Internship 101

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The UBC Dietetics integrated internship is a 10 month placement within a British Columbia Health Authority where interns are exposed to the various areas of Dietetics practice in order to gain entry level competence. This document has been compiled to convey key information to guide interns in their preparation for entering and navigating internship.


The internship consists of 10 modules. There have been modifications to the modules from 2013 to 2014, particularly the management and population & public health modules, so be mindful of the changes when asking past interns about your placements.

Modules Overview

Module Weeks Description
Orientation 1* - Orientation to core site facilities, policies and operations
- Workshops and educational activities are scheduled by the core site
* Larger core sites do an orientation module as a one week program. Smaller core sites may split up orientation activities, thus they are not all contained within one week
Nutrition Care I 6 - Basic concepts in nutrition care
- Exposure to 2-3 settings
- Development of core clinical skills while working with patients/clients with a limited number of co-morbidities
Nutrition Care II 12 - Complex nutritional care and counselling
- Exposure to 3-4 different nutrition care settings, with at least one outpatient setting
- Development of counselling skills and exposure to more complex clinical cases (multiple co-morbidities)
Nutrition Care III 4 - Relief in a nutrition care setting experienced in Nutrition Care I or II
Management 8 - Applied activities and projects in management-related practice settings
Population and Public Health 4 - Applied activities and projects in population and public health practice settings
Elective 2 - Experience in professionally relevant areas of intern interest
Research 2+ - 2 dedicated weeks plus some project time throughout the internship year for practice-based group research project
Education N/A - A non-placement module that provides opportunities for interns to reflect upon their own education and contribute to the education of others
- Learning activities are planned by core placement sites and may include journaling; providing case study presentations, seminars or in-services; and organizing educational events


Module Forms

Forms and resources to be used for each module are available in the UBC Dietetics website open access online folder. The tables below indicate how each document should be used. The intern should review the forms for each module at least generally over the summer and in detail before each placement in that module. It may be helpful to take note of intern expectations and responsibilities.

Orientation
Resource or Form Name Purpose Who Uses It When is it Used
Orientation Module Checklist of required orientation activities Intern and Core Site Internship Coordinator (CSIC) complete Before and throughout orientation. Note that some activities must be completed prior to the first day of internship.
Nutrition Care
Resource or Form Name Purpose Who Uses It When is it Used
NCI Outlines required learning activities and serves as the evaluation form for the NCI module. Includes self-assessment and goal setting sheet. Intern and Preceptor Before and during NCI placement. Complete and email to preceptor 2-3 days prior to end of placement.
NCII Outlines required learning activities and serves as the evaluation form for the NCII module. Includes self-assessment and goal setting sheet. Intern and Preceptor Before and during NCII placement. Complete and email to preceptor 2-3 days prior to end of placement.
NCIII Outlines required learning activities and serves as the evaluation form for the NCIII module. Includes self-assessment and goal setting sheet. Intern and Preceptor Before and during NCIII placement. Complete and email to preceptor 2-3 days prior to end of placement.
Nutrition Tracking Form Form to record exposure to conditions/diseases to ensure varied experience throughout internship. Intern As outlined in the Module instructions, email a current version of your checklist to:

- Your current placement preceptor (if applicable), in preparation for the end of placement evaluation.
- Each upcoming placement preceptor (if applicable), in preparation for the placement (not applicable to your first placement).
- Your internship coordinator, in preparation for both the interim and final internship year evaluations.

