Supervised practice is defined as hours spent in supervised work activities under the guidance of a qualified preceptor. Interns may not work unless a preceptor or approved alternate is present at the rotation.

Interns prepare and perform specific work throughout the rotation. This work is driven by the learning activities to meet the ACEND competencies.

If planning on using a practice site for 40 hours or more the site must have a full-time preceptor available on staff to support the intern’s needs. This includes but is not limited to space available for interns to work and IT access.

If one practice location is not able or willing to provide the required rotation experiences and competencies, the intern is responsible to find an alternate practice site that will fulfill the competencies and experiences.

We suggest lining up a minimum of six to eight potential facilities and preceptors to cover your four rotations. Why?

Because there might be times when an intern presents a placement or preceptor where we feel it might not be a good fit. This could be because the placement is not challenging enough or cannot provide the work experience to meet the ACEND requirements. If this is the case, the intern needs to find the best match to meet their needs.

We are open to listening. However, our decisions are backed by years of experience with the intern’s best interest in mind. Final decisions regarding the acceptance of a facility are not negotiable.


If working at a Dialysis center for part of your clinical rotation, it is suggested to be done the last two weeks of the clinical rotation.

If an intern has previously worked at a WIC (Women Infants and Children) position, it would be best to find another community rotation.

WIC is generally limited to four weeks.

Private practice rotations are best suited for the Health and Nutrition Influencer rotations.

Consultant Dietitians who work mainly in acute or chronic care settings are generally accepted. You will need signed affiliation agreements from each facility (see Affiliation Agreements dropdown).