{"id":9368,"date":"2025-03-07T13:40:15","date_gmt":"2025-03-07T18:40:15","guid":{"rendered":"https:\/\/nutritioncare.org\/?page_id=9368"},"modified":"2025-08-20T13:51:46","modified_gmt":"2025-08-20T17:51:46","slug":"global-pn-fellowship","status":"publish","type":"page","link":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/","title":{"rendered":"Global PN Fellowship"},"content":{"rendered":"\n\r\n    <div class=\"alert-block\">\r\r\n    <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"30\" height=\"30\" viewbox=\"0 0 30 30\" fill=\"none\"><g clip-path=\"url(#clip0_9570_123757)\"><path d=\"M25.545 12.765C25.1451 7.595 20.935 3.425 15.755 3.065C12.785 2.855 9.95505 3.855 7.78505 5.875C5.65505 7.865 4.42505 10.685 4.42505 13.615C4.42505 17.905 6.98505 21.745 10.945 23.385C11.225 23.505 11.495 23.615 11.735 23.755C13.815 24.915 14.375 26.485 14.405 26.545C14.485 26.785 14.695 26.955 14.955 26.965C14.975 26.965 14.985 26.965 15.005 26.965C15.235 26.965 15.455 26.835 15.565 26.625C15.575 26.605 16.615 24.605 18.485 23.635C18.615 23.565 18.765 23.505 18.915 23.445L18.995 23.415C23.275 21.675 25.915 17.395 25.555 12.765H25.545ZM18.515 22.255L18.445 22.285C18.265 22.355 18.085 22.425 17.905 22.525C16.575 23.215 15.615 24.315 15.055 25.095C14.585 24.385 13.745 23.435 12.365 22.655C12.055 22.485 11.745 22.345 11.435 22.225C7.93505 20.775 5.68505 17.395 5.68505 13.605C5.68505 11.025 6.76505 8.545 8.65505 6.785C10.405 5.155 12.635 4.275 15.005 4.275C15.225 4.275 15.455 4.275 15.685 4.295C20.245 4.615 23.955 8.285 24.315 12.845C24.635 16.925 22.305 20.705 18.535 22.235L18.515 22.255Z\" fill=\"white\"><\/path><path d=\"M17.715 17.475L16.515 17.615C15.985 17.675 15.545 17.205 15.645 16.675L16.685 11.445C16.745 11.125 16.505 10.825 16.175 10.825H12.275C12.155 10.825 12.075 10.905 12.055 10.995C12.025 11.095 12.055 11.205 12.175 11.265L12.715 11.535C13.045 11.695 13.215 12.065 13.135 12.425L12.245 16.275C12.155 16.645 12.145 17.025 12.195 17.395C12.375 18.665 13.415 19.625 14.695 19.705C15.435 19.755 16.165 19.485 16.705 18.975L17.905 17.845C18.055 17.705 17.935 17.455 17.735 17.485L17.715 17.475Z\" fill=\"white\"><\/path><path d=\"M15.1149 10.165C16.1146 10.165 16.9249 9.35462 16.9249 8.35498C16.9249 7.35535 16.1146 6.54498 15.1149 6.54498C14.1153 6.54498 13.3049 7.35535 13.3049 8.35498C13.3049 9.35462 14.1153 10.165 15.1149 10.165Z\" fill=\"white\"><\/path><\/g><defs><clippath id=\"clip0_9570_123757\"><rect width=\"21.15\" height=\"23.93\" fill=\"white\" transform=\"translate(4.42505 3.03497)\"><\/rect><\/clippath><\/defs><\/svg>\r\r\n    <p>Applications are open for the 2026 Global PN Fellowship! <a href=\"https:\/\/www.cognitoforms.com\/ASPEN9\/_2026ASPENGlobalPNFellowshipApplication\" target=\"_blank\" rel=\"noopener\">Apply by September 21<\/a>.<\/p>\n\r\n    <\/div>\r\r\n\n\n    <div class=\"interior-header-block \">\n        <div class=\"interior-header\">\n                    <div class=\"header-right full-width\">\n                                    <div class=\"intro-content-content\">\n                        <div class=\"text-block\"><p>ASPEN offers a Global Parenteral Nutrition (PN) Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN and allow them to understand how ASPEN can play an important role in their career development.<\/p>\n<\/div>                    <\/div>\n                                <\/div>\n        <\/div>\n    <\/div> \n\n\n\n<p>This Fellowship is funded through a medical unrestricted grant from Baxter.<\/p>\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"150\" height=\"25\" data-src=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873\" alt=\"Baxter\" class=\"wp-image-8382 lazyload\" style=\"--smush-placeholder-width: 150px; --smush-placeholder-aspect-ratio: 150\/25;width:120px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\"><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-global-pn-fellowship-criteria\"><strong>Global PN Fellowship Criteria<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Must be a physician within the first five years of clinical specialty.<\/li>\n\n\n\n<li>Completed application with current curriculum vitae.<\/li>\n\n\n\n<li>Statement of current clinical practice and use of PN in this practice.