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FROM THE ACADEMY
Scope of Practice
Academy of Nutrition and Dietetics: Scope of
Practice in Nutrition and Dietetics
The Academy Quality Management Committee and Scope of
Practice Subcommittee of the Quality Management Committee
T
HE ACADEMY OF NUTRITION
and Dietetics (Academy), the
professionalassociationforcrede-
ntialed dietetics practitioners—
registered dietitians (RDs) and dietetic
technicians, registered (DTRs)—devel-
oped the scope of practice as a guide for
nutrition and dietetics practitioners.
The purpose of the Scope of Practice in
Nutrition and Dietetics document is
threefold:
1. Provide an overview of the com-
ponents that encompass the
Scope of Practice in Nutrition and
Dietetics; ie, Scope of Practice for
the Registered Dietitian1 and the
Scope of Practice for the Dietetic
Technician, Registered.2
2. Enable RDs and DTRs to be lead-
ers in providing safe, culturally
competent, quality food and nu-
trition services.
3. Introduce resources for RDs and
DTRs to direct scope of practice
decision making.
WHAT IS THE RATIONALE FOR
A SCOPE OF PRACTICE IN
NUTRITION AND DIETETICS?
Scope of Practice in Nutrition and Dietet-
ics encompasses the range of roles, activ-
ities, and regulations within which nutri-
tion and dietetics practitioners perform.
For credentialed practitioners, scope of
practice is typically established within
the practice act and interpreted and con-
trolled by the agency or board that regu-
lates the practice of the profession in a
given state. In today’s dynamic, diverse
Statement of Potential Conflict of Interest:
The authors have no potential conflict of
interest to disclose.
2212-2672/$36.00
doi: 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 and nutrition ser-
vices that are delivered in varied settings.
Thesenewopportunitiesmayleadcreden-
tialed dietetics practitioners to ask, “Is this
activity within my scope of practice?” The
ScopeofPracticeDecisionTool,whichisan
online, interactive tool, permits an RD or
DTR to answer a series of questions to de-
termine whether a particular activity is
withinhisorherscopeofpractice.Thetool
is designed to allow for an RD or DTR to
critically evaluate his or her knowledge,
skill, and demonstrated competence with
criteria resources.
TheScopeofPracticeinNutritionandDi-
etetics is built upon Academy of Nutrition
and Dietetics (Academy) resources:
• American Dietetic Association:
Scope of Dietetics Practice Frame-
work (2005)3;
• Academy of Nutrition and Di-
etetics (Academy)/Commission
on 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 in
Nutrition Care and Standards
of Professional Performance for
DTRs6; and
• American Dietetic Association
Nutrition Care Process and
Model Part I: The 2008 Update.7
In the 2005 Scope of Dietetics Prac-
tice Framework3 article, the Academy
utilized the concept of a framework to
describe the full range of roles, respon-
sibilities, and activities that creden-
tialed dietetic practitioners are edu-
cated and authorized to perform. The
Scope of Practice in Nutrition and Dietet-
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 decision
making that supports quality practice in
traditional, emerging, and expanded
roles. In addition, the Scope of Practice in
Nutrition and Dietetics can serve as a re-
source for organizations seeking an au-
thoritative description of the elements of
competent, safe, and quality nutrition
and dietetics practice.
COMPETENCE IN PRACTICE
Competence is ”a principle of profes-
sional practice, identifying the ability of
the provider to administer safe and reli-
able services on a consistent basis.”8
Competence is integral to the delivery of
safe, quality health care, and other ser-
vices that credentialed dietetics practi-
tioners provide. In keeping with the Code
ofEthics,4 RDsandDTRscanonlypractice
in areas in which they are qualified and
have demonstrated competence in deliv-
ery of food and nutrition services that
achieve safe, ethical, and quality out-
comes. RDs and DTRs are expected to be
competent in, and accept accountability
and responsibility for, ensuring safety
and quality in the services they provide.
Competence to perform designated
activities within defined practice set-
tings is an essential element of the
scope of practice in nutrition and di-
etetics, as demonstrated by the follow-
Approved November 2012 by the Quality
Management Committee of the Academy
of Nutrition and Dietetics (Academy) and
the Academy House of Delegates. Sched-
uled review date: November 2017.
Questions regarding the Scope of Practice
in 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 [email protected]
org.
ing principles:
EMY OF NUTRITION AND DIETETICS S11
mailto:[email protected]
mailto:[email protected]
FROM THE ACADEMY
1. level of experience, skills, and
proficiency to perform desig-
nated activities varies among
individuals;
2. individual practitioners might
not be competent in all aspects
of the field;
3. practitioners are expected to
practice in the areas in which
they are competent; and
4. practitioners pursue additional
education and experience to ex-
pand their individual scope of
practice.3
Competent practitioners use up-to-
date knowledge and skills; make sound
decisions based on appropriate data;
communicate effectively with patients,
customers, and other professionals;
critically evaluate their own practice;
and improve their performance based
on self-awareness, applied practice,
continued education, and feedback
from others.9 Furthermore, according
to the Centers for Medicare and Medic-
aid Services’ Interpretive Guidelines for
Hospitals §482.28(a)(3), “Administra-
tive and technical personnel must be
competent in their assigned duties. This
competence is demonstrated through
education, experience and specialized
training appropriate to the task(s) as-
signed. Personnel files should include
documentation that the staff member(s)
is competent in their respective du-
ties.”10
RDs and DTRs and the RD/DTR team
operate within the directives of appli-
cable federal and state laws and regula-
tions, as well as policies and procedures
established by the organization in
which they are employed. To deter-
mine whether an activity is within the
scope of practice of the RD or DTR, the
practitioner critically evaluates his or
her knowledge, skill, and demonstrated
competence 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 by
the individual practitioner and his or
her organization.
