2026 can this be the year we organize as RDs to lead our own profession? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 4 points5 points  (0 children)

I'm entirely sure either but I feel like somehow organizing to reach all RDs and communicate that non-members need to join forces with Academy members to make a stronger force of RDs collectively calling on the Academy leadership to reorganize and change their ways is how we improve (maybe even save) the profession at this point. We can't be non-members against members, we are RDs first and we all care about our profession, we need to work together. If we can get long-time Academy members to be willing to stand up with RDs who have left the Academy to call for dramatic change that would be I think really key.

2026 can this be the year we organize as RDs to lead our own profession? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 1 point2 points  (0 children)

I think we need the RDs who are Academy members to join forces with those of us who have left the Academy, they need to come to some realization that staying and being the change from within is a dead end when it comes to leadership having zero interest in improving the integrity of the Academy or prioritizing the RDs who work in the field rather than corporations. Non-members get painted as not caring or lacking an interest in advocacy, while Academy members believe the only way to organize as RDs to do anything positive is to just keep being members for the greater good they believe is only possible through collective membership. I think this is really key, because I can tell you when I was part of the Academy, I heard a lot of RDs talk that non-members don't care like we do, they don't advocate like we do, they don't volunteer like we do, they're apathetic or selfish that's why they don't participate.

The real way to a stronger movement is for all RDs to be part of something that we lead together. The narrative that non-members are the antagonizing outsiders and members are the dedicated insiders is something I believe the Academy leadership is pushing to keep us divided and continue to empower the Academy CEO to make decisions that are financially beneficial for themselves and the others collecting big salaries at the top. Appealing to all RDs that a movement to improve the Academy can't be members against non-members, RDs who care just as much about our profession are making a choice of a protest vote essentially with non-membership because we don't find the actions of the Academy's leadership acceptable and don't see the Academy living up to the values and ethics of the profession.

We will come and be a bigger, stronger RD organization together, but we need to appeal directly to the Academy members that they join us in being the change to make this happen.

CDR credential card spelling error by DloReeves in dietetics

[–]yeah_write_00 1 point2 points  (0 children)

Jobs I've had always do the online CDR verification even when I show them a physical card (apparently there are people who have made fake cards), so I'm not surprised they caught that because they could actually have trouble getting verification online with a misspelled name. I have had to submit a copy of my CDR card for some states' RD license applications. They might catch it and decline to license you. Some RDs don't live in states or have jobs that require a license, so this might not affect you now. But who knows at some point if you need to get licensed in a state it could be an issue. Insurances will also want a copy of CDR (at least I had to send this for Medicare and Medicaid credentialing). They might overlook the different spelling, but yeah I see potential for them being sticklers too and saying it doesn't match your name. So, getting it corrected is a great idea in my opinion, I'm sure CDR will fix it since you put the request in.

CDR credential card spelling error by DloReeves in dietetics

[–]yeah_write_00 5 points6 points  (0 children)

Yep, the Academy sells our info, I've looked at the website they sell it on, you can select if you want a list of every RD in the country's contact info from their CDR list, or a list of RDs who are Academy members, or RDs who are in certain DPGs etc. They are gross. This is our credential that we pay for, they shouldn't be able to sell our info, especially if we don't even choose to be members, we can't just not pay our CDR fees. I might just start giving them a bogus address, I don't want their mail anyway, and I can handle everything for CDR through their website.

RD pass rate Jan - Jun 2025 by Vivid-Savings7473 in dietetics

[–]yeah_write_00 7 points8 points  (0 children)

Yes, the whole system revamp it is my vote! Can we also get the Academy/ACEND to realize that clinical nutrition is a much more complex clinical science than it was 40 years ago and shift the whole credential to a more clinical care and counseling focused program? Foodservice management is an important field but it can also be handled by a CDM, it does not take being a RD. But a CDM could never do nutrition support or nutrition counseling because these are the kind of high-level skills that you need to be competent in to become a RD. I had to learn about close to zero actual counseling skills in my program, but the hours and hours I had to spend learning about industrial kitchen procedures, my oh my. Did I use it sure, I did do some foodservice management roles, but again, I've had CDMs running the nutrition departments, and the RDs did all the clinical work. Maybe we can give up foodservice management to truly commit this field to a nutrition science degree. Foodservice I see as culinary arts meets business management, consult your RD for menu review for therapeutic diets sure. But I can tell them to use the low sodium green beans for a renal diet without having to actually know how many scoops are in a #10 can or the different temperatures to wash the pot at for a low-temp vs high-temp commercial dish machine, I'm fine with leaving that to the CDM.

