TY - JOUR T1 - Intern Doctors' Perception and Knowledge on Dietetics: A Cross-Sectional Study TT - İntörn Hekimlerin Diyetisyenlik Hakkında Algı ve Bilgisi: Kesitsel Bir Çalışma AU - Özsoy, Selen AU - Demirel Özbek, Yağmur AU - Aksoy, Alp Eren PY - 2024 DA - December Y2 - 2024 DO - 10.37989/gumussagbil.1508603 JF - Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi JO - Gümüşhane Sağlık Bilimleri Dergisi PB - Gumushane University WT - DergiPark SN - 2146-9954 SP - 1475 EP - 1484 VL - 13 IS - 4 LA - en AB - The aim of this study is to examine the level of knowledge and perspectives of intern doctors towards the dietetics profession. The sample of the cross-sectional and descriptive study consisted of intern doctors continuing their education at the Faculty of Medicine in Turkey. The study was completed with 147 intern doctors. A questionnaire form was used as a data collection tool in the study. As a result of the study, it was determined that approximately half of the intern doctors did not take a nutrition course during their medical education, and the intern doctors reported that the content of the nutrition course was inadequate. 69.4% of the intern doctors reported that at least one dietitian should work in each clinic, while 85.7% stated that the employment of dietitians should be increased. It was found that those who reported that there should be at least one dietitian in each clinic among the intern doctors also thought that the employment of dietitians should be increased and that the low number of dietitians affected the treatment process(p KW - Intern doctor KW - Dietitian KW - Nutrition Education KW - Doctor-dietician collaboration N2 - Bu araştırmada intörn hekimlerin diyetisyenlik mesleğine yönelik bilgi düzey ve bakış açılarının incelenmesi amaçlanmıştır. Yürütülen bu araştırma kesitsel ve tanımlayıcı tiptedir. Tanımlayıcı bu araştırmanın örneklemini Türkiye’de Tıp fakültesi son sınıf öğrencisi olan intörn hekimler oluşturmaktadır. Araştırma sonunda gönüllü olan 147 intörn hekime ulaşılmıştır. Araştırmada veri toplama aracı olarak anket formu kullanılmıştır. Araştırma sonucunda intörn hekimlerin yaklaşık yarısının tıp eğitimi boyunca beslenme dersi almadığı veya tıp eğitiminde verilen beslenme eğitimi içeriğinin yetersiz olduğunu belirtmiştir. İntörn hekimlerin %69.4’ ü her klinikte en az bir diyetisyenin görev alması gerekliliğini bildirirken; %85.7’sinin diyetisyen istihdamının arttırılması gerektiğini belirtmiştir. İntörn hekimlerden her klinikte en az bir diyetisyen olması gerektiğini bildirenlerin, diyetisyen istihdamının arttırılması gerektiği ve diyetisyen sayısının azlığının tedavi sürecini etkilediğini de düşündüğü saptanmıştır (p CR - 1. World Health Organization. Noncommunicable diseases. [internet]. 2021 [Erişim tarihi: May, 2024]. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases CR - 2. Centers for Disease Control and Prevention (CDC). Noncommunicable diseases. [internet]. 2022 [Erişim tarihi: May, 2024]. Erişim adresi: https://www.cdc.gov/globalhealth/healthprotection/ncd/index.html CR - 3. Di Daniele N. The Role of Preventive Nutrition in Chronic Non-Communicable Diseases. Nutrients. 2019;11(5):1074. CR - 4. Branca F, Lartey A, Oenema S, Aguayo V. Transforming the Food System to Fight Non-Communicable Diseases. BMJ. 2019;364:1296. CR - 5. Beck A, Andersen UT, Leedo E, Jensen LL. Does Adding A Dietician to the Liaison Team After Discharge of Geriatric Patients İmprove Nutritional Outcome: A Randomised Controlled Trial. Clinical Rehabilitationç 2015;29(11):1117-28. CR - 6. Noland D, Raj S. Academy Of Nutrition And Dietetics: Revised 2019 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, And Expert) in Nutrition in İntegrative and Functional Medicine. Journal of the Academy of Nutrition and Dietetics. 