<\/li>\n\n\n\n<li>Statement of specific area of interest in PN and what they hope to learn and take back to their country or institution from the opportunities offered by this fellowship.<\/li>\n\n\n\n<li>Letter of Recommendation from specialty in country or region.<\/li>\n<\/ul>\n\n\n\r\n    <div class=\"decorative-button-block\">\r\r\n    <a class=\"decorative-button\" href=\"https:\/\/www.cognitoforms.com\/ASPEN9\/_2026ASPENGlobalPNFellowshipApplication\"><div class=\"button-back\"><\/div><icon><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13\" height=\"12\" viewbox=\"0 0 13 12\" fill=\"none\">\r\r\n            <path d=\"M6.85719 12C6.63791 12 6.41862 11.9164 6.25112 11.7489C5.91647 11.4143 5.91647 10.8714 6.25112 10.5368L9.93079 6.8571H0.857149C0.383931 6.8571 0 6.47317 0 5.99996C0 5.52674 0.383931 5.14281 0.857149 5.14281H9.93079L6.25112 1.46314C5.91647 1.12849 5.91647 0.585629 6.25112 0.250984C6.58576 -0.0836613 7.12862 -0.0836613 7.46327 0.250984L12.6062 5.39388C12.9408 5.72852 12.9408 6.27139 12.6062 6.60603L7.46327 11.7489C7.29577 11.9164 7.07648 12 6.85719 12Z\" fill=\"white\"><\/path>\r\r\n        <\/svg><\/icon><span>Apply for the 2026 Global PN Fellowship<\/span>\r\r\n    <\/a>\r\r\n    <\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"h-2025-winners\"><strong>2025 Winners<\/strong><\/h2>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"300\" height=\"300\" data-src=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Bashir_Anam-web.jpg\" alt=\"Anam Bashir\" class=\"wp-image-6925 size-full lazyload\" data-srcset=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Bashir_Anam-web.jpg 300w, https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Bashir_Anam-web-150x150.jpg 150w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Anam Bashir, MD<\/strong><br>Children&rsquo;s Hospital of Philadelphia, Philadelphia, PA<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n<div class=\"single-accordion-block\">\r\r\n    <div class=\"accordion-single\">\r\r\n        <div class=\"accordion-title\" tabindex=\"0\" data-aid=\"#accordion1\"><icon><\/icon><span>Anam Bashir&rsquo;s ASPEN25 Abstract Review<\/span><\/div>\r\r\n        <div class=\"accordion-content\" id=\"accordion1\">\r\r\n            <div class=\"accordion-text-block\"><p>Abstract Title: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/jpen.2733#page=71\" target=\"_blank\" rel=\"noopener\">Examining Outcomes in Pediatric Sepsis and Septic Shock Patients at Risk for Malnutrition<\/a><\/p>\n<p>Authors: Elias A. Wojahn, BS; Liyun Zhang, MS; Amy Pan, PhD; Theresa Mikhailov, MD, PhD<\/p>\n<p><strong>Summary\/Review<\/strong><\/p>\n<p>Nutrition plays a critical role in the management of children recovering from severe illness including sepsis and septic shock which are life threatening conditions. This study examined the clinical outcomes of pediatric patients with sepsis and septic shock in relation to their nutritional status. Clinical outcomes of interest included mortality and pediatric intensive care unit (PICU) length of stay and hospital length of stay. Malnutrition was significantly associated with prolonged PICU (p &lt; 0.0001) and hospital length of stay (p&lt; 0.0001).<\/p>\n<p>In clinical practice, the association between prolonged PICU and hospital stay in children with malnutrition highlights the importance of early nutritional assessment and intervention. Healthcare providers should therefore incorporate nutritional screening upon admission to the PICU to promptly identify children at risk. Early initiation of nutritional support may be considered in malnourished patients admitted to the PICU considering they are at high risk.<\/p>\n<p>Based on these findings, I propose implementing a protocol whereby all children admitted to the PICU with sepsis or septic shock undergo a formal nutritional assessment within 24 hours of admission. Patients identified as malnourished, would be flagged in the electronic medical record or documented in the nutrition support service attending&rsquo;s note, ensuring they are clearly identified for the care team. This would prompt daily discussion on nutrition support rounds. Additionally tracking metrics such as PICU length of stay, as well as changes in nutritional status would allow to monitor the impact of this intervention. This data could further support the integration of nutritional assessment and, management in the sepsis care protocols.