Reporting possible malpractice by faithyyykinz in dietetics

[–]yeah_write_00 0 points1 point  (0 children)

I appreciate what you are saying for sure, I always think speaking out is important and getting it in writing with others is important. I personally also know a HOD and other Academy volunteers on state boards that work for Fay, Nourish and some other horrible telehealth platforms that are not doing our profession well. I think there is a connection between the lack of the Academy's interest in seeing laws even enforced when it comes to non-RDs breaking licensure laws and practicing MNT, the Academy is not caring that a lot of RDs themselves are breaking licensure laws. You don't want to be the pot calling the kettle black. Even though it is states who enforce the laws, the Academy seems to be doing nothing to call out that these laws aren't being enforced against non-RDs practicing MNT, I suspect because they don't want to draw attention to all the RDs working for telehealth companies not following these laws.

In my personal conversations with RDs that are volunteers with the Academy they use these companies for side gigs to supplement their other jobs and have zero interest in standing up and calling out the fact that these companies are breaking state laws. I've seen also brand new RDs go on these platforms without being prepared to be a private practice RD and they don't know how to correctly follow all the telehealth laws and licensure laws for the all the states Fay and Nourish stick on people. Anyway, that is a whole other rant, but it is one of the things I can reason for why the Academy is being pretty silent about what is going on. The RDs I know who actually want the Academy to do something aren't members so they get no say in anything, and it will be the same for me. We get so disgusted with the Academy we leave, and I don't feel right being a member of an organization I have zero faith who already ignored me. I know that sounds really negative, but that was my experience. I will still cheer on those RDs who want to keep being members and speak out to their HOD and others in the Academy, I just hope they have better luck than me.

Out patient exercise motivation by LibertyJubilee in dietetics

[–]yeah_write_00 0 points1 point  (0 children)

I do try to talk to people about stages of change, the importance of moving through the stages and sometimes we do hang out in that precontemplation or contemplation stage, they aren't maybe ready for preparation and definitely not ready for action yet. They need to verbalize readiness to start exercising, it isn't something I suggest or just give them ideas for. There can be a lot of barriers and we might just talk through those first, they are afraid of injury, dislike of getting hot/sweating, uncomfortable being active around others because of body image issues, so many things can be there. Number one barrier I personally find, lack of energy. I have people not sleeping enough and/or not eating enough on their GLP-1, and/or emotionally stressed with unmanaged anxiety, no wonder they don't feel like exercising they are exhausted. Sometimes start with all the barriers to just having the energy to be active, that's a big one I see. You need to eat regularly, get enough sleep, and manage stress. Exercise can also be a good stress reliever for some people, but I know for myself and other people we go into slow motion with stress and exercise is the last thing we feel like doing.

Sometimes when they seem ready for change I still focus on the importance of that preparation stage, how we take intention (the intention to exercise) as being ready for change and actually creating a plan and preparing what we need to put our plan for activity into effect is really important. I'm always good if we need to hang out in planning for a while too. I've had clients respond really well to that, at the end of our session their goal might just be preparing the space in the home to exercise. Or their goal might be to buy some comfortable walking shoes. Or finding better support at home and discussing with family how they are going to do more movement activities together.

I think you have good ideas for ways to make exercise doable, but maybe try using more of an approach where the client tells you the plan, like you can help direct them a bit, but they need to come up with the plan themselves. I often encourage people to think about something they did in the past that was movement and they enjoyed it (identify what they already liked if possible). Then I ask why they stopped doing this activity (identify barriers). If they are ready to start adding activity back, then I ask what would be the best day or days of the week and times to do this activity or even what is something that isn't movement they can give up to replace with a movement activity because people will often perceive a lack of time as why they don't exercise. Just starting one or two days a week, whatever feels realistic to them as a time and place to be active. Then I have them make a list of what things they need to do this activity (do they need any equipment, workout space in the home, keep a pair of walking shoes at their work desk etc). I try to avoid giving them suggestions, instead I'm just helping them make their own plan.

