Presentations
- Body image concerns
- Constipation
- Delayed puberty
- Diarrhoea
- Eating issues / Disordered eating:
- food refusal
- pica
- picky eating
- Fainting / Loss of consciousness / Postural dizziness
- Fatigue
- Growth concerns
- Headache
- Oligomenorrhoea / Amenorrhoea
- Nausea
- Pain:
- Vomiting
- Weight concerns:
Conditions
- Anorexia nervosa / Atypical anorexia nervosa
- Avoidant restrictive food intake disorder (ARFID)
- Binge-eating disorder
- Bulimia nervosa
- Insulin resistance
- Metabolic syndrome
- Protein energy malnutrition
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical and biopsychosocial history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations and consultations
- consider the impact of injury and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
Presentations
- Long-term enteral / parenteral feeding
Conditions
- Female athlete triad
- Functional gastroparesis
- Rumination
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical and biopsychosocial history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations and consultations
- consider the impact of injury and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Enteral / Parenteral nutrition
- Metabolic syndrome
- Normal growth and development
- Nutritional requirements in adolescence
- Overweight and obesity in adolescence
- Pathophysiology of starvation and refeeding syndrome
- Protein energy malnutrition
- Psychological and pathological features of eating disorders
- Refeeding syndrome, including risk factors, recognition, and management
Investigations
- Abdominal ultrasound
- Anthropometric measurements / centile charts
- Biochemical results in the presence of:
- chronic vomiting
- obesity
- refeeding
- starvation
- Bone age
- Bone mineral density
- Electrocardiogram (ECG)
- Nutritional screening blood tests, such as:
- cholesterol, triglycerides
- ferritin
- haemoglobin A1c (HbA1c)
- other micronutrient screening
- vitamin D levels
- Screening tools, such as:
- Eating Disorder Examination Questionnaire (EDE-Q)
- Sick, Control, One, Fat, Food (SCOFF) questionnaire
- Comorbidities in overweight and underweight patients
- Consequences and management options for long-term amenorrhoea
- Ethical and legal considerations around nutritional support
- Indications for hospitalisation in patients with eating disorders or weight loss
- Indications for referral to specialised units and/or subspecialists
- Long-term health risks of underweight and overweight patients, and their correlation with a multidisciplinary approach, close follow up, and early identification
- Management of chronically overweight patients, such as:
- bariatric surgery
- medication
- role of lifestyle modification
- Medical complications of malnutrition
-
Models of care for eating disorder management, such as:
- cognitive behavioural therapy – enhanced
- family-based treatment (FBT)
- indications for restrictive intervention
- medical monitoring
- role of pharmacological management
- specialist supportive clinical management
- temperament-based therapy with supports
- Role of the family in the assessment and management of health issues
- Specific considerations needed for the following groups:
- Aboriginal and Torres Strait Islander peoples and Māori adolescents
- adolescents whose parents have a mental illness or substance misuse
- adolescents with a disability
- homeless young people
- LGBTQIA+ adolescents
- neurodiverse young people
- refugee and asylum seeker families
- socioeconomically disadvantaged young people
- victims of physical and/or sexual abuse
- young people in custody or out-of-home care