<\/p>\n<\/div>\r\r\n        <\/div>\r\r\n    <\/div>\r\r\n<\/div>\r\r\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"300\" height=\"300\" data-src=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Kanokkarn_C-web.jpg\" alt=\"Kanokkarn Chupisanyarote\" class=\"wp-image-6926 size-full lazyload\" data-srcset=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Kanokkarn_C-web.jpg 300w, https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Kanokkarn_C-web-150x150.jpg 150w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Kanokkarn Chupisanyarote, MD<\/strong><br>Thammasat University Hospital, Pathum Thani, Thailand<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n<div class=\"single-accordion-block\">\r\r\n    <div class=\"accordion-single\">\r\r\n        <div class=\"accordion-title\" tabindex=\"0\" data-aid=\"#accordion1\"><icon><\/icon><span>Kanokkarn Chupisanyarote&rsquo;s ASPEN25 Abstract Review<\/span><\/div>\r\r\n        <div class=\"accordion-content\" id=\"accordion1\">\r\r\n            <div class=\"accordion-text-block\"><p>Abstract Title: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/jpen.2735#page=42\" target=\"_blank\" rel=\"noopener\">The OPPortuNity Study: Outpatient Preoperative Parenteral Nutrition in Malnourished Surgical Patients: A Feasibility Study<\/a><\/p>\n<p>Authors: Narisorn Lakananurak, MD; Leah Gramlich, MD<\/p>\n<p><strong>Summary\/Review<\/strong><\/p>\n<p>This study evaluated the outcomes and feasibility of administering supplemental parenteral nutrition (PN) to malnourished patients prior to undergoing surgery in an outpatient clinic setting. This study enrolled patients scheduled for major surgery who were either malnourished or at risk of malnutrition. Participants received supplemental PN for 5-10 days prior to surgery. The PN was administered over 4&ndash;5 hours at an infusion clinic. The PN formulation used was Olimel N12 (1000 mL). Safety parameters were monitored. A total of eight patients were included in the study. Nutritional assessment using the PG-SGA revealed that 75% of patients had moderate malnutrition, while 25% had severe malnutrition. Following PN administration, all nutritional parameters&mdash;including body weight, body mass index, nutritional status score (PG-SGA), handgrip strength, and quality of life scores&mdash;showed improvement. In terms of feasibility, both patients and healthcare staff reported high feasibility ratings across domains of acceptability, appropriateness, and feasibility. No complications were observed in any of the participants.<\/p>\n<p>This research highlights the value of nutritional support in perioperative care. It demonstrates that preoperative supplemental PN can be safely and effectively administered in an outpatient setting, leading to enhanced nutritional status and decreased healthcare cost. In the future, outpatient PN may be extended to a broader population beyond those undergoing surgery. Moreover, the development and implementation of standardized protocols will be essential to ensure consistency, safety, and efficacy in clinical practice.<\/p>\n<p>In Thailand, the availability of inpatient beds remains limited. The implementation of outpatient PN would provide a practical and cost-effective solution. However, to adopt this model, it would be essential to establish clear patient selection criteria, safety monitoring protocol and standardized PN formulations suitable for outpatient administration. Lastly, healthcare professionals should receive appropriate training to recognize and manage potential complications in an outpatient setting.