Rama Koslowe, M.D., (center) Director of Medical Nutrition, discusses a patient’s treatment plan with Tamie Proscia-Lieto, M.D., a member of the Nutrition Divison.

Medical residents perform nutritional assessments on assigned consultations from all services in the hospital. Findings are reviewed on daily rounds and patient management plans are then formulated, including disease-specific diets, enteral feedings and parenteral nutritional support.

House staff is exposed to a wide array of nutritional and metabolic disorders and is taught to determine the appropriate route of therapy in each situation, including the intricacies of TPN formulation.

The management of home enteral and home parenteral therapies is learned through the clinical nutrition service. In the ambulatory setting, the increasing importance of dietary counseling for disease prevention, particularly regarding heart disease, obesity and cancer, is emphasized.

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