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Some nutrition training for physician is great. But there are real issues this runs into:
1. Nutrition is a 4+yr degree/clinical training. Med school curriculum at most is going to add a few hours. There will never be time to adequately teach nutrition to physicians. They'll at most learn a few high level things (which is good, mostly)
2. Physicians could know a ton about nutrition and it wouldn't change the fact most get 15 minute visits to cover the entirety of the patient's medical care. Nutrition assessment (incl an adequate diet history) and counseling takes typically an hour. When will physicians have time for this? Also who will pay for it?
3. Dietitians already exist, have extensive training in nutrition, are underutilized, and ~10X cheaper than physicians. Why aren't we elevating the trained professionals we have over trying to train others to do their jobs with a few hours of education? Most RD visits still aren't covered by insurance unless you already have a chronic dz like diabetes or ckd.
4. While I think some more nutr edu for physicians could be a net good, it won't come without harm. Every RD has patients who had a nutrition enthusiast physician who took 5mins of the visit to give them a BMI targets and kcal count, told them to follow an extreme diet, and sent them on their way with no support.
5. Support - the best evidence we have for lifestyle combined multi-pronged interventions led by RDs, exercise physiologist, gives access to exercise equipment and self monitoring tools, provides healthy foods and cooking equipment, etc. These begin to address systemic failures rather than assuming a simple knowledge deficit that can be fixed with 5min of edu from a physician about nutrition during their visit.
The US needs to decide if it wants its doctors to also be dietitians and public health social workers or if it’s willing to fund access to those professionals for patients.
We got a whole block of nutrition education in med school. It wasn’t especially practical.
Trump: They want very, very little water to go into your dishwasher, almost none. And you know what people do? They just keep pressing, pressing, pressing, keep it going. They end up using more water. Likewise, washing machines.
@HPbasketball When was the last time that the East was better top to bottom? I can’t remember a time. I say this while desperately praying the Grizzlies get moved to the East.
Hey it's me Destin, from Smarter Every Day. Now that it's time to elect America's next leader, I would like to share something very interesting and important with you. I've been paying attention to this for a while, and I think if you look for it, you see it too.
🧵 1/n
Hey it's me Destin, from Smarter Every Day. Now that it's time to elect America's next leader, I would like to share something very interesting and important with you. I've been paying attention to this for a while, and I think if you look for it, you see it too.
🧵 1/n
@RedditCFB In the last 20 years, they had 2 good years in the American and 2 good years in CUSA, other than that, very mediocre. They got in because they are big Texas market and have good basketball.