Shickel Family

Work here is so so very different than what I was doing in America. Not only in regards to the type of patients I am encountering but also the pace and methods of how facilities function here.  In America, I spent the last 7 months counseling patients one on one - mostly patients desiring weight loss, most with diabetes, and a few GI complications or underweight patients. I was working alone in an office, seeing one patient after the other, often not enough time to finish lunch or run to the restroom because I would finish with one patient and another was already waiting (that was most days, there was always the few days a month when no one showed up). I was managing other dietitians, attempting to check in daily and make sure they felt cared for and had issues resolved, and hired 4 new dietitians during that 7 month period to fill gaps after others left. I was using clinical skills I learned in school or from inpatient work from the past 2 years and some motivational interviewing skil