vetter ML, Herring SJ, Sood M, Shah NR, Kalet AL. What do resident physicians know about nutrition? An evaluation of attitudes, self-perceived proficiency and knowledge. J Am Coll Nutr 2008;27:287–98.10.1080/07315724.2008.10719702Search in Google Scholar PubMed PubMed Central

9. Adams KM, Kohlmeier M, Zeisel SH. Nutrition education in U.S. medical schools: latest update of a national survey. Acad Med 2010;85:1537–42.10.1097/ACM.0b013e3181eab71bSearch in Google Scholar PubMed PubMed Central

10. Dietz, WH, Stern L, editors. Nutrition: what every parent needs to know, 2nd ed. Grove Village, IL: American Academy of Pediatrics, 2012: 384pp.Search in Google Scholar

11. United States Department of Agriculture. Available at: http://www.choosemyplate.gov/supertracker-tools/daily-food-plans.html. Accessed February 2015.Search in Google Scholar

12. American Academy of Pediatrics Committee on Nutrition. Pediatric nutrition handbook, 6th ed. Village Grove, IL: American Academy of Pediatrics, 2009: 1470pp.Search in Google Scholar

Received: 2015-3-17
Accepted: 2015-4-7
Published Online: 2015-8-1
Published in Print: 2016-11-1

©2016 Walter de Gruyter GmbH, Berlin/Boston

Downloaded on 27.9.2023 from https://www.degruyter.com/document/doi/10.1515/ijamh-2015-0019/pdf
Scroll to top button