<\/p>\n<\/div>\r\r\n        <\/div>\r\r\n    <\/div>\r\r\n<\/div>\r\r\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"300\" height=\"300\" data-src=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Salih_Prusha-web.jpg\" alt=\"Prusha Mohammed Salih\" class=\"wp-image-6927 size-full lazyload\" data-srcset=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Salih_Prusha-web.jpg 300w, https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Salih_Prusha-web-150x150.jpg 150w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Prusha M. Salih, MD, MSc, PhD<\/strong><br>Zhian Hospital, Sulaimaniyah, Iraq<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n<div class=\"single-accordion-block\">\r\r\n    <div class=\"accordion-single\">\r\r\n        <div class=\"accordion-title\" tabindex=\"0\" data-aid=\"#accordion1\"><icon><\/icon><span>Prusha M. Salih&rsquo;s ASPEN25 Abstract Review<\/span><\/div>\r\r\n        <div class=\"accordion-content\" id=\"accordion1\">\r\r\n            <div class=\"accordion-text-block\"><p>Abstract Title: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/jpen.2734\" target=\"_blank\" rel=\"noopener\">Plasma Sphingolipids Strongly Correlate With Cholesterol Metabolism but Fairly With Glucose Metabolism and Body Composition Following Roux-en-Y Gastric Bypass<\/a><\/p>\n<p>Authors: Gabriela de Oliveira Lemos, MD; Natasha Mendon&ccedil;a Machado, PhD; Raquel Torrinhas, PhD; Dan Linetzky Waitzberg, PhD<\/p>\n<p><strong>Summary\/Review<\/strong><\/p>\n<p>This study examines the association between plasmatic sphingolipids (SLs) and metabolic changes following bariatric surgery, specifically Roux-en-Y gastric bypass (RYGB) in women with obesity and type 2 diabetes. Utilizing untargeted metabolomics and detailed body composition assessments, the research found that SL levels, especially certain ceramides and sphingomyelins, significantly changed after the mentioned surgery. While SLs have shown a weak correlation with glucose metabolism, they showed a significant and consistent correlation with cholesterol metabolism, particularly pro-atherogenic lipoproteins like LDL-c and VLDL-c. on the other hand, specific ceramides had a moderate inverse correlation with body fat and a positive correlation with lean mass while there were a few sphingomyelins behaved differently. These attained results emphasize the lipid remodeling that occurs following bariatrics surgery, namely RYGB, and suggest a potential mechanistic association between SLs and cholesterol homeostasis in individuals&rsquo; post-surgery.<\/p>\n<p>The results and findings are of clinical significance because they imply SLs could serve as and function as future biomarkers or even therapeutic targets for indicating lipid metabolism improvements following bariatric surgery in clinical settings. This may also open up novel and clinical strategies in nutritional and metabolic management, particularly for patients with dyslipidemia or high cardiovascular risk post-bariatric surgeries.<\/p>\n<p>In an interview with the authors, they reflected on their growing interest in the role of lipidomics in personalized medicine. They emphasized that glucose markers respond quickly to RYGB, the glycemic response is currently anticipated. On the other hand, lipidemic and lipidomic responses are still unpredictable, especially SLs, which undergo distinct changes that may influence long-term cardiometabolic health and be a prospective diagnostic or therapeutic target in this issue.<br>\nIn my clinical practice working in the field, these insights have inspired me and encourages me to look beyond traditional and current markers and investigations and consider lipidomic profiles when studying post-bariatric patients, even though these biomarkers are not usually used or available in a clinical setting yet, but they could be a valuable tool in precision medicine. Also, once its importance is highlighted in protocols like that, these tools can be broadly acknowledged and become more accessible for precision medicine in the future.<\/p>\n<p>The study is well-structured and makes a compelling case for further research into SLs as post-operative biomarkers. Incorporating lipidomics into clinical trials following metabolic and bariatric surgery could reframe the metabolic improvements beyond glycemic control.