Abstract
Residents are actively involved in patient assessment and all aspects of patient care, and they are critical in providing nutritional support education and treatment for patients with cancer. This study aims to assess the nutritional knowledge and performance of resident physicians, providing insights into existing gaps in awareness and practices related to cancer nutrition. A total of 300 resident physicians undergoing standardized residency training in China participated in this study. An anonymous online questionnaire covering demographic characteristics, nutritional knowledge, clinical practice, and training requirements was designed and administered through the “Wenjuanxing” platform. Data were collected from June 1, 2023, to July 31, 2023. Among the participants, only 40.00% demonstrated adequate knowledge of cancer nutrition, and merely 32.00% exhibited proficient performance in nutritional care. Socio-demographic analysis revealed that residents without affiliations and those specializing in obstetrics and gynecology had superior knowledge, while surgery specialists showed significantly worse performance. Most participants expressed a lack of exposure to cancer nutrition education during academic and standardized residency training. The study highlights the demand for enhanced education and the preference for case-based teaching methods. The findings underscore an urgent need for comprehensive oncology nutrition education within China’s standardized residency training. Targeted interventions and curriculum enhancements are essential to improve medical talent development and enhance patient care outcomes in oncology. The study emphasizes the critical role of practical, case-based teaching methods in addressing identified gaps in nutritional knowledge and practices among resident physicians.
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References
Arends J (2018) Struggling with nutrition in patients with advanced cancer: nutrition and nourishment—focusing on metabolism and supportive care. Ann Oncol. 29:ii27–ii34. https://doi.org/10.1093/annonc/mdy093
Tajan M, Vousden KH (2020) Dietary approaches to cancer therapy. Cancer Cell 37(6):767–785. https://doi.org/10.1016/j.ccell.2020.04.005
Cederholm T, Jensen GL, Correia MITD et al (2019) GLIM criteria for the diagnosis of malnutrition – a consensus report from the global clinical nutrition community. Clin Nutr 38(1):1–9. https://doi.org/10.1016/j.clnu.2018.08.002
Nishikawa H, Goto M, Fukunishi S, Asai A, Nishiguchi S, Higuchi K (2021) Cancer cachexia: its mechanism and clinical significance. Int J Mol Sci 22(16):8491. https://doi.org/10.3390/ijms22168491
Kanarek N, Petrova B, Sabatini DM (2020) Dietary modifications for enhanced cancer therapy. Nature 579(7800):507–517. https://doi.org/10.1038/s41586-020-2124-0
Malnutrition and quality of life in Chinese cancer. J Nutrit Oncol . LWW. https://doi.org/10.34175/jno202101002
Impact of malnutrition as defined by the GLIM criteria on treatment outcomes in patients with cancer: A systematic review and meta-analysis - ScienceDirect. https://www.sciencedirect.com/science/article/pii/S0261561423000559. Accessed 14 Dec 2023
Caccialanza R, Cereda E, Pinto C et al (2016) Awareness and consideration of malnutrition among oncologists: insights from an exploratory survey. Nutrition 32(9):1028–1032. https://doi.org/10.1016/j.nut.2016.02.005
Sonmez O, Tezcanli E, Bas D et al (2022) Identifying knowledge and practices regarding cancer patient malnutrition: a survey study among oncologists. Nutr Cancer 74(7):2392–2399. https://doi.org/10.1080/01635581.2021.2008987
Keaver L, Connolly P, Richmond J (2021) Providing nutrition advice in the oncology setting: a survey of current practice, awareness of guidelines and training needs of Irish healthcare professionals in three hospitals. Eur J Cancer Care (Engl) 30(4):e13405. https://doi.org/10.1111/ecc.13405
Crowley J, Ball L, Hiddink GJ (2019) Nutrition in medical education: a systematic review. Lancet Planet Health 3(9):e379–e389. https://doi.org/10.1016/S2542-5196(19)30171-8
Mogre V, Stevens FCJ, Aryee PA, Amalba A, Scherpbier AJJA (2018) Why nutrition education is inadequate in the medical curriculum: a qualitative study of students’ perspectives on barriers and strategies. BMC Med Educ 18(1):26. https://doi.org/10.1186/s12909-018-1130-5
Lio J, Dong H, Ye Y, Cooper B, Reddy S, Sherer R (2016) Standardized residency programs in China: perspectives on training quality. Int J Med Educ 7:220–221. https://doi.org/10.5116/ijme.5780.9b85
Wang H, He J, Zhang D, Wu Y, Wang P, Cai H (2020) Investigation and analysis of standardized training for residents of general practitioners of Gansu Province in China. BMC Fam Pract 21(1):112. https://doi.org/10.1186/s12875-020-01185-y
Liu X, Feng J, Liu C et al (2023) Medical education systems in China: development, status, and evaluation. Acad Med 98(1):43. https://doi.org/10.1097/ACM.0000000000004919
Min Zon, Yan-Qiu Chen, Xia Liu, Hua Xie, Mei-Fang Zhang, Jian-Qin Sun (2020) Clinical nutrition knowledge, attitude and practice of medical interns in Shanghai: Contributory factors. Asia Pac J Clin Nutr 29(1). https://doi.org/10.6133/apjcn.202003_29(1).0011
Adams KM, Kohlmeier M, Powell M, Zeisel SH (2010) Nutrition in medicine. Nutr Clin Pract 25(5):471–480. https://doi.org/10.1177/0884533610379606
Huang SL, Chen Q, Liu Y (2018) Medical resident training in China. Int J Med Educ 9:108–110. https://doi.org/10.5116/ijme.5ad1.d8be
Deng G, Zhao D, Lio J et al (2019) Strategic elements of residency training in China: transactional leadership, self-efficacy, and employee-orientation culture. BMC Med Educ 19:355. https://doi.org/10.1186/s12909-019-1792-7
Afrin S, AlAshqar A, El Sabeh M et al (2021) Diet and nutrition in gynecological disorders: a focus on clinical studies. Nutrients 13(6):1747. https://doi.org/10.3390/nu13061747
Lorenzon L, Brandl A, Guiral DC et al (2020) Nutritional assessment in surgical oncology: an ESSO-EYSAC global survey. Eur J Surg Oncol 46(11):2074–2082. https://doi.org/10.1016/j.ejso.2020.08.028
Abu Farha RJ, Zein MH, Al KS (2021) Introducing integrated case-based learning to clinical nutrition training and evaluating students’ learning performance. J Taibah Univ Med Sci 16(4):558–564. https://doi.org/10.1016/j.jtumed.2021.03.005
Bi M, Zhao Z, Yang J, Wang Y (2019) Comparison of case-based learning and traditional method in teaching postgraduate students of medical oncology. Med Teach 41(10):1124–1128. https://doi.org/10.1080/0142159X.2019.1617414
Funding
This study was supported by the National Natural Science Foundation of China (Grant No. 82103498) and Teaching Reform Project of Second Affiliated Hospital of Zhejiang University School of Medicine (No. 20210204 and No. 20210207).
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Chen, H., Shui, Y., Tan, Y. et al. Bridging Gaps in Oncology Nutrition Education and Teaching: A Comprehensive Analysis of Resident Physicians in China. J Canc Educ (2024). https://doi.org/10.1007/s13187-024-02434-9
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DOI: https://doi.org/10.1007/s13187-024-02434-9