MINUTES OF THE NUTRITION COORDINATING COMMITTEE (NCC) …

         MINUTES OF THE NUTRITION COORDINATING COMMITTEE (NCC)
              MEETING, NATIONAL INSTITUTES OF HEALTH (NIH)
            Rockledge 2, Conference Room 9100-9004, Bethesda MD
                          March 3, 2005, 2:00-4:00 PM

WELCOME
Dr. Van Hubbard, Director, Division of Nutrition Research Coordination (DNRC),
convened the meeting at 2:00 PM and welcomed the participants. Participating
via teleconference were Dr. Martina Vogel-Taylor, NIH Office of the Director; Dr.
Deb Galuska, Centers for Disease Control and Prevention (CDC); Ms. Jennifer
Weber and Ms. Kim Stitzel, Department of Health and Human Services (DHHS)
Office of Disease Prevention and Health Promotion (ODPHP); Dr. Molly Kretsch,
USDA Agricultural Research Service (ARS); and Dr. Shirley Blakely, Food and
Drug Administration (FDA). The agenda for the meeting is provided as Appendix
A, and the list of attendees is provided as Appendix B.

SCIENTIFIC PRESENTATION
Dr. Hubbard introduced Dr. Brian Wansink, who was invited to make a
presentation to the NCC in honor of National Nutrition Month. Dr. Brian Wansink,
Professor of Nutritional Sciences at the University of Illinois at Urbana-
Champaign, Illinois, provided a presentation entitled Ubiquitous Consumption
Norms and Food Intake.

APPROVAL OF MINUTES FROM THE JANUARY 6, 2005 NCC MEETING
Minutes from the January 6, 2005, NCC Meeting had previously been sent to
NCC members via email. Dr. Hubbard asked if there were any corrections to the
minutes. There were none. Dr. John Milner, National Cancer Institute (NCI),
made a motion to approve the minutes, and Dr. Paul Coates, Office of Dietary
Supplements (ODS), seconded the motion. The minutes were thus approved
and will be posted on the DNRC website, http://www.dnrc.nih.gov along with the
minutes from previous NCC Meetings.

DEVELOPMENT OF A SELF-ADMINISTERED, AUTOMATED 24-HOUR
DIETARY RECALL
Dr. Nancy Potischman, NCI, presented information on the development of an
automated, self-administered 24-hour recall that NCI and others are supporting.
This computer- (and potentially web-) based system will allow 24-hour recall data
collection from large numbers of respondents without the cost of an interviewer.
The respondent is guided through the system by an animated character who
speaks the on-screen text, making the system usable by low-literacy groups. The
system currently includes approximately 8000 food images that allow visual
presentation of varying portion sizes to assist the respondent. Nutrient data are
included in the system, so that values are available in real-time. NCI is seeking
funding partners for the next phase of development. Institute and Center (IC)
interest that is accompanied by any level of financial support will demonstrate
wide interest in this project and help leverage NCI funding.
US 2005 DIETARY GUIDELINES FOR AMERICANS
Ms. Kathryn McMurry from the DHHS ODPHP provided an overview of the 2005
Dietary Guidelines for Americans (DGAs) indicating major changes from the
2000 DGAs. The 2005 DGAs were released by USDA Secretary Anne
Venneman and DHHS Secretary Tommy Thompson on January 12, 2005. There
are three components ­ the Dietary Guidelines Advisory Committee Report, the
DGAs policy document, and the first consumer brochure. The policy document is
intended for use by nutrition and health professionals and policymakers; it will
serve as the basis for the development of consumer nutrition materials and
programs. Implementation tools for the DGAs include the DASH eating plan, the
Nutrition Facts panel (which will be undergoing reassessment and revision by
FDA), the USDA food guide (expected within 2-6 weeks), and the Toolkit for
nutrition professionals (a looseleaf binder with various sections, some of which
are not yet completed). The DGAs consist of 9 focus areas, 23 general
recommendations, and 18 specific population recommendations. One major
change from previous versions of the DGAs is that food group intake is provided
in cups and ounces rather than as servings. There is now more specificity for
recommendations for physical activity for adults. Other changes include
increased recommendations for dairy products for adults, specific
recommendations for whole grain consumption, stronger emphasis on saturated
fat, recommendations for trans fat, stronger emphasis on dietary fiber, and
specific mention of the need for potassium from fruits and vegetables. More
information is available at www.healtherus.gov/dietary guidelines.
    There was some discussion initiated by Dr. Sue Krebs-Smith, NCI, about the
development of a workgroup to establish review criteria for the development of
nutrition education materials based on the 2005 DGAs.
    Dr. Hubbard indicated that copies of the 2005 DGAs would be sent to all NIH
NCC members. Others who would like a copy should send an email request to
Ms. Linda Somuah (somuahL@mail.nih.gov). Copies of the Dietary Guidelines
Adivsory Committee Report may also be requested.

