How to Become a Registered Dietitian with a Prior Degree

The path to becoming a Registered Dietitian Nutritionist (RDN) is a challenging but rewarding career transition for professionals who already hold a degree in another field. An RDN is a food and nutrition expert, qualified to translate complex scientific information into practical, individualized nutrition care in diverse settings, ranging from hospitals to private practice. Your previous academic and professional background provides a strong foundation of discipline and knowledge. This career change requires a specific, multi-step process centered on meeting the current educational and experiential standards set by the profession’s governing bodies.

Initial Assessment and Prerequisite Review

The first step involves a thorough evaluation of prior academic transcripts against the required coursework for a Didactic Program in Dietetics (DPD). A DPD director at an Accreditation Council for Education in Nutrition and Dietetics (ACEND) accredited program can perform this assessment to identify any missing foundational science and nutrition classes. Completing these prerequisite courses is mandatory before enrolling in a formal dietetics program, though they do not need to be completed at the graduate level.

Commonly required prerequisites include subjects like organic chemistry, anatomy and physiology, microbiology, and introductory nutrition science. These courses establish the necessary scientific foundation for advanced dietetics study. Professionals often fulfill these gaps by taking classes at a community college or through online programs. The goal of this phase is to obtain a DPD Verification Statement, confirming that the required foundational knowledge has been met.

The Modern Education Requirement Earning a Master’s Degree

The educational landscape for dietetics shifted significantly in 2024, when the Commission on Dietetic Registration (CDR) mandated a minimum of a master’s degree to be eligible to take the national registration examination. Merely possessing a bachelor’s degree, even with the DPD coursework, is no longer sufficient for new applicants. This change elevates the required level of academic rigor and professional competency for entry into the field.

For degreed individuals, the pathway involves enrolling in an ACEND-accredited graduate program, which often takes one of two specialized forms. The first option is a Master’s program designed to incorporate the foundational DPD coursework for students who do not have an undergraduate nutrition background. The second option is a Coordinated Program (CP), which is an ACEND-accredited graduate degree that integrates both the academic coursework and the supervised practice experience directly into the curriculum.

Coordinated Programs are highly competitive but offer a streamlined route by combining the education and internship requirements into a single program and application. Alternatively, students can complete a standard Master’s degree in nutrition and dietetics, which prepares them for the separate application to the supervised practice component. Completing a program accredited by ACEND is the formal academic step that makes a candidate eligible to proceed.

Securing Supervised Practice The Dietetic Internship

Following the completion of the required academic coursework, or concurrently in a Coordinated Program, candidates must complete a period of supervised practice, historically known as the Dietetic Internship (DI). This hands-on experience allows students to apply academic knowledge in real-world settings and is a mandatory requirement for eligibility to sit for the registration exam. The minimum required duration for this experience is 1,000 hours under the guidance of qualified dietetic professionals.

The application for a traditional DI is a highly competitive, centralized process managed through the Dietetic Internship Centralized Application Service (DICAS). Applicants submit materials like transcripts, letters of recommendation, and a personal statement. The process culminates in a computer-based matching system administered by D&D Digital, where applicants rank their preferred internships and programs rank their top candidates.

Supervised practice rotations are structured to cover the major areas of dietetic practice, including clinical nutrition, community nutrition, and food service management. The experience is rigorous, often spanning six months to a year, and provides exposure to medical nutrition therapy, public health initiatives, and operational management. Securing a match is frequently considered the most challenging hurdle, making strong academic performance and relevant volunteer experience important for a successful application.

Passing the Registration Examination

The final national requirement to earn the Registered Dietitian Nutritionist credential is successfully passing the Commission on Dietetic Registration (CDR) examination. Eligibility to sit for this exam is granted only after a candidate has completed the ACEND-accredited master’s degree and the supervised practice hours. The exam validates a candidate’s competence to practice as an entry-level RDN.

The CDR exam is a computer-adaptive test administered at Pearson VUE testing centers, consisting of 125 to 145 multiple-choice questions. The exam is structured around four major domains of practice:

  • Principles of Dietetics
  • Nutrition Care for Individuals and Groups
  • Management of Food and Nutrition Programs and Services
  • Foodservice Systems

Candidates have three hours to complete the examination, which requires a scaled score of 25 to pass. Preparation for this comprehensive exam typically involves utilizing specialized review courses and practice tests. Upon passing, the candidate officially earns the national RD or RDN credential. If a candidate does not pass on the first attempt, they are permitted to retest after a 45-day waiting period.

State Licensure and Maintenance

Earning the national RD or RDN credential through the CDR exam makes a professional eligible to practice, but the final step involves meeting specific state requirements. While the CDR credential is the national standard, many states require dietitians to obtain a separate state license or certification to practice legally within their jurisdiction. These state-level regulations exist to protect the public and vary in their requirements and renewal cycles.

The process for obtaining state licensure typically involves submitting an application, paying a fee, and providing proof of the national CDR registration. Some states, such as California, do not require separate licensure, but the majority of states do. To maintain the RDN credential, all registered dietitians must complete 75 Continuing Professional Education Units (CPEUs) within every five-year recertification cycle. This professional development requirement ensures the RDN’s knowledge and skills remain current, with the CDR mandating at least one CPEU be focused on ethics or health equity.