I get something similar in my job working with investments and people are usually surprised or mad that I can’t give them tax advice. I’m a broker, not a CPA, just because we both deal with money doesn’t mean we both know the same things.
My wife is finishing up her MD of Pharmacy(or pharmacology I guess?) and she had not had any nutrition courses outside of some basics in undergrad. Nutritionists are responsible for nutrition
I was surprised when I got my Bowel Cancer op the NHS was incredibly fast and faster than my private cover through the work could be activated. My treatment in hospital was also better than well!
In the US most of our doctors, outside of things like the Veterans administration, work for private companies. But I don’t think it’s a matter of money. I think it’s a matter one individual can’t be an expert in everything. I’m a software developer. No matter what my boss may think I can’t be an expert in cloud computing, front end dev, back end dev, network security, hardware, etc. I can have some general knowledge but I’m not an expert I all things.
Maybe I’ve been lucky but I’ve had some good primary care physicians who have a little bit of nutritional knowledge but quickly point me to a nutritionist for more detailed guidance. A past doctor I went to had a nutritionist who was part of her practice so it was super simple.
The author of this topic posted a grand total of one time and included a spam post. I missed this originally since I spend almost no time in the Nutrition category.
I am going to handle the author to prevent any future spam posts, I will strip the link from the OP, but I will leave this topic in place since there may be legitimate meat in this topic.
For future reference, please flag questionable posts like this so I or a TR rep can review them and handle spam/bot posting ASAP.
Dietitians exist with a reason…
Please pay me more.
Yet this is frankly a little insulting. Being able to adequately care for my patients is more than motivating enough. Doubling my salary isn’t going to change that. I read journal articles while lying in bed, I’m not sure what else you can ask of me…
As others have alluded to:
Maybe pay teachers more, and use some of that money to help incorporate better habits (eating and cooking) and nutrition knowledge earlier.
USA perspective: I cannot believe how gross my daughter’s school lunches are.
In my experience (Kaiser for the last 5 years or so), the doctors are nice, but it’s clear they have to work within narrow guidelines, and that means dismissing any discussion of alternative diets, or dismissing the notion that diet can be a significant factor as opposed to just taking this medicine. Lots of reasons for this, but it is what it is.
I have crohn’s, and I see a GI doc as well as my primary care doctor. I rarely see them though because they’re not helpful. All they want to do is prescribe tests and treatments. I’m a big believer in a carnivore-lite diet. It’s worked for me. I eat mostly steak, salmon, some chicken/pork, lots of eggs, white rice, potatoes, no greens, that’s pretty much it. I rarely snack because eating meals with whole foods is very filling obviously. Many, if not all doctors, would try to steer me from this diet towards something resembling the food pyramid, which is a joke. But nutritionists at kaiser still use it. I went to see one once, just to see what a nutritionist could offer and it was a total joke. She literally pulled out a diagram of the food pyramid, along with plastic food toys (wtf) as if nutritionists are for kids only. They would be appalled at how much red meat/eggs I eat. My last physical blood test about 6 months ago looked great. My primary care doctor didn’t even mention talking to me about it, because he knows I’m into fitness and eating a certain way and I can’t be bothered by him if tests look good.
After a few years on this diet, my digestion is better than ever. Being an ectomorph, I could always eat more given my fitness activity level, but energy is good, pain-free, free of gas/bloating/indigestion.
Like I said, my doctors are nice and mean well I’m sure. But they clearly are ordered to work within certain guidelines, forcing them to adopt a one-size-fits-all solution for most. There was a time long ago when I remember actually sitting in a doctor’s office, at his desk, chatting for a while about my specific conditions, but that time has seemingly passed.
Of course what you eat has an impact on health and well-being. While the huge topic of nutrition is obviously a human biology subject, it just has limited application to day-to-day clinical medicine.
Doctors are not all stupid about nutrition, but not in the sense of daily routine nutrition to health adults. Rather, managing electrolyte and nutritional deficiencies brought forward by diseases, or managing intravenous or total parenteral nutrition. If you don’t work in clinical medicine, that knowledge is probably not as available, again because of limited relevance.
Odds are neither can her teachers. But I agree with the general sentiment of your post.
Put your money where your mouth is. Show us your lipid panel.
You have crohns which is one disease that diet is very individualistic. Most of us with crohns will have a list of foods that we do not tolerate well. This list tends to be more unique then common. Some cant tolerate vegetables at all yet others have no issues eating a salad.
In my experience where I live, GIs are very busy and overbooked. Mine doesnt discuss diet but has a dietician and a nutrionist on his team to deal with the issues. For me it is a function of his time and what gets the best results. Diet helps us with our symptoms but hasnt been shown to deal with the underlying issues that cause the inflammation we deal with when the disease is active.
My own experience of having this disease since my diagnosis in the late 70s is it is up to me to deal with what works and doesnt work. My time with specialists in the diet/nutrition area didnt add anything to my knowledge. I was advised to keep doing what I was doing. My diet evolved in the 80s to what was eventually known as the low fodmap diet. I still explore diet but as I age I find there are fewer foods that I can tolerate despite being in remission for 12 years.
I dont see anything wrong with your diet if you tolerate it. I find it easier to avoid red meat and stick to fish and chicken. The medical community has a long way to go on truly understanding diet in connection with crohns.
I was a fifth-grade teacher. I can confirm that teachers also dislike school lunches (and would like additional resources for many, many things).
You must be made of money eating lots of eggs. Or maybe you have your own chickens. 
I am both an MD and dentist. The foods and the frequency in which we eat have a direct influence on the health of oral cavity but the influence on the rest of our body is much less known so probably that’s why it isn’t handled in med school (unlike in dental school). And for MDs discussing diet is just a boring detail for which there are dieticians who can do that for you…
(Incidentally the diet MDs recommend really aren’t very good for oral health)
It’s a common issue that many doctors lack a deep understanding of nutrition, and it’s not entirely their fault. Medical school often focuses more on diagnosing and treating conditions than on preventative care, including nutrition. This imbalance leaves them with limited tools when it comes to giving nutrition advice.
One thing that could improve the situation is incorporating more comprehensive nutrition training into medical programs. There’s definitely been a shift in recent years, but it’s still not where it needs to be. Many people now turn to external resources like gpratings.uk, which compiles insights and reviews from specialists in various fields, including those who emphasize the importance of nutrition in overall health.
Have you made any threads or posts here expanding on this more with examples, explanations, and general guidelines? Would be very interested to read/discuss further. I have a pretty strong general knowledge, but always looking to learn more/other things.
My previous primary care physician had a nutritionist on staff in her practice. But she was also a doctor who definitely made a lot of effort to determine root causes of any issues I had rather than give me some new rx. But that likely explained long wait times at her office as she spent a good amount of time with patients.
Emergency Physician here…I received very little (if any) nutrition education in medical school, granted that was 20 yrs ago, but I doubt it has changed tremendously. Someone upthread mentioned specialization and I think that is a big part of it. I have very little to zero use for nutrition knowledge in my practice. Same could be said for most surgeons, ophthalmology etc. While there are certain specialists that would need it (PCP and GI come to mind) the person above who pointed out that “don’t drink soda etc” is probably good advice for the vast majority of people. There is entire career devoted to nutrition, they just don’t have MD after their name. There is only so much space in the brain, as if there is an entire career devoted to it, that tells you there is a lot to it. So try put that with all the PCP, GI whatever other speciality knowledge and you almost by definition will have a superficial knowledge…