Medical Science Educator

, Volume 29, Issue 1, pp 307–314 | Cite as

Beyond Nutrition Knowledge and Tools—What Do Pediatric Providers Really Need?

  • Jill L. KaarEmail author
  • Janice L. Hanson
  • Sara A. Caskey
  • Sheilah Jimenez
  • Lindsey Lane
  • Nancy F. Krebs
  • Darcy A. Thompson


Nutrition counseling continues to be a concern for pediatric providers. This study aimed to extend the understanding of the perceptions of pediatric providers regarding nutrition care. Individual semi-structured qualitative interviews were conducted using a purposive sampling technique. Interviews were conducted in-person or via telephone, recorded, and transcribed. Seven themes emerged from the data and these can be used as a “how to” for medical educators. Based on the experiences and perspectives of the pediatric providers in our study, we are moving forward with the systematic development of a curriculum to improve nutrition care and counseling in pediatrics.


Residency education Nutrition Counseling Obesity 



We thank the providers for taking their time to participate in our study. We also thank Paola Gonzalez-Pacheco, Kelly M. Caponigro, and Alishia Kinsey for assisting the authors with processing study results.


This project was supported by the University of Colorado, School of Medicine, Department of Pediatrics Educational Research Grant Program and NIH/NCRR Colorado CTSI Grant Number UL1 RR025780.


  1. 1.
    Klein JD, Sesselberg TS, Johnson MS, O’Connor KG, Cook S, Coon M, et al. Adoption of body mass index guidelines for screening and counseling in pediatric practice. Pediatrics. 2010;125(2):265–72.CrossRefGoogle Scholar
  2. 2.
    Spivack JG, Swietlik M, Alessandrini E, Faith MS. Primary care providers’ knowledge, practices, and perceived barriers to the treatment and prevention of childhood obesity. Obesity. 2010;18(7):1341–7.CrossRefGoogle Scholar
  3. 3.
    Eaton CB, Goodwin MA, Stange KC. Direct observation of nutrition counseling in community family practice. Am J Prev Med. 2002;23(3):174–9.CrossRefGoogle Scholar
  4. 4.
    Kelly CJ. Invigorating the context and content of nutrition in medical education. Acad Med. 2011;86(11):1340.CrossRefGoogle Scholar
  5. 5.
    Ball L. Nutrition care in general practice - are we waiting for patients to ask? Aust Fam Physician. 2011;40(7):463.Google Scholar
  6. 6.
    Ball LE, Hughes RM, Leveritt MD. Nutrition in general practice: role and workforce preparation expectations of medical educators. Aust J Prim Health. 2010;16(4):304–10.CrossRefGoogle Scholar
  7. 7.
    Pearson TA, Stone EJ, Grundy SM, McBride PE, Van Horn L, Tobin BW. Translation of nutritional sciences into medical education: the nutrition academic award program. Am J Clin Nutr. 2001;74(2):164–70.CrossRefGoogle Scholar
  8. 8.
    Jaen CR, Stange KC, Nutting PA. Competing demands of primary care: a model for the delivery of clinical preventive services. J Fam Pract. 1994;38(2):166–71.Google Scholar
  9. 9.
    Kris-Etherton PM, Pratt CA, Saltzman E, Van Horn L. Introduction to nutrition education in training medical and other health care professionals. Am J Clin Nutr. 2014;99(5 Suppl):1151s–2s.CrossRefGoogle Scholar
  10. 10.
    Stange KC. One size doesn’t fit all. Multimethod research yields new insights into interventions to increase prevention in family practice. J Fam Pract. 1996;43(4):358–60.Google Scholar
  11. 11.
    Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806–14.CrossRefGoogle Scholar
  12. 12.
    Lenders CM, Deen DD, Bistrian B, Edwards MS, Seidner DL, McMahon MM, et al. Residency and specialties training in nutrition: a call for action. Am J Clin Nutr. 2014;99(5 Suppl):1174s–83s.CrossRefGoogle Scholar
  13. 13.
    Corbin J, Strauss A. Basics of qualitative research: techniqes and procedures for developing grounded theory. 4th ed. Los Angeles: Sage. 2015.Google Scholar
  14. 14.
    Guest G, Bunce A, Johnson L. How many interviews are enough?: an experiment with data saturation and variability. Field Methods. 2006;18(1):59–82.CrossRefGoogle Scholar
  15. 15.
    V B, V C. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRefGoogle Scholar
  16. 16.
    Cardinal LJ, Maldonado M, Fried ED. A national survey to evaluate graduate medical education in disparities and limited English proficiency: a report from the AAIM Diversity and Inclusion Committee. Am J Med. 2016;129(1):117–25.CrossRefGoogle Scholar
  17. 17.
    Seeleman C, Hermans J, Lamkaddem M, Suurmond J, Stronks K, Essink-Bot ML. A students’ survey of cultural competence as a basis for identifying gaps in the medical curriculum. BMC Med Educ. 2014;14:216.CrossRefGoogle Scholar
  18. 18.
    Adams KM, Kohlmeier M, Powell M, Zeisel SH. Nutrition in medicine: nutrition education for medical students and residents. Nutr Clin Pract. 2010;25(5):471–80.CrossRefGoogle Scholar
  19. 19.
    Castillo M, Feinstein R, Tsang J, Fisher M. Basic nutrition knowledge of recent medical graduates entering a pediatric residency program. Int J Adolesc Med Health. 2016;28(4):357–61.CrossRefGoogle Scholar
  20. 20.
    Leverence RR, Williams RL, Sussman A, Crabtree BF. Obesity counseling and guidelines in primary care: a qualitative study. Am J Prev Med. 2007;32(4):334–9.CrossRefGoogle Scholar
  21. 21.
    Daniels SR, Hassink SG. The role of the pediatrician in primary prevention of obesity. Pediatrics. 2015;136(1):e275–92.CrossRefGoogle Scholar
  22. 22.
    Lane JL, Soep JB, Hanson JL. Narrative derived from medical student reflection in action: lessons learned and implications for assessment. Acad Pediatr. 2018;18(3):354–6.CrossRefGoogle Scholar
  23. 23.
    Ericsson KA. Acquisition and maintenance of medical expertise: a perspective from the expert-performance approach with deliberate practice. Acad Med. 2015;90(11):1471–86.CrossRefGoogle Scholar

Copyright information

© International Association of Medical Science Educators 2018

Authors and Affiliations

  1. 1.Department of PediatricsUniversity of Colorado School of Medicine, University of Colorado Anschutz Medical CampusAuroraUSA

Personalised recommendations