Okay, I know this has been asked before, but I'd like to get a consensus on what this board thinks the best way to make a career out of nutrition (paleo/primal/WAP). Preferably, I'd like to become a provider in the arena of nutrition, but I'm noticing that there aren't too many options.
Some ideas out there are the NTA (nutritional therapy association) and perhaps going an RD route. or DC and "Functional Medicine Doc" or whatever. I'm my case, I'm already an RN, and do a ton of Diabetic Education (under ADA CW Bull). And everytime I go over the ADA literature it just makes me nuts. But I digress.
So the questions: Are any of you making a go of this as a career? And if so, what path did you take in terms of education and job/practice?
Any conventional medicine folks out there (NPs, MDs, PAs, RDs) who transitioned in to the evolutionary nutrition area as a career? I'd like to hear your thoughts on what it's like to practice.
Thanks, and sorry for the retread question, but I'm very passionate, and I'm feeling stiffled by the fact that there isn't just some university I can attend to get a degree in evolutionary nutrition (or something like that)
asked byJapsican (1020)
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on July 17, 2011
at 09:28 PM
Start your own practice!
First, go for the RD!!! I'm studying Dietetics/Nutrition now and my prerequisite courses are the same as future RN's so you already have completed most of the coursework. You're looking at 1 more year of school for the dietetics concentration plus a 9-month internship.
I'm going to complete this and then apply for my CDE (Certified Diabetes Educator) license.
You need 400 hours with the ADA within the past 4 years just to qualify for an application. Then you need 2 years as an RD and 600 more hours towards your CDE. 1000 hours total. I really feel the CDE takes priority over an MS or MPH.
Your dietary advice is not covered by insurers unless you have a CDE and your patient is diagnosed with diabetes.
Your private practice could crumble if you ever rely soley on out-of-pocket patients in this economy.
So think about RD first, then CDE over MS/MPH
I also wouldn't worry about finding partners who are open to Paleo. I've already met an young endocrinologist who knows the system is whack. He's working on his CDE because he can't wait to escape the hospital. You can start your own practice with an endocrinologist, CDE and I'm sure you should have no trouble meeting one who's into integrative medicine and open to your Paleo approach.
From there, your bread and butter is diabetics covered by insurers but you'd be able to accommodate out of pocket types: people diagnosed overweight, obese, morbidly obese, people with energy/sleep/psychological issues, people with degenerative diseases. You can take them on at a discount because you have the bulk of your money coming in through insurers. I'm not sure if insurers reimburse for patients diagnosed with prediabetes or metabolic syndrome or hypertension.
The hospital boards will hate you but fuck 'em!
I'm going to go that route, see how it goes and then apply to the Nutrition Education MS at Columbia University - then try to write a line of books that hit the USDA Food Pyramid square in the jaw.
I will be BAMBAM, MS, RD, CDE.
But I feel the correct timeline is 1)RD 2)CDE 3)MS
on July 26, 2012
at 06:31 AM
BamBam, can you please email me? [email protected] dot com
I was just accepted into a RD program, but reading more about the CDE program I see that Nurses can also become a CDE. I am looking at different options. As a Nurse Practitioner I could prescribe, work independently without a doctor and bill insurance. I am very interested in learning more about CDE and insurance payment rates etc.
Thank you for a great answer.
on July 17, 2011
at 08:17 PM