Great strides have been made over the past two decades to establish an evidentiary basis in the literature to support what we do in nutrition. Our goal should not be directed toward establishing a new stand-alone specialty of “Nutrition Medicine”, but instead determine how nutrition can be made relevant to clinical practice across each individual specialty, tailored to the needs of specific disciplines and patient populations. Guidelines are an opportunity, an obligation, and should remain a high priority. Our scope of expertise should be extended beyond the provision of enteral and parenteral nutrition to include a focus on the physiologic, immunologic, and microbial effects of feeding. The next generation can and should be engaged by providing opportunities for leadership, infecting them with our enthusiasm, and by giving them license to question the norm.
- Develop a greater understanding of the physiologic, immunologic, and microbial effects of feeding to expand the influence of clinical practice
- Influence others beyond the nutrition community, be relevant to clinical practice, and be tailored to specific medical/surgical subspecialty patient populations
- Identify tools readily available to expand clinical practice, such as guidelines, advanced practice training, mentorship, international relations, interaction with other medical/surgical societies, and multidisciplinary support
- Incorporate the next generation into clinical practice, not by pedantic rules and edicts, but by embracing different approaches, sharing our enthusiasm and interests, and challenging them to question everything
Stephen McClave, MD, FACN, FASGE, FASPEN, AGAF, Professor of Medicine, Division of Gastroenterology and Hepatology; Director of Clinical Nutrition, University of Louisville School of Medicine, Louisville, KY
Todd W. Mattox, PharmD, BCNSP, FASPEN, Medical/Surgical Clinical Pharmacist, Moffitt Cancer Center, Tampa, FL