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PENG Clinical Update Course free place competition winners are announced!

PENG are pleased to announce the winners of this year’s Clinical Update Course competition who will receive a free place onto the PENG Clinical Update Course 2020 who are as follows:

  • Grace Owen – London area
  • Evelyn Umukoro – Epsom and St. Helier University Hospital NHS Trust
  • Jon Lawrence – Northampton
  • Amy Altenberg – Brighton
  • Naomi Westran – Royal Surrey County Hospital

Background Information

The parenteral & enteral specialist group clinical update course has been run annually for registered dietitians since 1985. In 1990 it was the first course to be accredited by the British Dietetic Association. In 2010 it was accredited at master's level by Queen Margaret University, Edinburgh. The next course is now being organised and full details can be found on the BDA website. On successful completion delegates will be awarded with 15 masters credits from Queen Margaret University, Edinburgh.


PENG Clinical Update Course 2019

Comments from the PENG clinical update course 2019

Click on the titles to view the comments.

“Very useful to re-familiarise self with the process. Good that there was a workshop afterwards that could put the teaching into practice. Fantastic, helpful and useful for the post-coursework task.”

“Excellent delivery and linked well with the follow-up workshop.”

“Highlighted calf circumference as useful tool to measure body composition and to look at function rather than just weight/BMI.”

“Very good opportunity to recap different techniques and very inspiring to not just use weight and BMI in general practice.”

“Good to put into practice measurements which have not previously used in clinical practice - to increase confidence with using the measurements and determining which patients they would be most practical/useful for.”

“Found using the voting cards particularly useful in this lecture to see what other people do in their practice. Good to have an update on the new guidelines and an understanding, including the quality of evidence etc.”

“Excellent presentation and discussion. Much better than delivered in university. I feel a lot of our students could benefit from this quality of lecturing.”

“I've always struggled to understand metabolic processes but this lecture made so much sense and I was able to understand how it applies to practice.”

“Excellent thought provoking into refeeding and whether we are too cautious in re-introducing feed. I have applied this to my practice, and it has also helped me to understand the evidence around refeeding.”

“I feel like my dietetic game is going to be up-levelled now that I feel more confident in critically appraising papers.”

“Good session which helped to put into practice some of the information we learned at the critical appraisal lecture. Working as a group was really useful here, as several heads are better than one!”

“Really excellent talk, great summaries of the evidence regarding so called "Specialist" products. Highlighted again to not just accept what nutritional reps state about a product but to read the research and critically appraise regarding their effectiveness.”

“Very academic presentation: highlighted few learning points, to check blood gases if available, serum sodium not reflection of sodium status urinary sodium is better; if K is low to check Mg levels as more than 50% of hypokalaemia concomitant Mg deficiency - serum levels may be normal despite intracellular deficiency; serum Mg takes 1-2 days to replete but body stores require longer so to check Mg levels every other day not every day.”

“Great presentation, showing impact of fluid and electrolyte management and I returned to my ward and asked the pharmacist for list of IV fluid bags available at the trust. This lecture highlighted 25-30ml/kg for if given IV and if older, frail, renal impairment, cardiac failure, malnourished or at risk of refeeding.”

“Game changer - previously reliant on henry equations, this was a real eye opening presentation. Highlighted importance of monitoring and clinical judgement.”

“It was good to have this explained in person as this section of the PENG has doubled in size. It's great that the studies have been included so that it allows dietitians to make informed decisions about their practice. Really useful to have a chance to estimate requirements using the new methodology.”

“Great idea to link the presentation with the workshop immediately after. The examples were practical and easy to complete.”

“Excellent appraisal of evidence demonstrated. The use of clinical scenarios was really helpful.”

“Excellent presentation. I learnt so much in this lecture. I found changing a balloon gastrostomy most useful as this may be something I can be up skilled on in my own job. I really enjoyed being hands on. I thought it was fantastic, all the different aspects.”

“Really great course and has inspired me to do my job to a better standard.”

“It was great spending time with other dietitians too and finding out what they do.”

“Learnt a few things like the Bristol stool chart not validated for enteral feeds and to use the Kings stool chart for enterally fed patients.”

“Good session, helped me to think about evidence surrounding different feeds and considerations for my practice.”

“Great session, really useful. Not my area but I still could follow it and I learnt a lot.”

“I learnt loads from this lecture, even though I don't do PN in my current role it was understandable and very interesting. It sparked some good discussions. Enjoyed the colour coded questionnaires. Reassured that my current practice is correct.”