Management
Resource or Form Name Purpose Who Uses It When is it Used
Management Module Outlines required learning activities and serves as the evaluation form for the management module. Includes self-assessment and goal setting sheet. Intern and Preceptor Before and during management placement. Complete and email to preceptor 2-3 days prior to end of placement.
Management Project List Lists possible management projects Preceptor When considering management project(s) to assign.
Population and Public Health (Community)
Resource or Form Name Purpose Who Uses It When is it Used
Population and Public Health Module Outlines required learning activities and serves as the evaluation form for the population and public health module. Includes self-assessment and goal setting sheet. Intern and Preceptor Before and during population and public health placement. Complete and email to preceptor 2-3 days prior to end of placement.
Population and Public Health Project List Lists possible population and public health projects. Preceptor When considering population and public health project(s) to assign.
Elective
Resource or Form Name Purpose Who Uses It When is it Used
Elective Module Outlines required learning activities and serves as the evaluation form for the elective module. Includes self-assessment and goal setting sheet. Intern and Preceptor Before and during elective placement(s). Complete and email to preceptor 2-3 days prior to end of placement.
Elective Ideas Lists possible elective ideas (interns may also pursue other options not on the list). Intern When considering elective options.
Elective Module Observational Experiences Form Alternative to Elective Module Form when electives are short-term and observational. Intern During or after short-term observational elective placements. Email to ICSC within 5 business days following the end of placement.
Research
Resource or Form Name Purpose Who Uses It When is it Used
Project Requirements and Resources Key reference document, which outlines roles and responsibilities of the research team as well as requirements and resources for the Research Module process. Everyone Throughout all stages of the Research Module.
Guidance Notes for Study Approval Provides guidance and pre-written statements for all Research Ethics Board (REB) applications. Answers FAQs specific to Researcher Information Services (RISe) REB applications. Everyone, most helpful for interns responsible for completing REB applications. Everyone, most helpful for interns responsible for completing REB applications.
Research Activities Flow Chart Graphically displays the key activities and deadlines for the Research Module. Everyone Review document in early internship (September).
Study Closeout Guidelines Outlines research project closeout and data storage procedures. Everyone May/June: refer to Form 02 – Project Activities Checklist.
Research Symposium Guidelines Details guidelines for project presentations for the June Intern Research Symposium. Everyone April/May: refer to Form 02 – Project Activities Checklist
Research Module Outlines required learning activities and serves as the evaluation form for the Research Module. Intern and preceptor complete. Complete one form per intern. Review document in early internship (September). Complete evaluation during final month of internship.
Project Activities Checklist Outlines required research project activities and timelines as well as role responsibilities for the Research Module. Intern project leader, with input from preceptors and intern group members. Compete one form per research project. Complete throughout internship. Email final completed checklist to preceptors and intern team members by end of 1st week in June.
Research Proposal Form Form used to complete the research project proposal. Research proposal is reviewed by site coordinators and UBC coordinators, then attached to REB applications. Interns, with input from preceptors. Complete and submit to UBC coordinators in late fall, typically late Oct/early Nov. Refer to Form 02 – Project Activities Checklist.
Research Projects Ideas Form for Preceptors To propose internship research project ideas for early identification of projects and preceptors prior to the internship year. Potential research preceptors May prior to upcoming internship year.
Education
Resource or Form Name Purpose Who Uses It When is it Used
Education Module Overview of education module including education activity suggestions. Core Site Internship Coordinator (CSIC) Before planning education related activities.
Formal Presentation Evaluation Form To document feedback to interns on their formal presentations. Intern, preceptor, CSIC Before and after formal oral presentations.


Module Scheduling

Schedules are subject to change at any time. There may be some input from the intern, but flexibility is required. Developing the schedule is a complicated task as there are many variables to consider. While modules have a prescribed length, they are often broken up. For example, an intern may have 3 weeks of Nutrition Care I, followed by 2 weeks of Management before completing the last 3 weeks of Nutrition Care I.

No two interns will have the exact same schedule. However, at some core sites, pairing may be used. Pairing is when two interns are in the same placement at the same time.

Each week, interns have a half day for non-module work, with the day of the week determined by the core site.

One day off will be given for each statutory holiday (or a designated alternate date if the holiday falls on a weekend). All interns will have a two week winter break in late December/early January. Dates are determined by the Dietetics Program. There are no other scheduled breaks during internship.

You are responsible for familiarizing yourself with UBC's internship policies & procedures, which can be found in UBC Dietetics website open access online folder before entering internship. You will be introduced to your specific Health Authority's policies during orientation.

