Jessie Hulst, Staff Gastroenterologist, MD, PhD

Department of Pediatrics, Division of Gastroentrology, Hepatology and Nutrition
The Hospital for Sick Children

Dr Jessie Hulst is a staff gastroenterologist in the Division of Gastroenterology, Hepatology and Nutrition of The Hospital for Sick Children in Toronto and an Associate Professor in the Department of Pediatrics and Department of Nutritional Sciences of the University of Toronto. Before joining Sickkids in July 2018, she was a Staff Gastroenterologist in Erasmus Medical Center, Sophia Children’s Hospital, Rotterdam in the Netherlands, from 2011-2018. Jessie obtained her PhD on the topic of nutritional assessment in critically ill children in 2004, and has been involved in both national and international research about this topic since. In 2009, she developed a simple nutritional risk screening tool (STRONGkids), which is used in multiple hospitals around the world. Her research interests are also focused on nutritional status and body composition in relation to disease in various patient groups including children with intestinal failure. She has published > 75 peer-reviewed manuscripts and >10 book chapters. Furthermore, she is involved in several national and international working groups related to pediatric nutrition. As the previous Chair of Pediatric section of the Dutch Malnutrition Taskforce she was involved in the development and implementation of a nationwide pediatric malnutrition pathway. In Sickkids, Jessie is running a complex Nutrition clinic and EoE clinic, she is the hospital PN medical lead and the chair of the Nutritional Advisory Committee. She is also the co-chair of the Pediatric working group of the Canadian Malnutrition Task Force and working on the design and implementation of a pediatric Malnutrition Pathway in Canada.

A practical update on Subjective global nutritional assessment (SGNA) in children.

This session will consist of multidimensional hands-on education about the Subjective Global Nutritional Assessment (SGNA) tool which can be used to assess the nutritional status of children who may be at risk of malnutrition. Since SGNA is incorporated in the recently developed Canadian Pediatric Integrated Nutrition Pathways (P-INPAC), which in itself is part of the HSO standard about Malnutrition Prevention, Detection and Treatment in acute care settings, it is important for clinical teams to be familiar with SGNA and know how to perform it. The SGNA was recently updated to capture anthropometric parameters that are currently recommended (z-scores). Moreover, updated instruction videos are developed by the Canadian Malnutrition Taskforce (CMTF) to facilitate training. A major part of the session will be focused on teaching how to use SGNA in clinical practice by using clinical cases and discuss the different steps of the SGNA, i.e. 7 specific features of a nutrition-focused medical history and 3 features of a nutrition-focused physical examination for signs of inadequate energy and/or protein intake. Learning objectives: - Understand the value of using SGNA in clinical practice - Review the updated version of SGNA - Obtain practical guidance on how to perform SGNA