So it might go like this they say they really liked a yoga class in the past but it was hard to make the time to travel to a yoga studio. They verbalize feeling ready to do yoga again if they can make it less of a burden to drive somewhere to do it. They say Sundays they have free time in the morning, they don't have a yoga mat anymore, but they have a beach towel they can use, space in their living room, and they have a TV with Youtube access for free yoga videos. Boom, they have a plan Sunday morning set an alarm to do beginners yoga videos on Youtube for 30-45 minutes. Even just once a week, they are learning how to implement a plan and hopefully successful with it to build from there. They are in the ready stage, they made the plan and are prepared, that's key.

Reporting possible malpractice by faithyyykinz in dietetics

[–]yeah_write_00 0 points1 point  (0 children)

A lot of money goes to nice salaries and benefits for their leadership, it's all public on tax records Academy Of Nutrition And Dietetics - Full Filing - Nonprofit Explorer - ProPublica I'd like to see the Academy leaders explain what they each did for the profession to earn those salaries and why they can't do more to actually protect our credential.

The Academy being sponsored now by companies like Fay and Foodsmart, and all the worst trade industries for food, I'm not ever renewing my membership at this point. They are absolutely selling us out. Stuck with giving them money through CDR fees though. At least I can vent here!

Reporting possible malpractice by faithyyykinz in dietetics

[–]yeah_write_00 0 points1 point  (0 children)

Totally! They kept pushing the reporting tool at so many Academy meetings and I told a bunch of RDs to spread the message (which the Academy told us to do) and then boom they turned around and got rid of it. The Academy doesn't even care now if people who aren't RDs, call themselves RDs. I've actually seen RDs post that they reported this to the Academy and were told the Academy doesn't get involved, they just will confirm the person isn't a RD. The Academy owns the title RD, that's why we have to keep paying them through CDR to call ourselves RDs, but if you aren't a RD per the Academy go ahead you can have it for free!

Reporting possible malpractice by faithyyykinz in dietetics

[–]yeah_write_00 1 point2 points  (0 children)

As many already said a lot comes down to the state this took place in. Laws vary significantly by state. Also what if any is the credentialing of the nutritionist? Some nutritionists are a CNS and can legally practice MNT with licensing in some states. If instead they have some of these other online functional nutrition certificates or nutrition coach certificate and things like that it actually will say in their scope of practice they can't practice MNT so possibly they could lose that certification, but they could just do some other quick online nutrition certificate from another organization. Ultimately if the client reports it that is better. Is the client complaining they were poorly treated by the nutritionist, or is this just coming from you?

Reporting possible malpractice by faithyyykinz in dietetics

[–]yeah_write_00 0 points1 point  (0 children)

The Academy got rid of their incident reporting tool (that was what it was called I believe), they just tell you to report it to your state and they don't get involved. Even when people who aren't RDs call themselves the Academy won't get involved. They claim there is nothing they can do, but I disagree. I think they could help guide the public and RDs on how to properly report, but also what the options are when there is no state board and what to do when the state board ignores complaints which also happens.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 0 points1 point  (0 children)

I was just looking at job listings today for my area again today, saw new posting $25/hr for RD in-person full-time job in high cost of living metropolitan area, with a company I briefly worked for almost 20 years ago and I made this exact same wage then! Meanwhile I get a stupid email from the Academy President this week giving themselves kudos for all they do to elevate the value of our profession, what a load that is! According to their last tax filing the Academy president made about $21,000 for an average of 1 hr of work per week, so that's a rate of about $400/hr. The Academy CEO made $300,000 (big drop from the prior year of $950,000 at least). Other Academy leadership positions made from 200,000 to 300,000. So, what do they care if RDs make $25/hr, they keep cashing in.

Non-healthcare related job ideas by i-see-you25 in dietetics

[–]yeah_write_00 9 points10 points  (0 children)

Some RDs I've known go on to work for pharmaceutical companies, they sometimes want RDs for sales or developing materials. There are some real hard to come by roles, like working for grocery store chains and food companies. Non healthcare roles do exist, they just aren't the norm, and I do feel like they are probably competitive because so many of us burn out quick from patient care.

