Clinical Update
How is the PENG Clinical Update Course structured?
The course runs over 7 months.
The residential (face-to-face) course starts with precoursework in March/April, has a 4-day residential course in June and ends with submission of post coursework in September. The residential course is a series of lectures followed by workshops during which delegates and facilitators work through clinical scenarios regarding nutritional assessment, interpretation of fluid and electrolyte status, estimating requirements, critical appraisal, enteral and parenteral nutrition. The course concludes with a master’s level 20 credit module assessment. The aim of this module is to enable learners to enhance knowledge and understanding of clinical nutrition and metabolism and to critically appraise and evaluate clinically effective nutrition support practice in the management of disorders requiring artificial nutrition support.
Following a successful implementation of a second blended course in 2025, this new format will run every 2 years starting January 2028. Similarly, to the residential course, it runs over 7 months and includes a precoursework (expected Oct-Nov 2027), 3 consecutive virtual study days followed by 1 face-to-face day in January 2028 and finishing with the submission of the master’s level module assessment.
Please consider the below before applying for the course:
- Do you have adequate clinical experience to contribute to the workshop discussions?
- Have you identified differences between your practice and those of your colleagues and want to know the latest evidence?
- Are you interested in developing your critical appraisal skills to improve your understanding of the literature?
- Do you want to develop your anthropometric skills to perform a through nutritional assessment? Are you interested in how to measure functional capacity?
- Do you struggle to assess and interpret fluid and electrolyte balance?
- Do your patients experience complications of artificial nutrition and you are not sure of the best evidence-based practice to help support them?
- Are you ready to complete a 20 credit Masters module?
What next?
If after reading this, you feel that the time is right for you to attend the course then we look forward to receiving your application.
PENG Clinical Update Course 2025 - overview and feedback
In June 2025, the Face to Face PENG MSc Clinical Update Course returned to Edinburgh for the 4-day residential course held at Queen Margaret’s University in Edinburgh. The residential course included a mixture of lectures and workshops. The residential course is highly valued by both delegates and facilitators. It promotes networking and sharing of expertise and knowledge not only through the interactive lectures and workshops but a dinner for delegates and facilitators on Monday evening, a fun run usually on Tuesday or Wednesday morning and interactive coffee-breaks in between all sessions. Here is an overview of the day with some of the feedback received from the delegates.
“The introduction summarized clearly the structure of the course and the expected learning outcomes. I was adequately informed.”
“It was very educational. A refresher presentation which summarized a broad area of statistics, basics in research and epidemiology with an easy to understand way. Useful toolkit.”
“A fantastic overview of statistical methods that were easy to understand and made the process of critical appraisal less daunting. I hope the RDJC restarts soon :).”
“Learnt the terms myopenia and dynapenia. Definitely will start using surrogate measures more often. Overall it was a great evidence based update.”
“Definitely got me thinking more about body composition and functional measurements rather than just weight/BMI also making sure that any references values are appropriate for my population.”
“- Encouraging to explain new ways of measuring anthro & using this more in assesssments to provide evidence of our intervention to the MDT.”
“I feel more confident with measuring anthropometrics and certainly appreciate their use it clinical practice more. I enjoyed the interactive session with colleagues.”
“I found the workshop really beneficial as some of these skills we often learn as students and then don't routinely implement in practice. It made me think about what we are doing in my trust and how we could make changes to include additional measures in our assessments.”
Brilliant lecture, really informative and will be using in my practice.
“A great refresher on refeeding syndrome. I found the comparison table of low v high kcal feeding very useful and the summary of points to consider. The talk and subsequent workshop provided more confidence when considering refeeding risk and less cautious when initiating feeding”
“Very relevant to clinical practice and linked into case studies and other lectures later that day. Enthusiasm in the topic was evident”
“Really enjoyed the part of how hormones regulate appetite and metabolism. Great summary of how metabolism is regulated. Up to date studies used to support recommendations.”
“Very useful, will definitely take skills forward for coursework stimulated discussion, well facilitated, led to a useful discussion about the assignment”
“Really enjoyed the group discussions here and going through the paper together. I found that I learnt a lot in this and it has helped me for my assignment”
“Learnt a lot or reassured that im doing the right thing, for instance Blood gas electrolytes are more accurate for interpretation, Avoid overfeeding when patient is metabolically unstable ( can step back for few days). I enjoyed that Bruno interacted with the audience.”