COMPONENTS OF SCOPE OF
PRACTICE IN NUTRITION AND
DIETETICS
The Figure displays the scope of prac-
tice components that RDs and DTRs uti-
lize in nutrition and dietetics. Compo-
S12 JOURNAL OF THE ACADEMY OF NUTRITI
nent descriptions and location of the
documents and resources are provided.
Components are Education Preparation
and Credentialing, Practice Standards,
Practice Management and Advance-
ment, and Practice Resources.
Education Preparation and
Credentialing
RD. The Commission on Dietetic Regis-
tration (CDR), the credentialing agency
for the Academy, defines the RD as
an individual who has met current min-
imum (Baccalaureate) academic re-
quirements with successful completion
of both specified didactic education and
supervised practice experiences through
programs accredited by the Accredita-
tion Council for Education in Nutrition
and Dietetics (ACEND) of the Academy
of Nutrition and Dietetics and who has
successfully completed the Registra-
tion Examination for Dietitians. To
maintain the RD credential, the RD
must comply with the CDR Professional
Development Portfolio recertification
requirements (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 through one of three routes:
• successful completion of a mini-
mum of an Associate degree and
a Dietetic Technician Program as
accredited by the Accreditation
Council for Education in Nutri-
tion and Dietetics (ACEND) of the
Academy of Nutrition and Di-
etetics (Academy) that includes
450 hours of supervised practice
experience;
• successful completion of a mini-
mum of a Baccalaureate degree,
met current academic require-
ments (Didactic Program in Di-
etetics) as accredited by ACEND
of the Academy, successfully
completed a supervised practice
program under the auspices of a
Dietetic Technician Program as
accredited by ACEND; or
• completed a minimum of a Bacca-
laureate degree; successfully com-
pletedaDidacticPrograminDietet-
ics as accredited by ACEND.
In all three routes, the individual
must successfully complete the Regis-
ON AND DIETETICS
tration Examination for Dietetic Tech-
nicians. To maintain the DTR credential,
the DTR must comply with the CDR Pro-
fessional Development Portfolio recer-
tification requirements (accrue 50
hours of approved continuing profes-
sional education every 5 years).12,13
Practice Standards
Practice standards are core documents
of the Academy that lay the foundation
for 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 in Nutrition
Care and Standards of Profes-
sional Performance for RDs5; and
• Standards of Practice in Nutrition
Care and Standards of Profes-
sional Performance for DTRs.6
These resources, along with appli-
cable state and federal regulations,
state practice acts, and organizational
standards and program policies, serve
as guides for ensuring safe, person-
centered, culturally competent, qual-
ity nutrition and dietetics practice.
Additional uses can include any of the
following: evaluate performance, de-
velop position descriptions, contrib-
ute to hiring decisions, initiate regu-
latory reform, or determine whether a
specific activity aligns with a practi-
tioner’s individual scope of practice,
such as clinical privileges.
Practice Management and
Advancement
The Scope of Practice Decision Tool is a
resource that assists RDs and DTRs in
determining whether a new activity is
within their individual scope of prac-
tice and, if applicable, statutory scope
of practice. State and federal regula-
tions, standards of patient/client safety,
ethical practice, organizational policies
and procedures, and education, train-
ing, and competence of the practitioner
form the basis for determining whether
an activity falls within a practitioner’s
scope of practice. The tool can also aid
RDs and DTRs in expanding their prac-
tice in response to changing roles, new
opportunities, and demands for food
and nutrition services. The Scope of
June 2013 Suppl 2 Volume 113 Number 6
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.
June 2013 Suppl 2 Volume 113 Number 6 JOURNAL OF THE
ACADEMY OF NUTRITION AND DIETETICS S13
FROM THE ACADEMY
PracticeDecisionTool,whichisanonline,
interactive tool, is available on the Acad-
emy’s website (http://www.eatright.org/
SHOP).
The Academy’s Dietetics Career Devel-
opment Guide forms the cornerstone for
practice management and advancement
in nutrition and dietetics. The Guide uses
the Dreyfus model of skill acquisition14
to illustrate how a practitioner attains in-
creasing levels of knowledge and skill
throughout a career. Through life-long
learning and professional development,
practitioners acquire and develop skills
that lead to increased competence and
higher levels of practice. The Academy’s
website features a graphic representa-
tion and explanation of the guide (http://
www.eatright.org/futurepractice/).
Maintenance of the RD and DTR creden-
tialsrequiresdocumentationofcontinuing
education via the Professional Develop-
ment Portfolio. Participating in certificate
programs as well as acquiring advanced
degrees and certifications are additional
ways in which RDs and DTRs gain new
skillsandadvancetheirpractice.Anoption
available is CDR’s Board Certification Spe-
cialist for RDs in focus areas of practice in
recognition of an applicant’s documented
practice experience and successful com-
pletion of an examination.15
Practice Resources
The Academy’s practice resources aid
RDs and DTRs in providing safe, quality
food and nutrition services. A brief de-
scription of each resource category is
provided:
• 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 across
the nutrition and dietetics pro-
fession, and are consistent with
the regulatory and legal needs of
the profession. The terms are a
resource for RDs, DTRs, and other
food and nutrition practitioners.
As a reference document, the
definitions serve as standardized
language and standardized ap-
plication in various practice set-
tings (http://www.eatright.org/
scope/).
• The Evidence Analysis Library is a
synthesis of nutritional research
on important dietetics practice
questions and is housed within an
accessible online library. The Evi-
S14 JOURNAL OF THE ACADEMY OF NUTRITI
dence Analysis Library is designed
to guide RDs and DTRs in making
evidence-based decisions16 (http://
www.adaevidencelibrary.com/).
• Evidence-Based Nutrition Practice
Guidelines and Toolkits aid RDs
in implementing evidence-based
practice in specific practice areas.
