Exciting news: Today is the last day of my dietetic internship! Over the past 9 months, I’ve learned more—and done more—than I ever could have imagined. In fact, I’ve grown exponentially, both personally and professionally.
For sure, the constant pressure helped me build on my strengths: working with patients, creating educational materials, public speaking, and problem solving. Internship also forced me to tackle my Waterloo: time management. And—I’m super proud of this—I now get way more done in way less time! Which means more time for binge-watching Netflix professional development.
So, what exactly goes down in a dietetic internship? I’m glad you asked, because before I started down the path to becoming an RD, I didn’t even know a dietetic internship was a thing. Here’s what it was like to be a dietetic intern.
A Dietetic Internship in Pictures
In a dietetic internship, you spend 9 (or more) months doing supervised nutrition practice in three settings: clinical (hospital and and outpatient), community (for instance working with a nonprofit or a corporate wellness company), and food service management (e.g. in a public school system, hospital, or university).
Internship programs can be run by food service companies, the government, or universities. I was lucky enough to be accepted into a fantastic internship program at Virginia Tech’s Northern Virginia site with 7 other interns. We started in August with two weeks of orientation, then went full-steam ahead into clinical rotations!
Clinical Rotations
I did my clinical rotation in a community hospital in Virginia. It was so far from our house that Jeff and I stayed at my parents’ house most weeknights. (Where this picture was taken.) Thank goodness Mom and Dad didn’t charge rent, because internship is UNPAID.
Oh yeah.
In the hospital, I helped sick people get better by assessing their needs, diagnosing their nutrition problems, and providing support. Sometimes that took the form of educating or counseling people; other times, it meant providing extra food or supplements. I spent longer with patients than my preceptors would have liked given our patient load, but by gosh I provided good care. (I said my time management skills improved thanks to internship; I didn’t say how long it took me to get there, lol!)
Clinical work never ceased to surprise me. For instance, one of my most memorable patients was a retired police officer—a real tough guy. And I was given the unenviable task of teaching him how to count carbs. I figured he’d rather have his toenails pulled out than talk about nutrition, and boy, was my head was hanging as I made my way to his hospital room.
But when I got there? That man was nose-deep in an issue of Cooking Light magazine! And he was just itching to talk about his diet.
Who knew?
Of course, there were also heart-wrenching meetings with the families of terminally ill patients and my own struggles to get better—and faster—at my job. In fact, the hospital was the first and only place I ever cried at work. (Repeatedly.) Although never in a patient room, thank goodness!
The stress of clinical was compounded by the fact that there were a ridiculous number of assignments and not enough time for wimpy stuff like, you know, sleep.
On the happy side, though? I also got to learn the art and science of nutrition counseling for diabetes, heart disease, and pulmonary disease from two fantastic outpatient dietitians. And the outpatient setting meant I had enough time to give each patient in-depth care. Professional bliss. 🙂
What’s more, two weeks into internship, I did my first-ever TV appearance, on Good Morning Washington. Holy cow, was I terrified! I think I maybe slept three hours the night before my first segment. But I ended up having fun, and I’ve been on twice more since. (With another segment scheduled for May 25th at 9:15am. Tune in to NewsChannel 8 in the DC metro area to see it!)
Community Rotations
Then it was on to my community nutrition rotations, where I worked in corporate wellness and nutrition communications. Thankfully, they were both right up my alley!
I also met with Maryland state legislators to promote public health nutrition…
…and dove into the fashionable world of hair nets to help provide meals for clients unable to cook for themselves.
Food Service Rotation
Finally, I wrapped up with my food service rotation at American University. I not only learned a TON about high-volume food production, but the dietitian there was plant-based. Yay! That meant I got to indulge my passion for plant-based food.
I also got to enjoy lots of vegan eats in the dining hall, thanks to the plant-focused dietitian and a sustainability-centered executive chef.
Leadership Project
Finally, I throughout internship, I completed a leadership project, and I got to choose what role I wanted to fill. Since I love writing and editing, I decided to serve as the assistant publications editor for the Women’s Health Dietetic Practice Group within the Academy of Nutrition and Dietetics. That meant that I made the quarterly newsletter masthead. Cool, huh?
Dietetic Internship in a Nutshell
So there you have it, all the rotations I went through to become a dietitian: clinical, community, food service, and in my program, leadership.
To be fair, I wasn’t sure how I was going to handle it all. But I prevailed—and managed to watch all 5 seasons of the Mindy project to boot. 🙂 However, I couldn’t have done it without the love and support of hubby Veggie Quest, Jeff. He not only did the laundry, cooking, AND dishes for most of internship, but sometimes he even cooked for my fellow interns on class days. (That earned him a hashtag in group text: #TheYearOfTheJeff.) Also a huge shout out to my mom for talking with me pretty much every day to keep me sane, my dad for his unflagging support, my fellow interns for their friendship and advice, and my program directors for keeping me on track.
