FROM THE ACADEMYScope of Practice

Academy of Nutrition and Dietetics: Scope ofPractice in Nutrition and Dietetics

The Academy Quality Management Committee and Scope of Practice Subcommittee of the Quality Management Committee

THE ACADEMY OF NUTRITIONand Dietetics (Academy), theprofessionalassociationforcrede-ntialed dietetics practitioners—

registered dietitians (RDs) and dietetictechnicians, registered (DTRs)—devel-oped the scope of practice as a guide fornutrition and dietetics practitioners.The purpose of the Scope of Practice inNutrition and Dietetics document isthreefold:

1. Provide an overview of the com-ponents that encompass theScope of Practice inNutrition andDietetics; ie, Scope of Practice forthe Registered Dietitian1 and theScope of Practice for the DieteticTechnician, Registered.2

2. Enable RDs and DTRs to be lead-ers in providing safe, culturallycompetent, quality food and nu-trition services.

3. Introduce resources for RDs andDTRs to direct scope of practicedecision making.

WHAT IS THE RATIONALE FORA SCOPE OF PRACTICE INNUTRITION AND DIETETICS?Scope of Practice inNutrition andDietet-ics encompasses the range of roles, activ-ities, and regulationswithinwhichnutri-tion and dietetics practitioners perform.For credentialed practitioners, scope ofpractice is typically established withinthe practice act and interpreted and con-trolled by the agency or board that regu-lates the practice of the profession in agiven state. In today’s dynamic, diverse

Statement of Potential Conflict of Interest:The authors have no potential conflict ofinterest to disclose.

2212-2672/$36.00doi: 10.1016/j.jand.2012.12.009

Available online 28 February 2013

© 2013 by the Academy of Nutrition and Dietetics.

health care environment, demand is in-creasing for quality food andnutrition ser-vices that are delivered in varied settings.Thesenewopportunitiesmayleadcreden-tialed dietetics practitioners to ask, “Is thisactivity withinmy scope of practice?” TheScopeofPracticeDecisionTool,which isanonline, interactive tool, permits an RD orDTR to answer a series of questions to de-termine whether a particular activity iswithinhisorher scopeofpractice. The toolis designed to allow for an RD or DTR tocritically evaluate his or her knowledge,skill, and demonstrated competence withcriteria resources.TheScopeofPracticeinNutritionandDi-

etetics is built upon Academy of NutritionandDietetics (Academy) resources:

• American Dietetic Association:Scope of Dietetics Practice Frame-work (2005)3;

• Academy of Nutrition and Di-etetics (Academy)/Commissionon Dietetic Registration (CDR)Code of Ethics4;

• Academy of Nutrition and Dietet-ics: Standards of Practice in Nutri-tion Care and Standards of Profes-sional Performance for RDs5;

• Academy of Nutrition and Di-etetics: Standards of Practice inNutrition Care and Standardsof Professional Performance forDTRs6; and

• American Dietetic AssociationNutrition Care Process andModel Part I: The 2008 Update.7

In the 2005 Scope of Dietetics Prac-tice Framework3 article, the Academyutilized the concept of a framework todescribe the full range of roles, respon-sibilities, and activities that creden-tialed dietetic practitioners are edu-cated and authorized to perform. TheScope of Practice inNutrition andDietet-ics embodies the framework compo-nents and includes practice standards,

practice management materials, and

JOURNAL OF THE ACAD

other resources to assist credentialed di-etetics practitioners in sound decisionmaking that supports quality practice intraditional, emerging, and expandedroles. In addition, the Scope of Practice inNutrition and Dietetics can serve as a re-source for organizations seeking an au-thoritative description of the elements ofcompetent, safe, and quality nutritionand dietetics practice.

COMPETENCE IN PRACTICECompetence is ”a principle of profes-sional practice, identifying the ability ofthe provider to administer safe and reli-able services on a consistent basis.”8

Competence is integral to the delivery ofsafe, quality health care, and other ser-vices that credentialed dietetics practi-tionersprovide. In keepingwith theCodeofEthics,4RDsandDTRscanonlypracticein areas in which they are qualified andhavedemonstrated competence indeliv-ery of food and nutrition services thatachieve safe, ethical, and quality out-comes. RDs and DTRs are expected to becompetent in, and accept accountabilityand responsibility for, ensuring safetyand quality in the services they provide.Competence to perform designated

activities within defined practice set-tings is an essential element of thescope of practice in nutrition and di-etetics, as demonstrated by the follow-

Approved November 2012 by the QualityManagement Committee of the Academyof Nutrition and Dietetics (Academy) andthe Academy House of Delegates. Sched-uled review date: November 2017.

