Target Professions: MD, Nurse, Nurse Practitioner, Pharmacist, Physician Assistant, Dietitian, DO, MBBS
Target Specialties: Gastroenterology, Hospitalist, Internal Medicine, Nutrition, Nutrition Support, Pediatrics, Family Medicine, Surgery, General, Pediatric Gastroenterologists, Pediatrics, Neonatology, Colorectal Surgery
Credits Available: 3.50 AMA PRA Category 1 Credit

Surgical removal of parts of the small intestine can lead to short bowel syndrome (SBS), causing disruptions in electrolyte balance, fluid absorption, and nutrition. Explore the management of SBS symptoms and strategies for enhancing intestinal adaptation to help patients reach the goal of enteral autonomy in peer-led group discussions.


CME/CE Accreditation Information

Itinerary

PART ONE

Unlocking the Complex Management of Short Bowel Syndrome - Baseline Assessment

Answer the following questions to assess your baseline knowledge of SBS management strategies.

Module 1 - Essentials of Short Bowel Syndrome (SBS)

This module describes SBS and discusses the pathophysiologic subtypes of the disorder along with their associated outcomes to help guide individual therapy and patient expectations.

Module 2 - Essentials of Nonpharmacologic Therapy

This module covers the essentials of nutrition and hydration in SBS. The vital role of parenteral nutrition is discussed, along with potential complications that require ongoing monitoring. Diet and hydration are also highlighted to optimize the status of patients with SBS.

Module 3 - Essentials of Pharmacologic Therapy

This module covers the essentials of pharmacologic therapies used to control symptoms of SBS. In addition to controlling symptoms, the use of therapies that have been demonstrated to reduce reliance upon parenteral nutrition and facilitate enteral autonomy will be highlighted.

Module 4 - Essentials of Team-Based Care in SBS

This module covers the essentials of multidisciplinary care in SBS, and the benefits of multidisciplinary care for patients and their families. In addition, you will gain insights into the importance of a process for the transition from pediatric to adult care.

Unlocking the Complex Management of Short Bowel Syndrome - Final Assessment

Now that you have reviewed the self-study modules, answer the following questions to assess your knowledge of SBS management.

Live Group Discussion 1

The group will discuss key points from the self-study modules, exploring optimal, individualized management strategies for patients with SBS. Main topics will include nutrition and hydration, symptom management, and ways to enhance intestinal adaptation and promote weaning from parenteral nutrition.

PART TWO

Pediatric Case: 8-Month-Old Girl With Necrotizing Enterocolitis

This group challenge activity features an infant girl, KG, who was diagnosed with necrotizing enterocolitis at 8 months of age. This case will discuss nutritional support, pharmacologic therapies, and intestinal adaptation.

Adult Case: 38-Year-Old Woman With Intestinal Trauma

This group challenge activity features a 38-year-old woman who has undergone a bowel resection. This case will discuss nutritional support and hydration, pharmacologic therapies, and communication strategies.

Your Action Plan - Short Bowel Syndrome

In light of the information reviewed and discussed during this program, please share an action plan that you will implement to improve the diagnosis and management for your patients with short bowel syndrome.

Live Group Discussion 2

The group will review the patient case and the case-related questions to allow reflection on our current practices and address any challenges or clinical controversies. The discussion will prompt consideration of the complex management of SBS and how to overcome barriers to optimal patient care.

Live Group Discussion - Makeup Session

OPTIONAL discussion session for learners who missed the others.

Interested in becoming a Group Leader?

Requirements:
Group leaders should be highly proficient in the management of short bowel syndrome and have a working knowledge of collaborating with other healthcare professionals in the management of this condition. Group leaders include clinicians involved in the management of adult and/or pediatric patients with short bowel syndrome. Apply Now

Interested in participating in this curriculum? You can join one of the following groups:

Ethan Mezoff, MD
Associate Professor
Kimberly Ackerman, CRNP
CRNP
YM
Yakir Muszkat, MD
Senior Staff Physician/Medical Director of Intestinal Transplant and Rehabilitation Program
Sivan Kinberg, MD
Director, Pediatric Intestinal Rehabilitation Center
SA
Suzanna Attia, MD, MScPH
Assistant Professor

Completed Groups

Nancy Gupta, MD
MD
Completed
Christina Fasulo, RD, CNSC
Senior GI Dietitian
Completed
MS
Madison Simons, PsyD
GI Psychologist, Associate Staff
Completed
Erin Judge, RDN
Owner
Completed
Betty White, RN, BSN , MN
RN
Completed
Muhammad Nadeem Yousaf, MD
Fellow
Completed
Hamidreza Moein, MD
Fellow
Completed
Stephanie Oliveira, MD
Assistant Professor of Pediatrics/Associate Medical Director of the Cincinnati Center of Excellence in Intestinal Rehabilitation
Completed
YM
Yakir Muszkat, MD
Senior Staff Physician/Medical Director of Intestinal Transplant and Rehabilitation Program
Completed
David Galloway, MD
Associate Professor
Completed
Stephanie Oliveira, MD
Assistant Professor of Pediatrics/Associate Medical Director of the Cincinnati Center of Excellence in Intestinal Rehabilitation
Completed
NM
Nisha Mangalat, MD
Associate Professor of Pediatrics
Completed