,,iv  #aag? ,,congress  #a/ ,session    
,h4 ,,res4 #ghd  ,,9 ,,! ,,h\se ,,(     
,,repres5tatives  ,novemb] #i1 #bjba,mr4
 ,mc,govern 7= himself & ,mr4 ,burgess7 
submitt$ ! foll[+ resolution2 :i* 0     
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,,resolution  ,express+ ! s5se 
( ! ,h\se ( ,repres5tatives t ! ,unit$  
,/ates recognizes ! m\nt+ p]sonal &     
f9ancial burd5 ( diet-relat$ disease 9 !
 ,unit$ ,/ates & calls on m$ical s*ools1
 graduate m$ical education programs1 &  
o!r heal? pr(essional tra9+ programs to 
provide mean+ful physician & heal?      
pr(essional education on nutrition &    
diet4  ,:]eas obesity1 type-#b diabetes1
 he>t disease1 canc]1 & /roke are among 
! lead+ causes ( dea? & disability      
nationwide & are inextricably l9k$ to   
diet2 ,:]eas poor diet & nutrition h l$ 

to epidemic levels ( obesity 9 ,am]ica1 
) ne>ly #dj p]c5t ( adults curr5tly     
obese & models project+ t ne>ly #fj     
p]c5t ( today's *ildr5 w be obese by !  
age ( #ce2 ,:]eas ne>ly #aj p]c5t (     
,am]icans suff] f type-#b diabetes & m  
?an "o-?ird h pre-diabetes1 comp>$ )    
less ?an #a p]c5t j #ej ye>s ago1 & ^!  
conditions c be prev5t$ or rev]s$ by !  
adoption ( a heal?y diet & an active    
life/yle2 ,:]eas diet-relat$ canc]s are 
on ! rise among "y adult populations2   
,:]eas increas+ rates ( c>diovascul>    
disease & diet-relat$ canc]s are        
contribut+ to ! rec5t decl9es 9 life    
expectancy ( ! ,unit$ ,/ates population2
 ,:]eas ! economic co/s relat$ to-- 7#a7
 diagnos$ diabetes exce$ #cjj billion p]
 ye>2  7#b7 obesity exce$ #bjj billion  
p] ye>2 &  7#c7 canc] c>e exce$ #ahj    
billion p] ye>2 ,:]eas ! ,f$]al         
,gov]nm5t be>s mu* ( ! co/ ( diet-relat$
 diseases z reflect$ by increas$ ,m$ic>e
 sp5d+1 :i* 9 #bjai1 total$ #hjj        
billion1 or m ?an #ae p]c5t ( all ,f$]al

 sp5d+2 ,:]eas 9 ! next #aj ye>s1       
,m$ic>e sp5d+ is expect$ to exce$ #a    
trillion2 ,:]eas mu* ( ?is increas$     
,m$ic>e sp5d+ is directly attribut$ to !
 rise ( diet-relat$ diseases1 z #e ( !  
#h mo/ common conditions = ! #fj million
 ,m$ic>e b5efici>ies are diet-relat$1 ) 
"o-?ird ( ,m$ic>e sp5d+ alone devot$ to 
diabetes-relat$ co/s2 ,:]eas ! ,f$]al   
,gov]nm5t also be>s a sub/antial co/ =  
tra9+ physicians :o treat pati5ts )     
diet-relat$ diseases1 p>ticul>ly ?r\gh  
graduate m$ical education z-- 7#a7      
,m$ic>e doll>s provide ! s+le l>ge/     
,f$]al direct fund+ s\rce = graduate    
m$ical education 7,,gme71 includ+       
resid5cy & fell[%ip programs1 at an     
e/imat$ #aj4c billion p] ye>2 &  7#b7 ! 
,f$]al ,gov]nm5t also mat*es ! ,m$icaid 
funds t m ?an #dj ,/ates h elect$ to    
allocate to ,,gme programs2 ,:]eas ,,gme
 programs receiv+ ,f$]al fund+ d n      
consi/5tly include sub/antive curricul> 
requirem5ts or p]=mance b5*m>ks relevant
 to diet or nutrition2 ,:]eas 9 ! abs5ce

