In 2011 the North Carolina Board of Dietetics/Nutrition denied Liz Lipski, PhD, CCN, CHN the right to practice as a nutritionist in North Carolina (NC). Dr. Lipski's training and clinical experience far exceed those required for a bachelors level in nutritional sciences.
Dr. Lipski has:
- Both a Master’s and PhD in nutrition
- Two board national certifications in holistic and clinical nutrition
- Faculty positions in nutrition at three universities and two professional institutes
- Taught Registered Dietitians for which ADA awards CEU’s
- Authored four books, numerous publications
- Been recognized as a national expert on Digestive Wellness
- Over 30 years of clinical experience as a nutritionist
After reviewing all of her qualifications, the North Carolina Board held to their position that Dr. Lipski wasn’t as qualified as a Bachelors of Science level, beginning dietitian, and would be a threat to the public if allowed to continue to practice. To be licensed in NC (and in many other states with similar laws) she would need to take Bachelors level courses in food service management, food science, and complete 900 RD-supervised hours in many areas specific only to dietetics and not a clinical nutrition practice. In many states practitioners, as qualified as Dr. Lipski, simply would not be eligible for a license without becoming Registered Dietitians.
Clinical nutrition practice and dietetics are significantly different professional specializations within the field of nutrition and have different training protocols. While both are scientific and evidence-based, dietetic training and expertise is focused on acute/institutional care whereas the clinical nutritionist training and expertise is focused on prevention and long‐term treatment of chronic illness in private practice settings. Creating exclusive licensure for one discipline within a larger profession leaves a system ill equipped to provide the appropriate and effective care for our healthcare needs.
Nutrition science, the training of nutritionists, the desires of consumers for choice, and the public health need for more and better nutrition care have grown exponentially over the last three decades. Antiquated laws such as the one in NC, putting top-notch professionals such as Dr. Liz Lipski out of business, are out of step with our growing need for quality nutrition care. These laws serve one, national trade organization, the Academy of Nutrition and Dietetics but not the health of citizens or the economy of states with these monopolistic laws.
Dr. Lipski took her considerable skills, the revenue and jobs she created for NC, and left the state. This was an unfortunate loss to both the economy as well as the diversity of qualified nutrition care providers of NC.