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Applying Design Thinking to Identify the Challenges of the Supervised Learning Experience/Supervised Practice Process

David Gaviria1, Elizabeth Chen2

  • 1Department of Nutrition, The University of North Carolina at Chapel Hill, North Carolina, USA.

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
|August 28, 2025
PubMed
Summary

Dietetics program directors face significant challenges in supervised experiential learning/supervised practice, including placement logistics, student mentorship, and preceptor engagement. Collaboration is crucial for future solutions.

Keywords:
design thinkingdieteticseducationinternshipsnutrition

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Area of Science:

  • Dietetics Education
  • Supervised Experiential Learning
  • Health Professions Education

Background:

  • Dietetics program directors are central to supervised experiential learning/supervised practice (internship).
  • The demanding nature of this role is recognized but not previously researched.
  • Design thinking was employed to explore these challenges.

Purpose of the Study:

  • To understand the challenges faced by dietetics program directors in supervised experiential learning/supervised practice.
  • To inform the development of future solutions for these challenges.

Main Methods:

  • Qualitative study involving 17 dietetics program directors across the US.
  • Six 60-minute focus groups conducted via Zoom in October 2022.
  • Thematic analysis used to identify key challenges from transcribed focus group data.

Main Results:

  • Top challenges include placement site logistics, dietetic student mentorship, and preceptor engagement.
  • Directors also expressed concerns regarding the dietetics profession, racism, and diversity.
  • Identified challenges impact the effectiveness of supervised experiential learning/supervised practice.

Conclusions:

  • Supervised experiential learning/supervised practice poses significant challenges for dietetics program directors.
  • Collaboration among program directors, preceptors, universities, and professional bodies is essential.
  • Further research is needed to develop and evaluate solutions for these identified challenges.