UBC Policies

Related Policy Summary Key Points
1.03 Student Accidents & Injuries Includes info on WorkSafe and Student Accident Insurance coverage and procedures for making a claim -Injured or exposed to bodily fluids? Report to preceptor, CSIC, and UBC Dietetics Education Coordinator (DEC)

-CSIC and DEC will direct you on which form to fill out and submit on your behalf

1.04 Internship Responsibilities and Requirements Covers: Attendance (sick days), Code of Ethics, Consent for Care, Dress Code, Homework, Hours of Work, Housing, Scheduling, Stat Holidays -Need to schedule days off? Inform both preceptor and CSIC

-Dress code will be addressed at orientation

-Homework is necessary to complete assigned projects & refresh foundational knowledge

1.06 Intern Evaluation Description of approaches and breakdown of who is responsible for what -Related to ICDEP requirements

-Both intern and preceptor contribute to placement assessment
-Interim (February) and final meeting (June) with CSIC
-Internship completion decision rests with DEC & Dietetics Program Leader (DPL)

1.08 Student Performance Issues Protocol for prolonged illness and poor performance -Max 4 weeks extension of internship if struggling

-Non-resolvable performance issues: graduate from an alternative major

-Fail a module/placement? Actions after a failed module vary. For example, a 2 week extension.

1.09 Termination & Appeal Reasons for termination and procedures for appeal -Why terminated? Poor academic performance or unprofessionalism

-Appeals? A committee of impartial dietetics professionals will investigate

1.10 Placement Site Service Disruption How service disruption like strike or job action, communicable disease outbreak, and natural disasters affect internship -Students can’t work during strikes, will adjust or suspend internship until strike concludes

-Program extension may be required (no additional tuition)

1.11 Completion of Dietetics Program What is required to graduate -DPL determines if student has met requirements

-CSIC & DPL take care of administrative duties (submitting to College of Dietitians of British Columbia(CDBC))
-We apply to graduate by August 31 via SSC regardless if participating in ceremony

1.15 Professional Behaviour How to conduct yourself on campus and in placement settings -Required Skills & Abilities for Students in the UBC Dietetics Major

-Unprofessional? May be removed from the major regardless of academic standing

1.16 Academic Regulations & Requirements Includes UBC and Dietetics specific policies on conduct, discipline, academics and leave -Academic leave? If extenuating circumstances


A Note About Professionalism

You are expected to behave in a professional manner at all times. Policy 1.15 in UBC Dietetics website open access online folder Policies & Procedures outlines these expectations.

Evaluations

Evaluations are governed by policy 1.06, which can be found in the UBC Dietetics website open access online folder under Policies & Procedures. They reflect progress towards competency attainment. There are interim and final evaluations led by the Core Site Internship Coordinator, used to determine whether competencies have been met (mid-term evaluations are currently being revised and may be replaced with self-evaluations). The final decision to pass or fail an intern is made by the UBC Dietetics Education Coordinator and Dietetics Program Leader.

Each placement is also evaluated. The evaluation is based on the Intern Performance Assessment Guidelines and Criteria (on page 2 of the module forms). Interns are responsible for initiating the evaluation process at the end of each placement and arranging the evaluation meeting for the final day of the placement. 2-3 days prior to the end of the placement, the intern must complete the respective module form and email it to their preceptor, which the preceptor will use for their evaluation. The evaluation for the non-placement Education Module is completed using the Formal Oral Presentation Feedback Form.

If there are performance issues, such as failing to successfully complete a placement or module, the Core Site Internship Coordinator (CSIC) will complete a Written Learning Plan (in collaboration with the intern and relevant preceptors) to assist the intern in achieving entry level competencies. If serious performance issues continue, the CSIC will complete the Intern Performance Issues Summary, which summarizes the issues, outlines required actions, and communicates potential consequences. Both documents can be found in the UBC Dietetics website open access online folder by clicking Internship Modules and Forms and selecting Coordinator Initiated Forms.

Goal Setting

Goals should be aimed at achieving entry level competencies and may be based on the evaluation parameters outlined in the intern performance assessment criteria found on page 2 of the "Module" forms. Goals are set at the end of a placement, based on the placement just completed. It is the intern's responsibility to share these goals with the preceptor in their next placement.

Interns are encouraged to self-reflect on goals in order to track progress across placements.