<\/p>\n<\/div>\r\r\n        <\/div>\r\r\n    <\/div>\r\r\n<\/div>\r\r\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"300\" height=\"300\" data-src=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Sherry_Dylan-web.jpg\" alt=\"Dylan R. Sherry\" class=\"wp-image-6928 size-full lazyload\" data-srcset=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Sherry_Dylan-web.jpg 300w, https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Sherry_Dylan-web-150x150.jpg 150w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong>Dylan R. Sherry, MD<\/strong><br>Fox Chase Cancer Center, Philadelphia, PA<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:10px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n<div class=\"single-accordion-block\">\r\r\n    <div class=\"accordion-single\">\r\r\n        <div class=\"accordion-title\" tabindex=\"0\" data-aid=\"#accordion1\"><icon><\/icon><span>Dylan Sherry&rsquo;s ASPEN25 Abstract Review<\/span><\/div>\r\r\n        <div class=\"accordion-content\" id=\"accordion1\">\r\r\n            <div class=\"accordion-text-block\"><p>Abstract Title: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/jpen.2733#page=29\" target=\"_blank\" rel=\"noopener\">Impact of Sarcopenia and Frailty on Post-Operative Outcomes Following Pancreaticoduodenectomy<\/a><\/p>\n<p>Authors: Radha Chada, PhD, RD; Jaini Paresh Gala, MS; Ashwini Chandrasekaran, MSc; Monish Karunakaran, MS, DrNB; G V Rao, MS, MAMS, FRCS; Pradeep Rebala, MS; Balakrishna Nagalla, PhD<\/p>\n<p><strong>Summary\/Review<\/strong><\/p>\n<p>This study investigated the impact of sarcopenia&mdash;characterized by low skeletal muscle mass and handgrip strength&mdash;on post-operative outcomes in patients undergoing pancreaticoduodenectomy for pancreatic cancer. Using CT scans and handgrip strength measurements aligned with Asian-specific criteria, researchers found that 18.9% of patients had sarcopenia, with significantly higher rates in older adults and females. Sarcopenia was associated with increased post-surgical mortality. Although most patients had reduced 6-minute walk distances &mdash; a measure of frailty &mdash; this measure did not correlate with mortality or length of stay.<\/p>\n<p>There are multiple meta-analyses suggesting adverse events and increasing mortality for cancer patients receiving chemotherapy or radiation and for those undergoing surgery.[1,2] This study assessed frailty, nutrition status, and sarcopenia using validated assessments for each. Malnutrition may lead to frailty and sarcopenia and the interrelated nature highlights the importance of screening for each. As malnutrition plays a major role in the development of frailty and sarcopenia, nutritional interventions are key to improving clinical outcomes.[3]<\/p>\n<p>In discussion with the first author, Dr. Reddy &ndash; her team wanted to understand whether a pre-habilitation program might be justified. She pointed out in her presentation that many of the patients (79%) returned to being functionally active after the surgery. Despite the lack of a structured program, her team, per their usual protocol, provided dietary counseling to the patients 4 weeks before surgery. Though the disease certainly impacted muscle mass for these patients, Dr. Chada was clear about the importance of diet and exercise.<\/p>\n<p>At my institution &ndash; a standalone cancer center &ndash; my current goal is to create a multidisciplinary nutrition support clinic to improve clinical outcomes for patients undergoing cancer treatment. As we have many patients undergoing pancreaticoduodenectomy, Dr. Chada&rsquo;s research will help to guide the sorts of screening and interventions we consider for these patients.<\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Su H, Ruan J, Chen T, Lin E, Shi L. CT-assessed sarcopenia is a predictive factor for both long-term and short-term outcomes in gastrointestinal oncology patients: a systematic review and meta-analysis. Cancer Imaging. 2019;19. doi:10.1186\/s40644-019-0270-0<\/li>\n<li>Zhang Y, Zhang J, Zhan Y, Pan Z, Liu Q, Yuan W. Sarcopenia Is a Prognostic Factor of Adverse Effects and Mortality in Patients With Tumour: A Systematic Review and Meta&#8208;Analysis. J Cachexia Sarcopenia Muscle. 