Evidence-based nutrition practice
guidelines are a series of guiding
statements and treatment algo-
rithms that are developed using a
systematic process for identifying,
analyzing, and synthesizing scien-
tific evidence. They are designed to
assist the RD and patient/client in
makingdecisionsaboutappropriate
nutrition care for specific disease
states or conditions in typical set-
tings. Evidence-based toolkits are a
set of companion documents that
arediseaseorconditionspecificand
detail how the practitioner applies
the evidence-based nutrition prac-
ticeguidelinesinpractice.Evidence-
based nutrition practice guidelines
and toolkits incorporate the Acade-
my’s Nutrition Care Process and
Model as the standard process for
patient/client care (http://www.
adaevidencelibrary.com/) and are
submittedtotheNationalGuideline
Clearinghouse.
• The National Guideline Clearing-
house is an initiative of the Agency
forHealthcareResearchandQuality
(http://www.ahrq.gov/),USDepart-
ment of Health and Human Ser-
vices. The National Guideline Clear-
inghouse was originally created by
the Agency for Healthcare Research
and Quality in partnership with the
American Medical Association and
the American Association of Health
Plans (now America’s Health Insur-
ance Plans). The mission of the Na-
tional Guideline Clearinghouse is to
providephysiciansandotherhealth
professionals, health care providers,
health plans, integrated delivery
systems,andpurchaserswithanac-
cessible mechanism for obtaining
objective, detailed information to
further the dissemination, imple-
mentation, and use of clinical
practice guidelines (http://www.
guideline.gov/about/index.aspx).
• TheNutritionCareManualproducts
are therapeutic diet and profes-
sional practice manuals for RDs,
DTRs, and allied health profession-
ON AND DIETETICS
als that are housed on the Internet
through the Academy website.
Three versions are available: The
Adult Nutrition Care Manual, the Pe-
diatric Nutrition Care Manual, and
the Sports Nutrition Care Manual.
Manuals are based on the Nutrition
CareProcess(NCP) and provide on-
line access to evidence- and
knowledge-based nutrition infor-
mation for safe, quality practice.
All manuals are continuously up-
dated and purchased annually by
subscription.17
• The NCP is a systematic problem-
solving method that credentialed
dietetics practitioners use to think
critically and make decisions that
address practice-related prob-
lems. The NCP contains four dis-
tinct, inter-related steps: nutrition
assessment, nutrition diagnosis,
nutrition intervention, and nutri-
tion monitoring and evaluation.
The NCP is a standardized model
that guides RDs and DTRs in pro-
viding safe, quality nutrition care.7
• Standardized Language for the
NCP, published by the Academy as
the International Dietetics and
Nutrition Terminology (IDNT), in-
cludes commonly used terms by
credentialed dietetics practitio-
ners. The IDNT is one of many
standardized terminologies that
are used by health professions. A
primary function of the IDNT is to
describe, document, and record
dietetics practice and nutrition
care in the medical record. The
NCP and IDNT demonstrate the
unique functions of credentialed
dietetics practitioners, facilitate
clear and consistent descriptions
of the services they provide, and
supply the framework and data
terms for research that assists
with measurement of nutrition
practice and outcomes.18,19
• Nutrition Services Coverage Cod-
ing and Billing provides practice
management information and
best practices regarding coverage
and reimbursement for medical
nutrition therapy (MNT) services
(http://www.eatright.org/cover
age/). MNT is an essential com-
ponent of comprehensive health
care. Individuals with a variety of
conditions and illnesses can im-
prove their health and quality of
June 2013 Suppl 2 Volume 113 Number 6
http://www.eatright.org/SHOP
http://www.eatright.org/SHOP
http://www.eatright.org/futurepractice/
http://www.eatright.org/futurepractice/
http://www.eatright.org/scope/
http://www.eatright.org/scope/
http://www.adaevidencelibrary.com/
http://www.adaevidencelibrary.com/
http://www.adaevidencelibrary.com/
http://www.adaevidencelibrary.com/
http://www.ahrq.gov/
http://www.guideline.gov/about/index.aspx
http://www.guideline.gov/about/index.aspx
http://www.eatright.org/coverage/
http://www.eatright.org/coverage/
FROM THE ACADEMY
life by receiving MNT. During an
MNT intervention, RDs counsel
clients on behavioral and life-
style changes that impact long-
term eating habits and health20
(http://www.eatright.org/cover
age/).
• Position Papers are germane to
the vision, mission, values, goals,
and strategies of the Academy. A
position paper consists of an ab-
stract, a position statement, and a
support paper. The position state-
ment is the Academy’s stance on
an issue, which is derived from
pertinent facts, data, and the re-
search literature. Although a posi-
tion paper is not a comprehensive
literature review of the topic, it
presents current facts, data, and
research. Position papers may
be developed using the Evidence
Analysis Process (http://www.
eatright.org/positions/).
• Practice Papers provide key op-
portunities for critical reasoning
and quality improvement in nutri-
tion and dietetics practice. De-
pending on the topic, practice pa-
pers may be developed using the
Evidence Analysis Process. Other
practice paper topics may include
peer-reviewed perspectives from
content experts, employers, and
alliance groups of the Academy
(http://www.eatright.org/members/
practicepapers/).
• Quality Management Resources are
designed to promote and support
RDs and DTRs in meeting or ex-
ceeding established practice and
professional standards in all em-
ployment settings. The resources
advance quality nutrition and di-
etetics practice, as it is para-
mount to our nation’s health care
and to the marketplace, with the
expectation of public reporting
at national, state, regional, and
organizational levels. Tools are
used to measure quality assur-
ance and performance improve-
ment of health care being pro-
vided, to report outcomes of food
and nutrition services, and to en-
sure the organization is account-
able to their patients/clients.
Clinical Quality Measures being
utilized in health care organi-
zations and practice settings
address 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/).
