LLL Programme

WELCOME TO THE LLL PROGRAMME IN CLINICAL NUTRITION AND METABOLISM

The Life Long Learning (LLL) programme in Clinical Nutrition and Metabolism is an innovative and effective educational programme for medical doctors and health specialists offering training on-line and at live courses, by a variety of modern training methodologies and resources.

LLL programme in Clinical Nutrition and Metabolism is based on an Educational Curriculum offering more than 120 training modules created and peer reviewed by recognized experts.

LLL Programme in Nutrition and Metabolism is a global effort of ESPEN supported by EU to provide post-graduate qualification in Clinical Nutrition and thus to improve daily practice.

It was developed as the project BG-03-B-F-PP-166039 of Leonardo da Vinci Programme by ESPEN and a number of European universities with the support of European Union.

LLL Programme in Nutrition and Metabolism was accredited by Union Européenne des Médecins Spécialistes.

Structure of the LLL

The Programme offers on-line training and Live courses.

The main educational unit of LLL-Programmeis the  module. Each module consists of an updated review on a certain problem, clinical case, self-assessment test and grading quiz. Modules on related subject areas are grouped into Topics making it easier for the user to select modules in a particular field of interest.


Live courses are organized at ESPEN annual congresses and by national PEN societies to provide intensive training and certification. Annual schedule of live courses is announced on LLL website and on ESPEN Congress website.

Credits are awarded for on-line training and at live courses. Each topic taken on-line provides up to 4 CME credits according to activities undertaken. Participation in a live course on one topic provides 3 CME credits. Credit accumulation gives you the opportunity to be awarded with the ESPEN Diploma in Clinical Nutrition.
The Modules are freely accessible on-line after registration.

How to start the LLL Programme?

The LLL programme in Clinical Nutrition provides the opportunity to study on an individual plan comprising self-selected list of modules and live courses, to collect credits and certificates for ESPEN Diploma in Clinical Nutrition.
There are no fees for participation or for credit accumulation from the on-line educational activities of the LLL programme.

1. Register on-line by clicking on Create new account. Fill in the registration form with your details, including your username and a password. An email will be immediately sent to your email address.
2. To confirm your new account, please click on the link given in the email. Your first access to the LLL programme will be from your email address.
3. You can use the module catalogue to get acquainted with short description of all topics and modules that are already developed and those which are to be developed by the end of 2011.

The enrolment provides you free access to LLL programme.
Now you have access to the educational content, all options and recourses of the topics and modules and an opportunity to get credits and certificates.

How to learn on-line?

Learning on-line is a compulsory component of your training in the LLL programme. About 50-60 credits must be earned fromOn-line Courses for acquisition of the ESPEN Diploma.

The On-line Course offers a set of self-training activities in each topic. It provides access to study selected modules on-line and earn credits. Usually each Topic consists of 4 modules; some of them have 2 to 6 modules. 
Each module includes an updated review on a specific problem, a clinical case, a self-assessment test and a grading quiz.

