Paola Mora, RD
Profession: Nutrition and Dietetics
Title: Registered Dietitian
What do you do?
As a Clinical Dietitian at Montefiore Medical Center in the Bronx, NY I provide in depth nutrition assessment and follow up for patients at high nutritional risk. Develop care plans including discharge recommendations, which may include instructions on appropriate diet therapies to patients/family in both English and Spanish. I actively participate as a core team member in interdisciplinary coordinated patient care program and on committees for the development and revision of nutrition related policies and procedures. Moreover, I assess patients to determine level of care and implement care plan in patients of moderate or potential risk as well as act as a source of nutrition care expertise to MMC staff and associates.
Your education?
BS in Nutrition Science from Syracuse University. New York Presbyterian Hospital Dietetic Internship Graduate, and Ambulatory Nutrition Fellow. Passed Registered Dietitian Exam March 09. Starting New York University’s Masters Program in Nutrition and Dietetics with a concentration in Clinical Nutrition in the Fall of 2010.
How did you get started in this line of work?
Word of mouth. I was approached by a fellow New York Presbyterian Dietetic Internship Program Graduate regarding an opening at MMC.
What inspired you to choose this career (why of all the careers in the world was this the ONE?)
I became interested in the field of Dietetics through what I believe to have been a chain of events as well as one of those “right place at the right time”†moments. Throughout my development as both an adolescent in high school, I found it imperative to eat well and exercise regularly as well as relax often. Around the time that college was coming into the picture I was interested in the field of Psychology. I knew I wanted to work with people as a means of helping all of those around me in whichever ways I could.
I began incorporating nutrition into my desired field of study while at SU by enrolling in challenging courses with topics ranging from diet and disease to weight management and eating disorders. It was during this process, that I found my true calling and began feeling the need to educate people as well as help them understand the imperativeness of dealing with these fascinating and yet rapidly growing issues. Consequently, I became a Nutrition major Psychology minor my sophomore year at SU and have devoted my time ever since to learning even further about these topics as well as the effects that they’re having on society today.
What do you LOVE about this job?
At my current job, some of my co-workers are also my close friends, which makes for an environment conducive of constant learning as we are all willing and able to discuss questions and concerns related to in-patient nutrition care. As a Staff Relief Dietitian I am able to further develop my knowledge in both Nutrition Support and Nutrition Education. I continue to learn more about Enteral/Parenteral Nutrition in both Surgical and Critical Care Floors while also devoting much time and effort to diet education within both Cardiac and Psychiatry Floors among others. Furthermore, Montefiore Medical Center provides tuition reimbursement for my Master’s Program. What I love about my career aside from all I’ve mentioned before, is that it’s a growing field. I stay current with research in areas such as weight management and nutrition in disease. Moreover, I’m constantly involved in learning of new research and findings within the dietetics field in regards of how health and wellness affects our communities today and will affect out children in the future.
Describe your typical day
My days most definitely always begin with a cup of coffee and breakfast, of course. I typically come in at 9am, get settled in my office, catch up with my co-workers and then verify the coverage/unit assignment spreadsheet. This schedule allows me to determine which floors I have been assigned to cover due to either someone being on vacation, sick leave etc.
Having determined the floors I’m to cover, I proceed to check our electronic charting program for nutrition consults placed by either MDs or RNs on these units. Directly following, I assess the amount of follow-up assessments due by printing the Clinical Workload Report for each unit from CBORD (electronic patient database). Once I know what consults and follow-ups are due, I’m off to the floors.
On each unit, I proceed gather the information needed in order to assess in-patient nutrition status based on comprehensive dietary recall (via patient/RD interview), past medical history, admitting diagnoses, co-morbid diseases (via paper medical chart), biochemical and anthropometric data (via electronic medical chart). I then develop individualized nutrition care plans for in-patients in accordance with hospital screening criteria. When completing a follow-up note, I then evaluate the effectiveness of prescribed nutrition care plans in conjunction with medical treatment as well as management for continuation or revision. Once having completed all due notes, and filling them in each patient’s individual chart along with discussing with the medical team regarding changes in prescribed nutrition plans, I return to my office to chart completed evaluations in our electronic patient database.