“A very engaging lecture, and definitely a good choice to end the course with. It gave a good overview of ethics in providing / withholding ANS.”

“Really poignant and effective. I work in stroke and neuro-rehab and we have had handful of cases of young hypoxic brain injured patients that were relatable to case Alistair presented.”

“I felt really inspired and motivated after the four days teaching at QMU and already have started to implement changes to my clinical practice and use the new pocket guide.”

“It was great, much more useful than I had anticipated. The tutors are great, and the lectures were extremely informative. I think waiting until being in dietetics for a few years was exceptionally important in ensuring I got the most from the course.”

“Really great course and has inspired me to do my job to a better standard. It was great spending time with other dietitians too and finding out what they do.”

“A really good course to expand your knowledge and understanding, particularly with regards to researching evidence for guidelines. The tutors were all incredibly knowledgeable and make you want to improve your practice. Thank you!”

“A fantastic learning experience and one which I would recommend any dietitian attends. I feel the material delivered and the structure of each day was brilliant with each lecture feeding into a practical/interactive workshop. The tea breaks allowed a chance to take stock of each morning or afternoon session and in hindsight helped make the course feel less intense.”

PENG Clinical Update Course 2019

2018 Course Feedback


“I found the PENG clinical update course an invaluable experience from start to finish. As I had never undertaken a masters level piece of work, I was apprehensive about doing so and the requirements for this. However, the formative pre-coursework and feedback allowed me to refresh my skills prior to attending the residential element of the course and completing the summative coursework.”

Read more

2017 Course Feedback


Clinical Update Free Place Winners


2019 free place winners

2019 Winners

Congratulations to the PENG members who won a place at the 2019 PENG Clinical Update Course.

Back row: Aisling Phelan and Jack Chilton

Front row: Ellie Barlow, Kirsty Wood and Hollie Cornick


2018 free place winners

2018 Winners

Congratulations to the PENG members who won a place at the 2018 PENG Clinical Update Course.

Back row: Helen Beagan, Charlotte Bryant

Front row: Michelle Waldie, Hannah Pillinger

Clare Scholefield (not pictured).


2017 free place winners

2017 Winners

Congratulations to the PENG members who won a place at the 2017 PENG Clinical Update Course - here they are at this year's course.

Back row: Kerry Major, Bilam Patel and Rachel Edwards.

Front row: Quynh Truong and Caitlin Gilfinan


2016 free place winners

2016 Winners

Congratulations to those who won a free place on the 2016 PENG Clinical Update Course.

Back Row: Frances Bayley, Maria Cole, Rebecca Coates

Front Row: Rebecca Halsall & Lisa Hughes


2015 free place winners

2015 Winners

Congratulations to those who won a free place on the 2015 PENG Clinical Update Course.

Rachel Bracegirdle, Jenny Clark, Niamh McTague, Roberta Forrester, Annelie Shaw


Thinking about attending the clinical update? Perhaps you have some questions? Hopefully the below will help.

When is the best time to do the PENG Clinical Update Course?

If you are thinking about asking your manager about attending the clinical update it is important that you consider when the ideal time is to attend. It is likely you will only be able to attend once during your career. Clinical experience provides the baseline knowledge to ensure you can make the most of this learning opportunity. The course is taught at master’s level and meets the KSF requirement to demonstrate masterly knowledge in clinical nutrition support.

The BDA run two introductory study days on enteral and parenteral nutrition which may be more appropriate depending on your current level of skill and knowledge. We would recommend you discuss your CPD requirement with your manager to establish the level of learning to meet your individual requirements.

How is the PENG Clinical Update Course structured?

The clinical update course is a series of lectures followed by workshops during which delegates and tutors 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 15 credit module assessment. Historically we have stipulated that delegates had to be qualified for two years in order that they would have sufficient clinical experience to be able to get the most out of the course and contribute to the workshop discussions. However, in order to meet demand we have removed this application requirement but suggest consideration of the points outlined below:

  • Do you have adequate clinical experience to be able to contribute to the workshop discussions?
  • Have you identified differences between your practice and those of your colleagues and would like to know the latest evidence?
  • Are you interested in improving your critical appraisal skills to improve your understanding of the literature and develop your clinical practice or formulate policies and procedures in your Trust?
  • Do you want to develop your anthropometric skills to perform a through nutritional assessment?
  • Are you struggling 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 them?
  • Are you keen to complete a Masters assignment?

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 and together work towards ensuring best practice when providing artificial nutrition support for patients.


Clinical Update Course tutors

Clinical Update Course tutors