2019;119(6):1019-36. CR - 7. Hark LA, Deen D. Position of the Academy of Nutrition and Dietetics: İnterprofessional Education in Nutrition as an Essential Component of Medical Education. Journal of the Academy of Nutrition and Dietetics. 2017;117(7):1104-13. CR - 8. Kushner RF. Barriers to Providing Nutrition Counseling by Physicians: A Survey of Primary Care Practitioners. Preventive Medicine. 1995;24(6):546-52. CR - 9. Adamski M, Gibson S, Leech M, Truby H. Are Doctors Nutritionists? What is The Role of Doctors in Providing Nutrition Advice?. Nutrition Bulletin. 2018;43(2):147-52. CR - 10. Mogre V, Stevens FC, Aryee PA, Amalba A. Future Doctors' Perspectives on Health Professionals' Responsibility Regarding Nutrition Care and Why Doctors Should Learn About Nutrition: A Qualitative Study. Education for Health. 2019;32(2):91-4. CR - 11. Jones AM. Physician Knowledge, Attitudes, and Behaviors Towards Registered Dietitian Nutritionists. UNF Graduate Theses and Dissertations. 2021:1016. CR - 12. Rathomi HS, Dale T, Mavaddat N, Thompson SC. General Practitioners’ Knowledge, Attitudes, and Practices of Dietary Advice for Weight Control in Their Overweight Patients: a Scoping Review. Nutrients. 2023;15(13):2920. CR - 13. Burch E, Crowley J, Laur C, Ray S, Ball L. Dietitians' Perspectives on Teaching Nutrition to Medical Students. Journal of the American College of Nutrition. 2027;36(6):415-21. CR - 14. Kris-Etherton PM, Akabas SR, Douglas P, Kohlmeier M. Nutrition Competencies in Health Professionals' Education and Training: A New Paradigm. Advances in Nutrition. 2015;6(1):83-7. CR - 15. Mulquiney KJ, Tapley A, van Driel ML, et al. Referrals to dietitians/nutritionists: A cross-sectional analysis of Australian GP registrars' clinical practice. Nutr Diet. 2018;75(1):98-105. CR - 16. Sriram K, Cresci GA. Dietitians’ Role in Critical Care İnterdisciplinary Team Needs Better Recognition. Critical Care Medicine. 2022;50(7):e658-e659. CR - 17. Cresci GA, Hurt R, Rice TW, Mogensen K. Omission of Dietitian as İntegral Member of Critical Care Team. Critical Care Medicine. 2022;50(7):e661-e662e. CR - 18. Faul F, Erdfelder E, Buchner A, Lang A. Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses. Behavior Research Methods. 2009;41(4):1149-60. CR - 19. Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd Edition, Hillsdale, NJ:Erlbaum, 1988. CR - 20. Schoendorfer N, Gannaway D, Jukic K, Ulep R, Schafer J. Future Doctors' Perceptions About Incorporating Nutrition Into Standard Care Practice. Journal of the American College of Nutrition. 2017;36(7):565-71. CR - 21. Aggarwal M, Devries S, Freeman AM, Ostfeld R. The Deficit of Nutrition Education of Physicians. The American Journal of Medicine. 2018;131(4):339-45. CR - 22. Spencer EH, Frank E, Elon LK, Hertzberg VS. Predictors of Nutrition Counseling Behaviors and Attitudes in US Medical Students. The American Journal of Clinical Nutrition. 2006;84(3):655-62. CR - 23. Caines L, Asiedu Y, Dugdale T, Wu H. An Interprofessional Approach to Teaching Nutrition Counseling to Medical Students. MedEdPORTAL. 2018;14:10742. CR - 24. Amoore BY, Gaa PK, Ziblim SD, Mogre V. Preparedness of Medical Students to Provide Nutrition Care Following a Nutrition Education İntervention. BMC Research Notes. 