About Our Program

Our program teaches about pediatric nutrition using a combination of formal didactic exercises and informal bedside teaching. Problem-based, integrative case studies will constitute an important aspect of the didactic process.

Fellows gain direct experience by responding to pediatric nutrition consults, rounding with specialty dieticians and observing both the outpatient (obesity) clinic and the nutrition rehabilitation program at Children’s at Egleston.

Goals and objectives

The goals and objectives of the nutrition elective program are for fellows to:

  • Know how to assess nutritional status by anthropometrics, balance studies, body composition analysis and measurement of energy expenditure
  • Recognize the clinical and biochemical manifestations of nutrient deficiencies and nutrient excess
  • Understand the special nutritional needs of patients with IBD, short bowel syndrome, cholestatic liver disease, end-stage liver disease, renal disease, neoplasia and immunodeficiency states
  • Become competent in nutritionally rehabilitating patients who are undernourished
  • Recognize metabolic syndromes as well as other obesity-related manifestations
  • Implement better health programs

Didactic exercises

  • Discuss integrated case studies (nutritional assessment, nutrient biochemistry, macronutrient deficiency, micronutrient deficiency, short gut, IBD, liver disease, renal failure and immunodeficiency) weekly
  • Prepare and present a nutrition-related topic (journal article, case report or review) at the nutrition conference on the fourth Tuesday of each month
  • Attend nutrition conferences at Children’s at Egleston
  • Obtain and evaluate:
    • 24-hour dietary recall from a patient or test individual
    • 24-hour or three-day diet diary from patient or test individual
    • New parenteral nutrition orders (This will be done in order to identify the pros and cons of obtaining these as measures of dietary assessment in pediatrics)

Clinical experiences

Weekdays (early morning): Round with subspecialty dietician:

  • First week: GI (M, T), Hematology/Oncology (Th) and Renal (Fri)
  • Second week: Hepatology/Transplant (M, T), Hematology/Oncology (Th) and Renal (Fri)
  • Third and fourth weeks: Rotate with metabolic team at Children’s at Egleston

Every Wednesday: Attend neonatology/short bowel nutrition rounds:

  • Answer nutrition consultations to be precepted by the dietician and follow those patients during the rotation under the direction of the subspecialty dietitian
  • Attend specialty clinics when available (eating disorders clinic, obesity clinic, adult and pediatric nutritional rehabilitation clinics)

Academic expectations

During the rotation, it is expected that fellows will review the literature and textbooks. It is optional to write a case report if an interesting patient or problem is encountered during the rotation.

Recommended texts include:

  • Nutrition in Pediatrics: Basic science and clinical applications, 3rd Edition Walker, Watkins and Duggan eds.
  • Pediatric Nutrition Handbook, 5th Edition, AAP