Rotation Descriptions Dietetic Internship Program at Miami Valley Hospital Clinical Renal/Diabetes • A variety of clinical nutrition classes are needed to successfully complete the clinical rotations • Learn about nutritional needs of patients with acute renal failure, chronic renal failure, on homodialysis, and peritoneal dialysis, continuous veno-venous hemodialysis, and kidney transplants Medical/Surgical • Visit an outpatient dialysis clinic Clinical Orientation • Disease states focused on during this rotation include disease, diverticular disease, Celiac disease, colon cancer, disorders, and gallbladder disorders Pulmonary • Learn about medical nutrition therapy for patients with Maternity/NICU • Interns have the opportunity to observe an endoscopy and/or PEG placement • Participate in activities in the Center for Women Healthcare including high risk maternity clinic Rehabilitation/Neurology/Trauma • Develop an understanding of the dietitian’s role in the Neonatal Intensive Care Unit • Learn about and treat common nutrition problems associated with CVA, Guillian Barre Syndrome, Parkinson’s Disease, closed head injury, Multiple Sclerosis, spinal cord injuries, etc. Long-Term Care • Learn about government and Medicare regulations of longterm care facilities (MDS and RAP sheets) • Work closely with staff in speech, physical and occupational therapies • Gain an appreciation for the unique challenges of providing medical nutrition therapy to the geriatric population • Work with patient’s with dysphagia and counsel patients on the appropriate diet Pediatrics • and occupational therapy sessions • Experiences take place at Children’s Medical Center in Dayton www.childrensdayton.org. • Attend various clinics and counsel patients with cystic Oncology/Blood and Marrow Transplant • Understand treatment of cancer patients and identify nutrition concerns related to treatments and the disease • Focus is on cancer, HIV, and bone marrow transplant patients obesity • Choose a focus and complete a case study on a patient with that disorder Critical Care/Burn Continued on back • Develop a more advanced understanding of enteral and parenteral feeding in the critically-ill population • Provide MNT to adult burn patients • Observe wound dressings mvh.org Dietetic Internship Program at Miami Valley Hospital Bull Family Diabetes Center • Participate in the activities of an outpatient center focused solely on the treatment of diabetes • educators whose goal is self-management by the patient • Participate in individual counseling sessions and teach a diabetes education class Weight Loss Surgery • Develop an understanding of the dietitian’s role in the weight loss surgery center • Provide medical nutrition therapy to both inpatients and outpatients Community Cardiac Rehab/Wellness • Participate in activities of a hospital-based Wellness Center and cardiac rehab program, including patient counseling • Participate in outpatient counseling and adapt nutrition messages to the client/population • Demonstrate the ability to give effective presentations to consumers • Write nutrition-related magazine articles • Write business proposals and develop a program for the MVH Wellness Center Food Service Management Orientation Many classes and experiences help interns successfully complete rotations. Patient Food Service • Assist with tray assembly and delivery • Perform tray audits and tray delivery audits; follow-up with • Conduct test trays each day and assist in making improvements to recipes regarding taste and appearance while keeping in mind issues associated with the thermalization system, and food costs • Work with room service Food Production and Sanitation • Learn principles of purchasing, inventory, HACCP, yield studies, the cook-chill system, and Cryovac systems • Interact with food service sales representatives • Conduct an equipment study Retail Operations • Assist in retail operations of the hospital’s two cafeterias and the medical staff dinning room (food production, services, menu analysis, recipe improvement and standardization) • Assist with catering events at the hospital • Participate in health fairs, cholesterol screenings, etc. • Conduct and follow-up with customer satisfaction surveys Public Health Activities and Projects • Participate in WIC, prenatal clinic, and other experiences with Public Health Dayton and Montgomery County • Attend breastfeeding classes with a lactation consultant • These weeks give interns time to complete projects from the food service management rotations as well as one of the special meal events Intern Choice New Manager Training Interns will determine their experiences and learning objectives for this week based on areas of interest. • Time is spent learning management principles with other new managers Clinical Staff Responsibility Food Service Management Staff Responsibility Interns will select a clinical area and manage the daily operation. • Interns select an area of the department in which they will assume the role of manager, including financial and human resourse issues. • Complete an operations analysis.
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