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From University Farm to Kids: Teaching and Learning with Fresh, Local Produce Author(s): T. Vitale, H. Wengreen, S. Bevan; Nutrition, Dietetics & Food Sciences, Utah State University, Logan, UT Learning Outcome: Exposure to a project that allowed dietetic students to use student organic farm produce to practice service learning concepts including teamwork, teaching and communication skills, food literacy, and basic gardening and food preparation skills. The objective of this project was to provide dietetic students with experiential learning and teaching opportunities that built awareness of the interrelatedness of dietetics, food production and personal well- being. Dietetic students provided sensory learning experiences to second and fifth graders attending a Title I elementary school in Northern Utah. Approximately 150 second and fifth graders traveled by bus to the Utah State University (USU) student organic farm. USU dietetics students developed and led activities at learning stations that included plant identification, growth habits, hoop houses, composting, and harvesting. The field trip culminated with tasting experiences using produce harvested from the farm. Elementary school students returned to school with produce and recipes to share with their families. Teaching children these concepts provided invaluable service learning experiences to dietetic students and skill development in teamwork, planning, curriculum development, farming and food preparation skills, and competence in promoting vegetable consumption by using interactive teaching methods. Students wrote reflection essays following the experience reporting that they had broadened their perspectives about the potential scope of practice for dietetics professionals in many aspects of the food system. Childhood obesity prevention is at the forefront of national health concerns. Dietetic practitioners must be competent in methods to increase exposure to healthy, delicious foods and utilize teaching methods that increase motivation to consume those foods. Funding Disclosure: Carol M. White PE Grant Nutrition Education for Practicing Physicians: A Novel Online Practice-Oriented Nutrition Program for Medical Residents and Fellows Author(s): K. M. Adams, M. Kohlmeier, S. H. Zeisel; Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC Learning Outcome: Participants will be able to explain the scope of nutrition education modules and obtain access information for providing this free resource to residents and fellows at their home institutions. Although physicians agree that nutrition is an important component of modern medical practice, they do not have a high comfort level in conducting nutrition assessment and prescribing interventions. Lack of knowledge of nutrition guidelines, and especially how to apply those guidelines to a particular patient, is a critical barrier. To bridge the gap, the Nutrition in Medicine (NIM) project is developing a free, online, comprehensive nutrition curriculum for residents, fellows, and other practicing physicians. The NIM project has a long history of curriculum development and implementation for medical students. The new Nutrition Education for Practicing Physicians (NEPP) initiative employs the same successful platform used by medical students. NEPP is bringing evidence-based clinical nutrition education to medical residents, preparing them to address the major nutrition-related health concerns encountered in everyday practice. Our innovative approach creates very brief learning units (15 minutes or less), allowing busy residents to get maximum educational benefit in the shortest time period. We use interactive clinical scenarios as practice exercises with immediate feedback on performance as part of the learning process. As part of our evaluation, we are examining how physicians alter their nutrition practice behaviors. We expect that this unique curriculum for medical practitioners will ultimately improve patient outcomes. Funding Disclosure: NIH National Cancer Institute Health U.: A Nutrition and Physical Activity Curriculum Designed for Teens and Young Adults with Intellectual Disabilities Author(s): R. Scampini, R. Fleming, C. Curtin, L. Bandini; Eunice Kennedy Shriver Center, University of Massachusetts Medical School, Waltham, MA Learning Outcome: Participants will learn methods used to design and adapt curriculum materials to accommodate the cognitive abilities of a student with intellectual disabilities. Relevance: Despite an abundance of nutrition education and weight-loss programs for typically developing youth, there are limited resources available for adolescents with intellectual disabilities (ID). Priority: As part of a family-based weight loss intervention for adolescents with ID, we developed “Health U.”, a weight reduction program designed specifically for adolescents with ID that featured a nutrition and physical activity core. Results: “Health U.” was pilot-tested in 21 teens and young adults with Down syndrome ages 13-26. Participants receiving the intervention attended 16 weeks of classes held over 6 months. Classes alternated between nutrition and physical activity themes about healthy choices the participants could make independently. Topics included: food variety during meals; portion control; dining out; daily consumption of fruits, vegetables and low-fat dairy; cardiovascular, strength, and stretching activities; and healthy snack and drink choices. The curriculum was designed to accommodate the participant’s cognitive abilities; sessions were highly interactive and included hands-on activities such as identifying and measuring correct portions of foods, practicing adapted strengthening activities, and swapping higher calorie/fat choices for healthy meal choices. There was also a weekly “taste test” to encourage participants to try a novel food to expand their repertoire. The program also included interactive games and emphasized mutual support and encouragement among the participants and family members. Synthesis: Participation and retention were 90%, and parent feedback indicated high enjoyment and satisfaction with the program. The Health U. curriculum is a novel approach to nutrition and physical activity education in adolescents with ID. Funding Disclosure: NIDDK R03DK070627-01A2 Standardized Patient Simulation Increases Student Self-Efficacy Prior to Supervised Practice Author(s): M. L. Nahikian-Nelms, K. Wolf, N. E. Ridgway; Medical Dietetics, The Ohio State University, Columbus, OH Learning Outcome: The participant will be able to critically evaluate the use of standardized patients as an additional educational approach to prepare students for supervised practice. Self-efficacy, derived from social cognitive theory, is a belief in one’s capability to use cognitive resources, motivation, and courses of action to meet task demands. Self-efficacy influences individual choices, emotional reactions, effort and persistence on a task. This thought process can assist in bridging the gap between knowledge and performance. Scholars of self-efficacy describe four types of experiences that are integral to development of self-efficacy: successful previous experience, modeling, verbal persuasion, and physiological stresses. Educators and practitioners often note that students have excellent knowledge, but have difficulty in translating that knowledge to practice. Historically, dietetics programs have used case studies to assist students in bridging knowledge to practice with mixed results. The Medical Dietetics Program at Ohio State has begun the use of a clinical skills laboratory and standardized patients (SP). In preparation for this experience, students complete several case studies designed from the medical record, physician’s history and physical and laboratory reports. For the SP experience, students access the medical record electronically prior to conducting the initial nutrition encounter with the trained standardized actors. The assessments, interviews and counseling sessions are video-taped for evaluation by both faculty and student. Evaluation includes pre/post measures of self-efficacy; completion of competency check-list by the SP and the faculty member. This program provides initial patient contact in a non-stress environment with an opportunity for clinical decision-making. Students report a higher self-efficacy toward patient contact and for their ability to successfully complete the nutrition assessment, education and counseling after this experience. Funding Disclosure: None MONDAY, NOVEMBER 8 POSTER SESSION: SCIENCE/EDUCATION/MANAGEMENT/FOODSERVICE/CULINARY/RESEARCH A-62 / September 2010 Suppl 2—Abstracts Volume 110 Number 9

