Nutrition and HIV Preceptorship for Registered Dietitians

The Dietitian preceptorship will enable Dietitians in the Northwest region to obtain current knowledge of HIV-related nutritional issues. Through case studies, counseling observation, and journal article analysis, the preceptorship will provide attendees with adequate knowledge of HIV nutrition therapy to use in their own workplace. Several journal articles will be provided prior to the preceptorship session and it is expected that attendees will familiarize themselves with these.

The preceptorship can be tailored to individual attendees, depending on their previous HIV or nutrition experience. As much as possible, attendees will have the opportunity to see interviews and interventions done with clinic patients. The confidentiality of Madison Clinic patients will be maintained.

Ben Atkinson, the preceptor, has worked at the Madison Clinic for the past 3 years. He has worked in clinical nutrition research, outpatient counseling, and in food service. He graduated from the University of Washington in 2007 with a Master’s degree in Nutritional Science. He also participates as the president of his local dietetics association, and is a member of the Infectious Disease Nutrition Practice Group of the Academy of Nutrition and Dietetics.

For more information about our preceptorship program please contact Becky Karschney.

Dietitian Preceptorship Learning Objectives

Upon completion of this program, attendees should be able to:

  • Implement nutrition/diet assessment tools
  • Summarize relationship between food/herbs and HIV medication
  • Identify risk factors and intervention strategies for common HIV-related co-morbidities
  • Educate patients about role of exercise in HIV population
  • Understand basic principles of nutrition & complementary therapies

Preceptorship Outline

  1. General HIV information
    1. Classification
    2. Epidemiology
    3. Demographic changes
  2. Nutrition assessment
    1. MNT protocols
    2. Examples of assessment tools
    3. HAART protocol
    4. Madison Clinic protocols
    5. Labs
  3. BIA and anthropometrics
    1. BIA
    2. Circumferences
    3. Skinfold Tests
    4. DXA and MRI
  4. Food and drug interactions
    1. Specific medications and recommendations
    2. Chart of medication/food recommendations
  5. Side effect management
    1. Diarrhea
    2. Nausea/vomiting
    3. GERD
  6. Lipodystrophy
    1. Assessment
    2. Dietary interventions
  7. HIV and Co-morbid conditions
    1. Hepatitis B & C
      1. Dietary intervention
      2. Supplements
      3. Alternative therapies
      4. Exposure risks
      5. Treatment: Interferon and ribaviran
      6. Web links
    2. Anemia
      1. Medication interactions/causes
      2. Supplements, B12, vit. E, folate
    3. Cardiovascular disease
      1. Prevalence
      2. Risk factors: medications, diet, weight
      3. Prevention, decreasing risk
    4. Diabetes and Insulin Resistance
      1. Pathology
      2. Dietary interventions
    5. Osteoporosis
      1. Medication
      2. Prevalence
      3. Dietary intervention, considerations
      4. Lactose intolerance
    6. Opportunistic Infections
      1. MAC
      2. KS
      3. Cryptosporidium
      4. Lymphoma
      5. CMV
      6. Toxoplasmosis
      7. Salmonella
      8. TB
  8. CAM and supplements
    1. Calorie and Protein
    2. Vitamin and Mineral
    3. Non-nutrient and non-vitamin
    4. Resources
  9. Food and water safety
    1. Relationship to CD4 count
    2. USDA/NIH info