We, a group of four final year Dietetics with Nutrition (DN121) students from IMU University had an incredible opportunity to participate in a one-month specialised focused area (SFA) placement at Shin Kong Wu Ho-Su Memorial Hospital in Taiwan from 12 May 2025 to 6 June 2025. This international experience significantly broadened our perspective on dietetic practice and contributed meaningfully to both our professional development and personal growth.

During our placement at Shin Kong Wu Ho-Su Memorial Hospital, we had the opportunity to observe the hospital’s food service operations, work with 11 different dietitians across both outpatient and inpatient settings, and participate in community service activities.

In the food service department, we were involved in various processes, including menu planning, meal preparation and distribution, audit checks, and the preparation of therapeutic diets. We were particularly impressed by the hospital’s adherence to high food safety standards and the systematic implementation of the Hazard Analysis and Critical Control Point (HACCP) approach in their food service logistics. This is because each step of their storage, meal preparation to delivery was carefully monitored to minimise the risks of contamination and ensuring the safety and quality of the meals served to the patient. Furthermore, the hospital also demonstrated a clear commitment to identify, monitor and control potential hazards at every critical point in food production and distribution process.

One of the most eye-opening experiences was witnessing the preparation of therapeutic diets, especially Oral Nutrition Support (ONS), which differs significantly from the practices in Malaysia. The ONS preparation at Shin Kong is prepared by the kitchen staff whereby they will mix the powder with water and blend it according to the prescription prior to sending it to the ward. On the other hand, the preparation method in Malaysia is usually provided with can of ONS powder and the nurses will prepare it at the ward according to prescription. These experiences highlighted the critical role of teamwork and effective communication in delivering high-quality nutritional care and provided us with valuable insights that will shape our future practice as dietitians.

Additionally, we had the privilege of working with different dietitians across both outpatient and inpatient settings. This exposure enabled us to apply the knowledge and skills acquired during our clinical placement at local hospital(s)/institution in Malaysia. Through insightful discussions with local dietitians, we gained a deeper understanding of Taiwan’s dietetic regulations and practices, allowing us to draw meaningful comparisons between the healthcare systems of Taiwan and Malaysia.

One of the most notable differences we observed at Shin Kong was the proactive approach taken by the dietitians. The dietitian will actively visit patients who are undergoing Ryle’s Tube Feeding and Parenteral Nutrition without needing a referral from doctors or other healthcare professionals. Additionally, all inpatients undergo a Mini Nutritional Assessment (MNA) screening, and those with a score below 7 are automatically followed up by the dietitians for further nutritional intervention. This experience not only broadened our perspective on global dietetic practices but also emphasised the importance of adaptability and cultural competence in diverse healthcare environments.

One of the most enlightening aspects of our practicum was learning about cultural diversity and its role in dietetics. We observed how cultural differences influence dietary preferences and shape nutrition counselling approaches. The dietitians acknowledged the cultural context of each patient by incorporating local dietary practices and beliefs into their assessments and counselling session. Cultural considerations were not only limited to food preferences but also extended to communication skills and family involvement in care decisions. For example, family members were engaged during the counselling session to ensure the home-cooked meals adhered to both cultural practices and nutritional considerations.

Additionally, we had the valuable opportunity to participate in a multidisciplinary team discussion for the first time. The multidisciplinary team discussion is a weekly ward round where all of the healthcare professionals such as doctors, nurses, pharmacist, dietitian and others will share their management plan of the patients. This multidisciplinary team discussion is usually held for ICU patients and patients with enteral feeding. This fruitful experience emphasised the importance of interprofessional collaborative care and its role in delivering patient-centred services. Exposure to this kind of teamwork has undoubtedly enhanced our understanding of holistic care and will contribute to our effectiveness as future dietitians.

Overall, the one-month SFA placement at Shin Kong Wu Ho-Su Memorial Hospital has been a truly transformative experience. The exposure to diverse dietetic practices and a collaborative, multidisciplinary healthcare environment has broadened our professional perspective and deepened our appreciation for the global scope of dietetics. By observing and engaging in the Taiwanese healthcare system, we developed a greater understanding of the importance of evidence-based practice, patient-centred care, and cultural sensitivity.

This practicum also strengthened our communication, critical thinking, and adaptability skills – essential qualities for future dietitians working in dynamic and multicultural settings. The opportunity to learn from experienced professionals in both clinical and community settings has not only enriched our knowledge but also inspired us to strive for excellence in our future practice.

Equipped with these valuable insights and experiences, we are more confident in our ability to contribute meaningfully to the field of dietetics. We look forward to applying the lessons learned in Taiwan as we continue our journey towards becoming competent, compassionate, and globally aware healthcare professionals.

Written by Chan She Mun, Cheah Yun Qin, Chong Wan Tong, Vanessa Wong Shi Ming