NIH OFFICE OF DIETARY SUPPLEMENTS (ODS)
Dr. Paul Coates, ODS, noted that ODS continues to be very interested in
receiving requests from the ICs for co-funding of research grants, conferences,
and workshops. They are developing new strategies for dealing with these
requests that they hope will be more responsive to IC needs, especially in terms
of timely decision-making and transferring of funds. Details will be available soon
in a letter to IC Directors, as well as to the members of the Trans/Agency
Working Group on Dietary Supplements. In the past, ODS had a single
solicitation each year for conference/workshop applications, and then another
announcement once a year for grants through the Research Enhancement
Awards Program (REAP). The new procedure will be for ODS to accept
applications for co-funding of grants, workshops, and conferences throughout the
year and make funding decisions coincident with IC Council rounds.




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    ODS, along with several ICs, ODPHP, CDC, FDA, Department of Defense
(DoD), and USDA, formed an ad hoc Working Group to undertake the tasks of
defining bioactive food components and exploring approaches to evaluating their
significance in health promotion and disease prevention. These activities include
publication of a Federal Register notice in September 2004, inviting comment on
a definition of bioactive food components, and two public meetings, one
scheduled for March 24-25, 2005 at the NIH Lister Hill Auditorium on the NIH
Campus in Bethesda, Maryland and the other scheduled April 1, 2005 at the San
Diego Marriott Hotel and Marina in conjunction with the Experimental Biology
2005 (EB05) meetings in California. The goal of the March 24-25 conference is
to identify guiding principles to direct the development of approaches to
categorize and assess the health effects of bioactive food components. The April
1 workshop will report on the lessons learned from the evidence-based reviews
on omega-3 fatty acids conducted by the Agency for Healthcare Research and
Quality (AHRQ) and examine how this knowledge can be applied to researching
the health effects of other bioactive food components. For additional information,
contact Dr. Leila Saldanha in ODS. Details of these efforts, as well as registration
information for both meetings, can be found at the following website:
http://www.scgcorp.com/bioactivefood2005.
    The first meeting of the ODS Trans-NIH/Agency Working Group on Dietary
Supplements was held January 27, 2005. The Working Group was organized as
a component of the implementation of the ODS Strategic Plan for 2004-2009.
The main purpose of the Working Group is to foster and enhance information
interchange among those ICs, Offices, and Agencies with which ODS partners in
support of research, education, training, and communication about dietary
supplements. Thirty-three representatives of NIH ICs and other Federal
departments and agencies attended. Information on ODS programs and
activities was provided to all members. Subsequent discussions focused on
suggestions and recommendations from the attendees on ways in which the
purposes of the Working Group could be addressed. These included the types of
information sought by both ICs and Agencies, as well as by ODS. The
Working Group will meet again in the fall; in the interim, e-mail is being used as a
primary method of communication.
   A public meeting is being planned for May 20, 2005 at which time ODS will be
seeking additional public input on implementation of the Strategic Plan as well as
suggestions on research needs and opportunities.

UPDATE OF DNRC ACTIVITIES
Nutrition Education Subcommittee. Dr. Jean Pennington, DNRC, provided an
update of the activities of the NIH Nutrition Education Subcommittee (NES).
Since the beginning of 2005, ten items have come in for review including four
from NCI, one from the DNRC, one from the National Institute of Child Health
and Development (NICHD), 2 from DHHS, and two from the USDA Center for
Nutrition Policy and Promotion (CNPP). Materials reviewed since the January
2005 NCC meeting include:
 - Audio News Releases for Fruits and Vegetables (NCI)



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 - Body & Soul Radio Spots and Print Ad (NCI)
 - NIH Nutrition Month Desk-to-Desk Flyer (DNRC)
 - Healthy Eating Index Educational Messages for Children (CNPP, USDA)
 - Body & Soul Press Release and Media Messages (NCI)
 - 9 A Day for Men Radio Ads (NCI)
 - Health Beat Scripts (DHHS)
 - Health Intermediary Toolkit (ODPHP, DHHS)
 - Media-Smart Youth Video Scripts (NICHD)
 - USDA Food Guidance System Interactive Web Content (CNPP, USDA)
At the last NCC Meeting, Dr. Pennington requested that NCC members look
at the DNRC website (www.dnrc.nih.gov) under Nutrition Education to determine
if the links and information presented for their IC needed to be updated. No
updates were submitted since that request. ICs may submit updates at any time,
and the DNRC will provide a yearly reminder to NCC members about the need
for updates. The DNRC will be developing some information on their website
pertaining to the review of nutrition education materials to assist those who
develop these materials. The website information will cover what needs to be
reviewed and an overview of the NES and joint DHHS/USDA review process.

