Currently five major hospitals in the Philippines are benefiting from this program (three with computerized nutrition surveillance and five with specialists in clinical nutrition). It is the hope of the society (PHILSPEN) to further develop similar programs in the country. It further aims to strengthen the membership by establishing a certifying board in clinical nutrition for the nutrition support team member (physician, dietitian, nurse, and pharmacist) after they have completed the training program in nutrition support. A new development was the development of a master of science in clinical nutrition which is focused on hospital practice and designed for physicians, dietitians, nurses, and pharmacists. This program was set up in 2005 and aimed to develop more practitioners in nutrition support who will deliver nutrition care to most of the institutions of the country. A partnership with the neighboring countries in Asia in developing a clinical education program that fosters rotation and sharing of experience either through exchange programs or out-of-country rotation would provide a lot of mileage in achieving the goal of increasing the number of clinical nutrition specialists not only in the Philippines , but in Asia (8). Three key ingredients for the success of nutrition support implementation were identified: a) the presence of dedicated person(s) who either perform the nutrition support process of continuously monitor and improve the established programs - in other words: leaders!, b)supportive administration, and c) an active, ongoing training program in clinical nutrition which is attractive to all interested practitioners in clinical nutrition (12). References: Merritt R. Integration of nutrition support into patient care. In A.S.P.E.N. Nutrition Support Practice Manual, 2nd ed. Merritt R. (editor in chief); xviii (2005) Coats K.G., Morgan, S.L., Bartolucci, A.A., . Weinsier, R.L. Hospital associated malnutrition: a reevaluation 12 years later. Journal of the American Dietetic Association, 93, 27-33 (1993). Butterworth CE Jr. The skeleton in the hospital closet. Nutrition 10, 42 (1994) A.S.P.E.N. Board of Directors and Task on Standards for Specialized Nutrition Support for Hospitalized Adult Patients. Standards for specialized nutrition support: Adult hospitalized patients. Nutr Clin Pract; 17:384-391 (2002). JCAHO. 2004 Comprehensive Accreditation Manual for Hospitals: The Official Handbook (CAMH). Oakbrook Terrace , IL , (2004). JCAHO. 2004 Comprehensive Accreditation Manual for Long Term Care (CAMLTC). Oakbrook Terrace , IL : Joint Commission Resources, (2004). Laviano A. Research in nutritional science: providing evidence to the clinical relevance of nutrition. Plenary lecture, 11th PENSA Congress, Seoul , Korea , (2005). Saito H. What is the state to PEN in Asia ? Plenary lecture, 11th PENSA Congress, Seoul , Korea . Llido LO. The impact of computerization of the nutrition support process on the nutrition support program in a tertiary care hospital in the Philippines : report for the years 2000-2003. Clin Nutr; 25(1): 91-101 (2006). Umali MN , Llido LO, Francisco EM, et al. Recommended and actual calorie intake of intensive care unit patients in a private tertiary care hospital in the Philippines. Nutition;22(4): 345-9 (2006). Dineros H, Sinamban R, Siozon M, et al. Obesity surgery in the Philippines : experience in a private tertiary care hospital for years 2002 to 2004. Obes Surg; 17(1):82-7 (2007). Howard P. Organizational aspects of starting and running an effective nutritional support service. Clin Nutr; 20(4):367-74 (2001). Howard JP, Bruce J, and Powell-Tuck J. Nutritional support: a course for developing multidisciplinary clinical teams. Education Committee, British Association for Parenteral and Enteral Nutrition. J R Soc Med; 90(12):675-8 (1997).   From The 12 th PENSA Congress October 18-20 2007 , Century Park Hotel. Manila , Philippines Page: 44-45