I’m a Registered Dietitian!

Wow, the past few weeks have felt like quite the whirlwind! I finished up the last of my four weeks working as the pediatric ICU dietitian, graduated from my dietetic internship, studied hundreds of pages of dietetics information, made and learned oodles of flash cards, and took (and passed!) the Registered Dietitian Exam yesterday!!

I am officially Dana Goldberg, RDN!

(Not to mention, this is also my 100th blog post!)

With all of these milestones comes lots of self-reflection and things I want to share about my experiences, so first I thought I would use this post to share my thoughts 1-week post- dietetic internship.

I’ll start off by saying that these past 11 months have been some of the toughest months of my career as a student- both academically and mentally. Taking almost a full graduate degree course load and working 32 hours a week as an intern sometimes made me want to pull my hair out, but I am proud to say that I successfully made it out alive. There aren’t many things that I am ever really proud of myself for; it just isn’t my personality and I tend to be pretty hard on myself. Graduating high school didn’t faze me (I was livid and embarrassed when my mom tried to put a congratulatory sign on our lawn), graduating undergrad kind of seemed impressive (but everyone around me was also graduating college so I didn’t feel like it was that special), but I will confidently say that I am proud to have completed a dietetic internship and passed the RD exam. It feels like the hardest part – the uphill climb – is over and I can finally catch my breath.

I know I have shared this in a few previous posts, but I honestly didn’t love my time working at a hospital as a clinical dietitian. I didn’t feel like I really made any lasting impact on patients’ lives nor helped improve their long-term health. However, spending over 1,500 hours 27 different areas of the hospital, plus working with over 35 different dietitians, I learned so much about clinical nutrition that will set me up for success in any nutrition field that I end up going into. Although I dreaded walking into that hospital some days, I don’t think I would have wanted to do it any other way.

Finally, I can’t talk about my experience as a dietetic intern without mentioning my staff relief rotation. During the last four weeks of the internship, each intern got to choose an area of the hospital where she would act as the dietitian. We still had a dietitian to co-sign our charting documents, but we were basically on our own as if we were the sole dietitian covering that area. I chose to spend those four weeks in the pediatric intensive care unit (PICU), and it was my favorite four weeks on the entire internship. I chose the PICU because I found I enjoyed all of the enteral and parenteral nutrition (nutrition via tube feeds and IVs) calculations in the ICU setting. I also went into my internship wanting to work with kids – and especially enjoyed my pediatric rotations during the internship. The first week of staff relief was absolutely terrifying but by the end, I felt like I had the confidence to go out into the field and be a dietitian (which was very reassuring!). Also, I have to give a huge THANK YOU to the PICU dietitian and my staff relief preceptor Melanie for teaching me more than I thought I would ever know (and also making me laugh every day – even when I was working with kids who were critically ill).

Now, one week since the end of the internship, these are my main thoughts, but I’m sure as time goes by I will have more thoughts and reflections to share.

If you are a current RD2Be, dietetics student, or dietetic intern, be sure to stay tuned for my posts over the next few weeks because I’ll be sharing my dietetic internship and RD exam advice. Feel free to send me all your burning questions and I can answer them in my posts 🙂

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Career Confusion

Unfortunately, if your looking for helpful nutrition information, this isn’t the post for you. Instead, it is only an update on my unknown future career plans. But don’t worry, I’ll be dishing up some more advise in my future posts.

I am officially passed the halfway point of my Dietetic Internship! I am currently in my renal (kidney) rotation in a dialysis unit, which is fine…nothing special. I still have critical care, pediatrics, and oncology rotations this semester.

Recently, though, I have been struggling a bit. As I have said before in other posts, I haven’t really loved working in the hospital. I haven’t felt like I make any meaningful connections with patients and most of them don’t seem to care at all about what I am talking to them about, which I totally get – I don’t think that if I were sick in a hospital I would really care about how much salt was in my food or if I was getting enough protein.

I did enjoy my outpatient rotations much more than working in the hospital, but something still wasn’t clicking. I think I almost convinced myself I liked it because that it what I had always pictured myself doing. Do I still see myself doing some nutrition counseling? … Yes, it is definitely something that is still interesting to me, but I am not sure that I can picture myself doing it as a full-time job.

I am very happy I am learning my likes and dislikes now and not later, but you can see why I am confused now. I feel like the college sophomore that realized they didn’t like their major and is trying to figure out what to do. From the time I declared my nutrition major freshman year in undergrad I always saw myself being a Clinical Dietitian, and now I am realizing that is not really the path I want to go down.

Thankfully I have tons of supportive advisors and professors at school that are willing to help me figure out what I want to do. Maybe it is working in industry (for a cool, healthy food company), teaching at local colleges, traveling with an international health organization, working in media or social media, or doing a job that I don’t even know exists — I am exploring my options.

So for now, we will see where the next year takes me. In the mean time, if anyone has any nutrition career suggestions… my ears are open!