SUMMARY
The goal of credentialed dietetics practi-
tioners (RDs and DTRs) is to provide safe,
culturally competent, quality care. Within
the flexible and broad boundaries of the
profession of nutrition and dietetics, RDs
and DTRs assume accountability and re-
sponsibility for safe, ethical, and compe-
tent practice that achieves desirable out-
comes.RDsandDTRsengageincontinuing
education and training to maintain cur-
rency, demonstrate competence, and ad-
vance their careers. The Academy devel-
opedthisScopeofPracticeinNutritionand
Dietetics overview document, as well as
other resources, such as the Scope of Prac-
tice for the Registered Dietitian1 and the
Scope of Practice for the Dietetic Techni-
cian,Registered2 toaidRDsandDTRsinas-
sessing their individual scope of practice
and, 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, assists
RDsandDTRsinexamininghisorherindi-
vidual scope of practice activities to meet
theneedsofqualityfoodandnutritionser-
vices.
References
1. Academy of Nutrition and Dietetics Qual-
ity Management Committee and Scope of
Practice Subcommittee of the Quality
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the 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 of
Practice Subcommittee of the Quality
Management Committee. Academy of Nu-
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the Dietetic Technician, Registered. J Acad
Nutr Diet. 2013;113(6 suppl 2):S46-S55.
3. O’Sullivan-Maillet J, Skates J, Pritchett E.
Scope of dietetics practice framework. J
Am Diet Assoc. 2005;105(4):634-640.
4. American Dietetic Association/Commis-
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5. Academy of Nutrition and Dietetics Quality
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8. Miller-Keane, O’Toole M. Miller-Keane Ency-
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10. Centers for Medicare and Medicaid Ser-
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A-Survey, Protocol, Regulations and Inter-
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http://www.cms.gov/manuals/downloads/
som107ap_a_hospitals.pdf. Accessed March
14, 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.
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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 for
dietetic technicians. http://cdrnet.org/
certifications/registration-eligibility-
requirements-for-dietetic-technicians. Ac-
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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.
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certifications/board-certified-specialist. Ac-
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16. Myers EF. ADA Evidence Analysis Library. J
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aspx?id�6877&terms�MNT. Accessed Jan-
uary 5, 2012.
21. National Research Council. Crossing the
Quality Chasm: A New Health System for the
st
21 Century. Washington, DC: National
Academies Press; 2001.
MY OF NUTRITION AND DIETETICS S15
http://www.eatright.org/coverage/
http://www.eatright.org/coverage/
http://www.eatright.org/positions/
http://www.eatright.org/positions/
http://www.eatright.org/members/practicepapers/
http://www.eatright.org/members/practicepapers/
http://www.eatright.org/quality/
http://www.eatright.org/quality/
http://www.cms.gov/manuals/downloads/som107ap_a_hospitals.
pdf
http://www.cms.gov/manuals/downloads/som107ap_a_hospitals.
pdf
http://cdrnet.org/about/who-is-a-registered-dietitian-rd
http://cdrnet.org/about/who-is-a-registered-dietitian-rd
http://cdrnet.org/about/who-is-a-registered-dietitian-rd
http://cdrnet.org/about/who-is-a-dietetic-technician-registered-
dtr
http://cdrnet.org/about/who-is-a-dietetic-technician-registered-
dtr
http://cdrnet.org/certifications/registration-eligibility-
requirements-for-dietetic-technicians
http://cdrnet.org/certifications/registration-eligibility-
requirements-for-dietetic-technicians
http://cdrnet.org/certifications/registration-eligibility-
requirements-for-dietetic-technicians
http://www.cdrnet.org/certifications/board-certified-specialist
http://www.cdrnet.org/certifications/board-certified-specialist
http://www.nutritioncaremanual.org/
http://www.nutritioncaremanual.org/
http://www.eatright.org/HealthProfessionals/content.aspx?id=68
77%26terms=MNT
http://www.eatright.org/HealthProfessionals/content.aspx?id=68
77%26terms=MNT
http://www.eatright.org/HealthProfessionals/content.aspx?id=68
77%26terms=MNT
FROM THE ACADEMY
AUTHOR INFORMATION
Members of the Academy Quality Management Committee
2010-2011, 2011-2012, 2012-2013 and Scope of Practice
Subcommittee of the
Quality Management Committee 2010-2011, 2011-2012, 2012-
2013: Joyce A. Price, MS, RD, LDN–Chair 2010-2011; Sue
Kent, MS, RD, LD–Chair
2011-2012; 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; and
Sharon M. McCauley, MS, MBA, RD, LDN, FADA.
ACKNOWLEDGEMENTS
The Academy Quality Management Committee and its Scope of
Practice Subcommittee thank the following Academy members
for their
assistance with manuscript preparation: COL George A. Dilly,
PhD, RD, LD, US Army; LTC Dianne T. Helinski, MHPE, RD,
LD, US Army; Martin
Yadrick, 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
Academy of Nutrition and Dietetics: Scope of Practice in
Nutrition and DieteticsWhat Is the Rationale for a Scope of
Practice in Nutrition and Dietetics?Competence in
PracticeComponents of Scope of Practice in Nutrition and
DieteticsEducation Preparation and
CredentialingRDDTRPractice StandardsPractice Management
and AdvancementPractice
ResourcesSummaryAcknowledgementsReferences
Some rules for it:
1. One Page, single space.
2. Font size 12, times new roman style.
3. No more than 530 words.(not 250)
4. MLA format.
What should abstract includes: (choose one of three type to
write abstracts. summary not more than 530 words. Not no more
than 250 words. It is better to write 450-530 words.)

