New Zealand Society of Gastroenterology and the University of Auckland Nutrition Course

February 16-18, 2017

The Medical School, Grafton, Auckland

A curriculum based course in nutrition for Medical/Surgical GI and Intensive Care trainees and other healthcare professionals and a comprehensive clinical update for consultants

Sponsored by;

16th February 2017

Dear Colleague,

We are delighted to welcome you to the first joint University of Auckland and New Zealand Society of Gastroenterology Nutrition Course.

This course is primarily aimed at trainees & consultants and offers a systematic three-day course in the day-to-day practice and evidence-based management of clinical nutrition. It is based on the nutrition curricula of the Royal Australasian College of Physicians Advanced Training in Gastroenterology, RACS & NZ Association of General Surgeons and the College of Intensive Care of Australia & New Zealand. The course is aligned with the Life Long Learning (LLL) Programme in Clinical Nutrition and Metabolism developed by ESPEN. The course aims to be highly interactive including scenario-based teaching sessions, practical workshops and discussions.

We are very grateful to the University of Auckland for providing the venue and administrative support for the course. We are equally grateful to our sponsors Fresenius Kabi, Biomed and Nutricia. Without this support we would not be able to provide the course at a cost that is affordable for trainees.

We are fortunate to have an international faculty and are very pleased to welcome Dr Andrew Rochford from the UK who is Chair of BAPEN Education & Training Committee. We hope that you will be able to take advantage of the course to network and share ideas with our faculty as well as each other.

We thank you in advance for your feedback for the three-day course, which is essential for its future improvement and development.

We hope you enjoy yourselves!

With the very best wishes,

Dr Russell Walmsley

On behalf of the University of Auckland and NZSG Nutition Course Organising Team.

The over-arching aim of the course is to provide a strong foundation of knowledge in Clinical Nutrition from which future Gastroenterologists, GI surgeons and Intensive Care specialists may build and develop a specialist interest.

The three - day course has the following objectives:

·  Provide comprehensive and evidence - based clinical information on the assessment and management of patients who require nutritional support – from patients with intestinal failure to those requiring bariatric surgery. In addition, delegates will gain a basic understanding of key metabolic pathways and their relevance to clinical nutrition.

·  Address all clinical nutrition learning outcomes within the RACP, RACS & CICM curricula.

·  Provide an engaging and interactive learning experience in clinical nutrition using clinical scenarios, workshops and interactive discussions.

Dr Russell Walmsley

Dr Clare Wall

Associate Professor Lindsay Plank

Dr Andrew Rochford

Thursday 16th February

8.00 - 8.30 Registration and Coffee/Tea

8.30 - 9.00 Introduction and course overview

Dr Russell Walmsley, NZSG.

Dr Clare Wall, University of Auckland

Dr Andrew Rochford, Barts Health & BAPEN (UK)

Pre-course assessment

9.00 - 9.45 Digestion Angela Tsai

9.45 - 10.30 Carbohydrate, fat and protein metabolism Marta Silvestre

10.30 - 11.00 Coffee/Tea

11.00 - 11.30 Vitamins, antioxidants, trace elements and minerals Clare Wall

11.30 - 12.00 Body composition. Prof. Linsdsay Plank

12.00 - 12.30 Diets, fads and FODMAPS. Courtney Hibberd

12.30 - 13.30 Lunch

13.30 – 14.30 Specialist facilitated workshops – Discussion rooms (30 minutes each, 2 rooms only then break)

ROOM 1: A hands on guide to nutritional assessment and anthropometrical evaluation. John Pulford & James Falvey

ROOM 2: Fluid and electrolyte requirements. Simon Hill & Russell Walmsley

ROOM 3: Calculating energy requirements: Who needs what and how to make the numbers add up. Sarah Tuki. & Andrew Rochford

ROOM 4: Screening for Malnutrition Risk. Clare Wall & Adrian Claydon

14.30 - 15.00 Coffee/Tea

15.00 – 16.00 Specialist facilitated workshops – Discussion rooms

ROOM 1: A hands on guide to nutritional assessment and anthropometrical evaluation

ROOM 2: Fluid and electrolyte requirements.