2023;16(1):88. CR - 25. 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. Journal of the American College of Nutrition. 2008;27(2):287–98. CR - 26. Adams KM, Kohlmeier M, Zeisel SH. Nutrition Education in US Medical Schools: Latest Update of a National Survey. Academic Medicine. 2010;85(9):1537-42. CR - 27. Yona O, Goldsmith R, Endevelt R. Improved Meals Service and Reduced Food Waste and Costs in Medical Institutions Resulting from Employment of a Food Service Dietitian–A Case Study. Israel Journal of Health Policy Research. 2020;9:1-9. CR - 28. Howatson A, Wall C, Turner-Benny P. The Contribution of Dietitians to The Primary Health Care Workforce. Journal of Primary Health Care. 2015;7(4):324-32. CR - 29. Sikand G, Cole RE, Handu D, deWaal D. Clinical and Cost Benefits of Medical Nutrition Therapy by Registered Dietitian Nutritionists for Management of Dyslipidemia: A Systematic Review and Meta-Analysis. Journal of Clinical Lipidology. 2018;12(5):1113-22. CR - 30. Sikand G, Handu D, Rozga M, de Waal D, Wong ND. Medical Nutrition Therapy Provided by Dietitians is Effective and Saves Healthcare Costs in the Management of Adults with Dyslipidemia. Current Atherosclerosis Reports. 2023;25(6):331–42. CR - 31. Blunt SB, Kafatos A. Clinical Nutrition Education of Doctors and Medical Students: Solving The Catch 22. Advances in Nutrition. 2019;10(2):345-50. CR - 32. Derouin E, Picard G, Kerever S. Dieticians’ Practices in Intensive Care: A National Survey”. Clinical Nutrition ESPEN. 2021;45:245-51. CR - 33. Soguel L, Revelly JP, Schaller MD, Longchamp C, Berger, MM. Energy Deficit and Length of Hospital Stay Can Be Reduced by A Two-Step Quality Improvement of Nutrition Therapy: The Intensive Care Unit Dietitian Can Make The Difference. Critical Care Medicine. 2012;40(2):412-19. CR - 34. Mitchell LJ, Ball LE, Ross LJ, Barnes KA, Williams LT. Effectiveness of Dietetic Consultations in Primary Health Care: A Aystematic Review of Randomized Controlled Trials. Journal of the Academy of Nutrition and Dietetics. 2017;117(12):1941-62. CR - 35. Terblanche E, Jackson J, Wetherden J, Russell E, Lewis R. Dietetic-Led Critical Care Nutrition Interventions Provided to Critically Ill Patients with COVID-19 in A Large London Teaching Hospital from March 2020 to April 2021. Clinical Nutrition ESPEN. 2022;48:484. CR - 36. Alsamani AS, Aldubayan K, Almuhtadi Y, Aladel A. Physicians’ Perceptions of Dietitians’ Services and Roles in Riyadh, Kingdom of Saudi Arabia. Saudi Journal of Health Systems Research. 2023;3(1-4):107-15. 37. Sastre LR, Van Horn LT. Family Medicine Physicians’ Report Strong Support, Barriers and Preferences for Registered Dietitian Nutritionist Care in The Primary Care Setting. Family Practice. 2021;38(1):25-31. 38. Davidson AR, Braham S, Dasey L, Reidlinger DP. Physicians’ Perspectives on the Treatment of Patients with Eating Disorders in the Acute Setting. Journal of Eating Disorders. 2019;7:1-9. 39. Green BN, Johnson CD. Interprofessional Collaboration in Research, Education, and Clinical Practice: Working Together for A Better Future. Journal of Chiropractic Education. 2015;29(1):1-10. CR - 40. Ray S, Laur C, Douglas P, Rajput-Ray M. Nutrition Education and Leadership for Improved Clinical Outcomes: Training and Supporting Junior Doctors to Run ‘Nutrition Awareness Weeks’ in Three NHS Hospitals across England. BMC Medical Education. 2014;14:1-11. UR - https://doi.org/10.37989/gumussagbil.1508603 L1 - https://dergipark.org.tr/en/download/article-file/4037327 ER -