Pediatric Clinical Nutrition Educational Opportunities

As a top ranked health center, University of Michigan Hospital's Mott Children's hospital, we are excited to share our current initiatives in infant and pediatric nutrition education.

Three educational opportunities hosted by the expert Registered Dietitians of the C.S. Mott Children's and Von Voigtlander Women's Hospital are being currently highlighted. These opportunities, the Neonatal Nutrition Practicum, the Milk Room Practicum, and the Ketogenic Practicum are outlined below.

Please take a few minutes to explore these exciting opportunities.

NICU

Neonatal Practicum

This new and innovative program is provided by the University of Michigan’s Neonatal Nutrition Practice Group. The program will be precepted by neonatal registered dietitians and the medical team from the Department of Neonatology and the Brandon Neonatal Intensive Care Unit.

More information on the Brandon NICU and the Division of Neonatology can be found below.
Mott Children's Brandon NICU
Mott Children's Division of Neonatology

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Practicum Goals and Objectives

Goals

To provide the Registered Dietitian (RD) with a foundation in neonatal nutrition support; to enable the RD to assess, evaluate and plan high quality nutritional care with an emphasis on promoting optimal growth and development in critically ill neonates.

Objectives

The RD will:

  • Acquire or develop clinical tools to appropriately assess, evaluate, and determine a neonate's nutritional status and nutrition goals.
  • Actively participate in planning nutritional care plans to promote optimal growth and development.
  • Adeptly discuss the unique and specific nutrition related issues a preterm infant may experience.
  • Be able to discuss current issues related to neonatal nutrition with evidence based knowledge and high degree of confidence.

Learning Activities

The learning activities will encompass, but are not limited to, the following broad domains and therapeutic areas:

  1. Domains: All domains outlined below will be reviewed by preceptors daily to ensure complete understanding of the complex decision making processes involved in planning individualized and optimal nutrition interventions for the patient.
    • Completing nutrition assessments and follow-ups
    • Nutrition support (enteral and parenteral support)
    • Electrolyte management
    • Fluid management
    • Neonatal development
    • Breastmilk and formula recipes, including nutrient manipulation
    • Growth changes
    • Delivering specialized nutrition care for specific disease states as an interdisciplinary team member

  2. Therapeutic areas: These topics will be discussed in an interactive lecture daily by subject matter experts.
    • Body cooling/neurological compromise
    • Hypoglycemia
    • Respiratory compromise (bronchopulmonary dysplasia/chronic lung disease)
    • Growth failure (IUGR/EUGR)
    • Cardiothoracic surgery/congenital heart disease
    • Osteopenia of prematurity
    • Gastrointestinal failure (Gastroschisis, SBS, TEF, NEC)

Qualifying Candiates

A qualifying candidate is a practicing pediatric or neonatal RD who is interested in a career in neonatal nutrition and/or is seeking to advance his/her knowledge in neonatal nutrition.

Continuing Education Credits

The candidate will be awarded 26 CPEUs accredited by the Commission on Dietetic Registration and a certificate of completion will be provided upon completion of the 5 day practicum.

Upcoming Practicum Dates for 2016

Dates for 2016 are TBD. Check back to this page at a later date.

Practicum Fee

The registration fee for the 5 day practicum is US $ 500.00. The candidate is responsible for any additional costs associated with lodging, travel, and meals. Payment must be received in full by payment due date.

Daily Agenda

A detailed agenda with a daily lesson plan will be provided on the first day of the practicum. The broad agenda for the 5 practicum days follows below.

9 - 12 pm Interdisciplinary patient care rounds and discussion
12 - 1 pm Lunch
1 - 3 pm Lecture
3 - 4 pm Daily special activity (eg. tour, discussion, case study)

Please note, on Friday of the Practicum week, the hours will be from 9-12pm.

Lodging/Transportation Information

Application Payment

To apply for this Neonatal Practicum, please fill out the application, and return to staff indicated on the form. Acrobat Reader is required to use this form.


