Release Date: January 1, 2016
Expiration Date (all CE credit must be claimed by the expiration date): January 31, 2017
Issue: 1
Volume: 40
Journal: Journal of Parenteral and Enteral Nutrition (JPEN)
Author (s):
D. Dante Yeh, MD, Clinical Instructor, Surgery, Harvard Medical School; Attending Surgeon, Surgery, Massachusetts General Hospital, Boston, MA

Eva Fuentes, MD, General Surgery Resident, General Surgery, Massachusetts General Hospital, Boston, MA

Sadeq Ali Quraishi, MD, MHA, MMSc, Assistant Professor, Anesthesia, Harvard Medical School; Assistant Anesthetist, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA

Catrina Cropano, Medical Student, Quinnipiac University, Frank H. Netter School of Medicine, North Haven, CT

Haytham Kaararani, MD, MPH, FACS, Assistant Professor, Surgery, Harvard Medical School, Attending Surgeon, Surgery, Division of Trauma, Emergency and Surgical Critical Care Medicine, Massachusetts General Hospital, Boston, MA

Jarone Lee, MD, MPH, Attending Physician, Emergency Medicine, Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA

David R. King, Surgeon, Trauma and Acute Care Surgery/Surgical Critical Care, Massachusetts General Hospital, Boston, MA

Marc de Moya MD, Associate Professor of Surgery, Surgery, Harvard Medical School, Boston, MA

Peter Fagenholz MD, Assistant Surgeon, Surgery Service, Massachusetts General Hospital, Boston, MA

Kathryn L. Butler, MD, FACS, Assistant, Surgery, Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA

Yuchiao Chang, PhD, Biostatistician, Medicine, Division of Internal Medicine, Massachusetts General Hospital, Boston, MA

George Velmahos, MD, PhD, MSEd, FACS, FCCM, FRCS, FRCPS, Chief, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA

Format: Online as PDF or hard copy of journal
Link to article: Link

Journal-based CE Activity Overall Goal:
The JPEN Editor, in concurrence with A.S.P.E.N.'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.

Learning Objectives:

Identify an ICU cumulative caloric deficit threshold which is associated with lower rates of discharge home in critically ill surgical patients
Identify an ICU cumulative protein deficit threshold which is associated with lower rates of discharge home in critically ill surgical patients
Determine if delay in initiation of enteral nutrition (EN) was a contributing factor to caloric and protein deficits
Determine if underprescription of enteral nutrition (EN) was a contributing factor to caloric and protein deficits
Determine the relative risk of malnutrition in surgical patients compared to medical patients

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 achieve a score of 100%, and complete an online activity evaluation. All CE credit must be claimed prior to the expiration date.

Accreditation Statements/Continuing Education Credit:
Nurses, Pharmacists and Physicians
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.

A.S.P.E.N. 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.

A.S.P.E.N. is approved by the California Board of Registered Nursing, Provider CEP 3970.

ACPE UAN: 0216-0000-16-062-H01-P. Knowledge activity.

Dietitians
A.S.P.E.N., 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.

Policies/Information:
Non-Commercialism: A.S.P.E.N. subscribes to the ACCME Standards for Commercial Support. A.S.P.E.N. does not provide programs that constitute advertisement or include promotional materials. A.S.P.E.N. 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: 1-800-679-3646Office hours are between 9AM to 5PM ET, Monday through Friday

Privacy and Confidentiality: A.S.P.E.N. respects the privacy of its members and website visitors. Companies that receive personal information from A.S.P.E.N. in order to execute the business of A.S.P.E.N. may use personal information only for that purpose.

Refund Policy: Refunds are not available.

Grievances: Grievances must be submitted in writing to Director of Education at A.S.P.E.N. 8630 Fenton Street. Suite 412. Silver Spring, MD 20910.

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 EditorsThe following authors have nothing to disclose: Kathryn Butler, Yuchiao Chang, Marc DeMoya, Peter Fagenholz, Eva Fuentes, Haytham Kaafarani, David R. King, Jarone Lee, Catrina Cropano, George Velmahos

Sadeq A. Quraishi: Lungpacer, Inc – consultant, received honorarium; Doctella (spouse), employee, salary; Greer Labs (spouse_, consultant, received honorarium; SERMO (spouse), consultant, received honorarium

D. Dante Yeh: Nestle – investigator, research grant

JPEN Associate Editors, David August, Lingtak-Neander Chan, Ronald Koretz, Jean-Charles Preiser, Diana Mager: nothing to disclose. Mark Puder has served on the Pronova advisory board and received grant funding and consulting fee.

JPEN Editor-in-Chief Kelly Tappenden has served in a speaking role for NPS Pharmaceuticals, Inc, 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.

George Velmahos MD, PhD, MSEd, FACS, FCCM, FRCS, FRCPS

Appearances