Subcommittee on International Nutrition Research. Dr. Daniel Raiten, NICHD,
shared a proposal for a workshop related to obesity to be submitted through the
SCINR and open for consideration by the NCC (Appendix C). Dr. Raiten also
gave a brief overview of the plans for a World Health Organization
(WHO)/DHHS-sponsored consultation on nutrition and HIV scheduled for April
10-13, 2005 in Durban, South Africa. NIH will be represented at this consultation
by the Deputy Directors of NICHD and National Institute on Alcohol Abuse and
Alcoholism (NIAAA), staff from NICHD, National Institute of Allergy and Infectious
Diseases (NIAID), Fogarty International Center (FIC), and OAR as well as the
DHHS Office of Global Health Affairs (OGHA). There will be 20 countries from
eastern and southern Africa officially represented along with all relevant
multinational organizations (UNAIDS, WHO, WFP, FAO, UNICEF, et al.), and 25
non-government organizations (NGOs). In addition to NIH, other US
Government agencies participating will include USAID, CDC, Office of Global
AIDS Coordinator (OGAC), and USDA (the Undersecretary for Food, Nutrition,
and Consumer Services).

Human Nutrition Research and Information Management (HNRIM) System
Update. Mr. Jim Krebs-Smith, DNRC, provided a status report of the HNRIM
System. He noted that the request for FY04 data for HNRIM was previously
issued to NIH ICs and that the data were due by the end of week. He will send a
reminder. In response to questions regarding differences between nutrition
submissions to OFM and HNRIM, Mr. Krebs-Smith said he would again distribute
(and post to the HNRIM update website) guidance from OFM on this issue.
The NIH HNRIM report for FY03, plus PowerPoint slides of selected tables, is
now available on the public HNRIM website (hnrim.nih.gov).




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REPORTS FROM NCC MEMBERS AND LIAISIONS
Dr. Sherine Jenells, DNRC reminded attendees about the Vitamin E Workshop
which is to be held on March 7-8, 2005 at the Bethesda Holiday Inn Select. This
workshop is supported by ODS and DNRC and will focus on the health
consequences of vitamin E supplementation.

Dr. John Milner, NCI, noted that one of the Stars in Nutrition Seminars will be
held on March 21, 2005 in the Building 10 Lipsett Amphitheater on NIH Campus
from 3:00-5:00 PM with a presentation by Dr. Paul Talalay from the John Hopkins
University School of Medicine, who will speak on Protection Against Cancer:
Edible Plants, Genes, and Enzymes.

Dr. Hubbard has provided information about the American Society for Clinical
Nutrition (ASCN) Medical Nutrition Education Workshop to be held on April 2,
2005 in the San Diego Convention Center in San Diego, California. Speakers
and topics are listed in Appendix D.

Dr. Coates announced that upcoming speakers for the ODS monthly seminar
series (Appendix D) include Dr. Irvin Rosenberg, from the Jean Mayer USDA
Human Nutrition Research Center at Tufts University on March 9, 2005 and Dr.
Barry Halliwell, from the National University of Singapore on April 13, 2005.
Details about topics, times, and locations are available from ODS.

Dr. Martina Vogel-Taylor mentioned that CDC staff who work on the Guide to
Community Preventive Services have expressed interest in collaborating with
NIH on a conference or workshop to examine issues regarding measurement of
dietary intake and evaluation of intervention outcomes, particularly among
children. Their interest stems from a recent systematic review of the published
literature on school-based nutrition interventions for use by the Community Guide
Task Force in making recommendations on school nutrition programs. The
Community Guide Task Force concluded that there was insufficient evidence to
determine effectiveness because the dietary intake effects were so small and a
bias in self-report data could not be ruled out. If possible, they would also be
interested in examining related physical activity measurement issues. Dr. Vogel-
Taylor will obtain more information from CDC staff and inform Dr. Hubbard about
subsequent discussions.