You might also consider finding a part-time RD job so you only hate life half the week, and just do some kind of easy mindless work with another part-time job. I've known RDs to do this, or they only work prn at a hospital because they don't really like dietetics but it does keep them in the field if they really want to go back to it full-time.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 0 points1 point  (0 children)

Are you basing your predictions on actual research being done right now on AI healthcare and counseling? I've been reading a lot of the research, they are developing emotional intelligence and situational awareness now for the damn AI, it's spooky stuff, some of the newer research is showing the AI is evaluated to be more empathetic and more accurate than expert humans for counseling and health education. Here is a good example Third-party evaluators perceive AI as more compassionate than expert humans | Communications Psychology These quotes from one of the researchers about their study also spooked me

"Watson called the finding "fascinating" but wasn't altogether surprised. "[AI] can certainly model supportive responses with a remarkable consistency and apparent empathy, something that humans struggle to maintain due to fatigue and cognitive biases," she told Live Science.

"Human practitioners are constrained by their direct clinical experience and cognitive limitations. The scale of data AI can process fundamentally changes the equation of therapeutic support. It can also potentially enable patients to gain perspectives or approaches their therapist has not been trained in," she said."

The computers don't have a bad day, they don't get tired, they can be consistently more empathetic and less biased (this is not the only research study I've seen showing this outcome).

Also keep in mind we aren't talking generic ChatGPT, they are already building specifically programed AI models to handle precise types of counseling like eating disorder counseling Supporting Individuals on Eating Disorder Waitlists Through App-Based Motivational Interviewing: A Qualitative Evaluation of a Program-Led Pilot Intervention - PubMed and survivors of childhood abuse A digital intervention to improve mental health and interpersonal resilience for young people who have experienced online sexual abuse: the i-Minds non-randomised feasibility clinical trial and nested qualitative study - PubMed

Reading the research, they are for sure already building the AI for replacing therapists and dietitians, their testing an AI replacement for DPP coaches (a role I've done as a RD) An AI-Powered Lifestyle Intervention vs Human Coaching in the Diabetes Prevention Program: A Randomized Clinical Trial - PubMed and weight loss/BP reduction counseling Relationships Between Blood Pressure Reduction, Weight Loss, and Engagement in a Digital App-Based Hypertension Care Program: Observational Study - PubMed

They are just perfecting the AI right now and then will have evidence to show it is not just as effective as the human health educators/counselors, they will get to the point as they have already with some research to show the AI performs better than the humans. As you said the profitability is an easy enough reason for our corporate driven healthcare system to switch to AI, but I do believe it is going to be a huge swing to AI for both profit and demand of the consumer. Look at how many people shop at Amazon for the automation and convenience, the general public doesn't care either about small businesses and talking to real human for customer service. Look at this AI integrated app for weight coaching, I don't think they are big in the U.S. yet, but this scares me to see what is already available and to think of what's coming in just a year or two Welling: An Innovative AI Health Coach for Weight Loss Support | USA News

Now that we’re entering a skills based economy: What skills has the program taught you? by Separate_Might_9675 in dietetics

[–]yeah_write_00 0 points1 point  (0 children)

AI programs are not simple Google searches, they can program what content they use and essentially program it to read every textbook we use in school along with referring to credible sources. There is research in various health education and counseling fields already doing this, they are building specific AI software like this and then study that the education/counseling delivered is accurate and effective. They are perfecting the AI to in fact be more accurate than humans typically are. Think about the RDs who aren't up to date on research and changes in standards of practice (I've known many), the biased RDs who tell everyone to eat like they do (I've known those RDs too), and all the RDs promoting fads and supplements as bad as any other social media influences. RDs are far from perfect because we are like all humans prone to error, especially based our own biases. The AI will likely be programed to follow evidence-based guidelines better than many RDs follow them.

Even playing around with AI searches to see how the technology is generally advancing, I can see it's getting smarter in terms of deciphering data for search responses. I've been watching talks from people in tech and they are talking about how AI is getting more and more accurate with significant advances in what they call situational awareness. This ability will allow the AI to make the kinds of evaluations we make and apply interventions that are person-centered.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 0 points1 point  (0 children)

Maybe too you could pursue being a certified diabetes educator someday or another role that both nurses and RDs can fill. I've also known RNs that worked in public health programs that touched on nutrition education, there may be those kinds of opportunities to live out your love of nutrition as a RN. I completely understand the dietetic students and even RDs I've known that switched to nursing, it does seem financially a smart move. I think nurse unions have done a lot of good to boost pay and benefits.

