title: Clinical nutrition in the hepatogastroenterology curriculum.
abstract: 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 GE-expert 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.
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Chris J J
authors: CJ
authors: Mulder
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Geert J A
authors: GJ
authors: Wanten
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Carol E
authors: CE
authors: Semrad
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Palle B
authors: PB
authors: Jeppesen
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Hinke M
authors: HM
authors: Kruizenga
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Nicolette J
authors: NJ
authors: Wierdsma
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Matthijs E
authors: ME
authors: Grasman
authors: Chris JJ Mulder, Matthijs E Grasman, Adriaan A van Bodegraven, Department of Gastroenterology and Hepatology, VU University Medical Center Amsterdam, 1007 MD Amsterdam, The Netherlands.
authors: Adriaan A
authors: AA
authors: van Bodegraven
mesh_terms: D002568:Certification; D002983:Clinical Competence; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000379:methods* / Q000592:standards; D005762:Gastroenterology / Q000193:education* / Q000592:standards; D006801:Humans; D007396:Internship and Residency; D044342:Malnutrition / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D044623:Nutrition Therapy / Q000592:standards; D009747:Nutritional Physiological Phenomena; D052756:Nutritional Sciences / Q000193:education* / Q000592:standards; D009765:Obesity / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*
keywords: Clinical nutrition; Curriculum; Enteral feeding; Gastroenterology; Malnutrition; Metabolism; Obesity; Parenteral feeding; Targeted therapy; Training