 ( ,f$]al requirem5ts1 all levels (     
m$ical tra9+ are l>gely devoid (        
nutrition education = m$ical            
pr(essionals-- 7#a7 at ! ,und]graduate  
,m$ical ,education 7,,ume7 level1 m$ical
 s*ools devote on av]age only #ai h\rs  
to nutrition sci5ce & diet ov] #d ye>s1 
or less ?an "o p]c5t ( all lecture h\rs2
  7#b7 at ! ,,gme level1 requirem5ts =  
nutrition curriculum & compet5cy are    
limit$ or abs5t f ! educational /&>ds = 
key m$ical specialties1 set by !        
accr$it+ body1 ! ,accr$itation ,c\ncil =
 ,graduate ,m$ical ,education 7,,acgme72
 &  7#c7 at ! ,cont9u+ ,m$ical          
,education 7,,cme7 level1 no ,/ate      
requires physicians to take c\rses 9    
nutrition & diet1 ?\gh #cg ,/ates       
require tra9+ 9 o!r areas ( m$ic9e2     
,:]eas ! lack ( tra9+ 9 nutrition has   
contribut$ to a measurable defici5cy 9  
heal? pr(essionals' k ( h[ diet & food  
relates to heal?2 = example1 only #aj   
p]c5t ( survey$ c>diologi/s report      
receiv+ m ?an m9imal education 9        

nutrition z "p ( _! tra9+2 ,:]eas m$ical
 pr(essionals h cit$ ! lack ( nutrition 
education z a b>ri] to effectively      
c\nsel+ pati5ts on diet & nutrition &   
kn[+ :5 to ref] pati5ts to nutrition    
pr(essionals1 & only #ad p]c5t ( survey$
 prim>y c>e physicians report feel+     
adequately tra9$ to (f] nutrition       
guidance to _! pati5ts2 ,:]eas pati5ts  
reasonably expect _! physicians & c]ta9 
heal? c>e speciali/s to be reliable     
s\rces ( k reg>d+ nutrition & diet1 &   
are unaw>e t _! physicians may be       
ill-equipp$ to ev5 beg9 to provide      
useful diet>y advice or to make         
appropriate ref]rals to nutrition       
pr(essionals2 & ,:]eas !re exi/ num]\s  
opportunities = policy int]v5tions to   
include education relat$ to nutrition & 
diet at e level ( m$ical tra9+1 at !    
direction ( accr$it+ & te/+ bodies1     
,/ate gov]nm5ts1 & ! ,f$]al ,gov]nm5t ( 
! ,unit$ ,/ates3 ,n[1 !re=e1 be x ,t x  
is ! s5se ( ! ,h\se ( ,repres5tatives t 
! ,unit$ ,/ates %\ld-- 7#a7 provide     

,f$]al ov]sight to ensure t ,f$]al fund+
 ( m$ical s*ools & graduate m$ical      
education programs1 includ+ fund+       
provid$ ?r\gh ,m$ic>e & ,m$icaid1 goes  
to programs t incorporate sub/antive    
tra9+ 9 nutrition & diet suffici5t =    
physicians & heal? pr(essionals to      
mean+fully incorporate nutrition        
int]v5tions & diet>y ref]rals into      
m$ical practice2  7#b7 urge t m$ical    
s*ools1 resid5cy & fell[%ip programs1 & 
o!r heal? pr(essional tra9+ programs    
provide mean+ful nutrition education t  
demon/rates ! connection betwe5 diet &  
disease1 & develops ! skills necess>y to
 initiate mean+ful nutrition int]v5tions
 & ref]rals2  7#c7 conduct or fund      
rese>* int5d$ to-- 7,a7 assess ! /atus (
 nutrition education across heal?c>e    
pr(essionals' tra9+2  7,b7 develop      
effective curricul> int]v5tions to      
ensure compet5cy 9 diet & nutrition =   
physicians & o!r heal? pr(essionals2 &  
7,c7 evaluate ! impact ( ! education (  
heal? pr(essionals on pati5t &          

population heal?2  7#d7 support !       
developm5t & dissem9ation ( be/         
practices & curricul> res\rces to m$ical
 s*ools1 resid5cy & fell[%ip programs1 &
 heal? pr(essional tra9+ programs to    
r$uce ! burd5 ( introduc+ or increas+   
diet & nutrition education2 &  7#e7     
raise aw>5ess ( ! critical role t diet &
 nutrition play 9 ! heal? ( all pati5ts 
& ! responsibility ( practic+           
physicians1 heal? pr(essionals1 &       
heal?c>e adm9i/rators to assi/ 9 promot+
 heal?y diets2 to (f] pati5t education &
 c\nsel+ ab\t diet & nutrition2 & to    
make timely & appropriate ref]rals z    
necess>y4