Clinical nutrition in the hepatogastroenterology curriculum

作     者：Chris JJ Mulder Geert JA Wanten Carol E Semrad Palle B Jeppesen Hinke M Kruizenga Nicolette J Wierdsma Matthijs E Grasman Adriaan A van Bodegraven 

作者机构：Department of Gastroenterology and HepatologyVU University Medical Center Amsterdam1007 MD AmsterdamThe Netherlands Department of Gastroenterology and HepatologyRadboud University Nijmegen Medical Center6500 HB NijmegenThe Netherlands Department of Medicine GI SectionThe University of ChicagoChicagoIL 60637United States Department of Medical Gastroenterology RigshospitaletUniversity Hospital of Copenhagen2100 KHB CopenhagenDenmark Department of DieteticVU University Medical Center Amsterdam1081 HZ AmsterdamThe Netherlands Department of Internal MedicineGastroenterologyand GeriatricsORBIS Medical Center6130 MB Sittard-GeleenThe Netherlands 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2016年第22卷第5期

页      面：1729-1735页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Novo Nordisk Fonden [NNF13OC0003573] Funding Source: researchfish 

主　　题：Gastroenterology Training Clinical nutrition Malnutrition Metabolism Curriculum Targeted therapy Enteral feeding Parenteral feeding Obesity 

摘      要：Gastroenterology(GE) used to be considered a subspecialty of internal medicine. Today, GE is generally recognized as a wide-ranging specialty incorporating capacities, such as hepatology, oncology and interventional endoscopy, necessitating GEexpert differentiation. Although the European Board of Gastroenterology and Hepatology has defined specific expertise areas in Advanced endoscopy, hepatology, digestive oncology and clinical nutrition, training for the latter topic is lacking in the current hepatogastroenterology(HGE) curriculum. Given its relevance for HGE practice, and being at the core of gastrointestinal functioning, there is an obvious need for training in nutrition and related issues including the treatment of disease-related malnutrition and obesity and its associated metabolic derangements. This document aims to be a starting point for the integration of nutritional expertise in the HGE curriculum, allowing a central role in the management of malnutrition and obesity. We suggest minimum endpoints for nutritional knowledge and expertise in the standard curriculum and recommend a focus period of training in nutrition issues in order to produce well-trained HGE specialists. This article provides a road map for the organization of such a training program. We would highly welcome the World Gastroenterology Organisation, the European Board of Gastroenterology and Hepatology, the American Gastroenterology Association and other(inter)national Gastroenterology societies support the necessary certifications for this item in the HGE-curriculum.