Wednesday, October 28, 2009

There's a Revolution Going On

My first rotation was with an organization called Readers to Eaters (also called R2E), a relatively new company that aims to promote food literacy by selling books about food, publishing books about food (starting in 2010), and developing educational programs about food. The owners of R2E are Philip and June Jo Lee – he has a background in radio and publishing, and she is a research consultant to the food industry. To Philip and June Jo, being food literate means having an awareness of what one eats and where food comes from.

My internship director set this rotation up for me because of my background in writing and my special interest in nutrition education in the public school system. I had thought it would be a gentle introduction to the internship, encompassing some writing, some observation of Philip in his daily work, and a little research… as usual, my expectations were quite off the mark (yes, this is an ongoing problem for me).

Instead, my task was to conduct a needs assessment for a food literacy program in the community. Philip’s goal was to create a unique curriculum that fills the gaps left by existing programs. I worked from home, using the Internet to find non-profits, for-profits, school districts and individual schools, and government agencies that are promoting food literacy at some level. Over a two-week period (which was really eight days because we have seminar on Monday), I collected notes on a number of local programs, querying some by email or phone to find out what their staff thought were the unmet needs for food literacy in the community, compiling a resource list for Philip, and writing up my recommendations for a nutrition education curriculum that would answer these unmet needs.

I found some fantastic organizations: Food $ense, Operation Frontline, 826 Seattle, School’s Out Washington, Solid Ground’s Apple Corps (LOVE the name), and Sustainable Table. There were many others; in fact, there are literally hundreds of individuals and programs out there trying to teach kids about food through cooking, gardening, and nutrition education. Everyone I spoke to was passionate about food, interested in the R2E mission, and eager to share information.

I am even more excited now about my long-term goal to get involved in nutrition education in the public schools, though I think it will be more interesting and useful to talk about how to grow, cook and eat real food than to teach the principles of nutrition. These are exciting times, folks, when kids are getting turned on to healthy food by pulling a carrot out of the ground, or by tasting roasted kohlrabi from their own school’s organic garden. Unfortunately, the UK seems to be beating us to the school lunch revolution (thanks in part to Jamie Oliver). Is anyone else out there foreseeing interesting changes in school lunches thanks to the Obamas?

Saturday, October 10, 2009

Orientation: Week Two

Week two of orientation is over. We are now so thoroughly oriented that we all point due north. By Friday mid-morning I was utterly wiped out and emptied of most of my questions, except for the big one, “How do I fit all of these rotations, projects and assignments into nine months… AND do a good job?” Ahhh, life... it’s one long series of questions.

Back to my week. Three of us gave a lesson in doing a cooking demo for the interns who hadn’t taken Cynthia Lair’s class last year. We started by describing the elements of a demo, then we showed them what to do by demo’ing Cynthia’s French lentils with sage butter, then showed them what NOT to do (actually Misha showed them what not to do in her inimitable way) in a cooking demo/food safety nightmare skit. Then the other six each did a quick cooking demo for us – they were all so good that you would never know they hadn’t taken the cooking demo class.

We also had a lesson in maternal/child nutrition from an ND, who was such a font of knowledge that she got us excited about our WIC rotations. Later that same day an RD talked to us about WIC and the new food package, which now includes fruits and veggies, whole grains and non-dairy protein options! Hooray! The RD reminded us that the population seen by WIC staff often have higher priorities than nutrition counseling and that we could end up just helping someone figure out how to use their WIC checks, or how to pay their rent that month. No matter, we were still excited about our WIC rotations.

Note to self: Since the WIC population is considered a vulnerable population, working with WIC right out of my internship would qualify me for the loan forgiveness (here's a rather dry description of the program). In other words, if I went to work for WIC, a portion of my student loans would be written off. Hmmm, it's tempting, though the maximum they’ll forgive is $10,000 over five years. (More information on loan forgiveness programs here.)

Wednesday and Thursday were spent working on our group projects in smaller teams. My team finished up our plan for the cooking class we’ll be teaching on white-colored foods. On Friday we basically checked in, talked briefly about our group projects, went over the continued learning portfolio required by the ADA (for RDs, not interns) and then went on our merry ways (my merry way took me home for a nap).

Saturday, October 3, 2009

What a Week!

It was the first week of a two-week orientation for the Bastyr dietetic internship. We met every day except one with our director in a small classroom on the south side of the building (Bastyr University is essentially one large U-shaped building), far removed from the usual student traffic and looking out onto a walled-in grassy area. Clouds and rain threatened for most of the week, but occasionally the sun would come out to warm and invigorate us.

Without giving away the whole curriculum, we had a number of activities and discussions structured to help us get to know each other and to build our “team.” And of course we discussed the requirements of the internship, went over our rotations, and got a feel for what our year would be like. There were also a couple of field trips, including a "retreat" day at our director’s home with a vegetarian potluck (including some gluten-free and dairy-free options), and a trip to a dialysis center to learn what it’s like to be a renal dietitian. Four of the interns have a special renal rotation, but the rest of us do not so it gave us a nice glimpse into the practice of renal dietetics and dialysis.

In addition to the usual rotations, we have a number of intern projects to complete. We’ll each lead one project, with the other eight interns as resources, and we spent a fair amount of time on the last day planning for the first two projects: a series of cooking/nutrition classes for Bastyr employees, and a research project culminating in the production of a publishable paper, potentially resulting in a published paper with all of our names on it!

As for the nine interns, we are a widely varied group in age, experience, and interests. Personalities run the gamut from irrepressibly exuberant to low-key (that’s me) with many shades of “color” in between. I think everyone liked everyone else, and that we’re going to be a good team for the next 9 months.

Monday starts with a lesson in doing a cooking demonstration. Normally this is taught by the amazing Cynthia Lair, but since three of the interns, including myself, took her course in this very subject in the last quarter of our program, Cynthia turned the class over to us. So three of us will demonstrate how to do a cooking demonstration to the others, then they will have a chance to do a short cooking demo and be evaluated by their peers.

At the end of this first week, I am simultaneously excited and frightened out of my wits about the coming experience. During this week we all expressed some level of trepidation, either about doing or saying something wrong during a rotation, not being able to remember information when it’s called for, and/or public speaking. I’m also fearful of letting down my director or my fellow interns in some way, which would also be letting myself down, but after hearing everyone express these fears I felt somehow better.

Part of being human is to be fearful – fear keeps us vigilant and charged up to meet a challenge. I remember driving to school in the first quarter of my first year of the nutrition program, on my way to doing my first presentation in class. My fear of public speaking is fairly intense, and was even more so then. My heart was racing, my hands were shaking, and my legs were weak. There was absolutely not a happy thought in my heart at that moment and I felt an almost uncontrollable urge to turn the car around and go home.

In that condition, my only recourse is usually to talk myself down from the ledge by finding a new and less scary perspective of the situation. That day, I got past my fear by reminding myself of the purpose of fear. The “fight or flight” response is a programmed reaction to imminent danger. Public speaking is (arguably) not dangerous. That simple logical progression was enough to calm me down and allow me to get to school and do my presentation.

Frankly, I expect to have to “talk myself down” pretty regularly throughout the next year. After two years of practice, it’s a well-developed skill that will help me meet all the challenges of the internship. Now I know that I also have the support of eight others who will be facing the same challenges and who may call on me for support when they feel like they’re out on a ledge.