Development and Pilot Implementation of a Nutrition Curriculum and Rotation in Pediatric Gastroenterology Fellowships

Structured nutrition rotations are rarely offered in pediatric gastroenterology fellowships. The NASPGHAN Nutrition Committee developed a curriculum to serve as the basis for a rotation in clinical nutrition. We worked directly with five fellowship programs to tailor the experience to individual institutions. As part of our pilot study, fellows completed knowledge assessments and self-assessment of comfort level at the start and end of the experience. We saw a trend in improvement of comfort level and increase in mean score on knowledge assessments, but the differences did not meet statistical significance. Fellows who completed the rotation had an increase in comfort level in all topics with most dramatic increase in nutrition management of cystic fibrosis, refeeding syndrome, and cholestasis. Objective measures of nutrition knowledge attainment and use of programmatic feedback to continually improve the learners' experience will help expand the nutrition curriculum to a broader audience. Address correspondence and reprint requests to Praveen S. Goday, MBBS, CNSC, Professor of Pediatrics, Pediatric Gastroenterology and Nutrition, Medical College of Wisconsin, 8701 Watertown Plank Road Milwaukee, WI 53226 (e-mail: pgoday@mcw.edu). Received 31 May, 2018 Accepted 6 August, 2018 Conflicts of Interest: PSG - Consultant for Nutricia, Member of Data and Safety Monitoring board, Shire Pharmaceuticals. The other authors have no conflicts of interest to declare. Source of Funding: None Declared Authorship requirements: AS: Contributed to the design of the work, collected data, wrote the first draft, and approved the final manuscript CJ: Contributed to the design of the work, analyzed data, helped with manuscript re-drafting, and approved the final manuscript PSG: Contributed to the design of the work, interpretation of the data, helped with manuscript redrafting, and approved the final manuscript Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML text of this article on the journal's Web site (www.jpgn.org). © 2018 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology,

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