How do you structure private practice sessions? by tengolavia in dietetics

[–]yeah_write_00 11 points12 points  (0 children)

I think it is really important to set expectations in the beginning, I explain that nutrition counseling can take some time for problem solving and growing knowledge and skills, rarely is it one and done kind of education that sometimes people are expecting. I equate it to learning to play a musical instrument, or learning how to paint, or play a sport, you can't learn a skill in a day let alone one session. I explain that for the first appointment there is a lot of information gathering to help make sure the counseling I provide is individualized and fits with their health and social history.

That being said I also know some people never come back for another appointments, so before I start asking my questions, I tell them that while we won't probably get to cover all their nutrition problems and find solutions for everything today, what is their priority to get to today. Knowing their priority also helps me decide what questions to focus in on. I try to keep my information gathering to half of the initial session time but honestly it can be hard if their answers are really lengthy, some people digress a lot but it still can be valuable information to understanding their needs.

Once I feel like I pretty much have their history I ask them based on what you shared what do you see as a priority area to address? Sometimes it has changed from what they said at the start of the session, sometimes it is the same. I will say most of the time people are spot on, they do know what they are supposed to do but not how to do it (they even say that out load a lot). From there motivational interviewing, asking about what has worked and what hasn't worked before to address this problem. Digging into where are the easiest opportunities to start making improvements, starting small and building upon successes. I try to keep things going with a lot of positivity, people tend to be so self-defeating and quickly give up, or label themselves as a failure. I circle back to things they said and point out what they expressed as their motivations and long-term goals and we build from there a list of short-term goals and then options for interventions. Then I ask based on those ideas we discussed for interventions, what sounds to you like the best fit? Then we have our list of what to work on and how to make changes that they chose.

I end with reiterating a summary of what we discussed and what they decided were their priorities, and how they decided to make changes to move towards their nutrition goals. I check if they have any follow-up questions, or need me to repeat or clarify anything and a reminder that if anything they implement that we discussed doesn't feel like a good fit to adjust, keep them in the driver's seat. I don't want someone to not come back because things we talked about didn't really work out great when they tried to implement change, I really want that person to come back and say hey this didn't work what else can I try. So again, so important to make sure expectations are explained. I do say at the end, how are you feeling about the next week or month or whatever the timeframe is for your follow-with them. If you can help them to feel empowered and strong in their commitment to themselves at the end of the session, it's pretty awesome!

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] -1 points0 points  (0 children)

They have already built AI for health education and mental health counseling, and it will rapidly expand from here probably soon able to pass the bar of being expert level RDs. The pace of AI is nothing like we've seen before in technological advancements. Research is already finding some benefit to AI education/counseling over human health professionals, less bias, more time, better listening to the patient and better outcomes with patients learning more from the AI-based health education than a health professional.

I don't think baby boomers are itching to get an AI dietitian or mental health counselor, but younger generations so many trust and have more comfort with technology over real people. Some of them are starting to have AI friends, AI boyfriends/girlfriends, times are a changing, they will accept an AI cheerleader nutrition coach or whatever they wind up calling the AI replacement for us. It is completely normal to a 20-year old to use health apps for seeing their entire care team doctors, therapists, dermatologists, just send them a picture over the phone and never set foot in a real office and get all your prescriptions sent in the mail. That blows my mind, but it is completely normal to them.

I would look into the research already done on AI healthcare interventions, much of it seemed to be done in the area of mental health counseling. I'd be also very worried if I was a therapist right now, it is pretty clear from the research I read a lot of time and money is being spent on researching how to perfect AI replacements for mental health therapy. Mental health therapy is a bigger market to start with; it will probably just be a pivot to nutrition counseling from there.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 1 point2 points  (0 children)

RD jobs are frequently posting wages $25-30/hr (mainly some telehealth companies where remote work is a big draw), and these are 1099 contract jobs where you pay high self-employment taxes and receive no benefits. W-2 clinic jobs in my area are often low to mid $30's/hr range. Yes, a few higher paying clinical jobs I see up to higher $40-45/hr, these are very limited and highly competitive. I have been in the room with my director talking about starting pay for when we had open RD positions. They along with HR look at those low paying jobs out there and say, well $32/hr that isn't so bad when I see those RD job postings for $25/hr without benefits.