1. To start your on-line training in the LLL programme login with your personal username and password.
2. Go to Course Categories (My courses), click on On-line Courses (Topics) and select a topic of your interest.
3. You will be invited to enroll for the topic. The enrolment is just a formal procedure; don’t hesitate to click “Yes” on the window that appears.
   Note: You are not obliged to run for credits and certificates after enrolment.
4. In case you want to get credits, login with your password and update your profile with your personal data. This will form the basis of your personalized portfolio, enabling the system to follow and evaluate your progress. 
   Note: Without a complete profile you cannot acquire any certification.
5. Customize your Profile/Portfolio according to your educational experience to meet your personal interests and goals.
6. The enrolment for each topic provides you with free access to the educational content, all options and resources and an opportunity to get credits and certificates. The LLL programme automatically adds each enrolled topic to your portfolio.
7. Select a module of your interest. The floating menu available on the left will facilitate your study process. Use it to access each part of the module, as well as the clinical case and the self-assessment test.
8. Get the printable version of the module by clicking on Printable Version at the top of the page.
9. View or download a presentation of the module by clicking on Slides at the top of the page.
10. Study the module.
11. Read the clinical case and answer the questions.
12. Do the self-assessment test.
13. When you complete these activities you can go back to the “Topic outline” page and make a grading quiz for each module.
14. Take the advantage to earn 1 credit from 1 grading quiz. Credits are awarded by the Union Européenne des Médecins Spécialistes (UEMS), which is recognized for Continuing Medical Education (CME) in most countries
15. You earn 4 CME credits for the topic in case you pass the grading quizzes of the topic. Topics usually contain 4 modules, but some of them have 2 - 6 modules, in this case you will earn 2-6 CME credits.
16. Click on “Attempt quiz now“ on Topic outline” page and start answering the questions. Each of your answers must be submitted so that you could check if it is correct or not.
17. After you finish your first attempt you can either save it without submitting, submit it, or finalize it. Once you finalize your attempt you will see a review of your scores and you will be no longer able to change your answers.
18. Click on “Re-attempt quiz” if you want to improve your result.
19. You must score at least 70% in order to receive 1 CME credit per module.
20. In case you are not interested to make a grading quiz, you will earn 1 CME credit if you enroll for an on-line course for one topic. Study all the modules included, answer the questions of the clinical cases and check your knowledge with the self-assessment tests.
21. If the selected module fulfils your needs and requirements you are invited to join the Live Course on that topic at the different occasions: annual live sessions of ESPEN congress and LLL courses organized at national level (go to How to learn at Live Course).

How to learn at Live Course?

Live Courses are a compulsory component of your training in the LLL programme. A minimum 42 credits must be earned from Live Courses for ESPEN Diploma.

The live course for each topic includes 3-4 modules and has a 4 hour format. The modules are delivered by recognized experts in clinical nutrition.

Each live course consists of 3 components:

1. Lectures
2. Case reviews
3. Assessment test

Each live course provides 3 CME credits, accredited by the “Union Européenne des Médecins Spécialistes” (UEMS), which is recognized for Continuing Medical Education (CME) in most countries.
Live courses on various topics are organized by ESPEN at the annual ESPEN congress. Live courses on specific topics are also organized by PEN societies in collaboration with ESPEN. 
These courses cover all main topics of the curriculum over a period of 4-5 years. The schedule of the Live courses is announced on the ESPEN website as well as in “Live Courses” menu in Course Categories.

The advantages of the Live courses are: intensive training, peer-learning, certification of competencies, discussion on clinical cases, opportunity for communication and immediate feedback used for quality assessment of the LLL programme. 
Before attending a Live course, you must have been registered on the LLL website, and should undertake all modules included in the Live course from the corresponding on-line courses. Only then you should register for the Live course.

Credit accumulation

The programme owns rules for training, tracking, remediation, assessment of academic achievement and certification. It awards credits and competency-based certificates for Continuing Medical Education (CME) and ESPEN Diploma on Clinical Nutrition.
Individual e-Portfolio: The LLL programme gives an opportunity to study on an individual plan comprising self-selected list of modules, courses and lectures, adaptive release of content and activities, to collect certificates and credits for ESPEN Diploma on Clinical Nutrition.

Certificates and Diploma

Rules for credit accumulation for acquisition of Certificates:
The competencies and skills acquired by users of the LLL programme in Nutrition are assessed and certified. ESPEN LLL programme in Clinical Nutrition is accredited by the “Union Européenne des Médecins Spécialistes” (UEMS), which is recognised for Continuing Medical Education (CME) in most countries.
Certification is provided at several levels:

1. A certificate for 3 CME credits for each specific topic at a live course after its successful completion.
2. A certificate for 4 CME credits (from 2-6 credits depending on the Topic) from on-line activities for one topic is awarded after you do the self-assessment test for each module and successfully pass the corresponding grading quizzes for the Topic.
3. 1 CME credit is awarded for on-line self-training after successful completion of each on-line course/topic in case you don’t pass grading quizzes.

