How can primary care providers move beyond BMI, use body composition meaningfully, and still have compassionate nutrition conversations in the limited time they have?
In this episode of In the Know with Nina, Dr. Nina Crowley is joined by Colleen Sloan, PA-C, RD—a dual-credentialed physician assistant and registered dietitian who practices in pediatric primary care in Florida and hosts the Exam Room Nutrition podcast.
Description
Together we explore why BMI remains the default in primary care, despite its limitations, and how to introduce body composition as a practical, scalable tool. Colleen shares insights from her work with clinicians and dietitians, highlighting common barriers like time, confidence, and stigma, and offers strategies for more effective patient conversations. We also dig into motivational interviewing, the difference between education and counseling, and how referral networks with dietitians can transform care.
Key Takeaways
• Why BMI persists in primary care and what it misses
• How body composition provides richer, more actionable insights
• The biggest barriers clinicians face when discussing nutrition and weight
• Practical strategies like the ask–offer–ask framework to guide conversations
• Why education ≠ counseling, and how team-based care makes the difference
About My Guest
Colleen Sloan, PA-C, RD, is a physician assistant and registered dietitian working in pediatric outpatient care in Florida. She is also the host of the Exam Room Nutrition podcast and creator of the new Obesity Medicine Nutrition Course, designed to equip clinicians and dietitians with practical tools for obesity management, nutrition counseling, and patient support.
How to Connect
Instagram: @examroomnutrition
LinkedIn: Colleen Sloan