Nutrition Education for Practicing Physicians: A Novel Online Practice-Oriented Nutrition Program for Medical Residents and Fellows

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Page 1: Nutrition Education for Practicing Physicians: A Novel Online Practice-Oriented Nutrition Program for Medical Residents and Fellows

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POSTER SESSION: SCIENCE/EDUCATION/MANAGEMENT/FOODSERVICE/CULINARY/RESEARCH

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rom University Farm to Kids: Teaching and Learning withresh, Local Produce

uthor(s): T. Vitale, H. Wengreen, S. Bevan; Nutrition, Dietetics &ood Sciences, Utah State University, Logan, UT

earning Outcome: Exposure to a project that allowed dietetictudents to use student organic farm produce to practice serviceearning concepts including teamwork, teaching and communicationkills, food literacy, and basic gardening and food preparation skills.

he objective of this project was to provide dietetic students withxperiential learning and teaching opportunities that built awarenessf the interrelatedness of dietetics, food production and personal well-eing. Dietetic students provided sensory learning experiences toecond and fifth graders attending a Title I elementary school inorthern Utah. Approximately 150 second and fifth graders traveledy bus to the Utah State University (USU) student organic farm.SU dietetics students developed and led activities at learning

tations that included plant identification, growth habits, hoopouses, composting, and harvesting. The field trip culminated withasting experiences using produce harvested from the farm.lementary school students returned to school with produce andecipes to share with their families. Teaching children these conceptsrovided invaluable service learning experiences to dietetic studentsnd skill development in teamwork, planning, curriculumevelopment, farming and food preparation skills, and competence inromoting vegetable consumption by using interactive teachingethods. Students wrote reflection essays following the experience

eporting that they had broadened their perspectives about theotential scope of practice for dietetics professionals in many aspectsf the food system. Childhood obesity prevention is at the forefront ofational health concerns. Dietetic practitioners must be competent inethods to increase exposure to healthy, delicious foods and utilize

eaching methods that increase motivation to consume those foods.

unding Disclosure: Carol M. White PE Grant

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utrition Education for Practicing Physicians: A Novel Onlineractice-Oriented Nutrition Program for Medical Residentsnd Fellows

uthor(s): K. M. Adams, M. Kohlmeier, S. H. Zeisel; Departmentf Nutrition, University of North Carolina at Chapel Hill, Chapelill, NC

earning Outcome: Participants will be able to explain the scope ofutrition education modules and obtain access information forroviding this free resource to residents and fellows at their homenstitutions.