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FROM THE ACADEMYScope of PracticeAcademy of Nutrition and .docx

  • 1. FROM THE ACADEMY Scope of Practice Academy of Nutrition and Dietetics: Scope of Practice in Nutrition and Dietetics The Academy Quality Management Committee and Scope of Practice Subcommittee of the Quality Management Committee T HE ACADEMY OF NUTRITION and Dietetics (Academy), the professionalassociationforcrede- ntialed dietetics practitioners— registered dietitians (RDs) and dietetic technicians, registered (DTRs)—devel- oped the scope of practice as a guide for nutrition and dietetics practitioners. The purpose of the Scope of Practice in Nutrition and Dietetics document is threefold: 1. Provide an overview of the com- ponents that encompass the Scope of Practice in Nutrition and Dietetics; ie, Scope of Practice for the Registered Dietitian1 and the Scope of Practice for the Dietetic Technician, Registered.2 2. Enable RDs and DTRs to be lead- ers in providing safe, culturally
  • 2. competent, quality food and nu- trition services. 3. Introduce resources for RDs and DTRs to direct scope of practice decision making. WHAT IS THE RATIONALE FOR A SCOPE OF PRACTICE IN NUTRITION AND DIETETICS? Scope of Practice in Nutrition and Dietet- ics encompasses the range of roles, activ- ities, and regulations within which nutri- tion and dietetics practitioners perform. For credentialed practitioners, scope of practice is typically established within the practice act and interpreted and con- trolled by the agency or board that regu- lates the practice of the profession in a given state. In today’s dynamic, diverse Statement of Potential Conflict of Interest: The authors have no potential conflict of interest to disclose. 2212-2672/$36.00 doi: 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 and nutrition ser- vices that are delivered in varied settings. Thesenewopportunitiesmayleadcreden-
  • 3. tialed dietetics practitioners to ask, “Is this activity within my scope of practice?” The ScopeofPracticeDecisionTool,whichisan online, interactive tool, permits an RD or DTR to answer a series of questions to de- termine whether a particular activity is withinhisorherscopeofpractice.Thetool is designed to allow for an RD or DTR to critically evaluate his or her knowledge, skill, and demonstrated competence with criteria resources. TheScopeofPracticeinNutritionandDi- etetics is built upon Academy of Nutrition and Dietetics (Academy) resources: • American Dietetic Association: Scope of Dietetics Practice Frame- work (2005)3; • Academy of Nutrition and Di- etetics (Academy)/Commission on 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 in Nutrition Care and Standards of Professional Performance for DTRs6; and
  • 4. • American Dietetic Association Nutrition Care Process and Model Part I: The 2008 Update.7 In the 2005 Scope of Dietetics Prac- tice Framework3 article, the Academy utilized the concept of a framework to describe the full range of roles, respon- sibilities, and activities that creden- tialed dietetic practitioners are edu- cated and authorized to perform. The Scope of Practice in Nutrition and Dietet- 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 decision making that supports quality practice in traditional, emerging, and expanded roles. In addition, the Scope of Practice in Nutrition and Dietetics can serve as a re- source for organizations seeking an au- thoritative description of the elements of competent, safe, and quality nutrition and dietetics practice. COMPETENCE IN PRACTICE Competence is ”a principle of profes- sional practice, identifying the ability of the provider to administer safe and reli- able services on a consistent basis.”8
  • 5. Competence is integral to the delivery of safe, quality health care, and other ser- vices that credentialed dietetics practi- tioners provide. In keeping with the Code ofEthics,4 RDsandDTRscanonlypractice in areas in which they are qualified and have demonstrated competence in deliv- ery of food and nutrition services that achieve safe, ethical, and quality out- comes. RDs and DTRs are expected to be competent in, and accept accountability and responsibility for, ensuring safety and quality in the services they provide. Competence to perform designated activities within defined practice set- tings is an essential element of the scope of practice in nutrition and di- etetics, as demonstrated by the follow- Approved November 2012 by the Quality Management Committee of the Academy of Nutrition and Dietetics (Academy) and the Academy House of Delegates. Sched- uled review date: November 2017. Questions regarding the Scope of Practice in 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 [email protected] org. ing principles:
  • 6. EMY OF NUTRITION AND DIETETICS S11 mailto:[email protected] mailto:[email protected] FROM THE ACADEMY 1. level of experience, skills, and proficiency to perform desig- nated activities varies among individuals; 2. individual practitioners might not be competent in all aspects of the field; 3. practitioners are expected to practice in the areas in which they are competent; and 4. practitioners pursue additional education and experience to ex- pand their individual scope of practice.3 Competent practitioners use up-to- date knowledge and skills; make sound decisions based on appropriate data; communicate effectively with patients, customers, and other professionals; critically evaluate their own practice; and improve their performance based on self-awareness, applied practice, continued education, and feedback from others.9 Furthermore, according to the Centers for Medicare and Medic-
  • 7. aid Services’ Interpretive Guidelines for Hospitals §482.28(a)(3), “Administra- tive and technical personnel must be competent in their assigned duties. This competence is demonstrated through education, experience and specialized training appropriate to the task(s) as- signed. Personnel files should include documentation that the staff member(s) is competent in their respective du- ties.”10 RDs and DTRs and the RD/DTR team operate within the directives of appli- cable federal and state laws and regula- tions, as well as policies and procedures established by the organization in which they are employed. To deter- mine whether an activity is within the scope of practice of the RD or DTR, the practitioner critically evaluates his or her knowledge, skill, and demonstrated competence 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 by the individual practitioner and his or her organization. COMPONENTS OF SCOPE OF PRACTICE IN NUTRITION AND DIETETICS The Figure displays the scope of prac- tice components that RDs and DTRs uti-
