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.

The LLL Programme in Clinical Nutrition and Metabolism is a global effort by ESPEN to provide post-graduate qualifications in Clinical Nutrition and improve daily practices.

The LLL Programme in Clinical Nutrition and Metabolism is based on an Educational Curriculum of more than 120 training modules, created and peer-reviewed by recognized experts in the field. It offers online training and live courses using a variety of modern training methodologies and resources.

  1.  Structure of the LLL Programme
  2.  Training Approaches and Certification
  3.  How to Attend Online Courses?
  4.  How to Attend a Live Course?
  5.  How to Attend a Webinar?
  6.  ESPEN Diploma in Clinical Nutrition and Metabolism
  7.  The TLLL Course
  8.  Information

1. Structure of the LLL Programme

The main educational unit of the programme is the module. Each module includes an updated review of a certain problem, a clinical case, a self-assessment test, and a grading quiz. Modules on related subject areas are grouped into forty topics, making it easier for users to select modules in a particular field of interest.
The participants can select the topics and modules according to their interests and goals.
The enrolment for each topic provides free access to the educational content and the opportunity to earn credits and certificates. The LLL programme automatically adds each module &topic studied by the participant to the individual portfolio generated by the system after registration.

2. Training Approaches and Certification

The LLL programme offers online self-training, live courses, and webinars.

After completing the corresponding grading quizzes successfully, online self-training provides 4 CME credits for each topic studied.

Participation in a Live course or a Webinar on a topic provides 4 CME credits. Credit accumulation allows applying for the final exam for the ESPEN Diploma in Clinical Nutrition. There are no registration fees (for registration) for participation in online activities.

The address for registration is https://lllnutrition.com.

3. How to Attend Online Courses?

The Online Course offers self-training activities. It provides access to module content, clinical cases, self-training tests, and grading quizzes. To earn the credits online, the grading quizzes must be completed. The certificate for the completed activity can be provided on request. The cost of the certificate is 30 Euro.

4. How to Attend a Live Course?

Live courses are a compulsory component of training in the LLL programme. Each topic includes four modules and has a 4-hour format. The live course consists of 3 components: Lectures, cases, and a test. Live courses are held at ESPEN annual congresses and by national PEN societies. Please find more information in the "Timetable of LLL Live Courses" section on the link https://lllnutrition.com/course/view.php?id=2003. Before attending a live course, the participants must be registered on the LLL website and must study the online modules included in the live course. You are most welcome to the Annual ESPEN Congress, as you can participate in eight live courses.

Please find the prices of the courses below.

5. How to Attend a Webinar?

A Webinar has the same structure as a live course. Each Webinar consists of 3 components: Lectures, cases, and a test (Safe Exam Quiz). The test is held using the Safe Exam Browser (SEB). The participants in the Webinar receive the information, the links to access the course, and the passwords for the Safe Test from the course director. The LLL Webinars offer the same number of credits as live LLL courses.

The live courses/webinars are regularly announced on the LLL and ESPEN websites.
For more information, please use the link below:

LLL Live Course Registration Fees at the ESPEN Congress
1 LLL Live Course EUR 35 EUR 105
2 LLL Live Courses EUR 60 EUR 125
3 LLL Live Courses EUR 80 EUR 150
4 LLL Live Courses EUR 100 EUR 170
5 LLL Live Courses EUR 120 EUR 190
6 LLL Live Courses EUR 130 EUR 210
7 LLL Live Courses EUR 140 EUR 230

6. ESPEN Diploma in Clinical Nutrition and Metabolism

A total of 120 CME credits is necessary to qualify for the final exam. At least 56 credits from 14 Live courses and Webinars and 64 credits from online courses are required. The credits earned are verified by checking the certificates for successful completion of the live courses and by assessing the applicant's online individual profile. Successful completion of the final exam awards 30 credits. The fee for the final exam is 200 euros. The details for the final exam and the application form are provided in the link below:

Thirty-four exams have been held since 2010. One thousand sixty-one participants have done the exam. (Pass rate 76%).

7. The TLLL Course

The T-LLL Course for teachers of the LLL programme is scheduled annually at the ESPEN Congress or by request of the National PEN Society. The LLL Board processes the applications. The acceptance letter for the T-LLL course is recognized only when provided by the LLL Board.

The fee for the TLLL course is 200 Euro. The details are provided in the link

More than 500 experts in Clinical Nutrition joined the project!

8. Information

The LLL Programme in Clinical Nutrition and Metabolism was developed as project BG-03-B-F-PP-166039 of the Leonardo da Vinci Programme by ESPEN and several European Universities with the support of the European Union. The LLL Programme in Clinical Nutrition and Metabolism is accredited by the Union Européenne des Médecins Spécialistes. The Programme is continuously maintained and updated by ESPEN. Since 2005, 2398 events have been held as live courses and Webinars, attended by 92073 participants. 67200 participants from 148 countries are registered on the LLL WEB Portal with 1561275 online sessions and 1 21783245 page views in 2023.


The LLL Board:
Prof. Alessandro Laviano
Prof. Regina Komsa-Penkova
Prof. Remy Meier
Prof. Stanislaw Klek

December, 2023

Last modified: Friday, 15 December 2023, 3:44 PM