1. Lehman College, CUNY DI Program
Marina Stopler, MS, RD, IBCLC

2. Welcome!

3. What you do not know about Lehman!
1929 construction begins
FDR New Deal
1931 first of four collegiate buildings completed in Gothic stone
1942 WWII – Women Accepted for Volunteer Emergency Service (WAVES) report to campus; aboot camp for navy and coast guard women)
1946 – temporary location for the United Nations
1968 – Lehman College (formerly Hunter-in-the Bronx)
Celebrating 50 years THIS YEAR!!

4. We are . . .
37 acre campus
named after Herbert H. Lehman, NY Governor

5. Surrounded by . . . Bronx Zoo NYBG 250 acres November 8, 1899
Indoor and outdoor gardens
November 8, 1899
843 animals in 22 exhibits
265 acres
Over 4,000 animals and 650 species
Arthur Ave not too far away

6. What you want to know about the DI . . .
14 interns per year
12-month program (fall, spring, summer)
End-of-August start date
Full time program
Interns take 4 co-requisite graduate courses while doing the DI (will go into more detail later)
Registration for Seminar and Supervised Practice for each semester (fall, spring, summer)
Supervised Practice is 1200 hours (about 400 hours per semester)
Range hours supervised practice per week
Our concentration is MNT

7. LuEsther Mertz Library - NYBG
Consortial agreement with Lehman College
Largest collection of botanical information in the world
Biodiversity Library

8. Applications/Applicants
Receive average 100 applications per year
Past 5 years average GPA of matched interns ~3.6
Looking for strong grades in clinical nutrition courses and science courses
We try to match with up to 7 interns from Lehman
We try to match with ~ 7 interns that have MS degree, are in a MS program, or 2nd degree students
Other than Lehman, interns the last 3 years have been from Brooklyn, Hunter, Queens, JWU, Oneonta, Montclair, NYU, Bastyr University (WA State), Kentucky State University, Penn State, UVM
Most of our interns are from the Bronx, Queens, Brooklyn, Manhattan, Westchester and Rockland
Orange, Ulster,, Nassau counties
Connecticut, New Jersey, Minnesota, and Kentucky

9. Acceptance Policy
Must be eligible to enter Lehman's M.S. in Nutrition program
Minimum GPA of 3.0
DPD Sci
DPD Prof
Overall GPA
Potential as a dietetic practitioner
Ranking
Undergraduate and graduate (if applicable) GPA
Work experience
Recommendations by faculty and employers

10. Application – what we look for
GPA (ranges from 3.0 to 4.0)
Work and volunteer experience (more detail later)
Strong recommendations – 2 professors, 1 work/volunteer
Personal statement
Strong writing skills
( s a good sign of professionalism)
DTR is a plus
MS is a plus (or in an MS program)
2nd degree is a plus
Interview

11. Our interns are diverse
Diversity in Language
Cultural and Ethnic Diversity
Spanish
Farsi
Italian
Russian
Arabic
Mandarin
Japanese
Hebrew
Mexico DR
Puerto Rico
Saudi Arabia/Morocco
Italy
Russia
Iran

12. Tend to be a close knit group by the end of the internship! 2018-2019

13. What types of rotations?
Minimum Hours
Medical Nutrition Therapy
470
Food Service Management
300
Research
150
Community
280
Public Health (100 hrs.)
WIC (60 hrs.)
Sustainability (100hrs.)
Teaching Kitchen (20 hrs)
Total hours
1200

14. Medical/background clearance
Within all four main rotations
MNT
Food Service
Community
Public School
Recent medical
TB screening
Flu shot
Background check
Fingerprinting
Some costs are picked up by rotation sites and if not, intern pays the cost

15. What are the typical hours?
Depends
MNT can start as early as 6am
Community – 8, 9, or 10am
Food Service 6am or later
Research - on Lehman campus and at home
Sites can be within 1.5 hours transportation time
Do not need a car