  • 8. lize in nutrition and dietetics. Compo- S12 JOURNAL OF THE ACADEMY OF NUTRITI nent descriptions and location of the documents and resources are provided. Components are Education Preparation and Credentialing, Practice Standards, Practice Management and Advance- ment, and Practice Resources. Education Preparation and Credentialing RD. The Commission on Dietetic Regis- tration (CDR), the credentialing agency for the Academy, defines the RD as an individual who has met current min- imum (Baccalaureate) academic re- quirements with successful completion of both specified didactic education and supervised practice experiences through programs accredited by the Accredita- tion Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics and who has successfully completed the Registra- tion Examination for Dietitians. To maintain the RD credential, the RD must comply with the CDR Professional Development Portfolio recertification requirements (accrue 75 units of ap- proved continuing professional educa- tion every 5 years).11 DTR. The Commission on Dietetic Regis- tration(CDR)definestheDTRasanindivid-
  • 9. ual who has met current minimum re- quirements through one of three routes: • successful completion of a mini- mum of an Associate degree and a Dietetic Technician Program as accredited by the Accreditation Council for Education in Nutri- tion and Dietetics (ACEND) of the Academy of Nutrition and Di- etetics (Academy) that includes 450 hours of supervised practice experience; • successful completion of a mini- mum of a Baccalaureate degree, met current academic require- ments (Didactic Program in Di- etetics) as accredited by ACEND of the Academy, successfully completed a supervised practice program under the auspices of a Dietetic Technician Program as accredited by ACEND; or • completed a minimum of a Bacca- laureate degree; successfully com- pletedaDidacticPrograminDietet- ics as accredited by ACEND. In all three routes, the individual must successfully complete the Regis- ON AND DIETETICS
  • 10. tration Examination for Dietetic Tech- nicians. To maintain the DTR credential, the DTR must comply with the CDR Pro- fessional Development Portfolio recer- tification requirements (accrue 50 hours of approved continuing profes- sional education every 5 years).12,13 Practice Standards Practice standards are core documents of the Academy that lay the foundation for 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 in Nutrition Care and Standards of Profes- sional Performance for RDs5; and • Standards of Practice in Nutrition Care and Standards of Profes- sional Performance for DTRs.6 These resources, along with appli- cable state and federal regulations, state practice acts, and organizational standards and program policies, serve as guides for ensuring safe, person- centered, culturally competent, qual- ity nutrition and dietetics practice. Additional uses can include any of the following: evaluate performance, de- velop position descriptions, contrib-
  • 11. ute to hiring decisions, initiate regu- latory reform, or determine whether a specific activity aligns with a practi- tioner’s individual scope of practice, such as clinical privileges. Practice Management and Advancement The Scope of Practice Decision Tool is a resource that assists RDs and DTRs in determining whether a new activity is within their individual scope of prac- tice and, if applicable, statutory scope of practice. State and federal regula- tions, standards of patient/client safety, ethical practice, organizational policies and procedures, and education, train- ing, and competence of the practitioner form the basis for determining whether an activity falls within a practitioner’s scope of practice. The tool can also aid RDs and DTRs in expanding their prac- tice in response to changing roles, new opportunities, and demands for food and nutrition services. The Scope of June 2013 Suppl 2 Volume 113 Number 6 FROM THE ACADEMY Figure. Scope of practice components that registered dietitians (RDs) and dietetic technicians, registered (DTRs) utilize in nutrition
  • 12. . and dietetics. ACEND�Accreditation Council for Education in Nutrition and Dietetics; CDR�Commission on Dietetic Registration. June 2013 Suppl 2 Volume 113 Number 6 JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS S13 FROM THE ACADEMY PracticeDecisionTool,whichisanonline, interactive tool, is available on the Acad- emy’s website (http://www.eatright.org/ SHOP). The Academy’s Dietetics Career Devel- opment Guide forms the cornerstone for practice management and advancement in nutrition and dietetics. The Guide uses the Dreyfus model of skill acquisition14 to illustrate how a practitioner attains in- creasing levels of knowledge and skill throughout a career. Through life-long learning and professional development, practitioners acquire and develop skills that lead to increased competence and higher levels of practice. The Academy’s website features a graphic representa- tion and explanation of the guide (http:// www.eatright.org/futurepractice/). Maintenance of the RD and DTR creden- tialsrequiresdocumentationofcontinuing
  • 13. education via the Professional Develop- ment Portfolio. Participating in certificate programs as well as acquiring advanced degrees and certifications are additional ways in which RDs and DTRs gain new skillsandadvancetheirpractice.Anoption available is CDR’s Board Certification Spe- cialist for RDs in focus areas of practice in recognition of an applicant’s documented practice experience and successful com- pletion of an examination.15 Practice Resources The Academy’s practice resources aid RDs and DTRs in providing safe, quality food and nutrition services. A brief de- scription of each resource category is provided: • 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 across the nutrition and dietetics pro- fession, and are consistent with the regulatory and legal needs of the profession. The terms are a resource for RDs, DTRs, and other food and nutrition practitioners. As a reference document, the definitions serve as standardized language and standardized ap- plication in various practice set- tings (http://www.eatright.org/ scope/).
