Week2 Day3Chapters 2 - 5AND & CDR

American Dietetic Association (ADA)

• Founded in 1917

• 39 Charter members

• ~75,000 members in 2013

• Major forum for networking, food and nutrition research, political activities, managerial activities

The Academy of Nutrition and Dietetics (AND) and the Profession of Dietetics

• Constitution and Bylaws focus on:– The dietitian: education, practice, research.– The public: protection through good nutrition

practices leading to good health.

Mission and Vision Statement

• Mission: “To empower members to be the nation’s food and nutrition leaders.”

• Vision: “Optimize the nation’s health through food and nutrition.”

Values of the Association

• Organizational and member behavior will be guided through:

Customer focus

Integrity

Innovation

Social responsibility

ADA / AND Logo

• Standard logo adopted in 2008, modified for name change:

“Eatright. Academy of Nutrition and Dietetics”

Membership Categories

• Active

• Honorary

• Retired

• International

• Student

• Associate

Membership Categories--Defined

• Active: Meet academic requirements with designation: RD, DTR, or former president.

• Retired: 62 years of age, actively employed or no longer employed.

• Student: Person enrolled in an accredited education program; active members returning to school.

• Honorary : Persons who have made significant contributions to nutrition/dietetics. Selected by Board of Directors.

• International Formal training outside the U.S. and verified by the country’s dietetics regulatory body.

• Associate.

Benefits of Membership

• Education standards• Networking through Practice Groups• Positions on food and nutrition issues• FNCE• Credentialing programs• Peer-reviewed journal and magazine• Continuing education materials• Access to professional and educational opportunities.• Collaboration with international groups• Scholarships and research funding• Code of Ethics and Standards of Practice

Salary Levels

• Differences in compensation levels:– Years in position– Education level– Job responsibilities– Number of persons supervised– Budget responsibility– Location and type of institution

Governance of the Association

• Annual elections for officers– Board of Directors– House of Delegates– Commission on Dietetic Registration (CDR)– Accreditation Council for Education in Nutrition and Dietetics

(ACEND), formerly known as the Commission on Accreditation for Dietetics Education

• Members of Foundation board appointed.• Officers of Dietetic Practice Groups elected by

members of the group.

Board of Directors

• Composed of 18 members with responsibility for:

1. Strategic direction of the Association2. Fiscal planning and budget handling3. Leadership for Initiatives4. Selects, supports and assesses CEO5. Appoints persons to represent AND6. Set policies for appeals, awards and honors,

publications7. Enforce the Code of Ethics8. Exercise powers and lawful acts under Illinois not-for

profit Corporation act

House of Delegates

• 110 Members• Delegates represent 53 affiliate (state)

dietetic associations—elected by state. Number per state based on total members in state.

• 18 Professional Issues delegated• 10 at-large members• 6 House of Delegates directors

House of Delegates Responsibilities

• Code of Ethics

• Credentialing

• Accreditation • Quality management and Position Papers.• Policy and Strategic Planning.• Represent members concerns as the

voice of members

AND Affiliations

• State and District Associations

• Academy of Nutrition and Dietetics Foundation. Receives monies for charitable purposes; awards scholarships; funds member research; conducts Evidence Analysis Office

• Washington Office / PAC. Lobbies and works with governmental agencies and Congress to further interests of members

Dietetic Practice Groups

• Professional interest groups in AND.

• Members may join one or more groups.

• Membership voluntary, based on interest and payment of dues.

• Groups offer networking opportunities and leadership development.

Accreditation Council for Education in Nutrition and Dietetics (ACEND)

• Establishes and enforces standards for educational preparation for dietitians and dietetic technicians.

• Approves programs that meet the standards.

Commission on Dietetic Registration (CDR)

Mission CDR protects the public through credentialing and assessment processes that assure the competence of registered dietitians and dietetic technicians, registered.

Vision The nation recognizes, seeks out and relies on competent CDR credentialed registered dietitians and dietetic technicians, registered, for food and nutrition expertise.

Commission on Dietetic Registration (CDR)

• Sets certification and recertification standards for members.

• Assists in developing and enforcing the Code of Ethics.

• Administers exam for RD status.

• Recognizes other specialties in specific areas of practice.

Dietetic Undergraduate Education• Didactic Program in Dietetic (DPD)* College curriculum that meets ADA educational standards.• Coordinated Program in Dietetics (CP) College curriculum combined with an experience component.• Dietetic Technician Program (DT)* Course of study in a two-year college or institution meeting ADA educational standards.*Programs require supervised experience

component to meet all ADA educational standards.

