Day in the life of a Student Dietitian on Placement – Eating Disorders

Hi – it’s Georgia the Student Dietitian again! So on the last blog post I talked about what it was like to be on placement in a secure inpatient unit. I said I would also give some insight into my day in the life in an Eating Disorder unit – so here it is!

Background context – Eating Disorders is an umbrella term that can describe many different disorders such as anorexia nervosa, bulimia and others. The patients in my care ranged from 18 to 75 years old and covered all genders. There is lots of psychology often required within Eating Disorder services, so Dietitians work alongside other healthcare staff to provide a holistic form of care to patients. For my placement I worked across inpatient units (on a ward within a hospital), community, and day service. This gave me a really good insight into all of the different areas you could work in as a Dietitian in Eating Disorders.

The different types of services: So i mentioned that there are three different types of services. I am just going to explain a tiny bit about each one so that you are aware of the difference.

Inpatient services – This is where patients are on a ward and have their own rooms. They are monitored and supported 24/7 by staff and are sometimes allowed leave off the ward. Patients on these ward often get their weight and bloods monitored more often and can be put onto a feeding tube if necessary.

Community – This is a service which manages and supports Eating Disorder Patients within the comfort of their own homes. Dietitians will often visit patients where they live and provide advice and support around meal plans and cooking facilities etc.

Day service – Day service is a service which allows patients to attend a clinic for the whole day or half the day to have their meals and be supported by cooking for themselves. So patients tend to spend the whole day at the service and they will have supervised breakfast, lunch, dinner and 3 snacks. They are also supported to cook for themselves in order to mimic what it would be like for the patients at home.

My day to day experience:

As all of the services were very different, I unfortunately do not have enough writing room to describe all of these (plus I think you would probably get bored!). Therefore, here is a day in the life of a student on an inpatient ward….

Morning: I usually arrive at the hospital at 9am to prepare for the day. The Dietitians have their own office where they can produce resources, write up notes and host team meetings with other healthcare professionals. The start of the day I would usually read about on patient backgrounds and fill in my patient notes based on what I can already access (for example recent weights and blood results). I would then find out what diet plan they are currently on and assess whether this would need changing (diet plans are often progressed step by step to gradually increase intake). After this, I would then usually see around 2 patients for lunch to discuss their progress and come up with future action plans.

Afternoon: After the patients (and staff) have their lunch, we usually continue consultations with patients throughout the afternoon. We do have to be careful to not interrupt snack times however as this is obviously a very important part of their day. Often patients are very visibly upset during consultations as the last thing they want to discuss is food, so showing lots of empathy and understanding can really go a long way during these sessions. Again, my communication skills in this sector definitely developed further as it was very different to what I had learnt at Uni! After my consultation sessions, I would then make any changes to diet plans if this was necessary that day and would add this to the patient notes. I would then head home for a good sleep as I am usually very tired by the end of the day!

As always, if anyone has any questions about what it is like to do Dietetics and what placement is like, please leave a comment! Thank you 🙂

Day in the Life of a Student Dietitian on Placement

Hi everyone! My name is Georgia and I am a 4th year Dietetics Student. When people ask me ‘so what do you do?” I dread it, because the conversation normally goes like this: “I do Dietetics at University” “You do what now? I’ve never heard of that! Do you just tell people to not be fat?”.

So, in order to give a bit of an insight into what Dietitians do, I have decided to describe a day in the life whilst I am at placement! My placement is split into two sectors – Forensic Secure Inpatient Service and Eating Disorders. I am going to give you a bit of an overview of what it has been like in both, however I will do a separate post for my experience in Eating Disorders otherwise this could be quite a lengthy post!

Secure inpatient services

As the name suggests, Secure Inpatient Services is a hospital for people with mental health illnesses who have committed crimes. Rather than going to prison, people are admitted into a secure hospital for psychiatric treatment. You might think – “How does a Dietitian fit into a secure unit?” – I thought the same thing! The main role that I had during my time at this service was educational sessions regarding cardiovascular disease.

Unfortunately in a service such as this, many patients are on antipsychotic medicines which can often have a significant side effect of weight gain. Due to this, many of the patients within this unit had a BMI of over 45 (for reference, a healthy BMI is between 18.5 and 24.9).

So now I have provided some context, welcome to my day in the life!

Morning: I wake up at about 7:30 to make sure that I have time to have a proper breakfast and get prepared for the day. I then drive to the hospital and often join a team ‘huddle’ in the morning. Huddles are a meeting with all the Dietetics staff (including Nutritionists and Dietetic Assistants) to discuss how we are getting on with the patients and if we have any new referrals. After this meeting, I would then go down to the ward to see a patient for an education session. To get onto the ward you have to go through an airlock system with lots of security measures in place. Once on the ward, I would normally have an educational session regarding the consequences of high saturated fat and sugar intake on our cardiovascular health. Some patients who I was giving education sessions to were in ‘seclusion’, which is a separate room from everyone else that most people are not allowed to enter. This made communication fairly difficult, but it was a great learning curve!

