Think Like a Surgeon: Piloting a Liver Surgery Course Grounded in Adult Learning Theories for Junior Surgical Residents.

Cancer treatment side effects in children, including nausea, vomiting, diarrhea, mucositis, and fatigue, disrupt healthy dietary behaviors and contribute to malnutrition, which undermines treatment tolerance, survival, and quality of life. Malnutrition affects up to 75% of children with cancer and is associated with increased infections, impaired immunity, and worse outcomes. These treatment-related challenges may also shape long-term eating habits, as many children consume fewer fruits and vegetables and more processed foods after diagnosis, patterns partly driven by efforts to prevent weight loss. Children undergoing cancer treatment may also experience increased energy and protein needs related to growth, preservation of lean body mass, immune function, and treatment tolerance, while simultaneously facing barriers to adequate intake such as nausea, mucositis, dysgeusia, fatigue, and appetite loss. Families often report uncertainty regarding how to provide nutrient-dense, protein-rich foods that are acceptable during periods of treatment-related eating difficulties. Nutrition-focused supportive care therefore requires not only education about healthy dietary patterns, but also practical, symptom-responsive strategies that caregivers can implement at home. Caregivers, who manage the majority of nutrition-related challenges at home, often experience substantial psychosocial and physical strain. Up to half report insufficient knowledge for managing nutrition-related symptoms, and many lack confidence in providing home-based nutritional care, contributing to elevated stress, depressive symptoms, and poorer personal health behaviors. These interconnected burdens highlight the need for interventions that strengthen caregiver nutrition skills and support both patient and caregiver well-being.