For payment by check, please make out check to "University of Michigan", and mail to:
Emily Collins MHA RD CNSC
University of Michigan Hospital
1500 E. Medical Center Dr. SPC 5056, UH 2A-237
Ann Arbor, MI 48109-5056

Milk Room

Infant & Pediatric Feeding Process Management Practicum

This innovative program is provided by the University of Michigan’s Pediatric Clinical Nutrition Management group. The program will be precepted by the supervisor of the University of Michigan C.S. Mott Children’s and Von Voigtlander Women’s Hospital Milk Room.
The Milk Room is a centralized operational space utilized solely for the sanitary and proper storage and preparation of breast milk and formulas for patients at this hospital. Using the best practices outlined by the Academy of Nutrition and Dietetics and the American Society of Parenteral and Enteral Nutrition, this operation prepares infant and pediatric feedings of mixed formulas and breast milk in the hospital setting. Per available literature, the Milk Room is the first formula and breast milk preparation room in a pediatric hospital nationwide which provides fully staffed services 24 hours daily, and seven days weekly. The Milk Room has been open since December 2011 and continually receives positive feedback from nursing, allied health staff and parents who utilize the operation. The Milk Room operation has also been recognized nationally for demonstrating an ideal quality improvement process in regards to utilizing a centralized operational space for breast milk and formula preparation in the hospital setting.

More information on the Milk Room can be found below.
http://umhsheadlines.org/27/got-milk-yes-we-do.

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Practicum Goals and Objectives

Goals
To provide the Registered Dietitian (RD)/professional with a foundation in operational planning for creation or implementation of a breast milk and/or formula preparation room; to enable the RD to implement and utilize best practices to prepare breast milk and infant and pediatric mixed formula feedings in the hospital setting at the home institution.

Objectives
The RD/healthcare professional will:

  1. Acquire or develop tools to implement a centralized, lean operation of feeding preparation at the home institution.
  2. Adeptly discuss the criteria for utilizing best practices to prepare breast milk and infant and pediatric mixed formula feedings in the hospital setting.


Learning Areas

The learning activities will encompass, but are not limited to, the following broad domains. All domains outlined below will be reviewed by preceptors daily to ensure complete understanding of the complex decision making processes involved in implementing a centralized feeding operation.

  • Operational Planning
  • Policies and Procedures
  • Emergency Plans and Security Plans
  • Equipment Needed & Procurement Considerations
  • Necessary Staffing Model
  • Creating a Breast Milk Inventory System
  • Managing Breast Milk Expiration
  • Order Processing, Standardized Orders, and Recipe Writing Process
  • Team work with our Registered Dietitians
  • Infection Control & Aseptic Technique
  • Scope of Service Discussions
  • Quality Improvement Efforts
  • Work Processes
  • Training Plan
  • Set Up Plan

Qualifying Candiates

To obtain more information regarding the Milk Room Practicum or to reserve dates, please contact Sara Tutor, RD, CNSC at sarglasg@med.umich.edu or (734) 232-8834.

Continuing Education Credits

This program has been approved by the Commission on Dietetic Registration for 20 CPEUs

Upcoming Practicum Dates for 2016

Session Date Application Due Payment Due
Session 1 February 22-24, 2016 January 11, 2016 January 25, 2016
Session 2 April 25-27, 2016 March 14, 2016 March 28, 2016
Session 3 June 20-22, 2016 May 9, 2016 May 23, 2016
Session 4 August 22-24, 2016 July 11, 2016 July 25, 2016
Session 5 October 17-19, 2016 September 6, 2016 September 19, 2016
Session 6 December 12-14, 2016 October 31, 2016 November 14, 2016

Practicum Fee

The registration fee for the 3 day practicum is US $1000.00. The Practicum Fee applies for attendance of up to three individuals from one institution. The candidate(s) is responsible for any additional costs associated with lodging, travel, and meals. Payment must be received in full by payment due date.

Lodging/Transportation Information

Application/Payment

To apply for this Infant & Pediatric Feeding Process Management Practicum, please fill out the application, and return to staff indicated on the form. Acrobat Reader is required to use this form.

For payment by check, please make out check to "University of Michigan", and mail to:
Sara Tutor, RD
University of Michigan Hospital
Children's and Women's Hospital
Room 8-757
1540 E. Hospital Drive, SPC 4287
Ann Arbor, MI 48109-4287

Ketogenic

Ketogenic Diet Practicum

This innovative program is provided by the University of Michigan C.S. Mott Children's and Voigtlander Women's Hospital. The program will be precepted by Ketogenic diet registered dietitians and the medical team from the Department of Neurology.

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Practicum Goals and Objectives

Goals
This program will provide Registered Dietitians, who recently joined or plan to join Ketogenic Diet (KGD) practice, training to enable the RDs to assess, evaluate and plan high level nutrition care with an emphasis on the Ketogenic Diet as an epilepsy treatment.