Certificates are provided at Live courses. You can earn the credits for each topic according to the completed activities:
You must accumulate 100 CME credits in order to sit the final exam, which brings the remaining 20 credits: 58 credits from on-line courses; 42 credits from live courses and 20 credits from successful completion of a final exam. 
The earned credits are verified with certificates issued for each on-line or live course undertaken. 
The following Diplomas are planned as ESPEN activities.

ESPEN Diploma

The participants who successfully complete their training and meet the respective requirements of LLL programme for Diploma will receive the ESPEN Diploma in Clinical Nutrition and Metabolism. Two kinds of ESPEN Diploma are awarded:

1. ESPEN Diploma in Clinical Nutrition and Metabolism is awarded to health professional (Masters/Bachelors), who succeeded to collect 120 credits from live courses, on-line self training and final examination of LLL programme.
2. EUROPEAN ESPEN Diploma in Clinical Nutrition and Metabolism with credits granted by Union Européenne des Médecins Spécialistes, and recognized for Continuing Medical Education  in most countries is awarded to physicians who succeeded to collect 120 credits  from live courses, on-line self training and final examination of LLL programme 

The Examination is organized annually at ESPEN Congress.
Registration can be made by sending an e-mail to the LLL board. 
Prof. Remy Meier:  This email address is being protected from spambots. You need JavaScript enabled to view it.
Prof. Regina Komsa- Penkova:  This email address is being protected from spambots. You need JavaScript enabled to view it.
The fee for final LLL examination is Euro 200.
Once your submission is accepted, you will get an invitation and an invoice from ESPEN.

We kindly remind you to check your credits online on www.lllnutrition.com
If you doubt that your credits has been lost, please send us the documents related to the specific topic undertaken or you could bring them to the ESPEN annual congress.

Instructions How to Check the Credits Collected in the Profile :

1. Log in to the www.lllnutrition.com system.
2. Browse the content of some of the topics you studied.
3. On the left side menu of each course there is a “GRADES” menu under administration tab.
4. After you navigate to grades page for some topic, choose from combo box on upper left corner - Overview Report.
5. Points for enrolment are manually added after some period by administrators of the system.
6. Points from grading quizzes are automatic calculated.

Teach the Teacher Programme for ESPEN LLL teachers

If you are interested in you can become an official Teacher for the ESPEN-LLL programme in Clinical Nutrition and Metabolism.
As a Teacher in the ESPEN-LLL programme you will be provided with:

1. Know-how to carry out live courses and on-line training;
2. Access to the tutors’ LLL programme and the right to use the educational materials;
3. Official authorization and ESPEN support to conduct live courses in your country and to deliver accredited certificates;

As a teacher you are allowed to translate part or all of the content of LLL into your own national language for its better dissemination in your country.
To become an LLL teacher you need to fulfill the following criteria:

1. To be an ESPEN member
2. To be an expert in nutrition
3. To have experience in higher education
4. To be registered on the ESPEN LLL website and to show some activities there
5. To have done at least one LLL-Live course in the past
6. To have been recommended or proposed by a National PEN-Society or an ESPEN committee

Several T-LLL courses are organized by ESPEN during the year.

How to participate in T-LLL course?

To participate in T-LLL course you have to prepare a following application:

1. Short CV with a summary of the educational experience
2. Recommendation from national PEN society “letter of support”
3. Certificate from LLL live course
4. ESPEN membership number,
5. Email address, LLL username

The application material has to be sent to Rémy Meier (Co-Director of LLL-programme);  This email address is being protected from spambots. You need JavaScript enabled to view it. and
Alessandro Laviano (Chairman of ESPEN-ECPC);

This email address is being protected from spambots. You need JavaScript enabled to view it.

ESPEN diploma format