title: Family medicine residents' knowledge and attitudes about drug-nutrient interactions.
abstract: OBJECTIVE
  The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that health professionals recognize the importance of drug-nutrient interactions and educate patients to prevent adverse effects. Drug-nutrient interactions are an important issue in medical practice, but it is not clear how or if physicians are trained in this issue.
  
  
  METHODS
  This investigation was a needs assessment that examined attitudes and knowledge about drug-nutrient interactions that was examined in a national sample of 834 family medicine residents in 56 residency programs.
  
  
  RESULTS
  Most reported they had little or no formal training in drug-nutrient interactions in medical school (83%) or residency (80%). However, 79% believed it was the physician's responsibility to inform patients about drug-nutrient interactions, although many thought pharmacists (75%) and dietitians (66%) share this responsibility. Overall, residents correctly answered 61% +/- 19 of fourteen drug-nutrient interaction knowledge items. There was a slight increase in drug-nutrient knowledge as year of residency increased.
  
  
  CONCLUSIONS
  Physicians' knowledge of drug-nutrient interactions may be improved by including nutrition education in the topics taught by physicians, nutritionists, and pharmacists using several educational strategies. Nutrition educators in particular can play a role in curriculum development about drug-nutrient interactions by developing, refining, and evaluating materials and educational tools. Nutrition educators need to provide this information in academic settings for the training of all health professionals as well as in patient education settings such as hospitals and public health clinics.
authors.affiliation: Office of Regional Primary Care Education, Fayetteville Area Health Education Center, North Carolina, USA.
authors.forename: A B
authors.initials: AB
authors.lastname: Lasswell
authors.forename: B R
authors.initials: BR
authors.lastname: DeForge
authors.forename: J
authors.initials: J
authors.lastname: Sobal
authors.forename: H L
authors.initials: HL
authors.lastname: Muncie
authors.forename: R
authors.initials: R
authors.lastname: Michocki
mesh_terms: D004501:Education, Medical; D018565:Food-Drug Interactions; D007722:Health Knowledge, Attitudes, Practice; D007396:Internship and Residency; D010353:Patient Education as Topic; D010819:Physician's Role; D010821:Physicians, Family / Q000193:education*