16. Where do interns go for rotations? MNT
Betances Health Center, MANHATTAN
NYC H+HC/Coler-Goldwater Specialty Hospital and Nursing Facility, ROOSEVELT ISLAND, QUEEENS
NYC H+HC/Jacobi, BRONX
NYC H+HC/Lincoln Hospital, BRONX
NYC H+HC/North Central Bronx Hospital, BRONX
NYC H+HC/Woodhull Hospital, BROOKLYN
Greenwich Hospital, CONNECTICUT
Henry J. Carter Hospital and Nursing Facility HARLEM, MANHATTAN
Montefiore Medical Center, New Rochelle/Mount Vernon WESTCHESTER
Montefiore Medical Center - Wakefiled, BRONX
Montefiore Nyack, ROCKLAND COUNTY
St. Barnabus Hospital, BRONX
NYP-Hudson Valley Hospital Center, WESTCHESTER
NYP-The Rogosin Institute, QUEENS
Mary Manning Walsh, MANHATTAN
Hebrew Home at Riverdale, BRONX
Cabrini Eldercare, WESTCHESTER
Northern Manor Multicare Center ROCKLAND COUNTY
Northern Riverview, ROCKLAND COUNTY
Triboro Center for Rehabilitation and Nursing (formerly Daughters of Jacob Nursing Home, BRONX
PRVATE PRACTICE
Roberta Gershner, MS, RD, CDN, WESTCHESTER
Tracy Stopler, MS, RD, CDN, PLAINVIEW

17. NYC Health + Hospitals Corporation
Largest public health care system in the nation
11 hospitals, trauma centers, neighborhood health centers, nursing homes and post-acute care centers
Provides services to more than one million New Yorkers every year in more than 70 locations across the five boroughs
Committed to excellence in health care

18. NYC Health + Hospitals/Jacobi

19. MNT concentration – We want you to have . .
Career opportunities
A successful career as future dietitians
Expected outcomes of successful employment, job performance, and attainment of advanced degrees
The Bronx has a large racial/ethnic population, many recent immigrants, a high rate of poverty, a large portion of elderly residents, and a large number of hospitals and long-term care facilities
The healthcare sector is the leading employer in the Bronx
Lehman is situated in an urban location that continues to need well-educated and trained healthcare workers who can successfully navigate the critical health issues of this borough

20. Bronx Health Statistics
Recent statistics according to the Census Bureau:
Population is estimated to be 1, (July, 2015)
30.3% live in poverty
The median household income ( ) is $34,299
58.3% speak a language other than English at home ( )
34.4% are foreign-born
According to the NYC Department of Community Development (Feb, report), among families where a female heads the household, 49.9% live in poverty.

21. MNT concentration
Perform a nutrition assessment, formulate a nutrition diagnosis, and plan intervention strategies for patients with complex medical conditions, included but not limited to diabetes, multi-organ failure, trauma, and renal disease.
Select, monitor and evaluate complex enteral and parenteral nutrition regimens for patients with complex medical conditions.
Develop and implement transitional feeding from enteral and parenteral nutrition support to oral intake.
Undertake nutrition counseling and education with patients with complex medical conditions.
Observe nasogastric and percutaneous endoscopic patient gastrostomy placement and care.
Participate in the care of patients requiring adaptive feeding devices.
Manage clinical nutritional services

22. Clinical Case Study – in addition to the 470 hours
Required to write a paper based on a patient during MNT rotation
Evidence-based
Presented to the class and in some instances clinical nutrition manager of the MNT site

23. Case Study Papers
Multiple System Atrophy, by Juhy Ali – North Central Bronx
Pediatric Intussusception, by Edwin Elshardi, Jacobi
Dysphagia, by Elizabeth Dalton – Carbrini Eldercare
Unintended Weight Loss/Underweight in Relation to Prolonged Use of Anticonvulsants and Corticosteriods for Cerebral Palsy and Asthma, by Dina D’Alessandro, Betances Health Center
Diverticular Disease, by Nikki Fioretti, NYP-Hudson Valley
The Management of COPD and Adenocarcinoma of the Lungs, by Monica Hindmarch, Montefiore-New Rochelle Hospital
Hepatic Encephalopathy, by Leddy Mezarina, Northern Manor, Rockland County
MNT in ESRD on HD, by Sara Hamdan, Lincoln Hospital

