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Weekend Warrior Nutrition Support Program

When: Saturday, October 21, 2017 - Sunday, October 22, 2017

Where: The Estates of Sunnybrook | Vaughan Estate | Courtyard Ballroom 2075 Bayview Avenue, Toronto, ON

Sunnybrook Health Sciences Centre is pleased to present this popular two-day course in Toronto for the very first time. This program is a weekend alternative to the successful five-day Nutrition Support Traineeship Program at the University of Virginia Health System (UVAHS). The goal is to provide up-to-date, evidence-based, and practical information on nutrition support management of specific disease states.

Program Presenters

Carol Rees Parrish MS, RD

Nutrition Support Specialist
University of Virginia Health System Digestive Health Center
Charlottesville, VA

Carol Rees Parrish has 36 years of clinical experience, the past 26 of which have been spent specializing in nutrition support and GI disorders at UVAHS, Digestive Health Center. Carol founded the Medicine Nutrition Support Service in 1991, began the home nutrition support program at the UVAHS Home Health Company, developed the GI Nutrition Clinic, originated the UVAHS Celiac Support Group, and is the co-founder of the UVAHS Nutrition Support Traineeship, Weekend Warrior, and Webinar educational programs. She has been the nutrition series editor for the popular Practical Gastroenterology Journal's Nutrition Series since 2003, having published over 155 articles in the series. She has many publications, abstracts and chapters, and has given well over 200 presentations at local, state, regional, national and international conferences. Carol’s passion in GI and nutrition support includes short gut/malabsorptive disorders, enteral and parenteral feeding modalities, small bowel bacterial overgrowth, pancreatitis, gastroparesis, refeeding syndrome, and many other GI disorders. She has been awarded the American Society for Parenteral and Enteral Nutrition Distinguished Nutrition Support Dietitian Advanced Clinical Practice Award (2006), and the DNS Distinguished Practice Award, Academy of Nutrition and Dietetics Dietitians in Nutrition Support (DNS) Dietetic Practice Group.

Joe Krenitsky MS, RDN

Nutrition Support Specialist
University of Virginia Health System

Joe Krenitsky has been a Registered Dietitian since 1988 and has been at UVA since 1992. He is the co-lead of the UVA Medical Nutrition Support Team, a co-developer of the Nutrition Support Traineeship and Weekend Warrior programs at UVA, and is the primary author of the UVA e-journal club. Joe has received the ASPEN Distinguished Nutrition Support Dietitian- Advanced Practice Award, and has written and presented on a variety of GI and nutrition support related topics. His professional interests include nutrition support in critical care, hepatic failure, acute kidney injury and the importance of evidence analysis.

Program schedule

Saturday, October 21, 2017

8:00 - 8:30 a.m. Registration, continental breakfast
8:30 - 8:45 a.m. Welcome & Introduction
8:45 - 9:45 a.m.

Nutritional Care of the Patient with Gastroparesis - Carol Rees Parish
Learning Objectives:

  1. Identify patients at risk for gastroparesis.
  2. Recognize medications that may aggravate symptoms of gastroparesis.
  3. Devise nutritional treatment plan for the patient with gastroparesis.
9:45 - 10:45 a.m.

Clinicians’ Guide to Gastric Versus Jejunal Feeding - Joe Krenitsky
Learning Objectives:

  1. Discuss the advantages and disadvantages of gastric and jejunal feeding in critically ill adult patients.
  2. Review the limitations of studies investigating gastric versus jejunal feeding on the incidence of aspiration pneumonia.
  3. Identify patient populations that may benefit from placement of feeding tubes into the small bowel.
  4. Review clinical strategies that improve delivery and safety during enteral nutrition.
10:45 - 11:00 a.m.


11:00 a.m. - 12:00 p.m.

Maximizing Nutritional Status After Upper GI Surgery - Carol Rees Parish
Learning Objectives:

  1. State which upper GI surgeries are most often associated with nutritional compromise.
  2. Identify barriers that can contribute to nutritional demise.
  3. List 3 nutrients that are at higher risk for deficiency in upper GI surgeries.
12:00 - 1:00 p.m. Lunch buffet / networking
1:00 - 2:00 p.m.

Inflammatory Bowel Disease / Crohn’s Disease - Joe Krenitsky
Learning Objectives:

  1. Discuss the factors that influence nutrition risk in patients with inflammatory bowel disease.
  2. Review data regarding the therapeutic effectiveness of defined formula diets and elemental formulas in Crohn’s disease.
  3. Discuss dietary interventions in IBD.
  4. Review micronutrient deficiencies and supplementation in patients with IBD.
2:00 - 2:15 p.m. Break
2:15 - 3:45 p.m.

Optimization of Enteral Autonomy in the Adult Short Bowel Patient - Carol Rees Parish
Learning Objectives:

  1. Explain the factors that contribute to high stool output in short bowel syndrome.
  2. Appropriately select and dose medications to enhance absorption and decrease stool volume.
  3. Implement strategies to maximize nutrient utilization in these patients.
3:45 - 4:15 p.m.

