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Nutrition
education medical curriculum
Rakesh Tandon.
Pushpawati Singhania Research Institute for
Liver, Renal and Digestive Diseases, New Delhi,
India.
It is well
recognized the nutrition plays a major role
in causation and perpetuation of a number of
disease specially infective disorders, so prevalent
in Asia Pacific region. Futhermore, improving
the nutrition of the patient is as important
as the specific therapy in the management of
severe acute as well as chronic debilitating
diseases. Literature supports strongly that
establishment of a nutrition support service
in a hospital would result in a decrease in
morbidity and mortality and the overall cost
of treatment of the patients. The nutritional
support is best provided by a team comprised
of a dietition, nutritionist, nurse, pharmacist
and the treating physician. The physician should
however, be the leader of the team and should
prescribe the specific nutritional therapy for
his/her patient. Unfortunately, adequate nutritional
support is often seen missing from the treatment
chart of hospitalized patients because the physician
has not even thought of it. Similarly, diet
related questions posed by the out-patients
are often brushed aside casually by the physicians.
The main reason is lack of knowledge as also
the appreciation of the importance of the nutritional
aspect of treatment. The fault lies in the present
undergraduate medical education system. But
for a few lectures on the basics of nutritional
principles during physiology courses and on
community nutrition during the clinical training,
the undergraduate curricula do not include any
teaching on nutritional support. The best time
to teach the principles of nutrition and methods
of nutritional support is when lectures are
being given on the clinical aspects of diseases.
Along with the specific therapy the overall
management including the nutritional support
should be emphasized. The routes of administration
and the formulations available should also be
told to the students. This will dig in them
concept that nutritional support is a part of
the disease management. It is easier to train
the young fresh graduates than to teach new
concepts to well established old physicians.
From "The 10th Congress of PENSA" Dusit
Resort Pattaya, Chonburi, Thailand, October
27--29, 2004 : Page 50
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