“- Lots of learning points that i will use in my practice, such as the urinary sodium and accounting electrolyte losses when calculating requirements.”
“Very important session, great discussing things as a group which having the chance to think independently though.”
“This workshop after the lecture was really helpful in putting it in to practice. Helped me to understand it more.”
“Really interesting even as someone who does not work in PN- helpful to understand things to consider if you think that PN may be required.”
“Very clear, good case studies. Clear that lots of trusts have different ways of working, useful to know factors worth considering out and factors that aren’t always that obvious.”
“Very thought provoking and definitely made you critically appraise current practice.”
“Really made you think about what we are doing!”
“Very useful to use previous lecture to rethink and discuss decision making. The workshop produced good discussion about differences.”
“Interesting topic and good explanations of different gastrosomy tubes.”
“Excellent overview/resource with good images to support the text. Thank you for including a reference list at the end of the slide for further reading. I will definitely go away and read the NNNG guidance and webinars. I learnt a lot.”
“Very engaging and useful information on the current evidence for common enteral problems.”
“Lots to learn from Becca and I really enjoyed the use of evidence to support her points.”
“Very relevant to practice and good opportunity to try techniques observed in practice.”
“I really enjoyed these workshops. It's provided me with a better awareness of different practices and a further appreciation for the patient's experience.”
“Brilliant to be more hands on with changing tubes, placing NG, pH testing. Great to see the tubes and become more familiar with what is available.”
“This was the best lecture of the 4 days. I was expecting it to be nothing I didn't know already - as it transpired it was full of information i was totally unaware of and made me realise I needed to look at practice at my hospital.”
“Very interesting and very provoking lecture. Very interested in this topic and speaker was very knowledgeable.”
“A fantastic overview of access routes for PN which is a new area for me as I move role and will be supporting patients who require PN. Great visual images to clarify the access points alongside the acronyms which can be confusing!”
“Very engaging and interesting despite it not being an area of my practice Good overview of PN to be able to refer to in future of this was something I was to go into.”
“Being new to PN this was an excellent lecture and points relating to adjustment of electrolytes. We have a mixture of approaches in practice with some requesting additions to bags and others requesting medical management of deficiencies. I found the presentation informative but also entertaining.”
“Very engaging Good examples of additional reading/resources that may be of interest.”
“Not previously had experience in PN so tutorial was very good introduction to see how you would see this type of patient.”
“Very interesting, challenging but given time to explore the case and thorough explanations provided.”
“I enjoyed how we worked through the questions as a group, allowing us to learn about how other trusts practice through discussion and questions.”
“Very engaging and inspiring to take skills from the course forward.”
“Inspiring and very motivational. The course broadened our perspective of how far the Dietetic profession can go.”
PENG Blended Clinical Update Course
In 2024-2025 for the first time since COVID-19 the PENG MSc Clinical Update Course ran not once, but twice. A new, blended format, of the course was ran with 3 consecutive virtual study days followed by a face-to-face day in January 2025, increasing the accessibility of the module. The virtual sessions ran over Microsoft Teams. The workshops occurred in small tutor groups during which delegates and tutors worked through clinical scenarios regarding nutritional assessment, interpretation of fluid and electrolyte status, estimating requirements, critical appraisal, enteral and parenteral nutrition. The face-to-face day allowed for practical experience and networking.
Overall Feedback:
“Any questions were answered, I felt that the whole course was very through and a source I will return to. The hybrid component really worked: I was able to listen and make notes in my own time, also allowing me the ability to return to re-listen to the lectures if needed. I have a family so 4 days in Edinburgh would have been difficult. Workshops consolidated the learning, I was able to look and work through the workshop in my own time, prior to the agreed time. The clinical skills days gave me the face to face aspect and also the practical part of learning. I really think this should be considered as a regular way to teach the course”
Clinical Update Free Place Winners
Congratulations to the PENG members who won a place at the 2025 PENG Clinical Update Course - Lucy Freeman, Homerton University Hospital and Anita Sawczuk, Wexham Park Hospital.