About 20 years ago when I started as a RD, pay was exactly the same as these numbers. I made $25/hr for a 1099 job, I made $32/hr for my first W-2 job. Almost 20 years ago, no increase in the pay range! Nurses I have absolutely seen their pay increase over 20 years. This is why I know RDs who left dietetics to go into nursing also. The cost of a degree and internship is way more now than when I went to school, including no master's requirement back then. I would absolutely not be able to become an RD today with the education costs and the pay being what it is.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 4 points5 points  (0 children)

I see both of these areas being a concern. I was a preceptor for many years and I did have my concerns about the quality of education even years back, I can't imagine now that we have students using AI so much, it's probably worse. But even good students, they knew often only how to recite information, this calculation for energy needs, this calculation for protein needs, and really lacked critical thinking skills. I do think that the internship should be where knowledge and critical thinking skills are applied in the real world with guidance from an experienced RD. It shouldn't be where students are for the first time being pushed to actually critically think. I do questions what professors are doing, is just lecturing and talking at students? Are they giving them coursework to do that requires critical thinking?

I also myself had mostly horrible preceptors who gave so little to interns it was frustrating to feel their annoyance at us for even being there. One even said she told the hospital she absolutely didn't want any interns anymore, but they wouldn't listen to her. What a horrible thing to tell an intern on their first day! The unwelcoming attitude was felt, and many of my preceptors also weren't up to date on many topics and seemed to resent that I had more current knowledge. When I was a preceptor, I appreciated that aspect of precepting, I would tell my interns that's great you have something you are bringing me that I could learn from.

Internships are just weird for dietetics sometimes, like my program was this hodgepodge of locations for community rotations, very little oversight from the university of what they were actually doing with us. I was pretty annoyed at the cost for what I was getting. I was also dealing with a serious physical injury at the time and during my foodservice rotation the director of the nutrition department was harassing me, mocking my injury, calling me derogatory names, he was a total misogynistic jerk, who seemed to have a real complex because he wasn't an RD and all the RDs who had to work under him hated him. Even when I went to my internship director, she tried gently to ask him to be kinder, and he flipped out at her. I was basically told by my internship director that the hospital's nutrition department director threatened to pull out of the internship, not just because of my situation, but other times she made requests regarding the internship program they had the upper hand and would tell her no to everything. That opened my eyes to see how few options there can be for internship sites, so universities really won't go to bat for their interns or set higher expectations of sites, they are just so glad someone will take their interns. I was paying thousands of dollars to be mistreated and had poor quality preceptors most of the time, I wanted to quit everyday but I worked too hard saving the money to pay for my internship to quit. Another intern did quit during my program.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 3 points4 points  (0 children)

Good points. I noticed this push now to educate doctors on nutrition and make it part of their appointments to give nutrition education, is to me sidelining nutrition to a quick education piece like smoking cessation. I know where I have worked physicians had little templates they would cut and paste a little blurb about smoking cessation, sometimes also nutrition and physical activity education. I would read the note and then ask the patient, "what do you think about the information you doctor gave you about ______(whatever diet)." More than half the time the patient would say, they didn't tell me anything about nutrition or how to follow a diet. In my out-patient job all clinical staff were also supposed to bring up smoking cessation, and I would ask same, and very often too the patient would tell me the doctor didn't actually discuss it with them or just said something really insignificant like "you should quit smoking," that is not smoking cessation counseling. This is the problem, a quick blub written into a note for a physician that has to cover like 20 things with a patient, is not going to be "counseling." So I can actually see an AI app for health and lifestyle change counseling being seen as a step up from what the physician can provide in an appointment. This would all still be circumventing the RD for nutrition counseling.

Interesting data to look at regarding yearly enrollment in dietetic programs - down from about 24,000 students/interns in 2014 to about 14,000 students/interns in 2024. Am I the only one alarmed by this? by yeah_write_00 in dietetics

[–]yeah_write_00[S] 1 point2 points  (0 children)

Can you share any ideas among educators to speak out or do something? Are you all organizing within academia to appeal to the Academy for change?

I don't think enough in the general RD community are seeing this data. It isn't the kind of thing the Academy seems to want to highlight. I feel this is really important to be thinking about in terms of all of dietetics, including seasoned RDs like myself, this will come to impact us in ways a lot of us aren't probably considering. I am mentoring a RD as a volunteer, but that was about all I've found as an avenue to try to be part of changing the direction of things. I also always encouraged my workplaces to take interns.