Afternoon: After lunch, I would usually prepare for the patients that I was seeing that afternoon. I would read through all the patient notes to gather a background on the patient and produce any resources which I may need for the sessions. Many of the patients that I was working with could not read and the only resources we had available were lengthy written resources, so I spent a lot of time producing easy read, pictorial resources for patients which seemed to go down very well. After my sessions with the patients, I would then attend a basketball session with a patient with a BMI of 54 to encourage physical exercise. This was a great session as it also allowed the staff to participate and build rapport with the patients. I really enjoyed this! Finally, I would go back to the office and write up all of my notes from the patient consultations so that other health professionals can be aware of what we have discussed.

I would then tend to go home, cook something quick because I was tired and then watch Netflix until I fell asleep!

I hope you find this useful and if you have any questions please feel free to comment. I really enjoyed this placement and would recommend it to anyone doing Dietetics as you learn communication skills that you probably wouldn’t learn anywhere else. So if you get allocated this placement welcome it with open arms! You may love it like I did.

A day in the life with Amelia Guest

Interviewed and edited by Elayna Hugh-Jones

What do you study here at Newcastle University?

So I’m in my 2nd year of Biomedical science, and I’m doing a placement year in September so it’ll be a 4 year degree for me. Then I’m thinking about further study, such as a Master’s or post-grad medicine.

Newcastle University Medical School

What does a typical day look like for you?

So I’m an early bird, I get up around 6:30 and I take some time to wake up and have breakfast. Then if we have any 9am or 10am lectures I like to go to the Uni gym beforehand to start my day on a good note, which means I leave my house in Jesmond at about 7:30. We typically have 2 or 3 lectures a day and I’ll head to the Walton Library in between if we have any breaks. But if we have no lectures, Wednesdays are usually our days off, I still head to the library and set myself up for a day there. I’ll usually take my packed lunch and stay for the majority of the day and then head home for dinner. I and my housemates tend to all eat together which is a nice part of the day to look forward to.

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FUJIFILM Diosynth Biotechnologies: Advancing Tomorrow’s Medicines

By Declan Wales

FUJIFILM Diosynth Biotechnologies (FDB for short) is a global contract development and manufacturing organisation (CDMO) in the biopharmaceutical industry providing process development and manufacturing of biologics, cell and gene therapies and viral vaccines. This basically means that FDB are able to manufacture a broad range of therapeutic proteins for customers using mammalian, bacterial, viral and insect expression systems and can develop these expression systems to suit the needs of these target compounds.

I spent my placement year within the Process Development (PD) division, specifically the Mammalian Cell Culture (MCC) PD department.  One of the tasks in my department was to carry out optimized fed-batch processes using bioreactors to grow cell lines, the cells then produce the target therapeutic protein which can then be purified and analysed by other departments within PD for customers.  

FUJIFILM Diosynth Biotechnologies Billingham Site: Art used from FDB Marketing

Why did I want to do a placement?

When starting my degree I hadn’t thought about the possibility of doing a placement year. Then COVID hit and my degree was heavily impacted which meant I missed out on a lot of lab sessions and became disappointed with the lack of hands-on experience I was getting. I read the BNS placement blogs and was really impressed with what other students had got up to in previous years and how they were able to get some industry experience before graduating so I applied for three placements that appealed to me and managed to secure the second one which was FUJIFILM Diosynth Biotechnologies! 

A Day in the life

I’ve found every day to be different so there wasn’t much of a typical day.  However, we had a team meeting daily to discuss everyone’s tasks for the day which gave me the opportunity to offer my help and get involved in work.

If there was a bioreactor process ongoing, then my days would be much more regimented. The morning would begin with sampling several bioreactors growing Chinese Hamster Ovary (CHO) cells and measuring the metabolites, gases, osmolality and cell counts using high-tech analytical equipment. Sampling shows us how the culture is doing and if we need to alter any of the parameters to improve the process, any abnormal data would indicate possible contaminations which are serious during customer projects. These bioreactors would need feeding later in the day with supplements such as feeds, glutamine and glucose to maintain the cultures and ensure the best product titres.

Adapting to a new routine

I thought I would be able to adapt quickly to working on placement, but it was harder than I anticipated. The 9 to 5 is a big change when you are used to the flexible timetable of university and it can be hard to stay engaged at work if you are tired so making sure you get enough sleep is important. However, one huge benefit was that my weekends were totally free and I could do whatever I liked free of Uni work. I had a lot of training to ensure I was confident and competent in carrying out my tasks which can take some time to get used to and can be a lot of information to take in but it meant that I was comfortable undertaking tasks independently.   

It’s not all lab work!

I found time outside of the lab to be just as fulfilling as time in the lab. I had not really thought before about the business side of science but it was interesting to see the relationships between employees and customers when I attended meetings for certain projects and how being able to present information and communicate effectively and professionally with customers is just as essential in an industry role as is being skilled in the lab.  

One of my last days on site.