24. Where do interns go for rotations? Food Service
Beth Abraham Health Center, BRONX 
Boulevard ALP, QUEENS, BROOKLYN
GMHC, MANHATTAN
Wartburg Senior Care, WESTCHESTER
Waveny LifeCare Network, NEW CANAAN, CONNECTICUT

25. Where do interns go for rotations? Public HeALTH
Betances Health Center, LOWER MANHATTAN
Children’s Aid Society, MANHATTAN
Dish with Dina, MANHATTAN
Head Start, WESTCHESTER
Northern Riverview, ROCKLAND COUNTY
Open Door, WESTCHESTER
Meals on Wheels, ROCKLAND COUNTY
Mosholu Montefiore Community Center, BRONX

26. Where do interns go for rotations? WIC
Catholic Charities, LONG ISLAND
Montefiore WIC – BRONX and WESTCHESTER
Morrisania WIC
Rockland County DOH, ROCKLAND COUNTY

27. RDs play a role in advocating for safe, nutritious, affordable and sustainable food for the globe; hence the Sustainable, Resilient and Healthy Food and Water Systems (SRS)
Here today are our dietetic interns, plus interns from other CUNY programs. Welcome!
Registered Dietitian Nutritionists play an important role in the health field as many of us are vested in sustainability. Because of this, the Academy of Nutrition and Dietetics, through surveys and collaboration, developed a Sustainable, Resilient and Healthy Food and Water Systems curriculum for dietetics programs to include in their curriculum. The Lehman DI is one of those programs.
We are in a unique position to offer this curriculum due to our affiliation with the NYBG, our proximity to farms (urban and suburban), as well as the college’s partnerships and commitment to its students through gardens, composting, and helping feed our food insecure student population through the Lehman Food Bank.

28. Future of Foods Initiative and the SRS Curriculum
Underlying principles:
Nutrition and health
Social, cultural and ethical capital
Environmental stewardship
Economic viability
“A sustainable and resilient food system - is one that can meet present needs and can be maintained over a long period of time while withstanding environmental threats.”1
Sustainable and resilient food and water systems should also be healthy.
Tagtow A, Robien K, Bergquits E, Bruening M, Dierks L, Hartman BE, Robinson-O’Brien R, Steinitz T, Tahsin B, Underwood T, Wilkins J. Academy of Nutrition and Dietetics: Standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in sustainable, resilient, and healthy food and water systems. J Acad Nutr Diet. 2014;114:

29. Exploring the Food System
7 Sectors of the Food System
Examples of Activities
Production
Processing
Distribution
Preparation
Retail
Consumption
Waste Management
Teaching Kitchens
Meal Planning
Foodservice programs
Federal Food Distribution Programs
Farm Tours
Food Insecurity
Milk Bank
Consumer Food Waste
The interns will explore 7 sectors of the food system.
Activities are centered around current and new affiliations, some of which are pictured here.

30. Where do interns go for rotations? SUSTAINABILITY
FIELD TRIPS
FARMS – STONE BARNS
FOOD DISTRIBUTION – BALDOR FOODS
FOOD WASTE AND COMPOST – NYBG
NY MILK BANK
NEWSLETTER

31. TEACHING KITCHEN TEACH A COOKING CLASS LOCATIONS Lehman Food Lab NYBG
NYP-Hudson Valley/Peter X. Kelly Teaching Kitchen

32. Where do interns go for rotations? Research
Dr. Andrea Boyar
Dr. Lalitha Samuel
Dr. Katherine Burt
Dugeidy Ortiz, Wellness Center
Dr. Brad Shoenfeld, Exercise Science
Dr. Andrea Ronning, Rockefeller University Hospital
Published papers
Poster sessions
Resourse:
NYBG – LuEsther Mertz Library