Questions regarding the Scope of Practicein Nutrition and Dietetics may be ad-dressed to the Academy Quality Manage-ment Staff: Karen Hui, RD, LDN, manager,Practice Standards; and Sharon M. Mc-Cauley, MS, MBA, RD, LDN, FADA, director,Quality Management at quality@eatright.org.

ing principles:

EMY OF NUTRITION AND DIETETICS S11

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1. level of experience, skills, andproficiency to perform desig-nated activities varies amongindividuals;

2. individual practitioners mightnot be competent in all aspectsof the field;

3. practitioners are expected topractice in the areas in whichthey are competent; and

4. practitioners pursue additionaleducation and experience to ex-pand their individual scope ofpractice.3

Competent practitioners use up-to-date knowledge and skills; make sounddecisions based on appropriate data;communicate effectively with patients,customers, and other professionals;critically evaluate their own practice;and improve their performance basedon self-awareness, applied practice,continued education, and feedbackfrom others.9 Furthermore, accordingto the Centers for Medicare and Medic-aid Services’ Interpretive Guidelines forHospitals §482.28(a)(3), “Administra-tive and technical personnel must becompetent in their assigned duties. Thiscompetence is demonstrated througheducation, experience and specializedtraining appropriate to the task(s) as-signed. Personnel files should includedocumentation that the staff member(s)is competent in their respective du-ties.”10

RDs and DTRs and the RD/DTR teamoperate within the directives of appli-cable federal and state laws and regula-tions, aswell as policies and proceduresestablished by the organization inwhich they are employed. To deter-mine whether an activity is within thescope of practice of the RD or DTR, thepractitioner critically evaluates his orher knowledge, skill, and demonstratedcompetence with criteria resources.The Academy’s Scope of Practice Deci-sion Tool, which is an online, interac-tive tool, is specifically designed to as-sist with this exercise in evaluation bythe individual practitioner and his orher organization.

COMPONENTS OF SCOPE OFPRACTICE IN NUTRITION ANDDIETETICSThe Figure displays the scope of prac-tice components that RDs andDTRs uti-

lize in nutrition and dietetics. Compo-

S12 JOURNAL OF THE ACADEMY OF NUTRITI

nent descriptions and location of thedocuments and resources are provided.Components are Education Preparationand Credentialing, Practice Standards,Practice Management and Advance-ment, and Practice Resources.

Education Preparation andCredentialingRD. The Commission on Dietetic Regis-tration (CDR), the credentialing agencyfor the Academy, defines the RD asan individualwhohasmet currentmin-imum (Baccalaureate) academic re-quirementswith successful completionof both specifieddidactic education andsupervised practice experiences throughprograms accredited by the Accredita-tion Council for Education in Nutritionand Dietetics (ACEND) of the Academyof Nutrition and Dietetics and who hassuccessfully completed the Registra-tion Examination for Dietitians. Tomaintain the RD credential, the RDmust complywith the CDR ProfessionalDevelopment Portfolio recertificationrequirements (accrue 75 units of ap-proved continuing professional educa-tion every 5 years).11

DTR. The Commission on Dietetic Regis-tration(CDR)definestheDTRasanindivid-ual who has met current minimum re-quirements throughone of three routes:

• successful completion of a mini-mum of an Associate degree anda Dietetic Technician Program asaccredited by the AccreditationCouncil for Education in Nutri-tion and Dietetics (ACEND) of theAcademy of Nutrition and Di-etetics (Academy) that includes450 hours of supervised practiceexperience;

• successful completion of a mini-mum of a Baccalaureate degree,met current academic require-ments (Didactic Program in Di-etetics) as accredited by ACENDof the Academy, successfullycompleted a supervised practiceprogram under the auspices of aDietetic Technician Program asaccredited by ACEND; or

• completed a minimum of a Bacca-laureate degree; successfully com-pletedaDidactic PrograminDietet-ics as accredited byACEND.

