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PENG Virtual Clinical Update Course 2022

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. On successful completion delegates will be awarded with 20 masters credits from Queen Margaret University, Edinburgh.

Virtual course dates:

Part 1: 13th & 14th June 2022

Part 2: 20th & 21st June 2022

Course Fee:


How to apply:

Join the waitlist

PENG Virtual Clinical Update Course 2021

PENG Clinical Update Course April 2021 went virtual - please see below some of the feedback

For the first time the PENG clinical update course was run virtually this year due to the Covid-19 pandemic. The course remained similar with a mixture of pre coursework and 4 taught days over 2 weeks. Delegates were able to watch pre-recorded lectures followed by a question-and-answer session together with other delegates and the tutor team. 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 course concludes with a master’s level 20 credit module assessment focussing on the critical appraisal of a research paper and a literature review on the effects of nutrition support. All went smoothly with the exception of an international issue with MS teams for a short time. Thank you to the tutors for all their hard work in running this course virtually and thanks to the delegates for lots of lively discussions.

Click on the titles to view the comments.

“I found it convenient to be able to do the lectures in my own time. Lectures uploaded in a timely manner ahead of the taught days to allow for pre-reading and printing.”

“Really helpful to have time to look through lectures myself, to pause and go back to listen to something again - the online format was great in this way.”

“There are definite advantages to online learning such as reduced travel, time to pause a lecture and check something you don't understand.”

“I liked the fact that the course was spread over 2 weeks (made it easier on my workload and did not feel drained after teaching days).”

“I appreciated the possibility to watch the lectures when convenient for me and be able to re watch certain lectures if needed. I think that the online delivery had certainly quite a few advantages (more flexibility, easier to attend if you are having family commitments)”

“Despite being online it was really engaging. Of course would have preferred to be in Edinburgh but the online delivery of the course was great. Good to be able to rewind lectures and re watch in own time.”

“Really liked it being on MS teams. I found having access to the lectures in advance gave me more time to work through them and look at the links or suggestions the tutors made before the Q&A/workshops which better helped my understanding. It also helped keep me focused as I could watch some lectures over the weekend and it avoided me getting fatigued throughout the course days. I also liked it being broken up over 2 weeks as after week one when I was back at work I put some of the elements of the lectures into practice and allowed more time for those lectures and workshops to sink in and to read further on those before learning more topics the following week.”

“I had reservation attending this course remotely this year. However, I was pleased that the lectures where pre-recorded, thus allowing me to watch as many time possible, this would not have been possible face to face.”

“I enjoyed this course being delivered virtually as it enabled me to watch and replay lectures in my own time and environment.”

“I found watching the lectures in my own time was really helpful and allowed flexibility for my day e.g. if I needed to attend a work meeting.”

“Critical evaluation is something you do at a basic level in day to day practice however really looking at this skill in depth is something I hadn't done since university. It was very useful getting back into it and what it means to effectively evaluate what we do rather than going through the motions - allowing us to critique why we are doing what we are doing and is there something better we could be doing.”

“This allowed me to get into the right frame of mind ahead of the course and gave me a chance to receive feedback on how I can improve and meet the expectations for the course.”

“By completing this work and receiving constructive feedback from my tutor has given me the opportunity to identify key skills that I need to improve on such as critical appraisal and completing work to MSc standard.”

“Absolutely outstanding lecture!!! I can’t stress enough how useful I found this lecture, as someone who struggles with critical appraisal it was so simple to understand yet was so thorough. This really set me up for the rest of the course and helped with my critical thinking. I appreciated the way the content was delivered and I have learnt so much from this session.”

“Learned lots from this, really enjoyed the descriptions / practicalities and evidence for each part. Interesting to hear about the developing evidence in assessing body composition.”

“Very interesting and has made me reflect upon my practice that perhaps my team and I are too cautious with refeeding management and it would be good to discuss this as a team and audit our practice based on Rhys' lectures and the new ASPEN guidelines. I also liked the interaction in the lecture, giving us time to think about scenarios.”

“I found this lecture really interesting and it was explained really well. I also really enjoyed the interaction/ asking delegates to vote regarding their practice and what their trust does. Good use of case studies.”