Objectives
The RD/healthcare professional will:

  1. Identify rationale for the use of KGD in the treatment of seizures
  2. Develop clinical tools to appropriately assess, implement, monitor, and follow up for KGD nutritional care plan (NCP).
  3. Participate in initiation of KGD process in interdisciplinary patient care practice
  4. Understand Dietitian role in KGD
  5. Increase knowledge of current issues related to KGD in the treatment of seizures in evidence based historic and current research recommendations
Please review the information flyer for the 2015-16 practicum dates.

Qualifying Candidates

A qualifying candidate should be a practicing RD who is interested in a career in the Ketogenic diet as a treatment of refractory epilepsy in children, and/or is seeking to advance his/her knowledge in the Ketogenic diet

Learning Activities

Participants will interact with Mott Children's hospital staff including Keto dietitians, Neurologists, Nurses, Behavior Feeding Specialist, Pharmacist, Social Worker, and Epilepsy Program Coordinator during lectures and daily multidisciplinary care rounds.

  1. By preceptors
    • Complete nutrition assessments and develop NCP for KGD patients
    • Assess growth expectations while on KGD
    • Develop KGD menus and formula recipes by using KetoCalculator
    • Evaluate lab results including CO2, Beta Hydroxybuterate, serum glucose, and home blood ketones and blood glucose testing
    • Participate in discharge planning
    • Discuss Febrile Infection Related Epilepsy Syndrome (FIRES) treatment protocol
    • Discuss modified KGD, Modified Atkins diet, and Low Glycemic Index Treatment (LGIT)
    • Observe outpatient pre-diet education and follow up visit
  2. By interdisciplinary Keto team
    • Understand diagnostic process to identify KDG candidates for seizure treatment
    • Discuss clinical expectations and procedures for KGD as treatment for seizures
    • Discuss behavioral feeding issues for KGD
    • Discuss medication management for KGD

Continuing Education Credits

The candidate will be awarded 27 CPEUs accredited by the Commission on Dietetic Registration and a certificate of completion will be provided upon completion of the 4 day practicum.

Upcoming Practicum Dates for 2016

Session Date Application Due Payment Due
Session 4 May 9-12, 2016 March 28, 2016 April 18, 2016
Session 5 September 12-15, 2016 July 25, 2016 August 22, 2016
Session 6 November 7-11, 2016 September 26, 2016 October 17, 2016

Practicum Fee

The registration fee for the 4 day practicum is $1000.00. The candidate is responsible for any additional costs associated with lodging, travel, and meals. Payment must be received in full by payment due date.

Daily Agenda

A detailed agenda with a daily lesson plan will be provided on the first day of the practicum. The broad agenda for the 4 day practicum follows below.

9 - 12 pm Interdisciplinary patient care rounds and discussion
12 - 1 pm Lunch
1 - 3 pm Lecture
3 - 4 pm Daily special activity (eg. Tour, discussion, case study)

Lodging Transportation Information

Application/Payment

To apply for this Ketogenic Diet Practicum, please fill out the application, and return to staff indicated on the form. Acrobat Reader is required to use this form.

For payment by check, please make out check to "University of Michigan", and mail to:
Ashley Barnes
C.S. Mott Children's Hospital
1540 E. Hospital Drive, SPC 4269
Ann Arbor, MI 48109-5056

Educational Resources

Tool™: Michigan's Malnutrition Diagnostic Tool

University of Michigan's pocket guide was created to identify malnutrition in the pediatric population (i.e. children ages 1 month old to 18 years old who plot on standardized growth charts). MTool™ provides an efficient and systematic method to analyze patient data that is routinely gathered during a nutrition assessment. It incorporates the standardized language from the Nutrition Care Process of the Academy of Nutrition and Dietetics into the recently published, etiology-based definition of pediatric malnutrition endorsed by A.S.P.E.N., the Academy of Nutrition and Dietetics and the American Academy of Pediatrics.

Unique Features:
  • provides a uniform structure for the nutrition diagnosis of illness-related malnutrition (undernutrition) in children
  • helps target nutrition interventions to individual needs
  • heightens awareness resulting in targeted, timely and aggressive treatment

To order a copy of the MTool complete this PDF form and mail a check for the correct amount payable to the University of Michigan Hospital to the address below.

The Pediatric Malnutrition Committee
Patient Food and Nutrition Services
2A-237 University Hospital
1500 E. Medical Center Drive
Ann Arbor, MI 48109-5056