Educational Standards

• Current standards issued in 2012.

• Foundation Knowledge and competencies:– Scientific and evidence base of practice– Professional practice expectations– Clinical and customer services– Practice management and resources– Support knowledge

Coordinated Program

• The didactic portion of the program plus the supervised practice is completed during the course of study leading to the degree.

• In most universities, students enter program at the Junior year.

• Intense program in terms of time and experience requirements.

• Students eligible to take R.D. exam upon completion of Coordinated Program (CP).

The Dietetic Internship

Supervised practice essential for RD status for both RD’s and DTR’s.

Programs based on the standards set by ACEND.

Three primary areas stressed in the internship: clinical dietetics, community dietetics, and food service management.

Supervised Practice in Dietetics

• Supervised experience is attained through the dietetic internship, the coordinated program and the dietetic technician program.

• New pathway now available: the Individualized supervised practice pathway (ISSP).

Compensation Benefits

• Almost half of RDs hold advanced degrees and a third of DTRs hold a BS degree or higher.

• Areas in Dietetics in which practitioners earn higher salaries:– Food and nutrition management– Consultation and business– Education and research

Credentialing

• The concept of credentialing of dietitians surfaced as early as 1918 with the need to distinguish dietitians with a college degree and special training from ones with lesser training. The issue of “generalist” versus “specialist” was debated in the 1950’s but not adopted until the 1990’s.

Development of Credentialing

• A committee in the 1960’s studied licensure, registration, and certification. Registration was chosen as the certifying process and the title for those ADA members who chose to become certified was Registered Dietitian (RD).

Requirements of Registration

• Candidates are required to pass a national examination and document evidence of continuing education in each five year period to renew registration. The aim is to protect the health, safety, and welfare of the public by encouraging high standards of performance.

The Registration Examination

• The registration examination is administered online and is available whenever an applicant chooses following completion of education and experience requirements. The examination is also available in other countries in which the Academy has reciprocity.

Specialist Certification

• The concept of specialized practice was approved in 1986. Specialty is defined as an advanced level of practice that responds to a defined area of need and requires demonstrated competence exceeding that for entry level practice.

Current Specialty Areas

• Gerontological Nutrition

• Sports Dietetics

• Pediatric Nutrition

• Renal Nutrition

• Oncology Nutrition

All must be Board certified.

Certificate of Training

• A Certificate of Training is offered by CDR in two areas: Childhood and Adolescent Weight Management and Adult Weight Management. Training for the certificate includes:– Current shared information and skills– Hands-on experience– Reference and resource materials– 32 to 50 hours continuing education units

awarded for completion of a course

Recertification

• In 2001, CDR implemented the Professional Development Portfolio (PDP) for continued certification. The RD or DTR is required to develop an individual five- year plan reflecting a critical analysis of goals and the steps to be taken to maintain professional competency.

Maintenance of Registration

• The RD pays yearly dues.

• The RD engages in 75 clock hours of continuing education each five years.

• The DTR pays dues and accrues 50 clock hours in a five year period.

State Licensure

• Most states (45 + Puerto Rico) have laws that regulate dietitians or nutritionists through licensure, statutory certification, or registration.

• Thirty-one states include a scope of practice as well as protection of the title Registered Dietitian.

• One state has licensure for Dietetic Technicians.

Definition of Terms

• Licensure: a defined scope of practice and right to practice. Practice in the state requires obtaining a license from state.

• Statutory certification: limits use of some titles to persons meeting certain requirements.

• Registration: the least restrictive. Either registered or unregistered persons are permitted to practice the profession.

Guides for Professional Practice

• Standards of Practice (SOP)

Describes a competence level.

• Standards of Professional Performance. (SOPP)

Describes a competent level of behavior in the professional role.

Why are Standards Important?

• Promote safe, effective, and efficient food and nutrition services.

• Based on evidence-based practice.• Improved health care and food and

nutrition service related outcomes.• Continuous quality improvement.• Promote dietetic research, innovation and

practice.• Develop the RD and DTR.

Ethical Practice

• The Professional Code of Ethics is the guiding document for ethical practice in dietetics.

• Ethical practice is a responsibility of every RD and DTR.

• A personal code of conduct that espouses integrity, fairness and doing the “right thing” helps make decisions about ethjcal questions easier.