33. Publications
NEW: Research Question: What racial/ethnic differences exist related to persistence to become a Registered Dietitian Nutritionists among dietetics students or newly credentialed professionals?
Burt, K. G., Delgado, K., O’Hara, J., Gissen, J., & Stopler, M. (2018). Persistence in nutrition education and credentialing among low-income minority students: A qualitative exploratory study. Journal of Best Practices in Health Professions Diversity, 11(2),
Burt, K. G., Kotao, T., Lopez, I., Koeppel, J.,Goldstein, A., Samuel, L., & Stopler, M. (2019). Acceptance of using cricket flour as a low carbohydrate, high protein, sustainable substitute for all-purpose flour in muffins. Journal of Culinary Science &Technology, DOI: /
“Impact of a Sustainability and Climate Change Curriculum and Hydroponic Gardening on Urban Fourth Graders’ Science Achievement Scores, Journal of Environmental Education, by Dr. Katherine Burt and Dina D’Alessandro

34. Publications Professional Meeting Abstracts
PEER REVIEWED PUBLICATIONS:
“Development of the GREEN (Garden Resources, Education, and Environment Nexus) Tool: An Evidence-Based Model for School Garden Integration,” Kate Gardner Burt, Pamela Koch, Isobel Contento, Journal of the Academy of Nutrition and Dietetics, Feb. 2017, Vol. 117, Issue 2
Ethan D, Basch CH, Samuel L, Quinn C, Dunne S. An examination of product packaging marketing strategies used to promote pediatric multivitamins.Journal of Community Health. 2015; 40 (3): PMID:
Samuel L, Basch CH, Ethan D, Hammond R, Chiazzese K. An analysis of sodium, total fat and saturated fat contents of packaged food products advertised in Bronx-based supermarket circulars. Journal of Community Health. 2014; 39(4): PMID:
PROFESSIONAL MEETING ABSTRACTS:
Samuel L, Basch CH, Ethan D, Dunne S, Quinn S. Using nutrition labels of pediatric multi-vitamin supplements to identify risk of over-exposure to fat-soluble vitamins. Poster Presentation at the 2015 Annual Conference of the Society for Nutrition Education and Behavior, July 2015, Pittsburgh, PA.
Wimmer A, Boyar A, Samuel L. Sensory characteristics of shortened cakes, quick breads and yeast breads made with 100% white whole wheat flour. Poster presentation at the 2015 International Conference of Culinary Arts and Sciences, June 2015, Montclair, NJ.
Samuel L, Basch C, Ethan D, Hammond R, Chiazzese K. The need for consumer nutrition education to identify high-sodium processed foods advertised in Bronx-based supermarket circulars. Oral presentation at the 2014 Annual Conference of the Society for Nutrition Education and Behavior, June 2014, Milwaukee, WI.
Samuel L, Levitin, A. Results of a student assignment in an undergraduate lifecycle nutrition class: sweetness and saltiness of toddler foods sold in Bronx-based supermarkets. Poster presentation at 2014 Food and Nutrition Conference and Expo of the Academy of Nutrition and Dietetics, October 2014, Atlanta, GA.

35. Poster Session Karin Arias, Dietetic Intern and graduate student, Katherine Burt, PhD, RD, preceptor
The Association of Food Deserts & the Increased Risk of Developing Chronic Diseases in the Bronx
AIM: In New York City, more than 50% of adults are overweight or obese; almost half of elementary school and Head Start children are an unhealthy weight. People who are overweight have an increased risk of developing chronic diseases such as diabetes, heart disease, and cancer. The present study investigates the correlation between limited access and the affordability of healthy foods, areas typically known as “food deserts,” along with poor dietary intake and rates of these chronic diseases among Bronx residents.
METHOD: Information was obtained from Foodscape reports of the New York City Food Policy Center who complied United Hospital Fund (UHF) neighborhoods data as well as New York City Department of Health and Mental Hygiene’s Community Health Survey data. The information gathered compared the walking distance for residents to fresh fruits and vegetables, food and beverage consumption amongst residents, and residents’ nutrition-related chronic diseases.
RESULTS: In areas where residents have limited access to food, many are also making poor dietary choices and there is a high incidence of chronic disease. Of the 1.4 million residents of the Bronx, about 55% need to walk more than 5 minutes to reach fresh fruits and vegetables; more than 90% are not meeting standard daily serving of vegetables and fruits. Almost 30% consume 1 or more sugar-sweetened drinks daily. Of the adult population, about 14% have been diagnosed with diabetes and about 35% with high blood pressure.
CONCLUSIONS: The results suggest that food environment can heavily dictate the health status of a population based on the access and availability of certain resources, which will impact their dietary choices.

