CLINICAL NUTRITION AND DIETETICS - 2017/8

Module code: BMS3068

Module provider

School of Biosciences and Medicine

Module Leader

ENGEL B Dr (Biosc & Med)

Number of Credits

15

ECT Credits

7.5

Framework

FHEQ Level 6

JACs code

B410

Module cap (Maximum number of students)

N/A

Module Availability

Semester 2

Overall student workload

Independent Study Hours: 112

Lecture Hours: 38

Seminar Hours: 2.5

Assessment pattern

Assessment type Unit of assessment Weighting
Coursework COURSEWORK - ASSIGNMENT 30
Examination EXAMINATION - 120 MINUTES 70

Alternative Assessment

N/A CORE: Nutrition/Dietetics (B401) ONLY

Prerequisites / Co-requisites

Successful completion of Dietetic B & C Placement  

Module overview

The primary purpose is to consolidate students theoretical and practical knowledge in the dietary management of key clinical specialties and patient groups. They should integrate their practical expertise and knowledge from their Placement with a more in depth understanding of the metabolic basis for the treatment of patients with specific diseases (focusing on those which they will meet in their first post as a dietitian). Understanding the evidence base of their practice is also a key aim. The students will have the ability to critically appraise the literature and understand when it should be used to inform and update current practice.

Module aims

consolidate students theoretical and practical knowledge in the dietary management of key clinical specialties and patient groups

enable the student to critically appraise the literature and understand when it should be used to alter current practice

enable the student understand the theory and be able to carry out a nutritional assessment of the at-risk hospital patient

enable the student to understand and debate the ethical implications of providing nutritional support

develop an understanding of the metabolic and biochemical disturbances likely to be present in the catabolic and cachexic hospital patient especially in relation to gut function and systemic nutrient utilisation and balance. To be able to use this knowledge to devise appropriate care plans

provide the opportunity for students to continue to develop communication, team working and presentation skills

enable the student to understand the range and application of conventional and novel strategies available for nutritional support and be able to apply the appropriate strategy in their care plan

allow students to develop confidence and competence so that having successfully completed their training they will be eligible on graduation to register as a dietitian with the HCPC

Learning outcomes

Attributes Developed
Have a sound knowledge of and be able to discuss the current dietetic management of key clinical areas and specialties with particular reference to those experienced by the graduate dietitian in community and acute settings KCPT
Source, critically appraise and apply the current evidence base for dietary management strategies and discuss the process of achieving change within dietetic practice KCPT
Understand and debate the ethical issues of different dietary management strategies KCPT
Assess and identify patients at nutritional risk
Describe the neuroendocrine and cytokine mediated metabolic changes likely to limit nutrient utilisation in hospital patients KCPT

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Module content

Indicative content includes:

• Metabolic response to starvation, trauma, surgery and inflammation
• Routes of Nutrition support: careful handfeeding, supplements, tube feeding and intravenous feeding
• Evidence based practice; how to appraise a paper, when to apply it to your current practice
• Ethics of feeding choices
• Cancer – role of dietitian in treatment and prevention
• The gut: immunity, inflammation, pancreatitis and IBS
• HIV
• Ketogenic diets and epilepsy
• Bariatric surgery
• Diabetes

Methods of Teaching / Learning

The learning and teaching strategy is designed to:

Provide students with the most up-to-date knowledge (in line with point 2.2 University L&T strategy), by inviting dietitians who are at the top of their field i.e. Band 7/8a dietitians and who are engaging in research themselves (point 4 L&T). This will improve their employability as it will be clear when they have an interview that they are understand Clinical Governance and how they can apply this by engaging in evidence based practice. 
Their skills for independent study (2.2) are also developed as they have to critically appraise the literature in order to prepare their presentation and précis and they can also use case studies which are provided on SurreyLearn (2.7) to prepare for the exam.

The learning and teaching methods include:

• 15 lectures (30 hours): all of which contain case studies and calculations which the students have to engage in – usually in pairs, before contributing their answers to their peers.
• 4 hours specific revision of course content halfway and at the end of the module to discuss the material. Students work individually to prepare a revision question then work in groups to prepare and present a summary of the answer. Feedback is immediate and the responses are posted on SurreyLearn
• Student led learning: students work in pairs to appraise a research paper and summarise a current guideline. Each pair presents in front of 8-10 of their peers. This results in deeper knowledge of specific topics which are relevant to the lectures. Students hand in an individual 500 word summary before Easter and are given feedback in time for them to modify and improve their presentation after Easter (this is in line with 4.3 L&T which requires that students are supported and appropriately assessed in order to facilitate progression..).

Assessment Strategy

The assessment strategy of the coursework is designed to provide students with the opportunity to demonstrate that they:

 

·         Have a sound knowledge of and be able to discuss the current dietetic management of key clinical areas and specialties with particular reference to those experienced by the graduate dietitian in community and acute settings

·         Can source, critically appraise and apply the current evidence base for dietary management strategies and discuss the process of achieving change within dietetic practice

 

The exam is designed to provide students with the opportunity to demonstrate that all learning outcomes have been achieved and that they have the knowledge expected of a Band 5 dietitian

 

Thus, the summative assessment for this module consists of:

·         students work in pairs to appraise a research paper and summarise a current guideline. They also have to comment whether the new research paper would influence the guideline and hence whether clinical practice should change or not. Each pair presents this appraisal for 15 minutes in front of 8-10 of their peers (50% of coursework marks). Students hand in an individual 500 word summary which should be referenced appropriately.

·         The exam is 2 hours long and is comprised of 2 sections; a theory section and a case study. There is a choice of 3 questions in each section. One  question to be answered from each section

 

Formative assessment and feedback

 

Case studies are discussed throughout the module in each lecture. 

Reading list

Reading list for CLINICAL NUTRITION AND DIETETICS : http://aspire.surrey.ac.uk/modules/bms3068

Programmes this module appears in

Programme Semester Classification Qualifying conditions
Nutrition/Dietetics BSc (Hons) 2 Core A pass as determined by the relevant criteria is required to pass the module

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2017/8 academic year.