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Curriculum

Dietetic Internship Certificate of Advanced Studies (14 credits)

Course Title Credits
NTR 611 Concepts for Nutrition Practice (Fall) 1
NTR 613 DI Clinical I (Fall) – Supervised Practice 3
NTR 614 DI Clinical II (Spring) – Supervised Practice 3
NTR 615 DI Clinical Seminar I (Fall) 1
NTR 616 DI Clinical Seminar II (Spring) 3
NTR 626 Advanced Counseling Skills (Fall) 3

The program for 2014-2015 will begin on August 25 with two weeks to complete NTR 611, Concepts for Nutrition Practice (through August 31, 2012). The supervised practice rotations will begin September 5, 2014 and end May 29, 2015 for a total of 36 weeks, not including a two-week vacation from December 20, 2014 to January 5, 2015.

At the beginning of the fall semester interns attend an orientation to the program for a review of the policies and procedures and receive the DI Manual. In addition to the orientation, the interns take an intense, one-credit course, NTR 611, Concepts for Nutrition Practice prior to the supervised practice experience. The interns also take NTR 626, Advanced Counseling Skills in the fall semester. The supervised practice experience is in addition to the graduate coursework and totals 1152 hours (32 hours per week for 36 weeks); 50 hours of simulated activities in the nutrition care process, nutrition support, and research are done in NTR 615 and 616, DI Seminar I and II. Rotations for each concentration are as follows:

Concentration Area One: Concentration Area Two:
MEDICAL NUTRITION THERAPY HEALTH and WELLNESS
Medical Nutrition Therapy Medical Nutrition Therapy
• Clinical/Hospital (12 weeks)
• Renal (2 weeks)
• Long Term Care (5 weeks)
• Counseling & Education (2 weeks)
• Clinical/Hospital (11 weeks)
• Renal (2 weeks)
• Long Term Care (4 weeks)
Food Service Systems Management Food Service Systems Management
• School Food Service (3 weeks)
• Institutional Food Service (4 weeks)
• School Food Service* – (part of campus rotation)
• Institutional Food Service (4 weeks)
Community Health and Wellness
• Community Agency (5 weeks) • Campus Nutrition (12 weeks): Counseling and Education (4 weeks); Community (5 weeks); School Food Service – *Campus Dining (3 weeks)

Research

Research

• Research (3 weeks) • Research (3 weeks)

The concentration areas will be discussed with the twenty selected interns, and based on interns' preferences, past experiences and skill sets, the interns will be placed in one of the two concentration areas.

Sixteen interns participate in the MNT concentration. The main strength in the MNT concentration is the varied experiences; each student rotates in a hospital, long-term care facility, renal dialysis unit and an outpatient setting. These sites allow the interns to have learning activities related to many conditions, but in a different situation. They are also able to collaborate with an assortment of preceptors and other health professionals, and gain knowledge on a variety of ways to conduct medical nutrition therapy with an extensive array of patients from different age groups, cultures and with varied conditions. An extensive assignment for interns in this emphasis includes in-depth case projects in dialysis, diabetes and nutrition support. A culminating experience for this emphasis is completing a written and oral case study, along with summarizing the skills (i.e., clinical, efficiency, negotiation and assertiveness) attained during the hospital rotation.

Incoming interns request the H & W concentration and four are chosen based on a good foundation of oral communication and potential for leadership, organizational skills, and the ability to be a self-starter. The interns who are part of the campus rotation learn to work as a team as well as individually. Interns in the Health and Wellness area will have extensive practice in counseling; they will be able to follow their clients weekly as needed, until the semester is complete; therefore, they can see the NCP all the way through and evaluate real outcomes and are required to complete an outcomes assessment report. The intern will evaluate their own counseling skills and their peers' counseling, and meet with the RD advisor for discussion about facilitation of behavior changes with clients. Interns in this area will also conduct numerous presentations to groups on campus and provide nutrition counseling and workshops for campus athletes. In this concentration, the culmination will require the interns to put their outcomes data and achievements together into a video presentation for campus officials.

Supervised Practice Rotations:

Clinical/Hospital Rotation (384 hours, MNT Emphasis; 352 hours, H & W Emphasis): As an introduction to clinical care, the intern will learn about the role of a registered dietitian in a hospital and/or medical center. Emphasis will be placed on various medical conditions but not limited to cardiology, diabetes, gastroenterology and oncology, surgery, and nutrition support/critical care. The intern will be able to complete the nutrition care process, including appropriate chart documentation and implementation of nutrition intervention in an acute care setting.

Renal Rotation (64 hours): This experience will be a continuation of medical nutrition therapy in the specialized setting of a dialysis unit in an outpatient setting. Emphasis will be on nutrition care of clients diagnosed with end-stage renal disease. The intern will be able to complete the nutrition care process, including appropriate chart documentation and implementation of nutrition intervention for dialysis patients.

Long-Term Care Rotation (160 hours): This placement will provide the intern with exposure to the role of the dietitian in a long-term care skilled nursing facility highlighting the special needs of institutionalized individuals. The intern will be able to complete the nutrition care process, including appropriate chart documentation and implementation of nutrition intervention in acute care, rehabilitation, day care and long-term care. The intern will distinguish the roles of each health care member and participate in interdisciplinary team meetings.

Food Service Rotations (224 hours): This experience will provide the intern with exposure to all aspects of the food service operation including daily procedures as well as the managerial functions of the Food Service Director in a hospital or long-term care setting (institutional food service) and school food service (school setting). The interns will operate in all areas of foodservice that includes menu planning, ordering, receiving, storage, delivery, production and management of providing foodservice for the clientele.

Community Rotation (192 hours MNT Emphasis; 160 H & W Emphasis): In this rotation, the intern will be exposed to the role of the dietitian in the community setting with various populations and diverse cultures. Emphasis will be on nutrition education and communication skills. Interns will be able to recognize the nutritional needs of the population being served and be able to construct appropriate educational presentations and written materials to inform the target audience about nutrition. Some community sites include: WIC, senior centers, food banks, group homes for disabled adults, and cooperative extensions. Sites for the Health and Wellness emphasis: LIU Post Department of Health Services and the Department of Athletics.

Counseling and Education Rotation (64 hours, MNT Emphasis; 128 hours, H & W Emphasis): This experience will provide the intern with exposure to the role of the dietitian in an outpatient setting. Emphasis will be on nutrition counseling and education of individuals and groups. Interns will be able to practice counseling skills with diverse clients/patients and produce educational materials appropriate for the target audience. Some examples of settings for the Medical Nutrition Therapy emphasis include centers for diabetes, cardiac rehabilitation, private practices, and pediatrics. The site for the Health and Wellness emphasis: LIU Post Department of Health Services and the Department of Athletics.

Research Rotation (64 hours): In this experience the interns will conduct a survey on LIU Post related to nutrition attitudes, beliefs and practices toward food, nutrition and health of the LIU Post college students. The interns will work in groups to complete the research process. The rotation culminates with the groups completing a written report for publication and developing a poster session.