Research Article

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

Table 2

Medical knowledge nutrition related competencies and progression during years 1–4 of medical school1.

CompetencyOutcome year 1Outcome year 2Outcome year 3Outcome year 4

Explain various causes (genetic, developmental, metabolic, toxic, microbiologic, autoimmune, neoplastic, degenerative, behavioral, and traumatic) of major diseases and conditions and the ways in which they operate on the body (pathogenesis).Recognize variations of normal development and function of organs and systems due to various causes.Describe the various causes of disease and how these are manifest in organ system dysfunction.Explain the pathophysiologic factors underlying the clinical manifestations of common diseaseDiscuss the pathogenesis of major conditions related to area(s) of specialty/disciplinary interest.

Identify the proximate and ultimate factors that contribute to the development of disease and illness and that contribute to health status within and across populations regionally, nationally, and globally. Recognize the genetic basis of disease and complex interaction with social conditions and life experiences.

Discuss the effects of socioeconomic status, diet, exercise, gender, and age on health and disease.
Describe the determinants of health and disease and provide specific examples of how these determinants influence health outcomes in common/major diseases.

Discuss social conditions and behaviors that predispose patients to disease and decreased function (e.g., alcohol addiction and obesity).  

List major contributors to health and disease in populations including mechanisms of action.
Describe the determinants of disease and health for major clinical situations prevalent in WV (including regional variation), nationally and globally

Recognize the influence of common health determinates and illness on patients.  

Integrate knowledge of social conditions and behaviors that predispose patients to disease and decreased function into the managements plan for individual patients.
Implement interventions to reduce the impact of disease determinants (or improve the likelihood of health improvements) within patient care.

Recognize the medical consequences of
common societal problems.
Describe the impact on health of life experiences, poverty, education, race, gender, culture, crime, and the health care system. Recognize the contribution of social conditions and problems to the health and disease outcomes of patients. Create discharge/management plans that address the impact of social conditions and problems on patients. Describe strategies to ameliorate the impact of social conditions and problems on the health and disease outcomes of patients.

From http://jcesom.marshall.edu/media/41654/CoreCompetencies_MK.pdf.