36. Potential Challenges to Successful School Gardening Programs
Poster Session Andrea L Ventura, Dietetic Intern and graduate student Jennifer Rakoff, Dietetic Intern and graduate student Katherine Burt, PhD, RD, preceptor
Potential Challenges to Successful School Gardening Programs
There is an abundance of research regarding the benefits of school gardening. It has been shown that students who participate in gardening programs develop a preference for fruits and vegetables and have a decreased rate of obesity, when compared to children that have never participated in such programs. However, limited research has been conducted to determine which obstacles prevent schools from developing, implementing, and sustaining garden programs. The purpose of this project is to identify the barriers to school gardening, and figure out ways to overcome them.
This study is being conducted through surveys that are being sent out to educators throughout New York State. In identifying the impediments that prevent ultimate success of these gardens it will be easier to identify where improvements can be made. So far, it has been noted that time to work on gardening, funds for equipment, and/or poor allocation of funds received, inadequate staffing, and space for a garden, are the biggest obstacles a school faces when planning and implementing a gardening program. The goal of this research is to develop a better understanding of how school gardeners can maximize their time and energy to ensure the success of the program, which will maximize the benefit to the children.

37. Prior Competencies Up to 100 hours if: Areas
Employed for two years in a facility where competencies specific to supervised practice were met
Areas
MNT
Food Service
Community
Forms need to be completed and signed by employer

38. What are the graduate courses?
12 credits
Clinical Nutrition (Fall)
Nutrition Counseling (Spring)
Public Health and Community Nutrition (Spring)
Food Service Management (Summer)
Courses are in the evening from 6-8:40pm
Food Service and Clinical Nutrition are online
Other courses are typically hybrid
Typical week involves coming to campus one to two times per week

39. What if I already took these courses in my MS program?
Exemptions – two of the following if taken within two years of the start of the internship and grade of B+ or better
Nutrition Counseling
Public Health and Community Nutrition
Food Service Management
Expect all the interns to take the Clinical Nutrition class together

40. Other requirements
Volunteer
Conference

41. Snack break – food lab

42. Who are the faculty members? (2019-2020)
Marina Stopler, MS, RD, CDN, IBCLC
Judith Porcari, MS, RD
Renata Shiloah, MS, RD, CDN
Kate Burt, PhD, RD
Ilse DeVeer, MS, RD
Martine Scannavino, MS, RD
Beth Bainbridge, RD
Lalitha Samuel, PhD

43. DI Director Teaching at Lehman since 1996 DI Director since 2014
BS Biology, SUNY Binghamton
MS Applied Physiology and Nutrition, Teachers College
RD since 1991
IBCLC, certified 1994, 2004, 2014

44. The DI program, semester by semester, is shown in the following table:
Courses
Credits
DFN 641 Community and Public Health 3
DFN 651 Medical Nutrition Therapy
DFN 661 Food Service Management
HEA 620 or DFN 630 – Health Counseling
DFN 730 Supervised Professional Practice 9
DFN 731 Concepts and Methods in Dietetics (Didactic Seminar)
Total 30
These 30 credits will fulfill 9 of the 25 required credits in the MS in Nutrition program, plus all of the elective credits (>=12). In order to complete the MS in Nutrition program at Lehman, an additional 16 credits of coursework would be required.

