Pros
As an RD you get a different type of clinical experience outside of hospital
Cons
The enteral nutrition centers are collapsing under the weight of medical billing/documentation required to get reimbursed. They don't have adequately trained staff in the nutrition center which leads to poor customer service.They cannot service the amount of new referrals for tube feeding and oral nutrition patients that are referred due to poor training and lack of staff-leaving many patients on service with Coram with the frustration of not getting It becomes a heavy burden on field dietitians and sales staff because of huge service failures. Also, the RD sales teams who bring in the business, do not get the correct amount of commissions due to all of the issues described above with collecting revenue. The nutrition center management do not respond to field staff effectively. Communication is extremely poor betweenRD field staff, management, and the enteral nutrition center customer service reps which leads to a demoralizing work environment for the RD clinical liaisons who have to try and market the services while at the same time, put out the "fires" in the field due to lack of service for current and new patients.