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Newcastle Clinical Nutrition Course 7th – 9th March 2018 Copthorne Hotel, Newcastle Quayside
Endorsement by BSG Education Committeee & sought by BAPEN Education & training committee
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Course aims Objectives Course Directors:
To provide a broad grounding in clinical nutrition and allow medical and surgical trainees to develop increased awareness of the appropriate assessment and management of patients with malnutrition. The course will be made up of a small group of delegates (maximum 30) and delegates will benefit from small group workshops and case discussions. Whilst primarily targeted at trainees, we expect that the programme will carry broader appeal to a wider range of healthcare professionals. We would encourage those interested to attend. The course meets the curriculum requirements for gastroenterology trainees required to attend a clinical nutrition course as part of training. The course previously has been officially endorsed by BAPEN, through their education and training committee and the BSG through the Education Committee. Objectives The course covers all aspects of the JRCPTB Gastroenterology curriculum for higher specialty trainees and the General Surgical Curriculum related to nutrition. Specifically the course objectives are to: Familiarise participants with the extent of the problem of malnutrition and obesity Provide participants with a practical knowledge of nutritional requirements Develop participants’ skills in carrying out nutritional assessments Discuss the ethical issues around nutritional support and psychological impact of receiving artificial nutrition support Examine the causes, consequences and management of specific nutritional problems associated with disease including: Obesity, eating disorders, high output stoma, pancreatic disease, inflammatory bowel disease and critically ill patient Familiarise participants with types of nasogastric, jejunal and PEG feeding tubes and their uses and complications Provide participants with a structured approach to assess indications and options for nutritional support (Enteral vs parenteral) Develop participants awareness of the management of intestinal failure including surgical treatments and home parenteral nutrition and the challenges associated with these treatments Develop a basic understanding of GI physiology relevant to nutrition Increase awareness of the role of the nutrition support team Course Directors: Chris Mountford and Nick Thompson Consultant Gastroenterologists and clinical leads for Nutrition Newcastle upon Tyne Hospitals NHS Foundation Trust For further information and to register, please complete the attached application form. Claire Dixon Course Administrator Newcastle upon Tyne Hospitals NHS Foundation Trust Telephone: Cost £300 (Inclusive of lunch and refreshments on all 3 days and course dinner on Wednesday 7th March)
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Application Form Your Details Surname: Title: Dr/Mr/Mrs/Miss/Ms
Forenames: Job Title: Department: Hospital Address: address (for registration confirmation): Mobile Telephone: Further Details How did you hear about this course? Mailing BAPEN BSG Other, is so please state Please state any special dietary requirements: Please attach cheque for £300 payable to Newcastle upon Tyne Hospitals NHS FT with application form and return to: Claire Dixon Secretary to Dr Mountford and Thompson Level 6 Gastroenterology Secretaries Office, Freeman Hospital, Newcastle, NE7 7DN. Cancellation: No refund can be offered if cancellation after January 24th
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Course Programme Day 1: 7th March 2018 17.00 Close of Day 1
Session 1. Fundamentals of clinical nutrition Introduction to malnutrition and obesity Nick Thompson, Consultant Gastroenterologist, Newcastle Body composition & Energy homeostasis Chris Seal, University of Newcastle What’s essential? – an introduction to nutritional principles Steve Wooton, University of Southampton Tea/Coffee & Tasting Micronutrients – which to test for and what to supplement ? Stewart Pattman, Consultant Chemical Pathologist, Northumbria NHS FT Nutrition support and surgery: The perioperative period Prof Derek Manas, Consultant HPB & IF Surgeon, Newcastle Lunch Session 2. Nutrition applied to the clinical environment Break-out sessions Rotating in 3 groups 30 minutes each Nutritional assessments (Senior dieticians, Newcastle Nutrition) Session 1: Anthropometry (Lisa Gemmell) Session 2: Screening tools (David Bourne) Session 3: Calculating Energy & Protein needs (Colette Byrne) Tea/Coffee & Tasting Break out sessions Rotating in 2 groups 45 minutes each Session 1: NCEPOD A mixed Bag and NICE fluid guidelines Learning points including case discussion David Oliver, Consultant Gastroenterologist, James Cook NHS FT Session 2: Refeeding syndrome case presentation and discussion Emma Johns, Consultant Gastroenterologist, Gateshead NHS FT 17.00 Close of Day 1 Course dinner: Café 21: Newcastle Quayside
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Day 2: 8th March 2018 17.00 Close of Day 2 09.00-09.40
Session 3. Managing the extremes of nutrition. Surgery in the over and undernourished Obesity: What are the consequences and do diets and drugs work? Chris Mountford, Consultant Gastroenterologist, Newcastle Obesity: Bariatric surgery – Who gets it? How does it work? What can go wrong? Keith Seymour, Consultant Bariatric Surgeon, North Tyneside Gut physiology & Short Bowel syndrome Tea/Coffee & Tasting Session 4. Nutrition in challenging situations Nutrition support on Critical Care Kaye Cantlay, Consultant Intensive Care Medicine, Newcastle Irritable bowel syndrome: What can the dietician do? Mimosa Wright, Senior Dietician, Newcastle Lunch Session 5. Enteral nutrition - feeding tubes Break-out sessions Rotating in 2 groups 45 minutes each Hands-on Session 1: PEG tubes – What tube, when and how? Chris Dipper, Lindsay McGowan and Carole Rickeard, Newcastle PEG team Hands-on Session 2: Ethical dilemmas with tube feeding Maria Mckenna, Consultant Palliative Care, Newcastle Emma Johns, Consultant Gastroenterologist, Gateshead Tea/Coffee & Tasting Session 6. Nutrition support teams and Special circumstances Break out sessions Rotating in 3 groups 30 minutes each Session 1: NG and NJ tubes – Insertion, checks and retaining devices Madeleine Lee, Nutrition Nurse Specialist, Gateshead Session 2: Formulating TPN Mike Bowe, Divisional Specialist Clinical Pharmacist , Gateshead Session 3: Anorexia: A practical and safe approach to management Chris Wells, Consultant Gastroenterologist, North Tees 17.00 Close of Day 2
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Day 3: 9th March 2018 15.30-16.00 Final conclusions and Course Close
Session 7. Parenteral nutrition Parenteral nutrition: An overview Nick Thompson, Consultant Gastroenterologist, Newcastle IV Feeding lines: What to use and what are the complications? Pete Littler, Consultant Radiologist, Newcastle Liver disease and nutrition support Steve Masson, Consultant hepatologist, Newcastle Tea/Coffee & Tasting Session 8. State of the Art Session Intestinal Failure Surgery: State of the Art Ruth Mckee, Consultant Colorectal and IF surgeon, Glasgow Nutrition and Ageing: State of the Art Professor John Mathers, Newcastle University Lunch Session 9. Nutrition support in special situations Break-out sessions Rotating in 3 groups 30 minutes each Session 1: Pancreatic disease (John Leeds, Consultant HPB physician, Newcastle) Session 2: Renal disease (Liz Rai, Senior dietician, Renal Services, Newcastle) Session 3: Inflammatory bowel disease (Mel Gunn and Mimosa Wright, Newcastle IBD team) Session 10. A patient’s perspective Break out sessions Rotating in 2 groups Session 1: Life on enteral nutrition support Patient Session 2: Life on Home Parenteral Nutrition Final conclusions and Course Close
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