lthough physicians agree that nutrition is an important componentf modern medical practice, they do not have a high comfort level inonducting nutrition assessment and prescribing interventions. Lackf knowledge of nutrition guidelines, and especially how to applyhose guidelines to a particular patient, is a critical barrier. To bridgehe gap, the Nutrition in Medicine (NIM) project is developing a free,nline, comprehensive nutrition curriculum for residents, fellows, andther practicing physicians. The NIM project has a long history ofurriculum development and implementation for medical students.he new Nutrition Education for Practicing Physicians (NEPP)

nitiative employs the same successful platform used by medicaltudents. NEPP is bringing evidence-based clinical nutritionducation to medical residents, preparing them to address the majorutrition-related health concerns encountered in everyday practice.ur innovative approach creates very brief learning units (15inutes or less), allowing busy residents to get maximum educational

enefit in the shortest time period. We use interactive clinicalcenarios as practice exercises with immediate feedback onerformance as part of the learning process. As part of ourvaluation, we are examining how physicians alter their nutritionractice behaviors. We expect that this unique curriculum for medicalractitioners will ultimately improve patient outcomes.

unding Disclosure: NIH National Cancer Institute

-62 / September 2010 Suppl 2—Abstracts Volume 110 Number 9

ealth U.: A Nutrition and Physical Activity Curriculum Designedor Teens and Young Adults with Intellectual Disabilities

uthor(s): R. Scampini, R. Fleming, C. Curtin, L. Bandini; Euniceennedy Shriver Center, University of Massachusetts Medical School,altham, MA

earning Outcome: Participants will learn methods used to design anddapt curriculum materials to accommodate the cognitive abilities of atudent with intellectual disabilities.

elevance: Despite an abundance of nutrition education and weight-lossrograms for typically developing youth, there are limited resourcesvailable for adolescents with intellectual disabilities (ID).

riority: As part of a family-based weight loss intervention fordolescents with ID, we developed “Health U.”, a weight reductionrogram designed specifically for adolescents with ID that featured autrition and physical activity core.

esults: “Health U.” was pilot-tested in 21 teens and young adults withown syndrome ages 13-26. Participants receiving the interventionttended 16 weeks of classes held over 6 months. Classes alternatedetween nutrition and physical activity themes about healthy choices thearticipants could make independently. Topics included: food varietyuring meals; portion control; dining out; daily consumption of fruits,egetables and low-fat dairy; cardiovascular, strength, and stretchingctivities; and healthy snack and drink choices. The curriculum wasesigned to accommodate the participant’s cognitive abilities; sessionsere highly interactive and included hands-on activities such as

dentifying and measuring correct portions of foods, practicing adaptedtrengthening activities, and swapping higher calorie/fat choices forealthy meal choices. There was also a weekly “taste test” to encouragearticipants to try a novel food to expand their repertoire. The programlso included interactive games and emphasized mutual support andncouragement among the participants and family members.

ynthesis: Participation and retention were 90%, and parent feedbackndicated high enjoyment and satisfaction with the program. The Health. curriculum is a novel approach to nutrition and physical activity

ducation in adolescents with ID.

unding Disclosure: NIDDK R03DK070627-01A2

tandardized Patient Simulation Increases Studentelf-Efficacy Prior to Supervised Practice

uthor(s): M. L. Nahikian-Nelms, K. Wolf, N. E. Ridgway; Medicalietetics, The Ohio State University, Columbus, OH

earning Outcome: The participant will be able to criticallyvaluate the use of standardized patients as an additionalducational approach to prepare students for supervised practice.

elf-efficacy, derived from social cognitive theory, is a belief in one’sapability to use cognitive resources, motivation, and courses ofction to meet task demands. Self-efficacy influences individualhoices, emotional reactions, effort and persistence on a task. Thishought process can assist in bridging the gap between knowledgend performance. Scholars of self-efficacy describe four types ofxperiences that are integral to development of self-efficacy:uccessful previous experience, modeling, verbal persuasion, andhysiological stresses. Educators and practitioners often note thattudents have excellent knowledge, but have difficulty in translatinghat knowledge to practice. Historically, dietetics programs have usedase studies to assist students in bridging knowledge to practice withixed results. The Medical Dietetics Program at Ohio State has

egun the use of a clinical skills laboratory and standardized patientsSP). In preparation for this experience, students complete severalase studies designed from the medical record, physician’s historynd physical and laboratory reports. For the SP experience, studentsccess the medical record electronically prior to conducting the initialutrition encounter with the trained standardized actors. Thessessments, interviews and counseling sessions are video-taped forvaluation by both faculty and student. Evaluation includes pre/posteasures of self-efficacy; completion of competency check-list by theP and the faculty member. This program provides initial patientontact in a non-stress environment with an opportunity for clinicalecision-making. Students report a higher self-efficacy toward patientontact and for their ability to successfully complete the nutritionssessment, education and counseling after this experience.

unding Disclosure: None