Schedule: Grand Rounds

Upcoming Rounds - Recognizing and Tackling Malnutrition

Pediatric Grand Rounds 
Malnutrition in Hospitalized children: screening, treatment & prevention 

September 8, 2022, 12:00pm - 1:00pm NDT - Discipline of Pediatrics, Faculty of Medicine, Memorial University of Newfoundland

Speaker: Dr. Valerie Marchand, MD, FRCPC, Department of Paediatrics, Ste-Justine UHC, University of Montreal , Quebec

Only open to pediatric faculty and learners across Newfoundland who can join at this link https://mun.webex.com/meet/pgpediatrics

September 13, 2022, 8:00am - 9:00am ADT - Department of Medicine, Nova Scotia Health Authority

Speaker: Dr. Leah Gramlich, MD, FRCP, Professor Medicine, University of Alberta

Open to Nova Scotia Health Authority (NSHA) or Dal University staff or faculty. If you are not NSHA, Dal University staff or faculty and want to attend? Contact jillian.vandenbrand@nshealth.ca

Past Rounds - Recognizing and Tackling Malnutrition

June 17, 2022, 12:00pm - 1:00pm - Department of Medicine, Halton Health Care, Ontario
Speaker: Dr. Barb Bielawska, MD, MSc, FRCPC
Total number of attendees: 26

Questions and comments included:
- increased awareness of malnutrition in Canadian hospitals
- quality of hospital food is a barrier to better nutrition
- poor food choices and food expenses may contribute to risk of malnutrition
- highlighted role of registered dietitians and need for referrals
- CRP, albumin, and prealbumin are markers of inflammation vs. markers of nutritional status

Recording available at:  https://vimeo.com/728835286/01740eade0

April 27, 2022 - Division of Family Practice Hospitalists, Pasqua Hospital, Saskatchewan Health Authority (by invite only)
Speaker: Dr. Don Duerksen 
Total number of attendees: 25

Questions and comments included:
- use of Subjective Global Assessment & bloodwork to support diagnosis
- use of enteral nutrition when po intake is poor
- lack of access to services in the community  
- interest in resources and patient tools & high protein, high energy diet

January 20, 2022, 8:30am - 10:00am MST - Family Medicine Rounds, University of Alberta, Edmonton
Speaker: Dr. Leah Gramlich
Total number of attendees: 110

Generated interest for:
- Family MDs being aware of malnutrition and identifying patients
- including nutrition status in hospital discharge summary plan
- CMTF Primary Care Malnutrition Toolkit


Questions included:
- Quantity of ONS consumed by patients with poor oral intake
- access to resources and programs within AHS for those with malnutrition 
- recommended blood work to support malnutrition diagnosis 

January 13, 2022, 8:00am - 9:00am ET - Medicine Grand Rounds, Hamilton Health Sciences, Ontario
Speaker: Dr. Leah Gramlich
Total number of attendees: 74

Questions and comments included:
- Protein requirements and quality of protein 
- Appropriateness of initiating enteral nutrition in those in whom goals of care are not defined 
- Hamilton Health Sciences RDs efforts at implementing best evidences related to malnutrition (Med Pass and INPAC adoption)

Recording available at:  https://www.youtube.com/channel/UCvF2UX6pA0Yr8IEgA1O5AKQ

November 2, 2021, 12:00pm - 1:00pm ET - Department of Medicine Grand Rounds, Ottawa
Speaker: Dr. Leah Gramlich, MD, FRCPC
Total number of attendees: 103

Generated interest for:
- de-escalating use of medications that suppress appetite. 
- continued work on improving nutrition screening and assessment practices
- training in nutrition care-request from a hospital in Trinidad and Tobago

Recording available at: https://vimeo.com/641955585/08c33f8635

For Health Professionals in Newfoundland and Labrador ONLY
October 22, 2021, 12:00pm - 1:00pm NLT - Medical Grand Rounds, Memorial University, Newfoundland
Speaker: Dr. Donald Duerksen, MD, FRCPC
Total number of attendees: 102

Generated interest for:
-impact of disease related malnutrition
-the double burden of obesity & malnutrition
-food first approaches to address malnutrition in a hospital setting

September 23, 2021, 12:00pm - 1:00pm ET - CHUM (Centre hospitalier de l'Université de Montréal)  
Speaker: Dr. Johane P. Allard, FRCPC, AGAF/CACF
Total number of attendees: 102

Recording available at: https://vimeo.com/646646061

March 2, 2021, 7:00pm - 8:00pm MST - Primary Care Rounds, Office of Lifelong Learning, University of Alberta, Edmonton
Speaker: Dr. Leah Gramlich, MD, FRCPC
Total number of attendees: 176

Poll responses in session:
- 83% thought malnutrition was a significant concern in their primary care setting 
- 60% to 70% needed information on how to identify patients or what to do if a patient is at risk
- 60% have limited or no access to a registered dietitian or did not have enough time 
 

April 29, 2021, 8:00am - 9:00am MST - Medicine Grand Rounds, Royal Alexandra Hospital, Edmonton
Speaker: Dr. Leah Gramlich, MD, FRCPC
Total number of attendees: 104

Recording available at: https://drive.google.com/file/d/19tWG1NFG09ipl15ZpSM_NxBly1wNT0Zd/view