Metabolic Dietitian

Jun 17, 2021
Sep 18, 2021
Full Time
The Division of Genetics and Metabolism at Children's National Medical Center is currently amongst the nation's largest and busiest centers devoted to the evaluation and management of patients with inborn errors of metabolism. Patients with these disorders typically require intensive dietary intervention, as tight regulation of nutritional intake is essential to prevent metabolic decompensation. Patients and their families work extremely closely with metabolic nutritionists who have specialized training appropriate for these disorders. The clinical volume of patients seen at the Genetics and Metabolism division at CNMC has doubled over the past year, as more physicians have been added to the team, straining current nutritionist resources. The Research Nutritionist will see some patients independently, oversee the other nutritionists, provide additional specialized training for them, and ensure that our nutrition program is being implemented with as much efficiency as possible. The proposed position would also contribute substantially to the academic mission of the division. Members of the division are active leaders in the areas of urea cycle disorders, organic acidemias, storage disorders, and others. There are a number of ongoing clinical research projects where nutritional data is a key component. Additionally, there are a number of proposed projects where lessons and concepts learned from the nutritional management of patients with severe inherited metabolic disorders would be applied to patients with common, acquired medical problems. An academically inclined nutritionist with a rich background of research experience will be an invaluable asset to help bring these projects to fruition.


Minimum Education
Master's Degree -

Master's Degree in Nutrition Preferred/Desired PhD. .

Minimum Work Experience
2 years- At least 2 - 3 years of experience including clinical management of patients with metabolic disorders, experience with research projects with this population. Experience with inborn errors of metabolism, preferred. .

Required Skills/Knowledge
Demonstrates effective conflict management skills.

Functional Accountabilities

  • Support the Division of Genetics academic mission.

  • Collect nutritional data for ongoing research projects and proposed projects.
  • Evaluate and disseminate information pertaining to the research of others in area of specialty.
  • Support and is aware of the on-going research of others in area of specialty at CNMC.
  • Participate and guide others in the research process.


  • Oversee other nutritionists within the division; identify staff development needs and communicate as appropriate.

  • Participate in the evaluation of care provided to patients within specialty area and communicate findings to appropriate personnel.
  • Participate in the review, revision and development of care protocols and standards of patient care.
  • Share expertise and knowledge in area of specialty with other health care professionals; model CNMC's values and beliefs; inspire and encourage teamwork.
  • Precept graduate students and new orientees as appropriate.
  • Complete annual self evaluation.

Clinical Practice

  • Assess clinical status of each patient utilizing medical and nursing knowledge; be a clinical resource in area of specialty for parents and the interdisciplinary care team.

  • Accurately present patient findings to attending physician and care team for consultation and review; develop and implement an appropriate plan of care to address patient problems.
  • Write patient care orders/prescribe therapy and or interventions; identify significant changes in patient status using physical exam, lab values, and other diagnostic tests and adjust plan of care accordingly; differentiate between normal and abnormal clinical findings.
  • Perform procedures as indicated. (see position specific competency details).
  • Prescribe legend drugs according to CNMC guidelines.
  • Participate in and organize multidisciplinary patient care and planning conferences.

Patient Resource

  • Model consultation skills as a member of the interdisciplinary team.

  • Provide a point of contact for patients and families pre, post and throughout hospitalization.
  • In collaboration with the patient care team assess learning needs of patients and parents and provide education as necessary.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

  • Anticipate and responds to customer needs; follows up until needs are met

  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others' ideas and opinions

Performance Improvement/Problem-solving
  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility
  • Use resources efficiently
  • Search for less costly ways of doing things

  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and takes time to resolve the situation
  • Demonstrate accurate, clear and timely verbal and written communication
  • Actively promote safety for patients, families, visitors and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Childrens National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law.

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