Teaching medical students the subjective global assessment

Nutrition
D R Duerksen

Abstract

Clinical nutrition assessment is a clinical skill not taught in many medical schools in North America. The purpose of this study is to determine whether second-year medical students can be taught to perform a nutritional Subjective Global Assessment (SGA). In this study, second-year medical students were given a didactic session and a bedside demonstration of the SGA. Subsequently, they performed an SGA on unknown patients and classified those patients into one of three categories: A) well nourished, B) moderately malnourished, or C) severely malnourished. This was compared with the assessments of clinical dietitians and a physician. After this instruction, medical students correctly identified malnourished individuals. They were less accurate in their subclassification between mildly and severely malnourished individuals. The degree of agreement with clinical dietitians and a physician was fair (kappa = 0.34). With a multidisciplinary team of physicians and clinical dietitians, medical students can be taught the SGA in a 3h format. This is an important clinical skill that emphasizes the importance of clinical nutrition and may help identify malnourished individuals early in the course of their hospitalization.

References

Apr 12, 1976·JAMA : the Journal of the American Medical Association·B R BistrianJ Naylor
Feb 1, 1989·Academic Medicine : Journal of the Association of American Medical Colleges·V M ChamberlainM N Cummings
Apr 1, 1989·Academic Medicine : Journal of the Association of American Medical Colleges·W J Banks
Jan 1, 1987·JPEN. Journal of Parenteral and Enteral Nutrition·A S DetskyK N Jeejeebhoy
Sep 16, 1982·The New England Journal of Medicine·C A Hall
Aug 1, 1996·Journal of the American College of Nutrition·D D DeenB C Lowell
Sep 1, 1996·Journal of General Internal Medicine·L J CheskinP O Katz
Aug 18, 1999·Journal of the American Dietetic Association·K M Rourke, R E Kavey

❮ Previous
Next ❯

Citations

Apr 12, 2006·Current Opinion in Clinical Nutrition and Metabolic Care·M Cristina G Barbosa-Silva, Aluísio J D Barros
Jul 26, 2014·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Michael A MitchellAdam Rahman
Jan 26, 2013·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Su Lin Lim, Lynne Daniels
Oct 5, 2013·Best Practice & Research. Clinical Gastroenterology·Tugrul Purnak, Yusuf Yilmaz
Nov 22, 2012·Radiation Oncology Journal·Woong Sub KoomKi Chang Keum

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatrics International : Official Journal of the Japan Pediatric Society
Yukihiro SanadaKoichi Mizuta
Critical Care Nursing Clinics of North America
Vivian M Zhao, Thomas R Ziegler
© 2022 Meta ULC. All rights reserved