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Total Nutritional Therapy


 TNT Instructors

1) Thanyadej Nimmmanwudipong MD

Assistant Professor, Department of Surgery Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

2) Krishnan Sriram MD
Chairman/Division of Surgical Critical Care; Chief/Section of Surgical Nutrition; Dept of Surgery, Stroger Hospital of Cook County (formerly Cook County Hospital), Chicago, IL 60612

3) Ida Normiha binti Hilmi, MRCP (UK)
Senior Lecturer & Consultant in Gastroenterology, University of Malaya Medical Centre Clinical Consultant, Nutritional Support Service, University of Malaya Medical Centre

4) Gracie Ong Siok Yan MBBS
Professor, Department of Anaesthesiology University of Malaya  
Consultant, Anaesthesia and Intensive Care, University of Malaya Medical Centre Clinical Consultant, Nutritional Support Service, University of Malaya Medical Centre

 

 HISTORY OF TNT

In 1995, Abbott International developed a partnership with the Federacion Latinoamericana de Nutricion Parenteraly Enteral (FELANPE). Abbott provided an educational grant to FELANPE to develop the Total Nutritional Therapy (TNT) program. This program was modeled after the educational principles used to develop the renowned Advanced Trauma and Life Support (ATLS) program of the American College of Surgery. Like ATLS, TNT is a successful teaching model that provides physicians with the tools necessary to administer quality patient care by requiring that participants and faculty members adhere to the content and nutritional therapy guidelines used in the program.

TNT DEFINITION
TNT is a 2-day, postgraduate, continuing medical-educational course designed by physicians for physicians. The course content is based on the most recent worldwide literature on clinical nutritional therapy. During each course, the faculty engages participants in a variety of active and interactive learning experiences including workshops, case studies, and lectures on clinical nutritional therapy.
Physicians who successfully complete the course are prepared to identify and assess whether their patients are malnourished. They also learn to deliver the most appropriate clinical nutritional therapy to those patients for whom therapy is indicated. Potential instructors are trained during several courses to become permanent TNT faculty members in a cascading method that grows according to program and country needs.

LATIN AMERICAN PILOT PROGRAM AND LAUNCH
In spring 1997, an independently audited TNT pilot program was held in Mexico. Invited guests included global nutrition experts, residents, practicing physicians, and medical students. In July 1997, TNT was officially launched in Chicago. distinguished medical society leaders from seventeen Latin American countries joined Abbott Laboratories in Chicago for a 3-day introduction to TNT.
These physicians returned to their countries as certified TNT faculty members, ready to launch TNT.

GLOBAL LAUNCH
TNT was launched globally in June 1999 in Chicago. The launch was attended by over 100 top physicians from the U.S. Europe and Asia. Faculty included such internationally-distinguished nutrition experts as Dr. John Rombeau, Dr. Claude Pichard, Dr. Bruce Bistrian, Dr.. Khursheedd Jeejeebhoy, etc. Outside of Latin America, TNT will be launched initially in Germany, Spain, Pakistan, Japan and UK, the US, and the Philippines.

TNT GOAL
The goal in creating and implementing TNT is to promote physicians education in clinical nutrition. Physicians are the primary decision-makers in health care institutions, yet they receive little formal education in clinical nutrition. By providing physicians with this important training, TNT can help fill a void in a physician’s education.

 

PROGRAM

DAY 1
07:45 Welcome and Introduction to TNT
• History of TNT
• Meeting Objective
• Review of TNT Agenda
08:00 TNT Pre-Test
08:15 Lecture 1: Malnutrition and Its Consequences
08:45 Lecture 2: Screening and Nutritional Assessment
09:05 Lecture 3: Energy Metabolism and Nutritional Requirement
09:25 Lecture 4: Metabolic Responses to Starvation and Trauma
10:00 Break
10:15 Workshop 1: Nutritional Assessment
11:00 Workshop 2 : Nutritional and Fluid Requirements
11:45 Lunch
13:00 Lecture 5: Parenteral Nutrition
13:20 Lecture 6: TPN and Central Venous Cathethers
14:00 Workshop 3: TPN and Central Venous Cathethers
14:45 Break
15:00 - 17:00 Case Studies (session 1)
17:00 End of Day 1
18:00 Buffet Dinner

 
DAY 2
08:30 Lecture 7: Implementing Enteral Nutrition Therapy
09:00 Lecture 8: Formula Selection
09:30

Lecture 9: Early Enteral Nutrition in the Critically Ill

10:00           Break
10:15 Lecture 10: Preventing Complications
10:45 Workshop 4: Enteral Access and Feeding Systems
12:00 Lunch
13:00 Case Studies (session 2)
15:00 Break
15:15 Lecture 11: Summary
15:45 TNT Post- Test
16:00 Cocktail Reception
16:30 Closing Ceremony



click to download registration form  400kb



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