Dr. Robert Kuczmarski, National Institute on Diabetes and Digestive and Kidney
Diseases (NIDDK) provided copies of the Summary Report. Site Specific
Approaches. Prevention or Management of Pediatric Obesity, which resulted
from a meeting held July 14-15, 2004 at the Hyatt Regency Bethesda, Bethesda,
Maryland.

NEXT NCC MEETING
Next NCC meeting ­ The next NCC Meeting is scheduled for April 7, 2005.




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ADJOURNMENT
Dr. Hubbard made a motion to adjourn the meeting, and Drs. Coates and Milner
seconded the motion. The meeting was adjourned at 4:05 pm.

LIST OF APPENDICES
Appendix A - NIH NCC Meeting Agenda for March 3, 2005
Appendix B - NCC Meeting Attendees for March 3, 2005
Appendix C - SCINR Draft Proposal for a Workshop on Obesity
Appendix D - Office of Dietary Supplements 2005 Spring Seminar Schedule
Appendix E - ASCN Medical Nutrition Education Workshop

14March2005jp




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   APPENDIX A. NIH NCC MEETING AGENDA FOR MARCH 3, 2005
   2:00-4:00 PM, Rockledge 2, Conference Room 9112-9116, Bethesda MD

 1. Welcome........................................................................Van Hubbard
 2. Scientific Presentation....................Brian Wansink, University of Illinois,
      Urbana-Champaign
 3. Approval of January 6, 2004 NCC Meeting Minutes.............Van Hubbard
 4. Development of Self-Administered, Automated 24-Hour
      Dietary Recall......................................................Nancy Potischman
 5. Update of the 2005 Dietary Guidelines for Americans....Kathryn McMurry
6. Update from the NIH Office of Dietary Supplements..............Paul Coates
 7. DNRC Activities Update
      Nutrition Education Subcommittee................. ..............Jean Pennington
      Subcommittee on International Nutrition Research... ..........Daniel Raiten
      HNRIM ..................................................................Jim Krebs-Smith
 8. Reports from NCC Members and Liaisons.......................NCC Members
 9. Next Meeting: April 7, 2005..............................................Van Hubbard
10. Adjournment..................................................................Van Hubbard




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APPENDIX B. NCC MEETING ATTENDEES FOR MARCH 3, 2005
                    Members Present Members Absent           Alternates Present
Chairperson:          V Hubbard

NIH Members:
NCI                     J Milner
NHLBI                   D Danford
NIDCR                                    R Nowjack-Rayner
NIDDK                                    C Miles              R Kuczmarski
NINDS                                    M Mitler
NIAID                                    M Plaut
NIGMS                                    S Somers
NICHD                                    G Grave              D Raiten
NEI                                      N Kurinij
NIEHS
NIA                                      J Finkelstein
NIAMS                                    J McGowan
NIDCD                                    B Wong
NIMH                                     P Muehrer
NIDA                                     G Lin
NIAAA                                    V Purohit            R Breslow
NINR                                     Y Bryan
NCCAM                   M Klein
NCRR                                     S Kayar
FIC                                      N Tomitch
NCHGR                                    K DeLeon

NIH Liaison Members:
CC                      N Sebring
CIT                                      J Mahaffey
CSR                     S Kim
NLM                                      S Phillips
OBSSR                   D Olster
OC                                       M Stern
ODS                     P Coates
OD/ODP                  B Portnoy
OLPA
ORWH
PRCC                    M Vogel-Taylor

Agency Liaison Representatives:
CDC/NCCDPHP          D Galuska
CDC/NCHS                                 V Burt
FDA                   K Ellwood                              S Blakely
HRSA                                     M Lawler
IHS                                      T Brown
ODPHP                K McMurry
USDA                  M Kretsch                              D Klurfeld
DoD                                      K Friedl

DNRC: W Johnson-Taylor, S Jennels, J Krebs-Smith, J Pennington, K Regan, L Somuah

Guests: T Agurs-Collins (NCI), N Ammary (ODPHP), C Davis (NCI), A Jerkins (CSR), S Krebs-
Smith (NCI), N Potischman, K Stitzel, R Troiano (NCI), J Weber (ODPHP), S Yanovski, A Yaroch
(NCI), B Wansink (UIL)




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APPENDIX C. SCINR DRAFT PROPOSAL FOR A WORKSHOP ON OBESITY

Obesity a Global Epidemic. The Role of Body Composition Assessment. Do
Current Methods Measure Up?