“I liked the critical appraisal aspect - helped to imbed skills learnt from the previous lecture ”

“Really interesting lecture and I felt I learnt a lot from the session. Very knowledgeable presenter. Really enjoyed the attention to detail. Thank you for a great recap on acid based balance, definitely highlighted areas that I will be reflecting on to improve my practise. Found this very helpful with the detail in which everything was explained. Feel more confident looking at/interpreting blood gases and biochemistry. I found it useful to discuss what the recommendations were and how it applied in a hospital setting e.g. guidance on iv fluids. Case studies were really good.”

“I found this workshop very useful to help be better understand this topic. Loved the case studies Learnt so much Great to have a practical session to put the theory learnt into practise. Enjoyed the case study and working together as a group. It was good to see that other dietitians practice in a similar to me and come up with similar intervention rationales. Great to grasp what was taught and putting into practice. Having someone to go through the workshop questions and answering any other questions as they came up was very helpful in increasing my understanding”

“I found this lecture really useful as it helped explain the new guidelines. This really helped me understand the pocket guide and more about critical appraisal. It was interesting to see the body of evidence for the rationale behind the requirements.”

“Really good session - nice to bounce ideas off each other and learn from other peoples practice. Really enjoyed going through the case study with the group and devising what interventions we do in our practice and our rationale. I have been using these new PENG guidelines in my practice since they were published, but I now feel more confident to use them. In particular, referring to the Mifflin St Jeor equation for patients.”

“Really interesting to learn about the new technology for pH. A well composed lecture that has increased my knowledge further in the area of dietetics.”

“Excellent presentation. I really enjoyed this presentation, thought provoking, challenging rationales for choosing certain feeds etc. Really engaging lecture delivered really well,
great content and good recap on certain areas. Really enjoyed the section on fibre,
a lot of food for thought for practice. Eye opening to see the difference in fibre and protein sources in feeds. This will change my practice when thinking about poor tolerance and changing formulas.”

“Very applicable to my work as I have a big home EN caseload - useful to talk through practices in different areas. Great informed discussions in my group. Really interesting to hear different perspectives. The workshops provide good consolidation of the previous lectures, great to have practical case studies and scenarios to work through, always learn a lot in these sessions. Good to put learning into practice and discuss different ways of doing things.”

“Thought provoking, challenging why we choose certain routes including timings. Great presentation with clinical examples. Really enjoyed the style of delivery. Detailed presentation delivered excellently just the right amount of content given the time, it didn't feel rushed. Really valued the critical appraisal section. Great to have some case scenarios and examples imbedded into the lecture, particularly loved the focus in the surgical and ITU areas. Enjoyed the scenarios - found these helpful in relating to my work. Found where the presentation looked at the guidelines and research and how this is applied to current practice really insightful.”

“Excellent presentation - PN is not relevant to my role however interesting to know about. Information explained well and provided me to further develop my knowledge of PN (limited experience).”

“Excellent presentation - PN is not relevant to my role however I really enjoyed these presentations and found the biochemistry aspects and discussions regarding weight expectations particular useful. Very good at capturing the pertinent points. The presentation was also at a good pace and broken into 2 parts to give a natural break for the brain. Overall it was really useful to get an idea of considerations that are needed to be taken into account in PN. Enjoyed the slides on how much adjustments are clinically significant. Really enjoyed the part on micronutrients as this is an area I was hoping to get some guidance on, glad there is resources within the presentation to read further. Found it helpful to see the investigations you should look into or consider if appropriate before making big changes to nutritional regimens. Interesting to hear all the causes for abnormal LFTs.”

“Really good to work out fluid and electrolyte requirements for the PN case study, adding in for fluid losses and also choosing a bag. I spoke with a colleague locally about how PN is managed in our hospital and this really helped me to put into perspective what would be a viable PN option for this patient in my area. Also good to hear questions and experiences of others in the group. Really enjoyed.”

“I have been blown away by the knowledge of the teaching team and feel I have gained so much from the course already. The tutors have made it an enjoyable learning experience without the fear of asking silly questions, it has been a nurturing environment. Thank you for a great programme and being so helpful in answering questions in the Q&A. I have got so much out of this course, it has renewed my enthusiasm in my practice and critical thinking. Excellent course; most clinically valuable training courses I've ever been on. An essential for any clinician working in enteral and/or parental nutrition however it would be extremely useful for all dietitians.”

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

Clinical Update Free Place Winners

2020 Winners

  • 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

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

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