Breakout
This lecture will discuss the importance of nutrition education, clinician expertise, and patient engagement in understanding the complexity of chronic intestinal failure and home parenteral nutrition management. The presentation will describe the value of LIFT-ECHO, a virtual learning platform, and how the ECHO model expands access to specialty care, as well as tools to evaluate patient outcomes, including the home parenteral nutrition patient-reported outcome questionnaire (HPN—PROQ) and a novel intestinal failure disease activity index.
Marion Winkler, PhD, RD, LDN, CNSC, FASPEN is Professor of Surgery at Brown University Alpert School of Medicine (Providence, RI) and a Surgical Nutrition Specialist in the Department of Surgery at Rhode Island Hospital/Brown University Health. Dr. Winkler has expertise in managing enteral and parenteral nutrition in acute care, critical care, and home care, and has expertise in the nutritional management of short bowel syndrome. Dr. Winkler received a BS in Nutrition from Case Western Reserve University (Cleveland, Ohio), MS in Allied Health and Clinical Dietetic Research from the University of Connecticut, and a PhD in Health Sciences from Rutgers University. She is a Past President of the American Society for Parenteral and Enteral Nutrition (ASPEN) and the ASPEN Rhoads Research Foundation. Dr. Winkler serves as a Deputy Editor for the Journal of Parenteral and Enteral Nutrition (JPEN) and a research editor for the Journal of the Academy of Nutrition and Dietetics (JAND). She is on the medical advisory board for LIFT-ECHO (Learn Intestinal Failure Therapy) She speaks nationally and internationally on topics including malnutrition, short bowel syndrome, and enteral and parenteral nutrition. Her research focuses on quality of life and patient-reported outcomes in home parenteral nutrition.
Date & Time:
February 16, 2026
2:00 PM – 3:00 PM PT
Format:
In Person & Virtual
CE Credits:
1.0 Hours
UAN: JA0002345-0000-26-017-L99-P
Course level:
Intermediate
What You'll Learn
- Summarize the value of nutrition education, healthcare team expertise, and patient engagement in managing chronic intestinal failure and home parenteral nutrition.
- Describe the ECHO model and its impact on specialty care, such as intestinal failure management.
- Evaluate patient outcomes through the use of tools such as the home parenteral nutrition patient-reported outcome questionnaire (HPN—PROQ) and a novel intestinal failure disease activity index.
Topics & Presenters
Democratizing Knowledge, Strengthening Interprofessional Specialty Care, and Improving Patient Outcomes in Nutrition and Intestinal Failure
Professor of Surgery
The Warren Alpert Medical School of Brown University
Surgical Nutrition Specialist
Department of Surgery and Nutritional Support, Rhode Island Hospital
Moderators:
Diana Mulherin
PharmD, BCNSP, BCCCP, FCCM, FASPENClinical Pharmacist Specialist, Nutrition Support
Vanderbilt University Medical Center