Interns are expected to have a certain level of foundational knowledge before beginning internship. The Integrated Competencies for Dietetic Education and Practice (ICDEP) outlines this foundational knowledge. Interns achieve these competencies throughout internship and in required program courses prior to internship. Interns are responsible for reading the Role Delineation Summary document, a table of different internship-related activities (mostly administrative) indicating who is responsible for each, as well as becoming familiar with the ICDEP Internship Performance Indicator Review which indicates in which modules or professional practice courses each competency should be covered. Both documents can be found in the UBC Dietetics website open access online folder by clicking Internship Modules & Forms and selecting Overview Documents. Interns are also responsible for the key dates/tasks indicated in the UBC Dietetics Year 5 Internship Calendar.

Intern responsibilities include (but are not limited to):

  • Submits completed orientation module form to core site internship coordinator.
  • Completes relevant portions of module form for each module and email to preceptor to complete (preceptor is responsible for then emailing completed form to coordinator and intern).
  • Initiates the evaluation process for each placement and arranging the evaluation meeting for the final day of each placement.
  • For all module forms, interns must check off required learning activities as they are completed.
  • Electives
    • Choose area(s) of interest, core sites will provide options but interns are not limited to this list.
    • Investigate options that work with internship schedule - start early.
    • Determine if an affiliation agreement is required for the placement (see UBC Dietetics webpage -> Internship Resources).
  • Corresponding with coordinator
    • Pre-Internship - Alert coordinator of any change in contact information, otherwise coordinator will be in touch when he/she has something to report.
    • During Internship - Correspond with coordinator as needed throughout internship.
  • If planning to use another university's library during internship, obtain a COPPUL card at Koerner Library before leaving UBC in order to use the reciprocal borrowing privileges.
  • Registering for internship courses:
  • Two Registration Options:
  • Registration for FNH 481 and 482 occurs in mid-late June
  • Registration for FNH 483 occurs in March

The best way to start your internship modules is through creating a safe space to talk openly and collaboratively with your preceptor, in order to set the stage for success.

One Week Before Placement

Contact preceptor to:

  • Confirm, the placement
  • Obtain any placement related readings or resources
  • Email the Nutrition Tracking Form to preceptor, if applicable

When Meeting With Preceptors

  • Discuss the expectations for performance, workload, and level of supervision.
  • Negotiate how and when feedback will be given, based on both intern and preceptor preferences (eg: after each patient, at the end of the day, etc.).
  • Discuss your goals and how they could be refined to the current placement.
  • Inform them of your learning needs/style.
  • Together, develop a schedule for the placement to ensure required learning activities are met.
  • Inquire about the use of electronic devices for work-related purposes, such as tablets and smartphones.

Welcome to the Freakout Corner. Feeling overwhelmed and at a loss for what to do about it? Check out these Strategies for a Successful Internship, recognize all the support that is available to you, and read some words of wisdom from the experts on internship. If it's a question you can't find the answer to, search through the FAQ.

Support System

If feeling stressed or overwhelmed during internship, make good use of your support system.

  • Lean on your family and friends and reach out to your fellow dietetic interns first.
  • If you are having learning struggles, speak with your preceptor directly.
  • If you’re having problems with your preceptor, talk to them directly at an appropriate time and place as soon as possible to catch any misunderstandings or problems early on.
  • If problems can not be resolved, arrange a confidential meeting with your Core Site Internship Coordinator. They will help you navigate the through the situation.
  • If you’re having emotional distress, the best place to start is by talking to your preceptor and core site coordinator.
  • The Dietetics Program Leader and Dietetics Education Coordinator are also available for support.
  • UBC Counselling Services is also available to you for counselling in person if you are in Vancouver or Kelowna (UBCO).

Pearls of Wisdom

Follow the link to a page of inspiration and motivation from fellow wise ones.

What to Wear

Professional dress is articulated in UBC Policy 1.04 and interns are required to follow these guidelines as well as their Health Authority's guidelines. When in doubt ask!

FAQs

Still have questions? Click File:Internship A-Z May 12 2013.pdf document ‎to see more detailed information regarding internship.

source: http://wiki.ubc.ca/Dietetics:Internship_101