The JPEN Editor, in concurrence with ASPEN’s Education and Professional Development Committee, selected this article to be offered for CE credit to fill an observed learning need in the arena of clinical nutrition and metabolism. This CE activity serves to promote the process of life-long learning for physicians, dietitians, pharmacists, and nurses by providing peer-reviewed journal articles that fully qualify for continuing education credits.
Goal and Target Audience:
This educational activity is directed toward clinical nutrition and metabolism professionals and others who wish to update their knowledge of clinical nutrition and metabolism. By participating in this educational activity, the reader may expect to:
Acquire knowledge in the area of clinical nutrition and metabolism research
Update or confirm your understanding of appropriate clinical nutrition and metabolism practices.
Identify further learning needs as they relate to the subject matter.
Summarize the etiology of parenteral nutrition associated injury as driven by a lack of gut derived signaling
Evaluate the divergent pathways driving liver and gut injury with parenteral nutrition
List and describe the key receptors, transporters, and regulators involved in the gut-liver cross talk
Identify the implications of extensive bowel resection on the gut-liver signaling
Describe the limitation of large animals studies and their applicability to human patients
Define the implications of using luminal receptor agonist therapy in the setting of extensive small bowel resection
Requirements for Successful Completion:
To obtain CE credit for this activity, attendees must read the journal article in its entirety, complete an online knowledge assessment for each article and complete an online activity evaluation. All CE credit must be claimed prior to the expiration date.
In support of improving patient care, The American Society for Parenteral and Enteral Nutrition (ASPEN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
This activity is for a maximum of 1 contact hour (0.1 CEU) per journal article and is a knowledge activity.
ASPEN designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credits TM per article. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ASPEN is approved by the California Board of Registered Nursing, Provider CEP 3970.
ASPEN, Provider Number AM005, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR level 2. Dietitians may post comments on this program on www.cdrnet.org.
Non-Commercialism: ASPEN subscribes to the ACCME Standards for Commercial Support. ASPEN does not provide programs that constitute advertisement or include promotional materials. ASPEN does not endorse any products.
Computer Requirements and Technical Support: Participants will need a computer with internet connection to access the online assessment and evaluation for each journal article. If the journal article is read electronically, then the ability to read a PDF document is also necessary. Users should enable pop-ups if attempting to read article electronically. For technical difficulties please contact Digitell Inc. Customer Support at: 1-800-679-3646
Office hours are between 9AM to 5PM ET, Monday through Friday
Privacy and Confidentiality: ASPEN respects the privacy of its members and website visitors. Companies that receive personal information from ASPEN in order to execute the business of ASPEN may use personal information only for that purpose.
Commercial Support and Sponsorship:
No commercial support or sponsorship has been received for this continuing education activity.
Commercial Relationships Disclosures and Conflicts of Interest (COI) of Authors and Editor-in-Chief and Associate Editors
Among the authors, Adam McCulloch, Vishakha Bansiya, and Jeremy Woodward have nothing to disclose.
Among the JPEN Associate Editors, David August, Ronald Koretz, Ding-You Li, Jean-Charles Preiser, and Diana Mager have nothing to disclose.
Lillian Harvey-Banchik has served on the speaker’s bureau for MEI communications and received compensation per talk given.
JPEN Editor-in-Chief Kelly Tappenden has served in speaking and teaching roles for Shire, Nutricia, and Abbott Nutrition. Has received honoraria for those roles.
No conflicts related to disclosure information present and subsequently no need for resolution. Standard journal peer-review process also in place as another layer of review to ensure no conflicts to resolve.
Ajay Jain, MD , Associate Professor of Pediatrics, Division of Gastroenterology, Saint Louis University School of Medicine, St. Louis, MO