Background:
Obesity has become recognized as a global problem that transcends borders and
economics, with increasing prevalence in both the developed and developing world. The
macro (economic) and micro (individual, genetic, environmental) causes may differ
according to setting but the long-term health outcomes are presumably adverse
irrespective of etiology. A need exists for a better understanding of how to identify the
causes and manifestation of obesity across developmental, i.e., age, and geographic
context has become a driving force in the biomedical research community globally. As a
leader in biomedical research, the delineation of the role of NIH and the trans-NIH sub-
committee on international nutrition research (SCINR) in advancing a research agenda to
address obesity and its co-morbidities from a global perspective has become a high
priority.
    The SCINR is therefore proposing a conference/workshop to explore some of the
critical elements of obesity and the current needs for development of effective evidence-
based programs and policies both domestically and as a partner in the international health
care community. The focus of this conference will be on the applicability and accuracy
of currently available methods for assessment of body composition with a particular
emphasis on the relevance and utility of body mass index (BMI) as a nutritional status
assessment tool across geographical/genetic settings and the association of body
composition to health outcomes.
    The global themes would be in essence "Does one BMI size fit all?" What is the
evidence base to support the use of BMI or any other measure of body composition as the
universal screening tool for obesity and its co-morbidities? Within that theme, several
sub-themes will be explored:
·        At what level of BMI, does health risk increase?
·        Does this level of risk vary, and how, according to setting, e.g., ethnic/genetic,
         industrialized versus emerging industrialized countries? What are the biological
         correlates?
·        What is the developmental component, i.e., what is the timing of emergence of
         risk factors? At what age would interventions be appropriate? Prevention
         strategies?
·        Prevention globally
·        How can our understanding of the regional geographic, race/ethnic differential be
         informed by immigration and acculturation research?
·        Is there a role for combined measures of BMI (height & weight) and fat
         distribution (circumference) in screening for risk?

These questions will be explored using a combination of plenary session presentations
and working group deliberation on specific topics.




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Draft Agenda:
Day 1:
Session I: Epidemiology of Obesity and co-morbidities
·       Global data on prevalence and scope of the problem; geographic, ethnic/racial,
        and developmental perspectives
·       Surveillance systems: WHO, US NHANES, is there a coordination; does there
        need to be?
·       Overview of current programs/policies for prevention
·       Overview of current programs/policies for treatment
Panel Discussion:
LUNCH
Session II: Biology of obesity: what's the connection between body composition and
health?
·       Developmental perspective; role of fetal environment, age of onset and long-term
        consequences
·       Genetic racial variability and association with health
·       Obesity and pregnancy: birth outcomes, maternal morbidity and mortality
Working Group Session:1
All working group session will be consist of panel of experts and group discussion
designed to address several key questions:
·       Adequacy and implications of current data to support evidence-based programs
        and guidance
·       Appropriateness of current programs and guidance
·       Research needs: basic, clinical and operational research gaps.
Day 2
Session III: Current Methodologies: Issues regarding measurement
·       What is currently being used for surveillance tools?
·       What is currently being used for clinical care? Including developmental
        perspective, e.g., pregnancy, infancy, childhood etc.
·       BMI: its use and relevance to health in context of surveillance and clinical care.
Working Group Session II
LUNCH
Session IV: Global strategies for prevention and treatment
·       Prevention globally: overview of current strategies and proposed changes
·       Impact of the economic development and the "nutrition transition on prevalence
        and programs
·       Role of social/cultural factors including immigration and acculturation?
Working Group Session III
Session V: Summary, Conclusions and Next Steps




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APPENDIX C. Office of Dietary Supplements 2005 Spring Seminar
Schedule, 11:00 AM to 12:00 Noon

January 19, 2005
Tsunenobu Tamura, M.D.
Professor, Department of Nutritional Sciences
Visiting Scientist from the University of Alabama Birmingham
Office of Dietary Supplements
National Institutes of Health
Topic: Prenatal Zinc Supplementation, Fetal Growth and Neurodevelopment in Early
Childhood
Location: 6100 Executive Blvd., Room 2B03

February 9 , 2005
James Harnly, Ph. D.
Research Leader
Food Composition Laboratory
Beltsville Human Nutrition Research Center
Agricultural Research Service
U.S. Department of Agriculture
Topic: Flavonoid Analysis: The Bitter and the Sweet
Location: 6100 Executive Blvd., Room 2B03