45. Seminar Fall Spring Summer NCP/MNT
Research project (unrelated to research rotation)
Malnutrition - NFPE
Lesson Plans
Advocacy
Presentations (MNT)
Spring
EAL
Journal Club
Life Cycle
Guest Speakers
Summer
Professional Development
Presentations (MNT, Research, Public School)

46. Applying to the MS Nutrition Program at Lehman
Dr. Lalitha Samuel, Graduate Advisor
12 credits from co-requisite graduate courses
18 credits – DI (seminar and supervised practice)

47. How does the DI tie in with Lehman’s MS in Nutrition
Dr. Lalitha Samuel

48. TOTAL CREDITS: 37
25 CORE CREDITS
Biostatistics
HEA 600
3 cr
Biochemistry or Physiology
BIO 610/644 or DFN 644
4 cr
Nutrition: An Integrated Approach
DFN 610
Lifecycle Nutrition
DFN 620
Nutrition Research
DFN 791
Nutrition Counseling
DFN 637
3 cr (DI)
Public Health & Community Nutrition
DFN 641
Medical Nutrition Therapy
DFN 651
12 ELECTIVE CREDITS
DI courses: DFN 661, will fulfill elective requirements
COMPREHENSIVE EXAM

49. Program Requirements
Successful completion of the DI fulfills 21 credits for the MS (Nutrition)

50. TRANSFER CREDITS Lehman College will accept 12 credits towards the MS:
Graduate courses with a letter grade taken at:
another institution
Lehman as non-matriculate status
Subject to approval from advisor

51. Application Process
Online application:
Application deadlines:
March 15 and October 15
Application requirements:
Official transcripts from all post-secondary schools attended
Two recommendation letters
Personal statement
Resume
Application fee ($75.00 check or money order)
Foreign transcripts must be evaluated by a Foreign Transcript Evaluation Agency.

52. Contacts Ms. Valerie Brown
Office of Graduate Admissions Shuster Hall, Room 150
Marina Stopler
Department of Health Sciences
Gillet Hall, 432
Lalitha Samuel
Gillet Hall, 421B

53. Back to the DI . . . Exams and DI Exit Exams
Continuous exams in seminar
Pre and Post test every semester
Final exam – each semester must achieve an 80% or greater to stay in program
DI Exit Exam (summer) – must achieve an 80% or greater to get DI Verification Statement

54. Meeting CDRN Competencies
Supervised Practice Site rotations
Co-requisite graduate coursework
Seminar
Exams
All put in place to:
meet competencies
increase chance of passing RD exam
be an entry-level dietitian
Interns continuously assessed

55. Where do intern graduates get jobs?
Elmhurst Care Center, Queens (William, 2015)
God’s Love We Deliver, Manhattan (Juhy, 2016)
Hollingswood Center for Rehab, Queens (Kent, 2015)
Jewish Home Lifecare, Westchester (Eydie, 2015, Susan, 2016)
Kings Harbor, Bronx (Lizette 2016 and Jennifer 2017)
Margaret Tietz Nursing & Rehabilitation Center, Queens (Kristi, 2016)
NYP Behavioral Health, White Plains, (Andrea, 2017)
Brooklyn Center for Rehabilitation and Residential Health Care, Brooklyn, (Gila, 2015)
Rhode Island Hospital, RI (Julie, 2015)
Terence Cardinal Cook HHC, Manhattan (Elshardi, 2016)
Dish with Dina, Private Practice Manhattan (Dina, 2016)
Westchester Medical Center, Valhalla (Stephanie, 2017)
NYP-Hudson Valley Medical Center, Cortlandt (Nikki, 2016)
North Central Bronx, Bronx (Stephanie, 2018)

56. CUNY offers a lot for lower cost
Fall 2019 tuition:
$470 per credit Graduate NYS
$855 per credit Graduate Non NYS
18 credits for DI and 12 credits for co-requisite graduate courses = 30 credits
Estimated total: $14,100 (NYS tuition)
Additional costs: $1,500 - $2,000
Books
Transportation
Calculator
Lab coat
Medical/Physical
Fingerprinting

57. 2019-2020 Interns Now it is your turn to Apply to Lehman!