The only thing left now between me and the RD? The registration exam. (Does the fun never end?) But assuming I pass it, I will officially be a registered dietitian.
If you’re considering becoming an RD, I promise that internship will be the hardest thing you’ll ever love. (Most of the time. Occasionally you’ll hate it, lol!) If you know an RD, I hope this gave you a taste of what she or he went through to become one. And if you are an RD, I’d love to hear your internship experiences in the comments!
Carla Bodaghi says
Sounds tough but rewarding. Congratulations on completing the internship. I wish there were more RD’s in doctors’ offices – not just ob/ gyn. We all need advice on heathful eating.
Lee says
Thanks Carla! It was an exhausting 9 months, but totally worth it. I totally agree that there should be more RDs in doctor’s offices–more on that soon, actually. 🙂 Thanks for stopping by; I hope all’s well with you!!
Keratin Decker says
Lee congratulation on your success. You are right internship was the hardest but the most fun. It is so much fun to read your blog you are so positive and ful of life. Your clients will love you. Eventually you make it big I e were a book be on tv etc. I am rooting for you. By the way one can eat on 3.50 a day. We my hubby and I do all the time and we are healthy. Love to hear from you on your blogs and good luck on your exam. You will pass with flying colors. Let us know!!!! Keratin Decker
Lee says
Aw, thanks Kerstin! Internship was intense, but wow, did I learn a lot! And I’m so glad you like the blog. I don’t know if I’ll make it big (a girl can dream, lol 😉 ), but if I can make a living and help people along the way, well, I’ve got it made!
You eat on 3.50 a day? Jeff and I have tried to trim back our food budget, and we’ve done much better since the SNAP challenge, but nowhere near that low. Any secrets you can share?
And thanks for the vote of confidence on the RD exam–I’m a little nervous, because there’s so much material to absorb. I hope it all sticks!!
Maureen Harris says
Good luck Lee on the registration exam. You are well prepared and will pass. Then you will find a great job as a registered dietitian. I enjoyed working with you for the brief period during your diabetes rotation. I enjoy getting your blog and hope you continue with it. You can hopefully publish a cookbook one day.
Lee says
Thanks Maureen, that’s so kind of you to say! I’ve got a lot of studying to do before the exam–I’m getting palpitations just looking at the Inman study guide. 😉 That said, one of the reasons I’ve been so slow in responding to comments is that I’ve been interviewing for jobs… And by George, I got one! More on that soon! I’ll likely get to do some outpatient work with diabetes patients as part of it, so I’ll be drawing on my knowledge from working with you. (And possibly reaching out for advice at some point…) 🙂 Thanks again for being a great preceptor!
kimmythevegan says
Congrats girl! I have loved watching you on this journey and seeing you dive into your passion. How amazing is it that you get to do something you love AND help people at the same time? Super cool! I love how well rounded your internship was, it sounds like you really learned a ton and got great experience.
I am so proud and admire the heck out of you! I can’t wait to see what comes next for you <3
Lee says
Thanks Kimmy! It was a long road; fingers crossed it will all be worth it!
Maria Theresa Maggi says
Congratulations, Lee! What a wonderful accomplishment! And those you were worked with were lucky to have you–your smile lights up the pages of this blog and I can only imagine you lit up each hospital room you entered. That alone is a healing gift. It’s so COOL that on your last rotation you worked with a plant-based dietitian! Perhaps the world is turning towards it, however slowly. If you ever have time, I would love to read a post from you about how you negotiated the other rotations where plant-based was not the foundation. I think that would be interesting to many of us. So happy for you and proud of you!! And best of luck with the exam, too. xoxo
Lee says
Hi Maria, what a great post idea! I do have some tried-and-true strategies for encouraging plant-based eating, including but not limited to relentless positivity, lol! Luckily the science supporting plant-based nutrition pretty strong, so most RDs see the value in moving in a plant-based direction, at least. I think everyone who eats a plant-based diet, whatever their reason, faces challenges in conversation with people who haven’t necessarily read/heard about the benefits of eating this way. I’ll shoot to write that post soon!
Alexa says
Hi there! I’m about to start my internship next month and this was very helpful. I know it’ll be a crazy time filled with every emotion possible but I can’t wait! I’m particularly interested in how you handled being plant-based (I’m a very passionate vegan) while working with people who often don’t share the same beliefs. Any insights would be greatly appreciated 🙂 Thanks!
Lee says
Hi Alexa, congrats on snagging an internship! Livin’ la vida plant-based during internship can be challenging, for sure. You’ll have to learn the fine art of choosing your battles. Even when the science supports you (which it usually will), there are times you’ll just need to keep your head down and do what you need to do in order to get your credential.
I’m happy to answer any questions you have by phone, too! Just email me at leliav2.0 at gmail dot com and we can find a time. 🙂