Presentations
- Disordered eating
- Food allergy or intolerance
- Malabsorption
- Malnutrition
- Obesity sarcopenia
- Specific nutrient deficiencies (e.g. iron deficiency, vitamin B12 deficiency, vitamin D deficiency)
- Weight loss
Conditions
- Cirrhosis
- Coeliac disease
- Consequences of bariatric surgery, including malabsorption and deficiencies
- Eating disorders
- Eosinophilic oesophagitis
- Food allergy
- Food intolerance (e.g, due to non-absorbed carbohydrates)
- Inflammatory bowel disease
- Intestinal failure
- Pancreatic insufficiency
- Protein losing enteropathies
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 history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness 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
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 history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness 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
- Exclusion diet (e.g. gluten-free, high fibre, low fibre)
- Impact of elective dietary restrictions (e.g. veganism, gluten and/or dairy-free) on nutritional status
- Pathology of malabsorption syndromes (e.g. coeliac disease)
- Understanding of clinical refeeding syndrome consequences
- Understanding of local healthy eating guidelines
- Understanding of nutrient requirements (e.g. calcium, energy, fibre, iron, protein)
- Understanding of nutritional supplementation options (nutritional formulas, TPN)
- Understanding of the psychological and pathological features of eating disorders, and awareness of validated screening tools (e.g. SCOFF questionnaire)
- Appropriate investigations:
- colateral history
- endoscopic
- laboratory
- physiological assessment
- Multidisciplinary team approach to clinical assessment and management
- Nutritional assessment
PCH
- Types, placement, and management of enteral feeding tubes
- Be aware of disease-specific nutritional and dietary guidelines, and appropriate health professional and patient online resources
- Consider the nutritional impact and associated risk factors of dietary changes
- Ethical and legal considerations around nutritional support (i.e. provision and withdrawal of artificial supports)
- Management of sepsis in patients with central access
- Risk factors for, recognition, and management of refeeding syndrome
PCH
- In-hospital and home total parenteral nutrition (TPN)