ROOM 3: Calculating energy requirements: Who needs what and how to make the numbers add up.

ROOM 4: Screening for Malnutrition Risk.

16.00 – 16.30 ERAS – the answer to everything. Prof Andrew Hill

16.30-16.45 Summary & Close

19.00 - 22.00 Post course drinks and social event with invited speaker Professor Ian Bissett

The Wintergardens Pavillion, Auckland Domain. http://www.wintergardenpavilion.co.nz/welcome-to-the-wintergarden-pavilion

Friday 17th February

8.00 - 8.30 Coffee/Tea

8.30 Introduction

8.30 - 9.00 Epidemiology and mechanisms of malnutrition. Adrian Claydon

9.00 – 9.30 Essential guide to nutritional support. Andrew Rochford

9.30–10.00 Refeeding syndrome. Russell Walmsley

10.00 - 10.30 Coffee/Tea

10.30 - 11.30 Specialist facilitated workshops – Discussion rooms (30 minutes each, 2 rooms only then break)

ROOM 1: Prescribing PN: Where to begin, a practical session Simon Hill & Andrew Rochford

ROOM 2: Practical care of the PN patient - LIFEWRAP. Sue Larsen

ROOM 3: Enteral Nutrition; Access & practicalities. Janice Duxfield & Russell Walmsley

ROOM 4: Abnormal LFTs in Intestinal Failure. James Falvey & Adrian Claydon

11.30-11.45 Comfort break

11.45– 12.45 Specialist facilitated workshops – Discussion rooms

ROOM 1: Prescribing PN: Where to begin, a practical session.

ROOM 2: Practical care of the PN patient – LIFEWRAP.

ROOM 3: Enteral Nutrition ; Access & practicalities.

ROOM 4: Abnormal LFTs in Intestinal Failure.

12.45 -13.15 Lunch

13.15-13.45 Appetite regulation. John Ingram

13.45-14.15 Nutrition before and bariatric surgery. Caryne McKeand

14.15-14.35 Obesity: The medical approach. David Kim

14.35-15.00 Obesity: The surgical approach. Mr Nick Evernett

15.00-15.30 Tea & Coffee

15.30-16.00 Intestinal transplantation. Helen Evans

16.00-16.30 National Intestinal Failure Service. Julian Hayes

16.30-16.45 Summary & Close

Saturday 18th February

8.30 - 8.45 Coffee/Tea

9.00 Introduction

9.00 - 9.45 Nutrition in Intensive Care – the evidence for anything. Andrew Rochford

9.45 - 10.15 Shortbowel syndrome – “the more in, the more out”. Pathophysiology, causes complications and medical treatment. Sarah Tuki

10.15-10.45 Eating Disorders. Kylie Russell & Mythrili Jayasundaram

10.45 - 11.00 Coffee/Tea

11.00-12.00 Specialist facilitated workshops – Discussion rooms (30 minutes each, 2 rooms only then break)

ROOM 1: Crohn’s Disease. Russell Walmsley / Kim Herbison

ROOM 2: Pancreatitis. Sze-Lin Peng

ROOM 3: Liver Disease. Kerry McIlroy & Andrew Rochford

ROOM 4: Renal Disease. Carol Tarboton James Falvey

12.00 - 12.30 Lunch

12.30-1.30 Specialist facilitated workshops – Discussion rooms

ROOM 1: Crohn’s Disease.

ROOM 2: Pancreatitis.

ROOM 3: Liver Disease.

ROOM 4: Renal Disease.

13.30-13.45 Coffee/Tea

13.45-14.15 Paediatric Nutrition. Kim Herbison & Amy Kostrzewski

14.15-15.15 Ethical issues in Nutrition. 3 cases with panel discussion.

Chair: Russell Walmsley

Panel: Sze-Lin Peng, Andrew Rochford, Dietitan, and Nutrition Nurse Specialist.

15.15-15.30 Post-Course Assessment

15.30-16.00 Course summary and feedback

Russell Walmsley