Clinial Nutrition
Clinial Nutrition
Clinial Nutrition
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(7) Date of last
approval of 2021
programme
specification
by Faculty
council
2
A11. recognize nutrition misinformation and misperception.
A12. describe nutrients cycle in the body system.
A13. outline the process of anabolism and catabolism.
A14. describe the relation between nutrition and disease prevention.
A15. discuss normal reproductive physiology.
A16.. recognize importance of food safety and Hygiene.
A17.. recall the nutrition in different age groups as well as pregnancy and lactation.
A18. describe food groups, dietary pyramid as well as exchange lists.
A19. explain nutrition and dietetics in practice
A20..describe indications, contra indications and complications of enteral and parenteral
nutrition.
A21. explain the concept of medical nutrition therapy.
A22. describe medical nutrition therapy goals and application.
A23. mention dietary reference intake and guidelines.
A24.mention basis of medical nutrition therapy in gastrointestinal , hepatic , renal , pulmonary,
neurologic and psychiatric states.
A25.describe dietary recommendations in diabetes, obesity, dyslipidemia, metabolic syndrome,
hypertension and cancer.
A26. define malnutrition problems.
A27. define Dietary guidelines and food pyramid.
A28. explain the concept of nutrigenomics and personalized nutrition.
B. Intellectual skills :
B1. differentiate levels of interventions for disease prevention.
B2..complete and present problem solving skills for correct unhealthy dietary habits.
B3. explain nutrition surveillance program delivered by MOHP.
B4. differentiate between survey and surveillance.
B5. relate physiologic changes of aging to nutrient and energy requirements.
B6. estimate and manage diet and drug interactions.
B7. calculate the energy requirements at different age groups
B8. apply history taking skills to assess the nutritional status of the subjects
B9 assess the need for nutritional support for patients in acute and chronic conditions
B10. integrate the knowledge of basic science to formulate a nutrition plan in health and disease
conditions
B11. use exchange lists to formulate a diet plan for patients
B12.. estimate Recommended Daily Allowance (RDA)
B13. calculate the formulas needed for enteral and parenteral nutrition
B14. interpret the lab and radiology reports for patients to assess their condition.
B15. analyze results of patients’ investigations
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B16. integrate the findings of the history taking, examination and investigations to prescribe a
nutrition plan.
B17.explain methods of assessment of nutritional status.
B18.explain Timing of meals during, pre & post competitive sports.
C. Professional/practical skills:
C1. write a detailed history for the patients.
C1. examine patients for assessment of their state of nutrition.
C2. measure the anthropometric values needed for nutrtional assessment of patients.
C3. prescribe a meal plan for the paients according to their medical conditions.
C4.order needed investigations for the patients
C5, write a medical report or referral letter when required
5. demonstrate appropriate professional values and attitudes with healthy individuals and
patients. including empathy; trust worthiness; respect for the dignity, privacy and rights
of patients; and equity of care provision.
c. Academic standards:
a- External reference points/benchmarks are selected to confirm the
appropriateness of the objectives, ILOs and structure of assessment of the
programme: University of Lubeck , Germany
https://www.uni-luebeck.de/studium/studiengaenge/medizinische-
ernaehrungswissenschaft.html
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https://www.uksh.de/Ernaehrungsmedizin_Luebeck/
d. Curriculum structure and contents:
4.a- Duration of the programme : 4 semesters
4.b- programme structure:
Candidates should fulfill a total of 40 credit hours
●4.b.1: Number of credit hours:
First part (First semester ): Basic science course including 4 modules
(6 credit hours)
Second part (second, third and fourth semesters): Clinical nutrition course
3 main modules ( 34 credit hours)
Theoretical and clinical teaching: 27 credit hours
Clinical and field training- logbook activities : 7 credit hours
●Programme courses:
First part: a- Compulsory courses: 6 credit hours
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Basic Science course related to clinical nutrition CNMED410bs
(1)CNMED404, (2)CNMED403,
(3)CNMED418, (4) CNMED406;CNMED422
6
Module (1) Biochemistry (Chemistry and metabolism 2
of macro and micronutrients)
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Second part:
a- Compulsory courses :
Course Title Course Credit hours
Code
TheoreticaClinicalSelf Total
l directed
learning
Clinical nutrition course CNMED410
6
e. Programme admission requirements:
● General requirements:
According to Bylaws of the faculty .
The applicant must be a medical graduate.