2024;15(6):2295-2310. doi:10.1002\/jcsm.13629<\/li>\n<li>Cruz-Jentoft AJ, Kiesswetter E, Drey M, Sieber CC. Nutrition, frailty, and sarcopenia. Aging Clin Exp Res. 2017;29(1):43-48. doi:10.1007\/s40520-016-0709-0<\/li>\n<\/ol>\n<\/div>\r\r\n        <\/div>\r\r\n    <\/div>\r\r\n<\/div>\r\r\n\n\n\n<div style=\"height:17px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text is-stacked-on-mobile\" style=\"grid-template-columns:15% auto\"><figure class=\"wp-block-media-text__media\"><img decoding=\"async\" width=\"300\" height=\"300\" data-src=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Tsang_Leanna-web.jpg\" alt=\"Leanna Tsang\" class=\"wp-image-6929 size-full lazyload\" data-srcset=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Tsang_Leanna-web.jpg 300w, https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/A25-Global-PN_Tsang_Leanna-web-150x150.jpg 150w\" data-sizes=\"(max-width: 300px) 100vw, 300px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 300px; --smush-placeholder-aspect-ratio: 300\/300;\" \/><\/figure><div class=\"wp-block-media-text__content\">\n<p><strong><strong>Leanna Tsang, MD, FRCPC<\/strong><\/strong><br>Alberta Health Services, Alberta, Canada<\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n\n\n\r\n<div class=\"single-accordion-block\">\r\r\n    <div class=\"accordion-single\">\r\r\n        <div class=\"accordion-title\" tabindex=\"0\" data-aid=\"#accordion1\"><icon><\/icon><span>Leanna Tsang&rsquo;s ASPEN25 Abstract Review<\/span><\/div>\r\r\n        <div class=\"accordion-content\" id=\"accordion1\">\r\r\n            <div class=\"accordion-text-block\"><p>Abstract Title: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/jpen.2733#page=32\" target=\"_blank\" rel=\"noopener\">The Utility of Artificial Intelligence in the Creation of Meal Plans in an Outpatient Dietetics Setting: A Proof-of-Concept and Feasibility Study<\/a><\/p>\n<p>Authors: Manpreet Mundi, MD; Osman Mohamed Elfadil, MBBS; Danielle Johnson, MS, RDN; Christopher Schafer, MS, RDN; Jami Theiler, RDN; Jason Ewoldt, MD, RDN; Madelynn Strong, MS, RDN; Katherine Zeratsky, RDN; Angie Clinton, MS, RDN; Sara Wolf, RDN; Ryan Hurt, MD, PhD<\/p>\n<p><strong>Summary\/Review<\/strong><\/p>\n<p>A well-crafted meal plan that incorporates expertise in nutritional requirements, health conditions, and patient preferences is time-consuming. Dr. Mundi et al. embraced Artificial Intelligence (AI) in nutrition care and examined the effectiveness of AI in creating meal plans compared to registered dietitians (RDNs) in five scenarios. While RDNs were confident in their meal plans (mean score: 3.8&ndash;4.8), they spent significantly more time compared to AI (RDNs: 56.4-61.8 minutes\/case vs. AI: &lt;1 minute\/case).<\/p>\n<p>Although AI models were efficient, they lacked consistency in meeting caloric goals and protein targets when presented with specific dietary restrictions, such as chronic kidney disease. As Dr. Mundi notes, AI in its current state would not replace the clinician. Instead, it serves as an &ldquo;augmentation tool&rdquo; where AI can rapidly generate a preliminary meal plan that is modified by the clinician to ensure nutritional accuracy.<br>\nDr. Mundi emphasized: &ldquo;AI models are not as good as we need them to be used in clinical practice without verification,&rdquo; but they represent an &ldquo;incredible tool&rdquo; that is extremely efficient, and capable of learning and evolving. Our healthcare systems are increasingly complex and demanding, and a hybrid model of AI-support with clinical expertise can increase productivity without compromising patient care.<\/p>\n<p>Future studies of AI compared to RD-generated TPN prescriptions will be valuable due its inherent complexity. In our nutrition programs, I hope to incorporate AI as a clinical tool for patients on oral diets or weaning off TPN, enabling more time to refine complex EN\/PN prescriptions and provide patient-centered counseling.<\/p>\n<\/div>\r\r\n        <\/div>\r\r\n    <\/div>\r\r\n<\/div>\r\r\n\n\n\n<div style=\"height:88px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\r\n<div class=\"next-steps-wrap\">\r\r\n        <div class=\"h4\"><\/div>\r\r\n        <h2>Explore ASPEN Awards<\/h2>\r\r\n        <div class=\"description\"><\/div>\r\r\n        <div class=\"next-steps-block\">\r\r\n        \r\n        <a class=\"step\" href=\"https:\/\/nutritioncare.org\/2025-award-winners\/\">\r\r\n                <span>See All 2025 Award Winners<\/span><icon><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13\" height=\"12\" viewbox=\"0 0 13 12\" fill=\"none\">\r\r\n        <path d=\"M6.85063 