In all three routes, the individual

must successfully complete the Regis-

ON AND DIETETICS

tration Examination for Dietetic Tech-nicians. Tomaintain theDTR credential,theDTRmust complywith the CDRPro-fessional Development Portfolio recer-tification requirements (accrue 50hours of approved continuing profes-sional education every 5 years).12,13

Practice StandardsPractice standards are core documentsof the Academy that lay the foundationfor the profession of nutrition and di-etetics. Included are the following:

• Code of Ethics4;• Scope of Practice for the RD1;• Scope of Practice for the DTR2;• Standards of Practice inNutrition

Care and Standards of Profes-sional Performance for RDs5; and

• Standards of Practice inNutritionCare and Standards of Profes-sional Performance for DTRs.6

These resources, along with appli-cable state and federal regulations,state practice acts, and organizationalstandards and program policies, serveas guides for ensuring safe, person-centered, culturally competent, qual-ity nutrition and dietetics practice.Additional uses can include any of thefollowing: evaluate performance, de-velop position descriptions, contrib-ute to hiring decisions, initiate regu-latory reform, or determine whether aspecific activity aligns with a practi-tioner’s individual scope of practice,such as clinical privileges.

Practice Management andAdvancementThe Scope of Practice Decision Tool is aresource that assists RDs and DTRs indetermining whether a new activity iswithin their individual scope of prac-tice and, if applicable, statutory scopeof practice. State and federal regula-tions, standards of patient/client safety,ethical practice, organizational policiesand procedures, and education, train-ing, and competence of the practitionerform the basis for determiningwhetheran activity falls within a practitioner’sscope of practice. The tool can also aidRDs and DTRs in expanding their prac-tice in response to changing roles, newopportunities, and demands for food

and nutrition services. The Scope of

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FROM THE ACADEMY

Figure. Scope of practice components that registered dietitians (RDs) and dietetic technicians, registered (DTRs) utilize in nutrition

.

and dietetics. ACEND�Accreditation Council for Education in Nutrition and Dietetics; CDR�Commission on Dietetic Registration.

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PracticeDecisionTool,which isanonline,interactive tool, is available on the Acad-emy’swebsite (http://www.eatright.org/SHOP).The Academy’s Dietetics Career Devel-

opment Guide forms the cornerstone forpractice management and advancementin nutrition and dietetics. TheGuide usesthe Dreyfus model of skill acquisition14

to illustratehowapractitioner attains in-creasing levels of knowledge and skillthroughout a career. Through life-longlearning and professional development,practitioners acquire and develop skillsthat lead to increased competence andhigher levels of practice. The Academy’swebsite features a graphic representa-tion and explanation of the guide (http://www.eatright.org/futurepractice/).Maintenanceof theRDandDTRcreden-

tials requiresdocumentationofcontinuingeducation via the Professional Develop-ment Portfolio. Participating in certificateprograms as well as acquiring advanceddegrees and certifications are additionalways in which RDs and DTRs gain newskills andadvance theirpractice.Anoptionavailable is CDR’s Board Certification Spe-cialist for RDs in focus areas of practice inrecognition of an applicant’s documentedpractice experience and successful com-pletion of an examination.15

Practice ResourcesThe Academy’s practice resources aidRDs and DTRs in providing safe, qualityfood and nutrition services. A brief de-scription of each resource category isprovided:

• The Definition of Terms is a cu-mulative anthology of defini-tions developed by the Academy.The definitions are broad-based,have implications for use acrossthe nutrition and dietetics pro-fession, and are consistent withthe regulatory and legal needs ofthe profession. The terms are aresource for RDs, DTRs, and otherfood and nutrition practitioners.As a reference document, thedefinitions serve as standardizedlanguage and standardized ap-plication in various practice set-tings (http://www.eatright.org/scope/).

• The EvidenceAnalysis Library is asynthesis of nutritional researchon important dietetics practicequestions and is housedwithin an

accessible online library. The Evi-

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dence Analysis Library is designedto guide RDs and DTRs in makingevidence-based decisions16 (http://www.adaevidencelibrary.com/).

• Evidence-Based Nutrition PracticeGuidelines and Toolkits aid RDsin implementing evidence-basedpractice in specific practice areas.Evidence-based nutrition practiceguidelines are a series of guidingstatements and treatment algo-rithms that are developed using asystematic process for identifying,analyzing, and synthesizing scien-tific evidence. They are designed toassist the RD and patient/client inmakingdecisionsaboutappropriatenutrition care for specific diseasestates or conditions in typical set-tings. Evidence-based toolkits are aset of companion documents thatarediseaseorconditionspecificanddetail how the practitioner appliesthe evidence-based nutrition prac-ticeguidelinesinpractice.Evidence-based nutrition practice guidelinesand toolkits incorporate the Acade-my’s Nutrition Care Process andModel as the standard process forpatient/client care (http://www.adaevidencelibrary.com/) and aresubmitted to theNationalGuidelineClearinghouse.