Alumni
Stakeholder (s)
Others
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We certify that all information required to deliver this programme is contained in the above
specification and will be implemented. All course specification for this programme are in
place.
Program director: Head of internal medicine dept : Prof Tarek Gouda Signature & date:
Programme coordinators:
Prof Omayma Saleh
Prof Maha Maher
Dr Noha Abdel Salam
Dean:
Name: Prof Ashraf Shouma Signature & date:
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COURSE SPECIFICATION
Faculty of Medicine- Mansoura University
(A) Administrative information
1
(B) Professional information
(1) Course Aims:
The broad aims of the course are as follows:
2
B- Intellectual skills:
Total Credit
teaching Hours
Subjects Lectures Clinical / seminar
hours
/week Practical
/week /week
Basic science course for clinical nutrition - 6
diploma
Module 1: Biochemistry: 2 - 2
(Chemistry and metabolism of macro and
micronutrients)
Carbohydrates (chemistry and metabolism)
Proteins(chemistry and metabolism)
Lipids (chemistry and metabolism)
Vitamins
Minerals (including trace elements )
Water
Fibres
3
Module 2: Physiology: 1 1
Metabolism,
Endocrine physiology ,
Renal physiology
GIT physiology(digestion and absorption)
Module3:Public health and community 2 2
nutrition:
Nutrition epidemiology , Nutrition
survielllence, Dietary surveys
Nutrition research & basic statistics
Nutrition interventions
Egyptian Dietary Guidelines
Evidence based medicine
Nutrition throughout life cycle
Risky Eating Behavior
Lifestyle and Eating Habits as Determinants
of Health
Role of diet in health promotion and
disease prevention
Food hygiene
Food safety
Medical records
School nutrition
Module 4: 1 1
Pharmaco-nutrition,Psychology of eating
behaviour
Drug- food interactions , Foods as drugs,
-Ca channel blockers and nutrition -Digoxin
and nutrition - Impact of Ca supplements on
patients on Digoxin – anticoagulants and
nutrition
(4) Teaching methods:
1:Interactive Lectures with case studies (online lectures can be used when
needed).
2: Problem solving case scenarios and group discussion.
4:Seminars and presentation of an essay by the postgraduate students.
5. Assignments and quizzes
(5) Assessment methods:
Assessment schedule:
I. Continous assessment after completion of each module :
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An MCQ exam is done at the end of each module which comprise 40% of the written
final exam.
II. Final exam :
Assessment 1: Written exam at the end of the semester for each module (For
assessment of knowledge and intellectual skills)
5
COURSE SPECIFICATION
Faculty of Medicine- Mansoura University
(A) Administrative information
1
(B) Professional information
(1) Course Aims:
The broad aims of the course are as follows:
To acquire Knowledge and skills of clinical nutrition for physicians including
nutrition care process and nutrition interventions as will as advanced medical
nutrition therapy in various conditions in acute and chronic settings. Also, the
principles of nutrigenetics and personalized nutrition will be offered in this
course .
2
Course Description
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B- Intellectual skills:
C- Professional/practical skills
By the end of the course , the candidate will be able to:
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5. Identify his own strengths, weakness and learning needs and be prepared to
continuous medical education and life long learning.
6- Manage time and workload effectively
(3) Course content:
The course fulfils 27 credit hours for 3 semesters , 9 credit hours each
The course comprises 3 modules within 3 semesters , 5 chapters each module.
Second semester: Module A: Fundamentals of clinical nutrition(CNMED410 A)
Third semester :Module B: Medical nutrition therapy I (CNMED410 B)
Fourth semester: Module C: Medical nutrition therapy II (CNMED410C)
Total Credit
teaching Hours
Subjects Lectures Clinical / Seminar
hours
/week Practical
/week /week
Module A: CNMED410(A) 9
Fundamentals of clinical nutrition:
A1: Nutrition care process 1 2 2
Nutritional assessment:
*Nutrition Screening and Assessment in
adults: SGA/MUST/Tools and Materials
*ASSESSMENT OF CLINICAL DATA .
*ASSESSMENT OF ANTHROPOMETRIC
DATA.