  • 14. • The Evidence Analysis Library is a synthesis of nutritional research on important dietetics practice questions and is housed within an accessible online library. The Evi- S14 JOURNAL OF THE ACADEMY OF NUTRITI dence Analysis Library is designed to guide RDs and DTRs in making evidence-based decisions16 (http:// www.adaevidencelibrary.com/). • Evidence-Based Nutrition Practice Guidelines and Toolkits aid RDs in implementing evidence-based practice in specific practice areas. Evidence-based nutrition practice guidelines are a series of guiding statements and treatment algo- rithms that are developed using a systematic process for identifying, analyzing, and synthesizing scien- tific evidence. They are designed to assist the RD and patient/client in makingdecisionsaboutappropriate nutrition care for specific disease states or conditions in typical set- tings. Evidence-based toolkits are a set of companion documents that arediseaseorconditionspecificand detail how the practitioner applies the evidence-based nutrition prac- ticeguidelinesinpractice.Evidence-
  • 15. based nutrition practice guidelines and toolkits incorporate the Acade- my’s Nutrition Care Process and Model as the standard process for patient/client care (http://www. adaevidencelibrary.com/) and are submittedtotheNationalGuideline Clearinghouse. • The National Guideline Clearing- house is an initiative of the Agency forHealthcareResearchandQuality (http://www.ahrq.gov/),USDepart- ment of Health and Human Ser- vices. The National Guideline Clear- inghouse was originally created by the Agency for Healthcare Research and Quality in partnership with the American Medical Association and the American Association of Health Plans (now America’s Health Insur- ance Plans). The mission of the Na- tional Guideline Clearinghouse is to providephysiciansandotherhealth professionals, health care providers, health plans, integrated delivery systems,andpurchaserswithanac- cessible mechanism for obtaining objective, detailed information to further the dissemination, imple- mentation, and use of clinical practice guidelines (http://www. guideline.gov/about/index.aspx). • TheNutritionCareManualproducts are therapeutic diet and profes-
  • 16. sional practice manuals for RDs, DTRs, and allied health profession- ON AND DIETETICS als that are housed on the Internet through the Academy website. Three versions are available: The Adult Nutrition Care Manual, the Pe- diatric Nutrition Care Manual, and the Sports Nutrition Care Manual. Manuals are based on the Nutrition CareProcess(NCP) and provide on- line access to evidence- and knowledge-based nutrition infor- mation for safe, quality practice. All manuals are continuously up- dated and purchased annually by subscription.17 • The NCP is a systematic problem- solving method that credentialed dietetics practitioners use to think critically and make decisions that address practice-related prob- lems. The NCP contains four dis- tinct, inter-related steps: nutrition assessment, nutrition diagnosis, nutrition intervention, and nutri- tion monitoring and evaluation. The NCP is a standardized model that guides RDs and DTRs in pro- viding safe, quality nutrition care.7 • Standardized Language for the
  • 17. NCP, published by the Academy as the International Dietetics and Nutrition Terminology (IDNT), in- cludes commonly used terms by credentialed dietetics practitio- ners. The IDNT is one of many standardized terminologies that are used by health professions. A primary function of the IDNT is to describe, document, and record dietetics practice and nutrition care in the medical record. The NCP and IDNT demonstrate the unique functions of credentialed dietetics practitioners, facilitate clear and consistent descriptions of the services they provide, and supply the framework and data terms for research that assists with measurement of nutrition practice and outcomes.18,19 • Nutrition Services Coverage Cod- ing and Billing provides practice management information and best practices regarding coverage and reimbursement for medical nutrition therapy (MNT) services (http://www.eatright.org/cover age/). MNT is an essential com- ponent of comprehensive health care. Individuals with a variety of conditions and illnesses can im- prove their health and quality of
  • 18. June 2013 Suppl 2 Volume 113 Number 6 http://www.eatright.org/SHOP http://www.eatright.org/SHOP http://www.eatright.org/futurepractice/ http://www.eatright.org/futurepractice/ http://www.eatright.org/scope/ http://www.eatright.org/scope/ http://www.adaevidencelibrary.com/ http://www.adaevidencelibrary.com/ http://www.adaevidencelibrary.com/ http://www.adaevidencelibrary.com/ http://www.ahrq.gov/ http://www.guideline.gov/about/index.aspx http://www.guideline.gov/about/index.aspx http://www.eatright.org/coverage/ http://www.eatright.org/coverage/ FROM THE ACADEMY life by receiving MNT. During an MNT intervention, RDs counsel clients on behavioral and life- style changes that impact long- term eating habits and health20 (http://www.eatright.org/cover age/). • Position Papers are germane to the vision, mission, values, goals, and strategies of the Academy. A position paper consists of an ab- stract, a position statement, and a support paper. The position state-
  • 19. ment is the Academy’s stance on an issue, which is derived from pertinent facts, data, and the re- search literature. Although a posi- tion paper is not a comprehensive literature review of the topic, it presents current facts, data, and research. Position papers may be developed using the Evidence Analysis Process (http://www. eatright.org/positions/). • Practice Papers provide key op- portunities for critical reasoning and quality improvement in nutri- tion and dietetics practice. De- pending on the topic, practice pa- pers may be developed using the Evidence Analysis Process. Other practice paper topics may include peer-reviewed perspectives from content experts, employers, and alliance groups of the Academy (http://www.eatright.org/members/ practicepapers/). • Quality Management Resources are designed to promote and support RDs and DTRs in meeting or ex- ceeding established practice and professional standards in all em- ployment settings. The resources advance quality nutrition and di- etetics practice, as it is para- mount to our nation’s health care and to the marketplace, with the
  • 20. expectation of public reporting at national, state, regional, and organizational levels. Tools are used to measure quality assur- ance and performance improve- ment of health care being pro- vided, to report outcomes of food and nutrition services, and to en- sure the organization is account- able to their patients/clients. Clinical Quality Measures being utilized in health care organi- zations and practice settings address 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/). SUMMARY The goal of credentialed dietetics practi- tioners (RDs and DTRs) is to provide safe, culturally competent, quality care. Within the flexible and broad boundaries of the profession of nutrition and dietetics, RDs and DTRs assume accountability and re- sponsibility for safe, ethical, and compe- tent practice that achieves desirable out- comes.RDsandDTRsengageincontinuing education and training to maintain cur- rency, demonstrate competence, and ad- vance their careers. The Academy devel-
  • 21. opedthisScopeofPracticeinNutritionand Dietetics overview document, as well as other resources, such as the Scope of Prac- tice for the Registered Dietitian1 and the Scope of Practice for the Dietetic Techni- cian,Registered2 toaidRDsandDTRsinas- sessing their individual scope of practice and, 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, assists RDsandDTRsinexamininghisorherindi- vidual scope of practice activities to meet theneedsofqualityfoodandnutritionser- vices. References 1. Academy of Nutrition and Dietetics Qual- ity Management Committee and Scope of Practice Subcommittee of the Quality Management Committee. Academy of Nu- trition and Dietetics: Scope of Practice for the 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 of Practice Subcommittee of the Quality Management Committee. Academy of Nu- trition and Dietetics: Scope of Practice for the Dietetic Technician, Registered. J Acad Nutr Diet. 2013;113(6 suppl 2):S46-S55. 3. O’Sullivan-Maillet J, Skates J, Pritchett E.
