What Do Resident Physicians Know about Nutrition? An Evaluation of Attitudes, Self-Perceived Proficiency and Knowledge

TLDR

The study aimed to assess internal medicine interns’ attitudes, self‑perceived proficiency, and knowledge regarding clinical nutrition. A survey of 114 interns used validated questionnaires to gauge attitudes and self‑perceived proficiency, and a multiple‑choice quiz to measure nutrition knowledge. Although most interns view nutrition counseling as a priority, only 14% feel adequately trained, and no link exists between attitudes, self‑perceived proficiency, or knowledge, with prior nutrition education surprisingly linked to lower self‑efficacy.

Abstract

Objective: Despite the increased emphasis on obesity and diet-related diseases, nutrition education remains lacking in many internal medicine training programs. We evaluated the attitudes, self-perceived proficiency, and knowledge related to clinical nutrition among a cohort of internal medicine interns.Methods: Nutrition attitudes and self-perceived proficiency were measured using previously validated questionnaires. Knowledge was assessed with a multiple-choice quiz. Subjects were asked whether they had prior nutrition training.Results: Of the 114 participants, 61 (54%) completed the survey. Although 77% agreed that nutrition assessment should be included in routine primary care visits, and 94% agreed that it was their obligation to discuss nutrition with patients, only 14% felt physicians were adequately trained to provide nutrition counseling. There was no correlation among attitudes, self-perceived proficiency, or knowledge. Interns previously exposed to nutrition education reported more negative attitudes toward physician self-efficacy (p = 0.03).Conclusions: Internal medicine interns’ perceive nutrition counseling as a priority, but lack the confidence and knowledge to effectively provide adequate nutrition education.