*ASSESSMENT OF DIETARY DATA
A2: Diet planning and nutrition 1 2 2
calculation at a glance
Nutritional planning, tools of a healthy
diet. Food groups- food pyramid -Energy
balance . Exchange lists
A3: Nutrition and life cycle 1 1
(infants ,children , adults , pregnant .
lactating , menopausal elderly)
Nutrition in geriatrics
A4: Nutrition interventions: 1 2 2
*Enteral nutrition in a clinical setting:
Techniques and Indications;
Formulations-Naso-Gastric/ Gastrostomy-
Jejonostomy- Transition Feeding .
*Modified diets
*Adverse reactions to food
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A5: Nutrition interventions: 1 2 2
*Parenteral nutrition in a clinical setting
Indications
Preparation
Access
Complications
Home nutrition
Fluid and electrolyte disorders and
significance of balance for good nutrition
ModuleB: CNMED410 (B) 9
Medical nutritional therapy I:
B6: 1 2 2
Nutrition in ICU (Critical care nutrition)
Nutrition in pulmonary disease (COPD)
Nutrition in cardiovascular disease
(HTN , IHD , CHF)
B 7: Nutrition support in GIT , liver and 1 2 2
pancreatic diseases
*Nutrition in upper and lower GIT diseases\
Peptic ulcer , diarhea , constipation , IBD,
IBS
*Nutrition in hepatobiliary diseases
GB, liver cirrhosis, hepatitis , liver
transplanation
*Acute and chronic pancreatic diseases
*Malabsorption & Celiac disease
8 :Nutrition in renal disease 1 2 2
Nutrition in AKI
Nutrition in CKD
Nutrition and renal transplantation
Renal stones , hyperuricemia
Module 9: Nutrition in neurologic, 1 1 2
rheumatologic diseases:
Diet, Bone Metabolism and Osteoporosis
RA ,SLE 1
Stroke
Epilepsy (ketogenic diet)
Alzheimer’
Parkinsonism
B10: Nutrition in sports 1 1
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Module C:
Medical nutritional therapy II: CNMED410(C) 9
C11: Nutrition in diabetes, 1 2 3
metabolic syndrome and Dyslipidemia
*Goal of MNT in diabetes
*Type 1 DM (The exchange lists Glycemic
control and vascular complications Carbohydrate
counting)
*Type2 DM (Weight loss ,increased activity &
weight management ,How to design a dietary 1
prescription How to promote compliance
,Carbohydrate counting )
* Definition , pathogenesis and Diagnostic criteria
of metabolic syndrome. Life style modification ,
Mediteranean diet.
* Types and diagnosis of dyslipidemia
* Dietary recommendations
C12 :Nutrition in obesity 1 2 2
*Introduction to obesity: (etiology and
natural history, age at which overweight
develops, drug –induced weight gain, neuro
endocrine obesity,
lifestyle modification, psychological
management , genetic and congenital
disorders, socioeconomic factors, viral
agents and obesity)
*Pathogenesis of obesity
* Screening and clinical evaluation of
obesity, dietary therapy for obesity.
*Drug therapy for obesity
*Surgical therapy for obesity
*Medical management for patient after
bariatric surgery
*Role of exercise in obesity
*Types of Diets& popular diets (Fad diets ,
low carb, high protein , keto diets debate)
C13: Immune nutrition &Nutrition in
hematological & oncologic conditions: 2
Nutrition and immunity 1 1 1
Nutrition in immunocompromised
Emerging issues in cancer
MNT for Nutritional Anemia and Other Blood
Diseases
C14: Malnutrition and eating disorders. 1 1 1
Anorexia nervosa
Bulemia & Binge eating disorders
Undernutrition
Cachexia & Sarcopenia
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C15: Nutrigenomics & personalized 1 1
nutrition.
Genetic factors that modulate the
relationships between diet, health, and
disease risks, including the effects of
differences in our genetic makeup
(Nutrigenetics), the regulation of gene
expression by nutrients and dietary
patterns (Nutrigenomics), and the
interactions between diet, gut
microbiome, and human hosts
(Metagenomics)
27 credit
Total teaching hours hours
7
An MCQ exam is done each semester at the end of each module and the sum of the 3
exams equal 40% of the written final exam.
II. Final exam :
Assessment 1: Written exam , 2 papers (short essay questions and case scenarios=).
(For assessment of knowledge and intellectual skills)
Assessment 2: Clinical exam ( an OSCE exam = 200 marks) + oral exam 100 marks
(for assessment of practical and communication skills)
Other assessment without marks:
Log book for assessment of the attendance and activities throughout the course.
Assignments and quizzes (without marks).