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Registered dietetic intern reflects on life's interest

by Corrine E. Rossi
Dietetic intern
I became a nutritionist when I was 7-years-old. I liked to eat food, talk about it, and help my mom make dinner now and again.
 
This coming May, I will finally became a registered dietitian (RD). It has taken me 20 years, an undergraduate and graduate degree, and nearly 1,200 hours of supervised experience in a dietetic internship program, but I am almost there. At this point you are probably wondering why I would put myself through all of this schooling if I already was a self-proclaimed nutritionist from age 7. Well, the only way to spread my passion for food and optimal nutrition to others in a well-respected establishment was to first seek higher education.
 
The truth is that the term “nutritionist” can apply to anyone—your hairdresser, my Uncle Anthony, the mail carrier, me at age 7. There are no requirements, credentials, or long and stressful internship or degree programs that are prerequisites for becoming a nutritionist. All you need is a warm body and the desire to spread information on nutrition-related topics (i.e. food, exercise and diets). Unfortunately, these days you can find nutritionists on just about every street corner readily armed with loads of interesting but often unreliable and misleading information.
 
RDs are animals of an entirely different species. This is not to suggest that all RDs spread information that is 100 percent infallible. However, RDs are required to complete a minimum of a four-year undergraduate program in nutrition or food science, which emphasizes the biochemical pathways of vitamin and mineral composition and metabolism, energy requirements and expenditure in both adults and children, exercise physiology, foodservice management, and community dietetics, followed by 900-plus hours of a supervised dietetic internship program. Only then is a candidate eligible to take the registration exam to gain the RD credential. You might think that it ends there, but in addition to the rigorous education program and practice experience required, RDs are also required to continually update their credentials by participating in continuing education conferences, courses and research studies.
 
In the United States, RDs are leaders in health promotion and disease prevention and, as a result, you can find them working in variety of healthcare and wellness settings. Examples of inpatient jobs that RDs perform include assessing the nutrition needs of and prescribing therapeutic diets for neurosurgery, transplant, burn trauma, wound care, gastric bypass, pre-natal, cardiac, and gastrointestinal surgery patients. Some examples of jobs that dietitians perform in outpatient settings include counseling  people with type I and II diabetes; patients with amyotrophic lateral sclerosis (commonly known as Lou Gehrig’s Disease); pediatric obesity, cystic fibrosis, patients with food allergies, osteoporosis, and children with special nutrition needs. RDs also work as foodservice coordinators, managers, and as community educators, teaching the basics of good nutrition, recipe modification, weight loss and maintenance, and the importance of physical activity.
 
As you can see, while a 7-year-old could be a nutritionist, it takes a mature, well-trained, critically-thinking professional to be a registered dietitian.
 
Unlike a nutritionist, an RD has traveled a long and winding road to earn those two little letters after his or her name, so you can be assured he or she is fully prepared to provide you with the most accurate, current, and reliable information research has to offer.
 
So, the next time someone encourages you to trade in your bread, pasta, rice, and other carbohydrate containing foods to join the “low-carb” bandwagon, I would advise you to do the following:
  • Question the educational background and credentials of this individual.  Is this person a registered dietitian or just a nutritionist?

   

Friday, Jan. 26, 2007
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