• The National Guideline Clearing-house is an initiative of the AgencyforHealthcareResearchandQuality(http://www.ahrq.gov/),USDepart-ment of Health and Human Ser-vices. The National Guideline Clear-inghouse was originally created bythe Agency for Healthcare Researchand Quality in partnershipwith theAmerican Medical Association andthe American Association of HealthPlans (now America’s Health Insur-ance Plans). The mission of the Na-tional Guideline Clearinghouse is toprovidephysiciansandotherhealthprofessionals, health careproviders,health plans, integrated deliverysystems,andpurchaserswithanac-cessible mechanism for obtainingobjective, detailed information tofurther the dissemination, imple-mentation, and use of clinicalpractice guidelines (http://www.guideline.gov/about/index.aspx).

• TheNutritionCareManualproductsare therapeutic diet and profes-sional practice manuals for RDs,

DTRs, and allied health profession-

ON AND DIETETICS

als that are housed on the Internetthrough the Academy website.Three versions are available: TheAdult Nutrition Care Manual, the Pe-diatric Nutrition Care Manual, andthe Sports Nutrition Care Manual.Manuals are based on the NutritionCareProcess (NCP) andprovideon-line access to evidence- andknowledge-based nutrition infor-mation for safe, quality practice.All manuals are continuously up-dated and purchased annually bysubscription.17

• The NCP is a systematic problem-solving method that credentialeddietetics practitioners use to thinkcritically and make decisions thataddress practice-related prob-lems. The NCP contains four dis-tinct, inter-related steps: nutritionassessment, nutrition diagnosis,nutrition intervention, and nutri-tion monitoring and evaluation.The NCP is a standardized modelthat guides RDs and DTRs in pro-viding safe, quality nutrition care.7

• Standardized Language for theNCP, published by the Academy asthe International Dietetics andNutrition Terminology (IDNT), in-cludes commonly used terms bycredentialed dietetics practitio-ners. The IDNT is one of manystandardized terminologies thatare used by health professions. Aprimary function of the IDNT is todescribe, document, and recorddietetics practice and nutritioncare in the medical record. TheNCP and IDNT demonstrate theunique functions of credentialeddietetics practitioners, facilitateclear and consistent descriptionsof the services they provide, andsupply the framework and dataterms for research that assistswith measurement of nutritionpractice and outcomes.18,19

• Nutrition Services Coverage Cod-ing and Billing provides practicemanagement information andbest practices regarding coverageand reimbursement for medicalnutrition therapy (MNT) services(http://www.eatright.org/coverage/). MNT is an essential com-ponent of comprehensive healthcare. Individuals with a variety ofconditions and illnesses can im-

prove their health and quality of

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life by receiving MNT. During anMNT intervention, RDs counselclients on behavioral and life-style changes that impact long-term eating habits and health20

(http://www.eatright.org/coverage/).

• Position Papers are germane tothe vision, mission, values, goals,and strategies of the Academy. Aposition paper consists of an ab-stract, a position statement, and asupport paper. The position state-ment is the Academy’s stance onan issue, which is derived frompertinent facts, data, and the re-search literature. Although a posi-tion paper is not a comprehensiveliterature review of the topic, itpresents current facts, data, andresearch. Position papers maybe developed using the EvidenceAnalysis Process (http://www.eatright.org/positions/).

• Practice Papers provide key op-portunities for critical reasoningandquality improvement innutri-tion and dietetics practice. De-pending on the topic, practice pa-pers may be developed using theEvidence Analysis Process. Otherpractice paper topics may includepeer-reviewed perspectives fromcontent experts, employers, andalliance groups of the Academy(http://www.eatright.org/members/practicepapers/).

• QualityManagement Resources aredesigned to promote and supportRDs and DTRs in meeting or ex-ceeding established practice andprofessional standards in all em-ployment settings. The resourcesadvance quality nutrition and di-etetics practice, as it is para-mount to our nation’s health careand to the marketplace, with theexpectation of public reportingat national, state, regional, andorganizational levels. Tools areused to measure quality assur-ance and performance improve-ment of health care being pro-vided, to report outcomes of foodand nutrition services, and to en-sure the organization is account-able to their patients/clients.Clinical Quality Measures beingutilized in health care organi-zations and practice settingsaddress one or more quality

elements: safety, effectiveness,

June 2013 Suppl 2 Volume 113 Number 6

patient-centeredness, timeliness,efficiency, and equity21 (http://www.eatright.org/quality/).