The next day, follows the same pattern. The neat part is, because of my position as a Staff Relief Dietitian, everyday is different in terms of patient population, nutrition risk and plan of care.
What advice do you have for someone considering this line of work (schools to attend, books to read and any process stuff, etc.)? Buckle your seatbelt! Being a responsible and organized individual who puts much effort into all that you do while being a perseverant and independent person who strives to get everything done and make sure that each and every element of what you represent is up to par are some very important qualities within this line of work. Being a go-getter, the one who always works hard to make things happen and wont rest until everything is done to the best of your abilities is just as important. You must love to help people, educate others and most importantly learn from others; have a passion for giving advice, being patient and open-minded are all essential qualities as a professional in this field will need to develop these skills in order to work with parents, children and other professionals. Additionally, you would have to devote time and effort to dealing with large amounts of people.
In order to become a commendable professional within the field of Dietetics, not only will you need a strong base as is an education in Nutrition and Dietetics but you will also require large amounts of experience in the field. You will need at least a BS degree in Dietetics, Foods and Nutrition. Furthermore, acquiring experience through a required and ADA approved Dietetic Internship Program is needed prior to taking the Registered Dietitian exam as this fieldwork will prove pivotal for your development as a professional within the field of Dietetics. What is more, in order to remain competitive in the field you should consider continuing education such as graduate school in order to focus on a particular area of Dietetics while also considering completing required coursework for specializations such as CDE (Certified Diabetic Educator), CNSD (Clinical Nutrition Support Dietitian) etc. For those considering this career, log on to www.eatright.org, the website for the American Dietetic Association. This is the largest group of nutrition professionals. The amount of information on this site, for launching your career is outstanding.
What are must have traits for this career?
The role and responsibilities of a practitioner in the field of Dietetics include various factors; being a teacher as well as a role model are two features that I trust are key elements. Patience is also crucial a well as having a sense of understanding and open mindedness when it comes to the people one has to work with on a daily basis. Moreover, effective listening and communication skills such as speaking clearly enough to be able to be understood by others, having the ability to counsel and advise people, give health care instructions, plan and give information as well as provide help are also vital. Important workplace skills include social perceptiveness, coordination, persuasion, instructing, problem identification, information gathering and organization, implementation planning, solution appraisal, identification of key causes, judgment and decision-making and time management among other things. I also believe that sense maturity, patience and perseverance as well as the ability to interpret situations subjectively and objectively (“looking at the big picture”) are imperative components. Being passionate about the field, being resourceful and having knowledge of other general areas that may affect people, being open-minded and of course being organized are also some of the other elements that I hold to be very significant characteristics that an experienced professional should have.
What are the challenges of the job?
Montefiore Medical Center emphasizes problem-solving outside nutrition that enriches my knowledge in disciplines like psychology, social services, medicine, nursing and physical therapy and can sometimes become very challenging as opinions tend to differ from person to person regarding patient care.
Moreover, at times, managing time wisely in order to complete the required workload can prove to be difficult particularly during weekends when often 2-3 dietitians cover the entire hospital.
What is the growth in this career (is there a high demand for it? is there a ladder to climb)? It is my most firm belief that the demand for Registered Dietitians will continue to grow exponentially within both the Pediatric Nutrition and Geriatric Nutrition areas. As we all know, Childhood Obesity affects approximately 1/3 of US children and change begins through education. Throughout the next years there will be great need for RD’s in the community nutrition area as well where it is imperative we make changes in order positive impact or children’s food choices and exercise habits through in school nutrition and wellness programs. Moreover, as people continue to live longer, the need for assessment of adequate nutrition intake among the elderly will become even more important. For example, the active involvement of an RD in the Nursing Home is imperative as a means to preventing Malnutrition, Lean Body Wt Loss and Pressure Ulcers as well as assessing adequate Tube Feed regimens, working with Speech Therapists for modified consistency diets etc.
As with many other professions, there is most certainly a ladder to climb and the way to do it is through hands-on experience, research and continuing education.