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San Diego Workshop on Nutrition in Medical Education. The Third International Symposium on Clinical Nutrition. San Diego, April 27-29, 1987. Proceedings.

Introduction Por most of the history of medicine Hippocrates in ancient Greece, Li Shi-Xhen of the Ming dynasty who compiled the Chinese materia medica, Maimonides in the Middle Ages, the pharmocognosy of structured medical curricula within living memory, and the therapeutic diets of this century nutrition has been part of medical practice and, therefore, of medical education. The issuesbefore us are that there has been a revolution in the understanding of how food intake influences the major health problems of industrialized societies; that the skills which allow the recognition of nutritionally reversible states of wasting are not well in place in those same societies; and that change in the food supply proceeds apace, with the implications of such change for changes in health. The biomedical and psychosocial science training of medical graduates provides the basis for medical graduates to engage in nutritional diagnosis and nutritional management. What is missing is: first, facilityin nutritional assessment, in the way that a doctor makes a cardiovascular or neurological assessment, and especially an adequate knowledge about food to identify food-health relationships; secondly, decision-making about the relative importance of nutritional and other pathogenetic processes and other management strategies; and, thirdly, the ability to obtain effectivechanges in foodrelated behaviours in patients. Because of these considerations, several experts in the field of medical education were brought together at the Third International Symposium on Clinical Nutrition in San Diego, April 27-29, 1987. As a result, the status of nutrition in undergraduate and postgraduate medical education was reviewed from an international perspective, and the teaching of clinicaldecisionanalysis and that of patient counselling in the food and nutrition arena were explored. This valuable set of papers now is brought together in this supplement.