11.25C6.65875 11.25 6.46688 11.1769 6.32031 11.0303C6.0275 10.7375 6.0275 10.2625 6.32031 9.96968L9.54002 6.74997H1.60059C1.18653 6.74997 0.850586 6.41403 0.850586 5.99996C0.850586 5.5859 1.18653 5.24996 1.60059 5.24996H9.54002L6.32031 2.03024C6.0275 1.73743 6.0275 1.26243 6.32031 0.969611C6.61313 0.676796 7.08813 0.676796 7.38095 0.969611L11.881 5.46964C12.1738 5.76246 12.1738 6.23746 11.881 6.53028L7.38095 11.0303C7.23438 11.1769 7.04251 11.25 6.85063 11.25Z\" fill=\"#641F45\"><\/path>\r\r\n        <\/svg><\/icon>\r\r\n        <\/a>\r\r\n        \r\n        <a class=\"step\" href=\"https:\/\/nutritioncare.org\/member-central\/member-awards\/\">\r\r\n                <span>Learn More About ASPEN Awards<\/span><icon><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13\" height=\"12\" viewbox=\"0 0 13 12\" fill=\"none\">\r\r\n        <path d=\"M6.85063 11.25C6.65875 11.25 6.46688 11.1769 6.32031 11.0303C6.0275 10.7375 6.0275 10.2625 6.32031 9.96968L9.54002 6.74997H1.60059C1.18653 6.74997 0.850586 6.41403 0.850586 5.99996C0.850586 5.5859 1.18653 5.24996 1.60059 5.24996H9.54002L6.32031 2.03024C6.0275 1.73743 6.0275 1.26243 6.32031 0.969611C6.61313 0.676796 7.08813 0.676796 7.38095 0.969611L11.881 5.46964C12.1738 5.76246 12.1738 6.23746 11.881 6.53028L7.38095 11.0303C7.23438 11.1769 7.04251 11.25 6.85063 11.25Z\" fill=\"#641F45\"><\/path>\r\r\n        <\/svg><\/icon>\r\r\n        <\/a>\r\r\n        \r\n    <\/div>\r\r\n<\/div>\r\r\n\n","protected":false},"excerpt":{"rendered":"<p>This Fellowship is funded through a medical unrestricted grant from Baxter. Global PN Fellowship Criteria 2025 Winners Anam Bashir, MDChildren&rsquo;s Hospital of Philadelphia, Philadelphia, PA Kanokkarn Chupisanyarote, MDThammasat University Hospital, Pathum Thani, Thailand Prusha M. Salih, MD, MSc, PhDZhian Hospital, Sulaimaniyah, Iraq Dylan R. Sherry, MDFox Chase Cancer Center, Philadelphia, PA Leanna Tsang, MD, FRCPCAlberta [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":2200,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_searchwp_excluded":"","inline_featured_image":false,"footnotes":""},"folder":[],"class_list":["post-9368","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.6 (Yoast SEO v25.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Global PN Fellowship - ASPEN<\/title>\n<meta name=\"description\" content=\"ASPEN offers a Global PN Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Global PN Fellowship\" \/>\n<meta property=\"og:description\" content=\"ASPEN offers a Global PN Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/\" \/>\n<meta property=\"og:site_name\" content=\"ASPEN\" \/>\n<meta property=\"article:modified_time\" content=\"2025-08-20T17:51:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873\" \/>\n\t<meta property=\"og:image:width\" content=\"150\" \/>\n\t<meta property=\"og:image:height\" content=\"25\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/\",\"url\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/\",\"name\":\"Global PN Fellowship - ASPEN\",\"isPartOf\":{\"@id\":\"https:\/\/nutritioncare.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873\",\"datePublished\":\"2025-03-07T18:40:15+00:00\",\"dateModified\":\"2025-08-20T17:51:46+00:00\",\"description\":\"ASPEN offers a Global PN Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN.\",\"breadcrumb\":{\"@id\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#primaryimage\",\"url\":\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873\",\"contentUrl\":\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873\",\"width\":150,\"height\":25,\"caption\":\"Baxter\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"ASPEN\",\"item\":\"https:\/\/nutritioncare.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Member Central\",\"item\":\"https:\/\/nutritioncare.org\/member-central\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Member Awards\",\"item\":\"https:\/\/nutritioncare.org\/member-central\/member-awards\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Global PN Fellowship\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/nutritioncare.org\/#website\",\"url\":\"https:\/\/nutritioncare.org\/\",\"name\":\"ASPEN\",\"description\":\"Nutrition Science &amp; Practice Conference\",\"publisher\":{\"@id\":\"https:\/\/nutritioncare.org\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/nutritioncare.