SUMMARYThe goal of credentialed dietetics practi-tioners (RDs and DTRs) is to provide safe,culturally competent, quality care. Withinthe flexible and broad boundaries of theprofession of nutrition and dietetics, RDsand DTRs assume accountability and re-sponsibility for safe, ethical, and compe-tent practice that achieves desirable out-comes.RDsandDTRsengage incontinuingeducation and training to maintain cur-rency, demonstrate competence, and ad-vance their careers. The Academy devel-opedthisScopeofPractice inNutritionandDietetics overview document, as well asother resources, such as the Scope of Prac-tice for the Registered Dietitian1 and theScope of Practice for the Dietetic Techni-cian,Registered2 toaidRDsandDTRs inas-sessing their individual scope of practiceand, if applicable, statutory scope of prac-tice, and to support RDs and DTRs in pro-viding safe, quality food and nutrition ser-vices. The Scope of Practice Decision Tool,which is an online, interactive tool, assistsRDsandDTRs inexamininghisorher indi-vidual scope of practice activities to meettheneedsofquality foodandnutritionser-vices.

References1. Academy of Nutrition and Dietetics Qual-

ity Management Committee and Scope ofPractice Subcommittee of the QualityManagement Committee. Academy of Nu-trition and Dietetics: Scope of Practice forthe Registered Dietitian. J Acad Nutr Diet.2013;113(6 suppl 2):S17-S28.

2. Academy of Nutrition and Dietetics Qual-ity Management Committee and Scope ofPractice Subcommittee of the QualityManagement Committee. Academy of Nu-trition and Dietetics: Scope of Practice forthe Dietetic Technician, Registered. J AcadNutr Diet. 2013;113(6 suppl 2):S46-S55.

3. O’Sullivan-Maillet J, Skates J, Pritchett E.Scope of dietetics practice framework. JAm Diet Assoc. 2005;105(4):634-640.

4. American Dietetic Association/Commis-sion on Dietetic Registration. Code of eth-ics for the profession of dietetics and pro-cess for consideration of ethical issues. JAm Diet Assoc. 2009;109(8):1461-1467.

5. Academy of Nutrition and Dietetics QualityManagement Committee and Scope of Prac-tice Subcommittee of the Quality Manage-ment Committee. Academy of Nutrition andDietetics: Revised 2012 Standards of Practicein Nutrition Care and Standards of Profes-sional Performance forRegisteredDietitians. JAcadNutr Diet. 2013;113(6 suppl 2):S29-S45.

6. Academy of Nutrition and Dietetics Qual-

ity Management Committee and Scope ofPractice Subcommittee of the Quality

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Management Committee. Academy ofNutrition and Dietetics: Revised 2012Standards of Practice inNutrition Care andStandards of Professional Performance forDietetic Technicians, Registered. J AcadNutr Diet. 2013;113(6 suppl 2):S56-S71.

7. Writing Group of the Nutrition Care Pro-cess/Standardized Language Committee.Nutrition Care Process and Model Part I:The 2008 Update. J Am Diet Assoc. 2008;108(7):1113-1117.

8. Miller-Keane, O’Toole M. Miller-Keane Ency-clopedia & Dictionary of Medicine, Nursing, &AlliedHealth. Revised reprint. 7thed. Philadel-phia, PA: ElsevierHealth Sciences; 2005.

9. Gates G. Ethics opinion: Dietetics profes-sionals are ethically obligated to maintainpersonal competence in practice. J AmDietAssoc. 2003;103:633-635.

10. Centers for Medicare and Medicaid Ser-vices State Operations Manual AppendixA-Survey, Protocol, Regulations and Inter-pretive Guidelines for Hospitals (p 291).http://www.cms.gov/manuals/downloads/som107ap_a_hospitals.pdf. Accessed March14, 2012.

11. Commission on Dietetic Registration.Who is a registered dietitian (RD)? http://cdrnet.org/about/who-is-a-registered-dietitian-rd. Accessed February 13, 2013.

12. Commission on Dietetic Registration.Who is a dietetic technician, registered(DTR)? http://cdrnet.org/about/who-is-a-dietetic-technician-registered-dtr. Acce-ssed February 13, 2013.

