Credit...Eric Lee for The New York Times
Dozens of Medical Schools Back Kennedy Plan on Nutrition After Pressure
Robert F. Kennedy Jr. announced the commitments in Washington, even as some in the medical community questioned whether the government should try to influence curriculums.
by https://www.nytimes.com/by/alan-blinder, https://www.nytimes.com/by/michael-c-bender, https://www.nytimes.com/by/alice-callahan · NY TimesHealth Secretary Robert F. Kennedy Jr. said Thursday that more than 50 medical schools would embrace a federal framework for nutrition education, after a monthslong campaign to pressure universities into accepting the government’s curriculum recommendations.
Thursday’s announcement gave Mr. Kennedy’s Make America Healthy Again agenda a stronger foothold in a medical community that has often criticized the secretary’s ideas, especially on vaccination, as conspiratorial and unscientific. The announcement also reinforced how the Trump administration is seeking to infuse American colleges and universities with its ideology, a departure from the country’s tradition of academic independence.
“This is how we implement the MAHA agenda,” Mr. Kennedy said as he debuted what he called “a transformative breakthrough in medical education that will reshape the way we train doctors.”
The push comes as the White House has made clear it would like the health secretary to pivot from contentious political issues, like vaccination, ahead of the midterm elections.
Mr. Kennedy’s appearance on Thursday alongside Education Secretary Linda McMahon came one day after The New York Times detailed the federal government’s effort to secure support from medical schools. The Health and Human Services Department used a blend of approaches, including the threat of funding cuts and the prospect of public praise, to entice schools.
None of the elite universities that previously reached funding-related settlements with the Trump administration — including Brown, Columbia, Cornell and Northwestern — joined Mr. Kennedy’s plan, even though they have well-regarded medical schools.
But Mr. Kennedy attracted a range of other institutions, representing about a quarter of American medical schools. Many are public schools in conservative states, including the University of Alabama at Birmingham, the University of Florida, the University of Kentucky, the University of Oklahoma and Texas Tech. Others are in more left-leaning areas: the University of California, Irvine; George Washington University; New York University; and Tufts University.
Mr. Kennedy said on Thursday that part of the process had been “school-led” and that Thursday’s announcement did not represent “the Trump administration dictating” curriculum.
“We respect the independence of medical schools and accrediting bodies, and the Department of Education will never mandate curriculum — that’s not our job,” Ms. McMahon said. “But we can and will spotlight promising, evidence-based models; convene leaders who are improving health outcomes; and celebrate institution-driven curricular reforms.”
Officials from some schools that declined to endorse Mr. Kennedy’s plan said they had been concerned by the possibility of ongoing federal interference. Others suggested they believed their nutrition curriculums were already sufficient.
Harvard said in a statement that it had nutrition integrated throughout its curriculum, adding that it “remains committed to ongoing review, revision and improvement of educational programming in nutrition and other important areas.”
Doctors have routinely debated how much time to spend on nutrition in medical school since the 1960s, when the American Medical Association reported there was “inadequate recognition, support and attention given to this subject in medical schools.”
Little changed in subsequent decades, though the idea of medical schools expanding nutrition education has drawn bipartisan support.
The framework that Mr. Kennedy rolled out Thursday is not mandatory, but it recommends 71 “competencies” that medical schools can use to include at least 40 hours of nutrition education for every medical student.
Some of the competencies align closely with a 2024 set of recommendations from experts, like understanding nutrient deficiencies and food allergies. But others are on shakier scientific ground, including the promotion of dietary supplements and “wearable” devices.” One proposed that medical students study “soil sampling, composting and crop rotation.”
Mr. Kennedy’s framework also does not explicitly emphasize teaching doctors how to screen for food insecurity, or whether people have access to enough nutritious and safe food, which the 2024 report viewed as a top priority.
Some critics want to see more nutrition education, but balk at the idea of the federal government sketching out curriculums.
Asked last week whether the Department of Health and Human Services should be trying to shape curriculums, Dr. Louis Sullivan, who was secretary during George Bush’s presidency, replied, “No.”
“Medical schools and academic institutions generally value their autonomy and their freedom because the ideal is to have a culture that seeks truth and knowledge to improve the lives of people,” added Dr. Sullivan, who steered a revamping of nutrition labeling as health secretary and was also president of the Morehouse School of Medicine.
Dr. Ora Pescovitz, the president of Oakland University, which is participating in the federal initiative, said that officials there had “identified that there were some opportunities for us to improve our nutrition education and we’re working on that.”
Dr. Pescovitz, an endocrinologist, said she welcomed greater emphasis on nutrition education, in part because she did not receive any as a medical student in the 1970s.
“We support these efforts,” she said, before adding that she had “some serious concerns with a number of the other areas that the secretary has focused on, such as immunizations.”
Federal officials did not directly answer on Thursday when asked whether the government was still considering funding cuts to medical schools, or if it might try to influence curriculums around vaccinations.