I got to take on responsibilities outside of the lab that were essential to the running of my department, the biggest helping to implement a new electronic laboratory notebook system in which I inputted equipment as well as essential reagents used for media and feed preparations. I also got to train my colleagues how to use this system and software for their feed preps as I was the one of the first to use it. This allowed me to develop important skills outside of the lab which I can now demonstrate to future employers.  

Would I recommend a placement?

Yes, I would absolutely recommend a placement for a lot of reasons, some of the main ones being:

  • You get more lab experience if you’re on a lab-based placement 
  • You gain a lot of new skills you can demonstrate in the future and develop ones you already have 
  • You can earn a good wage 
  • You get to experience the science industry and see if it’s for you 
  • Make friends/network with people in the industry find out what they did and if they enjoy what they do 
  • In some cases, if you impress the company they will offer you a job if you come back after you have graduated

5 things I wish I knew in first year

By: Maria Kartali (BSc Biomedical Sciences)

Starting uni can be quite daunting, everything is new, and you don’t know what to expect. Although it is a fun adventure, there are times you might feel alone and quite lost. Having been through that I decided to compile a list of a few things I wish I knew in my first year.  

I thought I would start with the usual ‘Everyone is on the same boat as you’ and ‘Everyone is looking to make friends.’ 

But while that is true and everyone truly is looking to make friends, I am sure it is something you have all heard about 500 times.  

So instead the first piece of advice I will give you is:  

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Pengalaman Latihan Industri Harith: Daripada Sains Bioperubatan kepada Sains Nutraseutikal

Ditulis oleh Harith Syahmie Zulfikree 

Hi semua! Saya Harith, pelajar tahun satu jurusan Ijazah Sarjana Muda Sains Bioperubatan (Kepujian) dari Malaysia! Dalam blog ini, saya akan berkongsi pengalaman menjalani latihan industri selama 2 bulan semasa cuti musim panas di Institut Pembangunan Bioproduk (IBD), Universiti Teknologi Malaysia (UTM), Johor, Malaysia.   

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Harith’s Internship Experience: From Biomedical Science to Nutraceutical Science

By: Harith Syahmie Zulfikree 

Hi everyone! I’m Harith and I’m a first-year BSc (Hons) Biomedical Sciences student from Malaysia! In this blog post, I will share my 2-month internship experience during my summer break at the Institute of Bioproduct Development (IBD), Universiti Teknologi Malaysia (UTM), Johor, Malaysia.   

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Get Stuck In: The Powerlifting and Weightlifting Club

Written By: Cara Walker

Edited By: Elysia Marrs

Looking for something to get involved in at Newcastle University? The NUPWC might be right up your street – get stronger, have fun, and meet like-minded people here at the club. Get to know the ins and outs of Newcastle University Powerlifting and Weightlifting club with Cara Walker, a weightlifter and welfare officer for NUPWC.

What is the weightlifting/powerlifting club?

In a nutshell, NUPWC is a friendly community of people interested in Powerlifting and Olympic Weightlifting – members’ abilities range from beginner to elite level. We train on Wednesday evenings (Powerlifting 5-7pm, Weightlifting 7-9pm), Saturday afternoons (11am-2pm), and Sunday evenings (4-7pm).

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A Day In The Lab With Maria Kyriazi

Written By Maria Kyriazi

Edited By: Elysia Marrs

Interviewed By: Elayna Hugh-Jones, Elysia Marrs

Hi Maria, what do you study here at Newcastle University?

I am an MSci Biomedical Genetics student and currently, I am undertaking my third-year Research Project for the completion of my bachelor’s degree. Therefore, I am investigating a specific protein, SGO1 and its role in female chromosomal ageing.

What is your topic of research in the lab?

My research project focuses on investigating the potential mechanisms leading to missegregation errors that are detected with the maternal age effect. For instance, after the age of 35, women are more prone to born children with chromosomal abnormalities such as Down syndrome (“trisomy 21”), or Edward’s syndrome (“trisomy 18”), which happens due to the decrease of a complex, known as cohesin, that holds sister chromatids together until the end of the second meiotic round. Essentially, I am investigating a specific protein, known as SGO1 (“shugoshin” = guardian in Japanese) that protects centromeric cohesion and, therefore, missegregation errors. My project aims to determine that this protein decreases in women after the age of 35, explaining the increased numbers of older women giving birth to children with chromosomal abnormalities after a certain age. To do so, I am using cutting edge technology, including immunofluorescence and dCas9 designed constructs which I visualize in fixed or live conditions using Zeiss LSM 880 Airyscan microscope.

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Dietetics at Newcastle: Our first semester

By Millie Elcock and Cerys Francis-Garside.

Hi everyone!  We are first year students on Newcastle’s brand new 4 year Masters of Dietetics programme. Hopefully, this blog post will help you understand what dietetics is all about, the application process and reasons to get excited about dietetics.

What a year to start university, with all our lectures and seminars online! We are yet to go on campus or meet our course mates in person but hopefully that will change soon. Learning virtually can be challenging and frustrating but as it is all we know, we are discovering there are actually many advantages to studying online and certain aspects that we would like to continue such as the recorded lectures that allow us to go at our own pace.

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