Abstract
Objective:To assess the knowledge, attitudes, and practices of internal medicine residents concerning dietary counseling for hypercholesterolemic patients.
Design:Cross-sectional, self-administered questionnaire survey.
Setting:Survey conducted August 1989 in seven internal medicine residency programs in four southeastern and middle Atlantic states.
Participants:All 130 internal medicine residents who were actively participating in outpatient continuity clinic.
Interventions:None.
Measurements and main results:Only 32% of the residents felt prepared to provide effective dietary counseling, and only 25% felt successful in helping patients change their diets. Residents had good scientific knowledge, but the degree of practical knowledge about dietary facts varied. Residents reported giving dietary counseling to 58% of their hypercholesterolemic patients and educational materials to only 35%. Residents who felt more self-confident and prepared to counsel reported more frequent use of effective behavior modification techniques in counseling. Forty-three percent of residents had received no training in dietary counseling skills during medical school or residency.
Conclusion:Internal medicine residents know much more about the rationale for treatment for hypercholesterolemia than about the practical aspects of dietary therapy, and they feel ineffective and ill-prepared to provide dietary counseling to patients.
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Supported by the University of North Carolina Faculty Development Fellowship Program in General Medicine and General Pediatrics (54004-05, Bureau of Health Professions, Washington, DC) and by grants from the Medical Foundation of North Carolina, the Georgia Affiliate of the American Heart Association, and the Geisinger Foundation.
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Levine, M.A., Grossman, R.S., Darden, P.M. et al. Dietary counseling of hypercholesterolemic patients by internal medicine residents. J Gen Intern Med 7, 511–516 (1992). https://doi.org/10.1007/BF02599455
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DOI: https://doi.org/10.1007/BF02599455