Student Perceptions of Nutrition Education at Marshall University Joan C. Edwards School of Medicine: A Resource Challenged Institution

Table 1

Summary of nutrition learning activities during medical school years 1–4 at Marshall University Joan C. Edwards School of Medicine.

Year level	Number of hours	Topic	Pedigogy^1	Assessment
1	1	Introduction to nutrition	Lecture	Written test
1	1	Vitamins and minerals	Lecture	Written test
1	1	Cancer nutrition	Lecture	Written test
1	1 in class, 2 outside class	Modification of disease by diet^2	Small group exercise	Presentation to class
1	2 outside class	NIM module: cardiovascular disease: lipoproteins	Independent learning	In-module test
1	1	Clinical correlate: lipids and cardiovascular disease	Lecture
1	2 outside class	NIM module: diabetes: nutritional mechanisms	Independent learning	In-module test
1	1	Clinical correlate: diabetic ketoacidosis	Lecture
1	2 outside class	NIM module: nutrition in pregnancy or nutrition and aging: mind and body	Independent learning	In-module test
1	2 outside class	NIM module: module of choice	Independent learning	In-module test
1	2 in class	Clinical correlation: nutrition and obesity	Lecture
1	2 in class	Obesity as a risk factor for disease^3	Small group exercise and role play	Presentation to class
1	1	Endocrine histology	Lecture	Written test
1	1	Clinical correlate: lipids and cardiovascular disease	Lecture
1	1	Diabetes and metabolic syndrome: new information on dietary management	Large group discussion	Participation in discussion
Total year 1	23
2	4	Anemia	Small group	Written test
2	2	Nutritional disorders	Independent learning	In-module test
2	1	Congenital malformation of the nervous system	Case based instruction	Written test
2	1.5	Breast diseases	Lecture	Written test
2	1	Diabetes in adults	Lecture	Written test
Total year 2	9.5
3 or 4	1	Hyperlipidemia (dietary management)	Lecture	Written test
3 or 4	1	Newborn lactation and nutrition	Lecture	Written test
3 or 4	1	Breastfeeding	Lecture	Written test
3 or 4	1	Anticipatory guidance	Lecture	Written test
3 or 4	1	Eating disorders	Lecture	Written test
3 or 4	1	Enteral and parenteral nutrition	Lecture	Written test
Total year 3 or 4	Up to 6 depending on rotations selected

Pedagogy used, as defined by Medbiquitous [18].
Case based learning: the use of patient cases (actual or theoretical) to stimulate discussion, questioning, problem solving, and reasoning on issues pertaining to the basic sciences and clinical disciplines.
Independent learning: instructor- or mentor-guided learning activities to be performed by the learner outside of formal educational settings (classroom, lab, and clinic) with dedicated time on learner schedules to prepare for specific learning activities.
Large group: an exchange (oral or written) of opinions, observations, or ideas among a large group [more than 12 participants], usually to analyze, clarify, or reach conclusions about issues, questions, or problems.
Lecture: an instruction or verbal discourse by a speaker before a large group of learners.
Role play: the adopting of or performing the role or activities of another individual.
Small group: an exchange (oral or written) of opinions, observations, or ideas among a small group [12 or fewer participants], usually to analyze, clarify, or reach conclusions about issues, questions, or problems.
²Session description: each group must find out the molecular basis of the disease and of the interventions and then design a suitable, affordable diet and identify additional resources accessible to the rural West Virginia patient. Results are presented to the whole class.
³Session description: each group must identify molecular contributions of obesity to one of 10 diseases and then role-play a physician office counseling session for the whole class.