Fifth Newcastle Clinical Nutrition Course - PowerPoint Presentation

1. Fifth Newcastle Clinical Nutrition CourseDraft Programme18th-20th March 2020Copthorne Hotel, Newcastle QuaysideEndorsement sought by BSG & BAPEN Education & training committee

2. Course aimsTo 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.ObjectivesThe 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 teamCourse Directors: Chris Mountford and Nick Thompson Consultant Gastroenterologists and clinical leads for Nutrition Newcastle upon Tyne Hospitals NHS Foundation TrustCost£400 (£280 for BSG members)(Inclusive of lunch and refreshments on all 3 days and course dinner on Wednesday 18th March)30% reduction to BSG membersFor further information and to register, please complete the attached application form.Claire DixonCourse AdministratorNewcastle upon Tyne Hospitals NHS Foundation TrustTelephone: 01912137209Email: claire.dixon@nuth.nhs.uk

3. Application FormYour DetailsSurname: Title: Dr/Mr/Mrs/Miss/MsForenames:Job Title: Department:Hospital Address:Email address (for registration confirmation): Mobile Telephone:Further DetailsHow did you hear about this course?MailingBAPENBSGOther, is so please statePlease state any special dietary requirements:Please attach cheque for £400 (£280 for BSG members) payable to Newcastle upon Tyne Hospitals NHS FT with application form and return to:Claire DixonSecretary to Dr Mountford and ThompsonLevel 6 Gastroenterology Secretaries Office,Freeman Hospital,Newcastle,NE7 7DN.Cancellation: No refund can be offered if cancellation after February 5th 2020.

4. Day 1: Wednesday 18th March 2020Session 1. Fundamentals of clinical nutrition09.00-09.40Introduction to malnutrition and obesityNick Thompson, Consultant Gastroenterologist, Newcastle09.40-11.00Nutritional PrinciplesSteve Wootton, Senior Lecturer in Human Nutrition, University of Southampton11.00-11.30 Tea/Coffee & Tasting11.30-12.00Micronutrients – which to test for and how to interpret the findings?Barry Toole, Principle Clinical Scientist, Newcastle12.00-12.30Short Bowel syndrome - physiology and practical managementCharlotte Rutter, Consultant Gastroenterologist, Southampton12.30-1.30 LunchSession 2. Nutrition applied to the clinical environment13.30-15.00 Break-out sessionsRotating in 2 groups45 minutes eachSession 1: In hospital fluid managementJon Walton, Consultant in Anaesthetics and Periop CareSession 2: Refeeding syndrome case presentation and discussionDavid Oliver, Consultant Gastroenterologist, James Cook NHS FT3.00-3.30 Tea/Coffee & TastingSession 3 Learning from dieticians.15.30-17.00Break out sessions Rotating in 3 groups30 minutes eachNutritional assessments (Senior dieticians, Newcastle Nutrition)Session 1: Screening tools & Anthropometry (David Bourne)Session 2: Prescribing PN (Lisa Gemmell) Session 3: Calculating Energy & Protein needs (Rachel Thomson)17.00 Close of Day 1Delegate Course Dinner: Café 21: Newcastle QuaysideCourse Programme

5. Day 2: Thursday 19th March 2020Session 3. Managing the extremes of nutrition.09.00-09.40Obesity: What are the consequences and do diets and drugs work?Chris Mountford, Consultant Gastroenterologist, Newcastle09.40-10.20Obesity: Bariatric surgery – Who gets it? How does it work? What can go wrong?Jamie Brown, Consultant Bariatric Surgeon, North Tyneside10.20-11.00Intestinal Failure Surgery: State of the ArtGordon Carlson, Consultant IF surgeon, Salford11.00-11.30 Tea/Coffee & TastingSession 4. Nutrition in challenging situations11.30-12.00Nutrition support and Liver diseaseSteve Masson, Consultant Hepatologist, Newcastle12.00-12.30Nutrition support in GI dysmotility syndromesEmma Johns, Consultant Gastroenterologist, Gateshead12.30-1.30 LunchSession 5. Feeding tubes & the wider nutrition13.30-15.00 Break-out sessionsRotating in 2 groups45 minutes eachHands-on Session 1: PEG tubes – What tube, when and how?Lindsay McGowan & Chris Dipper, Newcastle PEG teamHands-on Session 2:Irritable bowel syndrome: What can the dietician do?Mimosa Wright, Senior Dietician, Newcastle3.30-4.00 Tea/Coffee & TastingSession 6. Feeding tubes & the wider nutrition15.30-17.00Break out sessions Rotating in 3 groups30 minutes eachSession 1: NG and NJ tubes – Insertion, checks and retaining devicesFrances McDermott, Nutrition Nurse Specialist, NewcastleSession 2: Formulating TPNMike Bowe, Divisional Specialist Clinical Pharmacist , GatesheadSession 3: Nutrition support on Critical CareKaye Cantlay, Consultant Intensive Care Medicine, Newcastle17.00 Close of Day 2

6. Day 3: Friday 20th March 2020Session 7. Specialist support08.30-09.00Parenteral nutrition: An overviewNick Thompson, Consultant Gastroenterologist, Newcastle09.00-09.30IV Feeding lines: What to use and what are the complications?Pete Littler, Consultant Radiologist, Newcastle09.30-10.00Anorexia: A practical and safe approach to managementChris Wells, Consultant Gastroenterologist, North Tees10.30-11.00 Tea/Coffee & Tasting10.30-12.00Break-out sessionsRotating in 2 groups45 minutes eachSession 1: Pancreatic disease (John Leeds, Consultant HPB physician, Newcastle)Session 2: Inflammatory bowel disease (Mel Gunn and Mimosa Wright, Newcastle IBD team)12.00-1.00 LunchSession 8. Nutritional challenges13.00-13.40 Ethical dilemmas in nutrition supportAlastair McKinlay, Consultant Gastroenterologist, Aberdeen13.40-14.30Case DiscussionsChair: Chris Mountford Panel: Lisa Gemmell, Hayley Leyland, Alastair McKinlay, Fintan BerginSession 9. A patient’s perspective14.30-15.30Break out sessions Rotating in 2 groups30 minutes eachSession 1: Life on enteral nutrition supportPatient Session 2: Life on Home Parenteral NutritionPatient15.30-16.00 Final conclusions and Course Close