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Roundtables (RT1)

4:00 PM - 5:30 PM

Discuss specific nutrition support topics during the Roundtables Session. Tables will be organized by topic and participants will have an opportunity to interact in small groups with faculty and peers. Each faculty leader will meet with groups for 25 minutes before participants are asked to move to another table for discussion on a different topic. Participants will have an opportunity to visit three tables during the session.

A. Enfit Transition - Successes and Bumps in the Road (RT1-A)


  1. Describe the evidence behind the need to transition to ENFit
  2. Provide tools for institutions to facilitate transition to ENFIt
  3. Identify considerations for home enteral nutrition patients as ENfit rolls out across the country

Lisa Epp, RDN, LD, CNSC, Advance Practice Dietitian-1, Lead Dietitian; Assistant Professor of Nutrition, College of Medicine and Science, Mayo Clinic, Rochester, MN

Peggi Guenter, PhD, RN, FAAN, FASPEN, Senior Director of Clinical Practice, Quality, and Advocacy, American Society for Parenteral and Enteral Nutrition, Silver Spring, MD

B. Don't Be Salty: A Case-Based Approach to Electrolyte Problems in Parenteral Nutrition


  1. Identify conditions and medications that require atypical electrolyte dosing for adult patients receiving parenteral nutrition
  2. Distinguish factors that affect electrolyte dosing and limitations
  3. Revise electrolyte dosing based on a patient case

Amber Verdell, PharmD, BCPS, BCNSP, CNSC, Associate Professor, West Coast University School of Pharmacy, Pasadena, CA
Carol Rollins, PharmD, MS, RD, BCNSP, FASHP, FASPEN, Clinical Professor, University of Arizona College of Pharmacy, Tucson, AZ


C. Avoidant Restrictive Food Intake Disorder (ARFID): What Do We Need to Know About It?


  1. Define ARFID and list diagnostic criteria based on DSM-V
  2. Determine the best diagnostic work up to make the diagnosis of ARFID
  3. Determine a nutritional plan for patients with ARFID

Stephanie Oliveira, MD, CNSC, Assistant Professor, Pediatric Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH


D. Nutrition Support Following Bariatric Surgery: Special Considerations (RT1-D) 


  1. Identify common nutrient deficiencies associated with bariatric surgery and strategies for prevention, monitoring, and repletion of those nutrients
  2. Describe common short and long-term post-operative complications from bariatric surgical procedures and how they affect nutrition support decisions

Silvia Figueiroa, MS, RD, LD, CNSC, Clinical Nutrition Specialist, Pharmacy- Clinical Nutrition, Medstar Washington Hospital Center, Alexandria, VA
Katherine Wallace, MS, RD, LD, CNSC, Senior Clinical Nutrition Specialist, Medstar Washington Hospital Center, Arlington, VA


E. Tool to Standardize the Approach to Evaluation and Management of Exocrine Pancreatic Insufficiency (EPI) (RT1-E) 


  1. Identify patients with or at risk for EPI based on tests of fat malabsorption and pancreatic function, and construct a plan for patients with equivocal test results
  2. Recognize potential macro- and micronutrient deficiencies in patients with or at risk for EPI
  3. Identify key steps to confidently generate a plan for PERT dosing, long-term reassessment, and troubleshooting treatment failures

Naylor Brownell, MD, Instructor in Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA
Elizabeth Reid, RD, LDN, Clinical Dietitian III, Clinical Nutrition Department, Children's Hospital of Philadelphia, Philadelphia, PA


F. Commercially Prepared Food-Based Blended Tube Feeding Products: Deciphering the Differences, Implementing and Monitoring in Pediatric and Adult Patients (RT1-F)


  1. Describe the unique differences among currently available commercially prepared food-based blended tube feeding products
  2. Determine nutritional adequacy, supplementation needs and monitoring guidelines for patients receiving commercially prepared blended tube feeds

Sharon Weston, MS, RD, LDN, Clinical Nutrition Specialist II, Center for Nutrition, Boston Children's Hospital, Peabody, MA
Tracie Clarke, MS, RD, LDN, Clinical Nutrition Specialist I, Center for Nutrition, Boston Children's Hospital, Boston, MA

Bear Pediatric IconPediatric Content Included


G. Iron Delivery in Pediatric Nutrition Support (RT1-G)


  1. Identify the risk of iron deficiency on the developing brain
  2. Summarize the diagnosis of iron deficiency
  3. Describe options to provide iron for infants and children on parenteral nutrition

Diane Barsky, MD, Director of Home Parenteral Nutrition Program, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA
Dana Steien, MD, Pediatric Gastroenterologist, Clinical Lecturer, Medical Director of Children's Intestinal Rehabilitation, Michigan Medicine C.S. Mott Children's Hospital, Ann Arbor, MI

Bear Pediatric IconPediatric Content Included


H. Mind vs Matter: Munchausen by Proxy - Case Reviews and Ethical Questions (RT1-H)


  1. Identify and describe ethical issues in presented cases
  2. Utilize ethics-related tools from ASPEN
  3. Identify ways to be empowered in your practice

Mary Turon-Findley, MEd, RD, LD, Registered Dietitian III, Nutrition Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
Kevin Reidy, MD, Director of Medical Services, Psychiatry/Behavior Health, College Hill Campus, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Presented by the ASPEN IC Ethics Committee

Bear Pediatric IconPediatric Content Included

I. Navigating the World of Social Media with Patients and Colleagues (RT1-I) 


  1. List the various forms of social media utilized in healthcare
  2. Describe HIPAA and other security implications when using social media
  3. Present yourself on social media to optimize your impact

Lillian Harvey Banchik, MD, FACS, CNSC, FASPEN, Retired Physician, San Diego, CA
Brenda Gray, PharmD, CNSC, BCNSP, VA-BC, PRS, CVAAC, Owner, Senior Consultant, Clinical Pharmacy Partners, Tampa, FL


J. Catching Up with Volume Based Feedings (RT1-J) 


  1. Define volume-based feedings

Carrie Mayo, MS, RD, LDN, CNSC, Clinical Nutrition Supervisor, West Kendall Baptist Hospital, Miami, FL
Joanne Aberilla, MSN, RN, CCRN, ICU Clinical Nurse Educator, West Kendall Baptist Hospital, Miami, FL

CE Credit: 1.5 hours
Level: Basic for all roundtables
UAN: No pharmacy credit