title: Medical students' perceptions regarding the importance of nutritional knowledge and their confidence in providing competent nutrition practice.
abstract: OBJECTIVE
  The objective of this study was to examine the perceived importance, knowledge and confidence in nutritional management in a sample of Australian medical students undertaking a 4-year postgraduate medical degree.
  
  
  METHODS
  In 2015, students in years 1-4 were anonymously surveyed to assess students' perceived importance of nutrition, and knowledge and confidence in nutritional management.
  
  
  RESULTS
  A total of 131 first and second year (preclinical/yr 1-2) medical students (46% response rate) and 66 third and fourth year (clinical/yr 3-4) students (24% response rate) completed the questionnaire. Most preclinical students agreed that medical graduates should understand nutritional issues in managing cardiovascular disease (99%), type 2 diabetes (93%), coeliac disease (95%), and renal impairment (97%). However, students were limited in their confidence to demonstrate this knowledge (range of confidence: 26%-41%) for individual medical conditions. This improved for students in the clinical context of years 3 and 4, although it was still not optimal (range 26%-81%). Few year 3 and 4 students reported confidence in knowledge related to medicolegal issues, respiratory disease, nutritional guidelines and nutrition assessment (all <40%). However the majority (>80%) reported confidence in the dietary management of type 2 diabetes, cardiovascular disease and coeliac disease and >60% indicated they would refer onto nutrition professionals.
  
  
  CONCLUSIONS
  This cohort of postgraduate medical students recognize the importance of nutrition in disease. The number of students reporting increased confidence in nutritional management of a few select diseases where dietary management is one of the cornerstones of treatment (e.g. type 2 diabetes) rises throughout the course. However, students reported lower levels of knowledge in diseases where diet is secondary to other treatments and preventative strategies (e.g. respiratory disease). Filling the gap by integrating the nutritional management into the range of common chronic diseases during training has the potential to positively impact on patient health outcomes.
authors.affiliation: Deakin University, Geelong, Institute for Physical Activity and Nutrition Research, Victoria 3220, Australia. Electronic address: robyn.perlstein@deakin.edu.au.
authors.forename: R
authors.initials: R
authors.lastname: Perlstein
authors.affiliation: Deakin University, Geelong, School of Medicine, Victoria 3220, Australia.
authors.forename: S
authors.initials: S
authors.lastname: McCoombe
authors.affiliation: Deakin University, Geelong, School of Medicine, Victoria 3220, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Shaw
authors.affiliation: Deakin University, Geelong, Institute for Physical Activity and Nutrition Research, Victoria 3220, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Nowson
mesh_terms: D001315:Australia; D002908:Chronic Disease / Q000628:therapy; D002983:Clinical Competence; D015331:Cohort Studies; D004503:Education, Medical, Graduate; D006801:Humans; D052756:Nutritional Sciences / Q000193:education*; D020377:Self Efficacy; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Australia; Competency; Confidence; Medical students; Nutrition