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/nutritioncare.org\/#organization\",\"name\":\"ASPEN\",\"url\":\"https:\/\/nutritioncare.org\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/nutritioncare.org\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2024\/10\/ASPEN-Logo.svg\",\"contentUrl\":\"https:\/\/nutritioncare.org\/wp-content\/uploads\/2024\/10\/ASPEN-Logo.svg\",\"width\":1,\"height\":1,\"caption\":\"ASPEN\"},\"image\":{\"@id\":\"https:\/\/nutritioncare.org\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Global PN Fellowship - ASPEN","description":"ASPEN offers a Global PN Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/","og_locale":"en_US","og_type":"article","og_title":"Global PN Fellowship","og_description":"ASPEN offers a Global PN Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN.","og_url":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/","og_site_name":"ASPEN","article_modified_time":"2025-08-20T17:51:46+00:00","og_image":[{"width":150,"height":25,"url":"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/","url":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/","name":"Global PN Fellowship - ASPEN","isPartOf":{"@id":"https:\/\/nutritioncare.org\/#website"},"primaryImageOfPage":{"@id":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#primaryimage"},"image":{"@id":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#primaryimage"},"thumbnailUrl":"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873","datePublished":"2025-03-07T18:40:15+00:00","dateModified":"2025-08-20T17:51:46+00:00","description":"ASPEN offers a Global PN Fellowship program designed to introduce early career physicians with an interest in nutrition support to ASPEN.","breadcrumb":{"@id":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#primaryimage","url":"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873","contentUrl":"https:\/\/nutritioncare.org\/wp-content\/uploads\/2025\/02\/baxter-150w-25h.png?ver=1739985873","width":150,"height":25,"caption":"Baxter"},{"@type":"BreadcrumbList","@id":"https:\/\/nutritioncare.org\/member-central\/member-awards\/global-pn-fellowship\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"ASPEN","item":"https:\/\/nutritioncare.org\/"},{"@type":"ListItem","position":2,"name":"Member Central","item":"https:\/\/nutritioncare.org\/member-central\/"},{"@type":"ListItem","position":3,"name":"Member Awards","item":"https:\/\/nutritioncare.org\/member-central\/member-awards\/"},{"@type":"ListItem","position":4,"name":"Global PN Fellowship"}]},{"@type":"WebSite","@id":"https:\/\/nutritioncare.org\/#website","url":"https:\/\/nutritioncare.org\/","name":"ASPEN","description":"Nutrition Science &amp; Practice Conference","publisher":{"@id":"https:\/\/nutritioncare.org\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/nutritioncare.org\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/nutritioncare.org\/#organization","name":"ASPEN","url":"https:\/\/nutritioncare.org\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/nutritioncare.org\/#\/schema\/logo\/image\/","url":"https:\/\/nutritioncare.org\/wp-content\/uploads\/2024\/10\/ASPEN-Logo.svg","contentUrl":"https:\/\/nutritioncare.org\/wp-content\/uploads\/2024\/10\/ASPEN-Logo.svg","width":1,"height":1,"caption":"ASPEN"},"image":{"@id":"https:\/\/nutritioncare.org\/#\/schema\/logo\/image\/"}}]}},"site_id":1,"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/pages\/9368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/comments?post=9368"}],"version-history":[{"count":3,"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/pages\/9368\/revisions"}],"predecessor-version":[{"id":12086,"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/pages\/9368\/revisions\/12086"}],"up":[{"embeddable":true,"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/pages\/2200"}],"wp:attachment":[{"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/media?parent=9368"}],"wp:term":[{"taxonomy":"folder","embeddable":true,"href":"https:\/\/nutritioncare.org\/wp-json\/wp\/v2\/folder?post=9368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}