お給料付、呼吸器系小児科臨床栄養士研修

住んでいる州で呼吸器系小児科臨床栄養士研修に関する連絡が入ってきました。
最低300時間の研修で3000ドル（約30万）が支払われます。興味のある人にはとてもいい機会ですね。研修でお金がもらえるってなんだか違和感があると思いますが、研修医がお金をもらっているのと似ているシステムでしょうか。

＋以下、メールで送られてきた内容のコピペ。送り主の個人情報のみ省いてます＋＋

We are pleased to announce The University of Arizona Pediatric Pulmonary Center(UA PPC) has been refunded for the 2010- 2015 grant cycle. The UA PPC is funded through a Maternal and Child Health Bureau (MCHB) training grant under the Health Resources and Services Administration (HRSA) and is only one of six such pediatric pulmonary centers in the country.

The mission of the PPC is to develop interdisciplinary leaders who will improve the health of children with respiratory conditions through family-centered healthcare. We provide pediatric pulmonary traineeships for physicians; graduate level nurses, social workers and nutritionists; and respiratory care therapists.

The training program includes didactic and clinical components. The didactic curriculum consists of a lecture series held on Tuesday mornings featuring specialists in a variety of pediatric pulmonary disciplines; the fall lectures are available on the PPC website. Clinical experience is primarily provided through our outpatient cystic fibrosis clinic every Monday. The curriculum also includes outreach clinics, site visits, mock conferences, health advocacy activities, and a Title-V facility presentation ?all of which expand cultural competencies, leadership skills, and health advocacy/promotion. Our trainees culminate their experience with a deliverable educational material project addressing a specific, relevant health topic and developed through a needs assessment. The traineeship also includes a one-week, self-contained leadership course through the U of A Eller College of Management.

The long term nutrition traineeship qualifies for a $3,000 stipend for a minimum of 300 hours (fall/spring academic calendar) for an individual who is a Registered Dietitian (RD) (or RD eligible pending registration exam) and who is currently enrolled in a graduate degree program in dietetics, nutrition, nutritional science, or public health. Consideration may also be given to an RD with a completed graduate degree.

For more information see our website: http://uappc.peds.arizona.edu/ or
********@peds.arizona.edu or ******@email.arizona.edu.

intravenous fat emulsion (IVFE)不足

こんなこともあるんですね。

ASPENサイトから直接コピペしてます。

http://www.nutritioncare.org/Index.aspx?id=5084
”（以下コピペ）Information to Use in the Event of an Intravenous Fat Emulsion Shortage June 2010
Introduction

There is currently an intravenous fat emulsion (IVFE) shortage in the U.S. due to a temporary decrease in market supply and it is not clear when the supply will return to normal levels. The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) has assembled a group of experts to develop clinical recommendations for IVFE usage during this shortage. A.S.P.E.N. is also in constant communication with the two U.S. IVFE suppliers and will continue to monitor the market and provide further information as this situation changes.

Notice: This information must only be used in the event of a national shortage of intravenous fat emulsion in order to conserve supply to higher priorities of patient use. Information is subject to change based on fluidity of the national IVFE supply issues. This information should NOT be used in routine (non-shortage), clinical practice.

1. Purchase only as much supply as needed. In the interest of fair allocation to all patients nationally, please do not stockpile.

2. Neonatal / Pediatric hospitalized or home care patients:
Provision of IVFE is critical in these patient populations therefore, continue the same IVFE therapy as before the shortage.

3. Adult, mild to moderately malnourished hospitalized patients on parenteral nutrition (PN) less than 2 weeks:
IVFE should not be administered during the shortage unless use is essential in the judgment of the healthcare professional.

4. Adult, hospitalized patients on PN greater than 2 weeks:
Patients should receive a total of 100 g fat weekly which may be given by whatever method is safe and efficient (minimize IVFE waste) to prevent essential fatty acid deficiency (EFAD) with the remainder of non-protein calories provided by glucose. Patients should be monitored for EFAD. For some specific adult hospitalized patients (e.g., patients with glucose intolerance, severely malnourished patients, patients at risk for re-feeding syndrome, and during pregnancy), IVFE should be provided as a component of daily calories based on current practice prior to the shortage.

5. Adult, hospitalized, critically-ill patients on propofol:
No additional IVFE generally needed to prevent EFAD since the IVFE in the medication will supply needed essential fatty acids.

6. Home or Long-term Care Adult Patients:
Generally continue same IVFE therapy as before shortage; however, minimize use of IVFE when clinically feasible. At a minimum, patients should receive a total of 100 g fat weekly which may be given by whatever method is safe and efficient (minimize IVFE waste) to prevent essential fatty acid deficiency (EFAD) with the remainder of non-protein calories provided by glucose. Patients should be monitored for EFAD. For some specific adult home or long-term care patients, (e.g., patients with glucose intolerance, severely malnourished patients, patients at risk for re-feeding syndrome, and during pregnancy), IVFE should be provided as a component of daily calories based on current practice prior to the shortage.

Important Note:

These recommendations do not constitute medical or professional advice, and should not be taken as such. To the extent the information published herein may be used to assist in the care of patients, this is the result of the sole professional judgment of the attending health professional whose judgment is the primary component of quality medical care. The information presented herein is not a substitute for the exercise of such judgment by the health professional.”