Future of Medical Education Journal

Future of Medical Education Journal

An Educational Model to Prepare Indian Medical Students for Providing Dietary Counseling to Patients with Metabolic Syndrome

Document Type : Original Article

Authors
Saurabh Sharma 1
Major Sandeep Kumar Yadav 2
Sumit Garg 3
Sudhir Kumar Gupta 1
1 Department of Community Medicine, Kalyan Singh Government Medical College, Bulandshahr
2 Department of Biochemistry, Kalyan singh Government Medical College, Bulandsahar
3 Department of Physiology, Kalyan Singh Government Medical College, Bulandshahr
10.22038/fmej.2026.93243.1717
Abstract
Background: Metabolic syndrome is a highly prevalent condition in India, requiring effective lifestyle and dietary counseling as a cornerstone of management. This study aimed to develop and evaluate an educational model incorporating kitchen classes to prepare Phase III MBBS students to competently counsel patients with metabolic syndrome regarding dietary modification.
Method: A cross-sectional, interventional mixed-method study was conducted among 100 Phase III MBBS students at a medical college in North India. The intervention included didactic lectures, interdisciplinary sessions with anatomy, physiology, and biochemistry departments, dietician-led kitchen classes using pre-recorded cooking demonstrations, and role-play counseling exercises. Thirty students were randomly selected using the chit method for assessment before and after the intervention. Competence was evaluated through Objective Structured Clinical Examination (OSCE) and Objective Structured Practical Examination (OSPE) scores, analyzed using Wilcoxon signed rank test. Open-ended qualitative feedback was analyzed thematically.
Results: Mean OSCE and OSPE scores improved from 13.45 to 14.64 (p = 0.007) and 15.72 to 19.94 (p = 0.03), respectively. Students reported that kitchen classes enhanced understanding of portion sizes, hidden dietary fats and sugars, and practical applicability of nutrition knowledge. Role-play sessions improved confidence and empathy in patient communication. Thematic analysis revealed three domains: integration of theory with practice, improved counseling competence, and positive impact on personal health attitudes.
Conclusion: A multidisciplinary, simulation-based curriculum centered on dietician-led kitchen classes significantly improved medical students’ competence and confidence in dietary counseling for metabolic syndrome and may improve practical nutrition skills.
Keywords
Metabolic syndrome
Medical education
Dietary counseling
Kitchen classes
OSCE
OSPE
Competency-based curriculum
Subjects
1.      Ramesh S, Abraham RA, Sarna A, Sachdev HS, Porwal A, Khan N, et al. Prevalence of metabolic syndrome among adolescents in India: a population-based study. BMC Endocr Disord. 2022;22:258. [https://doi.org/10.1186/s12902-022-01163-8]
2.      Anjana RM, Unnikrishnan R, Deepa M, Pradeepa  R, Tandon N, Das AK, et al. ICMR-INDIAB Collaborative Study Group. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). Lancet Diabetes Endocrinol. 2023;11(7):474–89. [https://doi.org/10.1016/S2213-8587(23)00112-5]
3.      Crowley J, Ball L, Hiddink GJ. Nutrition in medical education: a systematic review. Lancet Planet Health. 2019;3(9):e379–e389.
4.      Shaikh S, Dwivedi S, Khan MA. Impact of learning nutrition on medical students: their eating habits, knowledge and confidence in addressing dietary issues of patients. J Indian Med Assoc. 2011 Dec;109(12):870-2. PMID: 23469565.
5.      Amoore BY, Gaa PK, Ziblim SD, Morge V. Preparedness of medical students to provide nutrition care following a nutrition education intervention. BMC Res Notes. 2023;16:88. [https://doi.org/10.1186/s13104-023-06345-7]
6.      Patel P, Kassam S. Evaluating nutrition education interventions for medical students: A rapid review. J Hum Nutr Diet. 2022 Oct;35(5):861-871. doi: 10.1111/jhn.12972. Epub 2021 Nov 29. PMID: 34842308; PMCID: PMC9546301Kunitsky O, Taye M, Feeley K, Johnson H, Glynn A, Stivale A, et al. Food for thought: a qualitative assessment of medical trainee and faculty perceptions of nutrition education. BMC Med Educ. 2024 Dec 30;24(1).
7.      Eisenberg DM, Cole A, Maile EJ, Salt M, Armstrong E, Leib EB, et al. Proposed Nutrition Competencies for Medical Students and Physician Trainees: A Consensus Statement. JAMA Netw Open. 2024;7(9).
8.      D'Adamo CR, Workman K, Barnabic C, Retener N, Siaton B, Piedrahita  G, et al. Culinary Medicine Training in Core Medical School Curriculum Improved Medical Student Nutrition Knowledge and Confidence in Providing Nutrition Counseling. Am J Lifestyle Med. 2021;16(6):740–52.
9.      Hauser ME. A Novel Culinary Medicine Course for Undergraduate Medical Education. Am J Lifestyle Med. 2019;13(3):262–64.
10.  Tan J, Atamanchuk L, Rao T, Sato K, Crowley  J, Ball L. Exploring culinary medicine as a promising method of nutritional education in medical school: a scoping review. BMC Med Educ. 2022;22:441.
11.  Thircuir S, Chen NN, Madsen KA. Addressing the Gap of Nutrition in Medical Education: Experiences and Expectations of Medical Students and Residents in France and the United States. Nutrients. 2023;15(24):5054.
12.  Aravind Gandhi P, Venkatesh U, Tiwari P, Kishore J. An initiative to improve nutritional education among medical students. Med J Armed Forces India. 2021;77(Suppl 1):S190–S194.
13.  Chen P, Alexander SM, Baute Penry V. Nutrition Module: Addressing the Nutrition Education Gap in Undergraduate Medical Curricula via a Novel Approach. Med Sci Educ. 2024;34:1361–7.
14.  Newman C, Yan J, Messiah SE, Albin J. Culinary Medicine as Innovative Nutrition Education for Medical Students: A Scoping Review. Acad Med. 2023;98(2):274–86.
15.  Christensen HR, Marshall AM, Rebitski J. Impact of Experiential Learning of Nutrition Therapy on Medical Students. Med Sci Educ. 2023;33(2):499–505.