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About Rotations

It is our hope and expectation that by the Fall of 2021, when you are starting your Internship, our lives will have resumed some normalcy.  Since we are not there yet and most preceptors have been living and working day by day and even hour by hour, and not spending time thinking about precepting Interns in the Fall, we have pushed out the date by which our Interns have to identify preceptors. You should feel free to continue to seek Preceptors for the Fall.  We suggest that you concentrate on Community and Food Service as your initial rotations and hold off on Clinical until the Pandemic eases a little more. Facilities which provide opportunities for Clinical rotations may be more accessible in the next few months as the vaccine becomes more available than they are right now.  That is not to say that there are not Preceptors and Sites willing to commit to you now, but they are particularly busy and may not be able to plan this far ahead.  The opportunities in the foods service and community areas are actually growing in leaps and bounds for a very simple reason, people need to eat and they are in great need of help.

Private Practices (RDNs or MDs) or Gym/Personal Training businesses may not be utilized for supervised practice hours. 

Rationale:  The RDN in private practice must meet unique HIPAA and insurance requirements that may not permit the intern to observe or to fully participate with the RDN’s client activities.  Regarding HIPAA requirements the intern may not be permitted to be in the same room as the RDN and patient/client during consultation and instruction.  Regarding insurance and reimbursement, the private practice RDN will not receive reimbursement for approved client education if the education is completed by an intern. Therefore, the intern is not able to perform the specific responsibilities of the private practice RDN.  (Reminder: definition of supervised practice includes performing the specific responsibilities of the preceptor.) 

Additionally, many private practice RDNs do not have full days of scheduled patients/clients and on many days will have only 1 or 2 clients scheduled, thus there are minimal opportunities for the intern to work with clients/patients.  Observation-only activities with the RDN in private practice does not count towards completion of total required supervised practice hours.

Many RDNs are cross credentialled as personal trainers.  However, their time at their facilities may be divided between these two skill sets which means that the Dietetic Intern is not able to focus 100 % of the time on nutrition oriented activities. 

ALL ROTATION SITES REQUIRE APPROVAL BY THE INTERNSHIP.

This approval will occur after Overview Rotation Schedules have been submitted and Preceptor Information forms have been received. ELECTIVE SITES will be approved after the start of the Internship. 

Clinical Nutrition Rotations 

Prerequisites

Internship Orientation

Preceptors

All Preceptors in the Clinical rotation must be Registered Dietitians (RD/RDN). Nutrition Care Process and MNT activities must be supervised by an RD/RDN and be the primary focus of activity at the site.

Supervised Practice Hours

240 hours (6 weeks) Monday-Thursday 8 hours per day at your site. Fridays 8 hours at your desk.

This rotation may be completed at one site, such as inpatient or outpatient facilities, hospitals, nursing homes, extended care or long term care facilities with onsite acute medical or surgical rehabilitation units, rehabilitation facilities (excluding substance abuse programs) or health centers which deliver MNT and utilize the Nutrition Care Process and renal dialysis units, for a maximum of 2 weeks.

Community Rotations 

This rotation may be completed at one site which may include, but is not limited to, outpatient facilities, health centers, community nutrition services that may be found in departments of public health, hospital and clinic outreach programs, social service agencies, community centers, or government-funded public health programs outpatient dialysis units, public school systems, and sites that have programs for school-aged children such as Boys and Girls Clubs and YMCA which have a full time nutrition component.  The setting must be a fixed location that provides ongoing services in order to provide interns with adequate experiences.  Government-funded health programs such as WIC, Head Start, Cooperative Extension, Expanded Food and Nutrition Program (EFNEP), or SNAP-ED. 

Prerequisites

Internship Orientation

Rotation Location(s)

Preceptors

Credentialed (i.e. academic degree) or licensed health care or social service providers who meet professional requirements for the area(s) in which they are responsible must supervise interns and serve as preceptors for this rotation. Preceptors may include registered dietitians, nurses, pharmacists, other social service providers or  administrators. 

Supervised Practice Hours

240 hours (6 weeks) Monday-Thursday 8 hours per day at your site. Fridays 8 hours at your desk.

Food Service Rotations 

The Food Service Rotation focuses on aspects of producing and delivering nutrition and food, including procurement, storage, preparation, delivery and customer service. Interns complete activities involving sanitation audits, HACCP Guidelines, menu planning, customer service, and management activities.  The activities in  this rotation include practical hands-on practice to prepare for entry- level management responsibilities.  This rotation may be spent at one site and requires a facility or facilities with a retail/institutional cafeteria or food service operation whose activities include procurement through delivery and service functions. These kinds of settings can usually be found in hospitals, food service companies, long-term care, or residential facilities, colleges and universities and public school systems.

Prerequisites

Internship Orientation

Preceptors

Credentialed (academic degree) individual(s) experienced in planning, overseeing and managing institutional and/or patient food services must supervise the intern and serve as preceptor for this rotation at the level of Director, Food Service Manager or Certified Dietary Manager.

Supervised Practice Hours

240 hours (6 weeks) Monday-Thursday 8 hours per day at your site. Fridays 8 hours at your desk.

Elective Rotations 

ELECTIVE ROTATION SITES SHOULD BE CHOSEN AFTER THE START OF THE INTERNSHIP.

In this rotation the Intern may choose to return to a previous site for more in depth experience or the Intern may arrange a new site with approval from the Program Director, which approval will be given after the second rotation. 

During this rotation most assignments and projects related to the Concentration area, The Business of Nutrition and The Management of Food and Nutrition Services will be completed. While these projects are completed during this time frame, they are not related to the location at which the Intern completes the Elective rotation. 

Prerequisites

Clinical, Community and Food Service Rotations or PAL credit.

Rotation Location(s)

This rotation may be completed at one facility through which the Intern has previously rotated at or at a completely new site. 

Preceptors

The Preceptor will be determined based on the nature of the Rotation.

Supervised Practice Hours

280 hours (7 weeks) Monday-Thursday 8 hours per day at your site. Fridays 8 hours at your desk.