Questions & Answers/Wrap up

Sunday, October 22, 2017

8:45 - 9:30 a.m. Contenential breakfast/networking 
9:30 - 10:30 a.m.

Enteral Feeding in Hemodynamic Compromise: Stop, Yield, or Proceed with Caution? - Joe Krenitsky
Learning Objectives:

  1. Discuss the effect of critical illness, vasopressor medications and enteral nutrition on perfusion of the gastrointestinal tract.
  2. Discuss the findings and limitations of clinical studies that have investigated the effect of enteral feeding on intestinal blood flow in critically ill patients.
  3. Review factors beyond vasopressors and blood pressure that may increase the risk of bowel ischemia during critical illness.
  4. Discuss clinical approaches to providing nutrition to critically ill patients with marginal hemodynamics.
10:30 - 10:45 a.m.


10:45 - 11:45 a.m.

Nutrition in Hepatitis and Hepatic Failure - Joe Krenitsky
Learning Objectives:

  1.  Describe the factors that lead to malnutrition in the patient with liver disease.
  2. Discuss the nutritional needs of patients with liver disease.
  3. Discuss nutrition support guidelines for patients with liver disease, including the use of oral, enteral and parenteral nutrition.
  4. Review data regarding potential benefits of specialized nutrient formulas for patients with hepatic failure.
11:45 a.m. - 12:00 p.m.

Questions & answers

12:00 - 1:00 p.m.

Lunch buffet / networking

1:00 - 2:00 p.m.

Feeding the Patient with Pancreatitis - Carol Rees Parish
Learning Objectives:

  1. Distinguish between acute and chronic pancreatitis.
  2. Evaluate feeding options in patients with pancreatitis based on current evidence.
  3. Optimize nutrition support delivered.
2:00 - 2:15 p.m.


2:15 - 3:15 p.m.

Nutrition Support in Acute Kidney Injury - Joe Krenitsky
Learning Objectives:

  1. Discuss how acute kidney injury and renal replacement therapy affect metabolism and nutrient requirements.
  2. Review how renal replacement therapy affects micronutrient losses and serum levels in critically ill patients.
  3. Understand how nutrient provision affects metabolism and protein synthesis in ICU patients with AKI.
3:15 - 3:45 p.m.

Questions & Answers/Wrap up


Vaughan Estate is located in midtown Toronto on the Sunnybrook Health Sciences Centre campus and is accessible by car or public transportation. The Courtyard Ballroom is located on the lower floor of the Vaughan Estate.

By Car

From Bayview Avenue, turn east onto the north entrance of Sunnybrook campus (Armistice Drive) and follow the signs to the Vaughan Estate. Free parking is available.

By Public Transportation

Take the Bayview 11 bus or the Lawrence 124 bus to Sunnybrook Health Sciences Centre. Get off in front of Wellspring Cancer Support Centre (on the map), and walk along Armistice Drive to Vaughan Estate. Check for up-to-date bus routes and schedules


The following accommodations are within 10-15 minute driving distance of the Vaughan Estate:

Best Western Roehampton Hotel & Suites
808 Mount Pleasant Road Toronto, ON M4P 2L2
Phone: 1-800-780-7234

Toronto Don Valley Hotel & Suites
175 Wynford Drive Toronto, ON M3C 1J3
Phone: 1-877-474-6835

Registration details

Registration is limited to 60 participants. This is to ensure an optimal learning experience, which will be enhanced by interactive case studies, group discussion, and question/answer periods. Registration will be accepted on a first come, first serve basis. Single-day or on-site registration will not be accepted.

Thirty (30) participants must be registered by Friday July 7, 2017 in order for this program to take place.

Registration Fee: $500 CDN. This includes continental breakfast, lunch buffet, refreshments, free parking, and printed program materials for both days. Please make cheques or money orders in Canadian dollars payable to “Sunnybrook Health Sciences Centre”

Cancellation policy

Registration Cancellation: Paid registration may be cancelled in writing before Friday, September 22, 2017. The registration fee minus a $75 administrative fee will be refunded. There will be no refunds after this date, however, participant substitution will be allowed.

Event Cancellation: Sunnybrook Health Sciences Centre reserves the right to cancel the program if the number of registrants does not reach the minimum requirement of thirty (30) by Friday, July 7, 2017.

Contact information

Andrea Ho, RD
Clinical Dietitian, Sunnybrook Health Sciences Centre

How to register

Please mail the following details, along with a cheque or money order (in Canadian dollars payable to “Sunnybrook Health Sciences Centre”), to:

Andrea Ho, RD
Clinical Dietitian
Sunnybrook Health Sciences Centre
2075 Bayview Avenue, Room D405
Toronto, ON M4N 3M5

Registration information to include with payment: 

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