Sayna Norouzi1, Kyle S Liu2, Edlyn Bustamante3, Ton La2, William E Mitch2, Kurtis Pivert4, Kristen A Staggers5, Blake Shusterman6, Christina M Yuan7, Rajeev Raghavan2. 1. Section of Nephrology, Loma Linda Medical Center, Loma Linda, California. 2. Section of Nephrology, Baylor College of Medicine, Houston, Texas. 3. Harris Health System, Houston, Texas. 4. American Society of Nephrology, Washington, DC. 5. Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, Texas. 6. Carolina Nephrology, USC School of Medicine Greenville, Greenville, South Carolina. 7. Nephrology Service, Walter Reed National Military Medical Center, Bethesda, Maryland.
Abstract
Background: Health care providers who care for patients with CKD must be able to provide effective counseling about a kidney-friendly diet. Nutrition is underemphasized in medical curricula, and the kidney diet is one of the most challenging diets. We hypothesized that participation in an experiential educational program in kidney diet would result in improved knowledge of the underlying principles behind it and provide concrete examples of how to explain this diet to patients. Methods: The first part of this study was a knowledge assessment administered to all US nephrology fellows during the 2020 National Board of Medical Examiners Nephrology In-Training Examination. We later opened the assessment to a broader, global audience via social media. Respondents included trainees, practicing nephrologists, dieticians, and other health professionals. Participants self-identified willingness to participate in the second part of the study, the Kidney Diet Challenge (KDC). The 5-day challenge included daily webinars by experts in nutrition. Daily surveys captured self-reported adherence to the diet. Social media was used to engage with participants. All participants received a follow-up knowledge assessment. Results: Among the nephrology fellows (n=317), the median pretest score was 2 out of 5 (40%) questions correct, and results did not differ by year of training (P=0.31). Of the participants (n=70) who completed the 5-day challenge and responded to the post-challenge survey, the distribution of the number of correct answers improved after the KDC (median [25th, 75th percentile]: 3 [2, 3] versus 3 [2, 4]; P<0.001). Statistics from our official hashtag for this study (#kidneydietchallenge) showed that we achieved 406,241 reaches and 1,004,799 impressions, with a total of 974 posts using this hashtag. Conclusions: The KDC is an immersive, experiential educational tool that enabled a global population to learn how to counsel their patients better about adherence to a complex kidney diet.
Background: Health care providers who care for patients with CKD must be able to provide effective counseling about a kidney-friendly diet. Nutrition is underemphasized in medical curricula, and the kidney diet is one of the most challenging diets. We hypothesized that participation in an experiential educational program in kidney diet would result in improved knowledge of the underlying principles behind it and provide concrete examples of how to explain this diet to patients. Methods: The first part of this study was a knowledge assessment administered to all US nephrology fellows during the 2020 National Board of Medical Examiners Nephrology In-Training Examination. We later opened the assessment to a broader, global audience via social media. Respondents included trainees, practicing nephrologists, dieticians, and other health professionals. Participants self-identified willingness to participate in the second part of the study, the Kidney Diet Challenge (KDC). The 5-day challenge included daily webinars by experts in nutrition. Daily surveys captured self-reported adherence to the diet. Social media was used to engage with participants. All participants received a follow-up knowledge assessment. Results: Among the nephrology fellows (n=317), the median pretest score was 2 out of 5 (40%) questions correct, and results did not differ by year of training (P=0.31). Of the participants (n=70) who completed the 5-day challenge and responded to the post-challenge survey, the distribution of the number of correct answers improved after the KDC (median [25th, 75th percentile]: 3 [2, 3] versus 3 [2, 4]; P<0.001). Statistics from our official hashtag for this study (#kidneydietchallenge) showed that we achieved 406,241 reaches and 1,004,799 impressions, with a total of 974 posts using this hashtag. Conclusions: The KDC is an immersive, experiential educational tool that enabled a global population to learn how to counsel their patients better about adherence to a complex kidney diet.
Authors: Robert W Rope; Kurtis A Pivert; Mark G Parker; Stephen M Sozio; Sylvia Bereknyei Merell Journal: J Am Soc Nephrol Date: 2017-04-20 Impact factor: 10.121
Authors: Linda Van Horn; Carine M Lenders; Charlotte A Pratt; Bettina Beech; Patricia A Carney; William Dietz; Rose DiMaria-Ghalili; Timothy Harlan; Robert Hash; Martin Kohlmeier; Kathryn Kolasa; Nancy F Krebs; Robert F Kushner; Mary Lieh-Lai; Janet Lindsley; Susan Meacham; Holly Nicastro; Caryl Nowson; Carole Palmer; Miguel Paniagua; Edward Philips; Sumantra Ray; Suzanne Rose; Marcel Salive; Marsha Schofield; Kathryn Thompson; Jennifer L Trilk; Gwen Twillman; Jeffrey D White; Giovanna Zappalà; Ashley Vargas; Christopher Lynch Journal: Adv Nutr Date: 2019-11-01 Impact factor: 8.701