March 9, 2005
Irwin H. Rosenberg, M.D.
Senior Scientist and Director, Nutrition and Neurocognition Laboratory
Jean Mayer USDA HNRCA at Tufts University
Topic: Vitamin B-12, Folate and Cognitive Performance
Location: Neurosciences Building, Room D

April 13, 2005
Barry Halliwell, Ph. D.
Director
Graduate School of Integrative Science and Engineering
The National University of Singapore
Topic: The Antioxidant Paradox: Implications for use of Dietary Supplements
Location: Neurosciences Building, Room D

May 18, 2005
Lyle E. Craker
Professor, Department of Plant and Soil Sciences
University of Massachusetts at Amherst
Topic: Black Cohosh: Genetic, Morphological, Chemical and Clinical Diversity
Location: 6100 Executive Blvd., Room 2B03




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APPENDIX E. ASCN MEDICAL NUTRITION EDUCATION WORKSHOP
                   San Diego Convention Center
                           April 2, 2005
                       9:00 a.m. ­ 1:00 p.m.

           An Evidence-Based Approach to Medical Nutrition Education


Current Highlights in Medical Nutrition Education:

   ·   Linda Van Horn, Ph.D., R.D., Professor, Department of Preventive Medicine,
       Northwestern Medical School, Chicago, IL: Overview and History of the
       Nutrition Academic Award Program 1998-2005

   ·   Brian Tobin, Ph.D., Chairman, Division of Basic Medical Sciences and Professor
       of Nutrition, Biochemistry, and Pediatrics, Mercer University School of
       Medicine, Macon, GA: Outcomes of the NAA: The Nutrition Curriculum Guide
       for Training Physicians

   ·   Lisa Hark, Ph.D., R.D., Director, Nutrition Education and Prevention Program,
       University of Pennsylvania School of Medicine, Philadelphia, PA: Nutrition and
       the USMLE

Successful Implementation Strategies for Nutrition in the Undergraduate Medical
Curriculum:

   ·   Nancy Krebs, M.D., Associate Professor, Division of Pediatric Nutrition,
       Department of Pediatrics, University of Colorado Health Science Center, Denver,
       CO: Integration of Nutrition into the Medical Curriculum

   ·   Marilyn Edwards, Ph.D., R.D., Associate Professor, Division of
       Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine,
       University of Texas Medical School, Houston, TX: Problem Based Learning: A
       Model for Nutrition Education in Undergraduate Medical Training

   ·   Patrick McBride, M.D., M.P.H., Professor of Medicine and Director, Preventive
       Cardiology, Cardiovascular Medicine Section, University of Wisconsin Medical
       School, Madison, WI: Virtual Nutrition Guides for Training Medical Students and
       Residents

   ·   Steven Zeisel, M.D., Ph.D., Professor and Chairman, Associate Dean for
       Research, Department of Nutrition, University of North Carolina, Chapel Hill,
       NC: Models for Integration of the Nutrition in Medicine CDs into the Medical
       Curriculum




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Development of Nutrition Curriculum in Graduate Medical Education:

   ·   Margo Woods, D.Sc. Professor, Department of Family Medicine and Community
       Health, Tufts University School of Medicine: Nutrition and GME in Internal
       Medicine and Family Medicine

   ·   Darwin Deen, M.D., M.S., Associate Professor and Director, Division of Medical
       Student Education, Department of Family Medicine, Albert Einstein College of
       Medicine, Bronx, NY: Competency-Based Assessment in GME

Opportunities for Continuing Medical Education and Board Certification for
Physicians in Nutrition:

   ·   Arlo Kahn, M.D., Professor, Department of Family and Preventive Medicine,
       University of Arkansas for Medical Sciences, Little Rock AR: Nutrition and CME

   ·   Douglas Heimburger, M.D., M.S., Departments of Nutrition Sciences and
       Medicine, University of Alabama at Birmingham: An Update on the Intersociety
       Professional Nutrition Education Consortium and the American Board of
       Physician Nutrition Specialists

Lessons Learned from Curriculum Enhancements in Nutrition:

   ·   Sach St. Jeor, Ph.D., R.D., Professor and Chief, Division of Medical Nutrition and
       Director, Center for Nutrition and Metabolic Disorders, Department of Internal
       Medicine, University of Nevada School of Medicine, Reno, NV: Surviving a
       Comprehensive Schoolwide Curriculum Review

   ·   Lisa Hark, Ph.D., R.D., Director, Nutrition Education and Prevention Program,
       University of Pennsylvania School of Medicine, Philadelphia, PA: Political
       Strategies for Curriculum Enhancements




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