13. Commission on Dietetic Registration.Registration eligibility requirements fordietetic technicians. http://cdrnet.org/certifications/registration-eligibility-requirements-for-dietetic-technicians. Ac-cessed February 13, 2013.

14. Dreyfus HL, Dreyfus SE. Mind over Ma-chine: The Power of Human Intuitive Exper-tise in the Era of the Computer. New York,NY: Free Press; 1986.

15. Commission on Dietetic Registration.CDR certifications. http://www.cdrnet.org/certifications/board-certified-specialist. Ac-cessed February 13, 2013.

16. Myers EF. ADA Evidence Analysis Library. JAm Diet Assoc. 2005;105(5 suppl 1):S79.

17. AcademyofNutrition andDietetics.NutritionCare Manual. www.nutritioncaremanual.org/. Accessed on January 5, 2012.

18. Writing Group of the Nutrition Care Process/Standardized LanguageCommittee.NutritionCare Process Part II: Using the InternationalDietetics andNutrition Terminology toDocu-ment theNutritionCare Process. J AmDiet As-soc. 2008;108(8):1287-1293.

19. Academy of Nutrition and Dietetics. Interna-tional Dietetics and Nutrition Terminology(IDNT) Reference Manual: Standardized Lan-guagefortheNutritionCareProcess.4thed.Chi-cago, IL: Academy of Nutrition and Dietetics;2012.

20. Academy of Nutrition and Dietetics. Med-ical nutrition therapy (MNT). http://www.eatright.org/HealthProfessionals/content.aspx?id�6877&terms�MNT. Accessed Jan-uary 5, 2012.

21. National Research Council. Crossing theQuality Chasm: A NewHealth System for the

st

21 Century. Washington, DC: NationalAcademies Press; 2001.

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AUTHOR INFORMATIONMembers of the Academy Quality Management Committee 2010-2011, 2011-2012, 2012-2013 and Scope of Practice Subcommittee of theQuality Management Committee 2010-2011, 2011-2012, 2012-2013: Joyce A. Price, MS, RD, LDN–Chair 2010-2011; Sue Kent, MS, RD, LD–Chair2011-2012; Marsha R. Stieber, MSA, RD–Chair 2012-2013; Valaree M. Williams, MS, RD, LDN–Vice Chair 2012-2013; Joanne B. Shearer, MS, RD,LN; Charlotte B. Oakley, PhD, RD, FADA; Sharon A. Cox, MA, RD, LD; Mary J. Marian, MS, RD, CSO; Elise A. Smith, MA, RD, LD; Pamela Charney,PhD, RD; M. Patricia Fuhrman, MS, RD, LD, FADA; Isabel M. Parraga, PhD, RD, LD; Doris V. Derelian, JD, PhD, RD, FADA; Terry L. Brown, MPH, RD,CNSC, LD; Susan L. Smith, MBA, RD; Barbara J. Kamp, MS, RD; Gretchen Y. Robinson, MS, RD, LD, FADA; Margaret J. Tate, MS, RD; Carol J. Gilmore,MS, RD, LD, FADA; Patricia L. Steinmuller, MS, RD, CSSD, LN; Jean A. Anderson, MS, RD; Lois J. Hill, MS, RD, CSR, LD; Sandra J. McNeil, MA, RD,CDN, FADA; Bethany L. Daugherty, MS, RD, CD; Pauline Williams, PhD, MPA, RD, CD; Melissa N. Church, MS, RD, LD; Karen Hui, RD, LDN; andSharon M. McCauley, MS, MBA, RD, LDN, FADA.

ACKNOWLEDGEMENTSThe Academy Quality Management Committee and its Scope of Practice Subcommittee thank the following Academy members for theirassistance with manuscript preparation: COL George A. Dilly, PhD, RD, LD, US Army; LTC Dianne T. Helinski, MHPE, RD, LD, US Army; MartinYadrick, MBA, MS, RD, FADA; Elaine Ayres, MS, RD, FAC-PPM; Christina Ferroli, PhD, RD; Connie Mueller, MS, RD, SNS; Diane Duncan-Goldsmith,MS, RD, LD; Angie Tagtow, MS, RD, LD; Deborah Canter, PhD, RD, LD; Glenna McCollum, DMOL, MPH, RD; and Lindsay Hoggle, MS, RD, PMP.

S16 JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS June 2013 Suppl 2 Volume 113 Number 6