  • 22. Scope of dietetics practice framework. J Am 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. J Am Diet Assoc. 2009;109(8):1461-1467. 5. Academy of Nutrition and Dietetics Quality Management Committee and Scope of Prac- tice Subcommittee of the Quality Manage- ment Committee. Academy of Nutrition and Dietetics: Revised 2012 Standards of Practice in Nutrition Care and Standards of Profes- sional Performance for Registered Dietitians. J Acad Nutr Diet. 2013;113(6 suppl 2):S29-S45. 6. Academy of Nutrition and Dietetics Qual- ity Management Committee and Scope of Practice Subcommittee of the Quality JOURNAL OF THE ACADE Management Committee. Academy of Nutrition and Dietetics: Revised 2012 Standards of Practice in Nutrition Care and Standards of Professional Performance for Dietetic Technicians, Registered. J Acad Nutr 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;
  • 23. 108(7):1113-1117. 8. Miller-Keane, O’Toole M. Miller-Keane Ency- clopedia & Dictionary of Medicine, Nursing, & AlliedHealth.Revisedreprint.7thed.Philadel- phia, PA: Elsevier Health Sciences; 2005. 9. Gates G. Ethics opinion: Dietetics profes- sionals are ethically obligated to maintain personal competence in practice. J Am Diet Assoc. 2003;103:633-635. 10. Centers for Medicare and Medicaid Ser- vices State Operations Manual Appendix A-Survey, Protocol, Regulations and Inter- pretive Guidelines for Hospitals (p 291). http://www.cms.gov/manuals/downloads/ som107ap_a_hospitals.pdf. Accessed March 14, 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 for dietetic technicians. http://cdrnet.org/ certifications/registration-eligibility- requirements-for-dietetic-technicians. Ac-
  • 24. 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. J Am Diet Assoc. 2005;105(5 suppl 1):S79. 17. Academy of Nutrition and Dietetics. Nutrition Care Manual. www.nutritioncaremanual. org/. Accessed on January 5, 2012. 18. Writing Group of the Nutrition Care Process/ Standardized Language Committee. Nutrition Care Process Part II: Using the International Dietetics and Nutrition Terminology to Docu- ment the Nutrition Care Process. J Am Diet 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.
  • 25. aspx?id�6877&terms�MNT. Accessed Jan- uary 5, 2012. 21. National Research Council. Crossing the Quality Chasm: A New Health System for the st 21 Century. Washington, DC: National Academies Press; 2001. MY OF NUTRITION AND DIETETICS S15 http://www.eatright.org/coverage/ http://www.eatright.org/coverage/ http://www.eatright.org/positions/ http://www.eatright.org/positions/ http://www.eatright.org/members/practicepapers/ http://www.eatright.org/members/practicepapers/ http://www.eatright.org/quality/ http://www.eatright.org/quality/ http://www.cms.gov/manuals/downloads/som107ap_a_hospitals. pdf http://www.cms.gov/manuals/downloads/som107ap_a_hospitals. pdf http://cdrnet.org/about/who-is-a-registered-dietitian-rd http://cdrnet.org/about/who-is-a-registered-dietitian-rd http://cdrnet.org/about/who-is-a-registered-dietitian-rd http://cdrnet.org/about/who-is-a-dietetic-technician-registered- dtr http://cdrnet.org/about/who-is-a-dietetic-technician-registered- dtr http://cdrnet.org/certifications/registration-eligibility- requirements-for-dietetic-technicians http://cdrnet.org/certifications/registration-eligibility- requirements-for-dietetic-technicians
  • 26. http://cdrnet.org/certifications/registration-eligibility- requirements-for-dietetic-technicians http://www.cdrnet.org/certifications/board-certified-specialist http://www.cdrnet.org/certifications/board-certified-specialist http://www.nutritioncaremanual.org/ http://www.nutritioncaremanual.org/ http://www.eatright.org/HealthProfessionals/content.aspx?id=68 77%26terms=MNT http://www.eatright.org/HealthProfessionals/content.aspx?id=68 77%26terms=MNT http://www.eatright.org/HealthProfessionals/content.aspx?id=68 77%26terms=MNT FROM THE ACADEMY AUTHOR INFORMATION Members of the Academy Quality Management Committee 2010-2011, 2011-2012, 2012-2013 and Scope of Practice Subcommittee of the Quality Management Committee 2010-2011, 2011-2012, 2012- 2013: Joyce A. Price, MS, RD, LDN–Chair 2010-2011; Sue Kent, MS, RD, LD–Chair 2011-2012; 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,
  • 27. 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; and Sharon M. McCauley, MS, MBA, RD, LDN, FADA. ACKNOWLEDGEMENTS The Academy Quality Management Committee and its Scope of Practice Subcommittee thank the following Academy members for their assistance with manuscript preparation: COL George A. Dilly, PhD, RD, LD, US Army; LTC Dianne T. Helinski, MHPE, RD, LD, US Army; Martin Yadrick, 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 Academy of Nutrition and Dietetics: Scope of Practice in Nutrition and DieteticsWhat Is the Rationale for a Scope of Practice in Nutrition and Dietetics?Competence in PracticeComponents of Scope of Practice in Nutrition and DieteticsEducation Preparation and CredentialingRDDTRPractice StandardsPractice Management and AdvancementPractice ResourcesSummaryAcknowledgementsReferences Some rules for it: 1. One Page, single space. 2. Font size 12, times new roman style. 3. No more than 530 words.(not 250) 4. MLA format.
  • 28. What should abstract includes: (choose one of three type to write abstracts. summary not more than 530 words. Not no more than 250 words. It is better to write 450-530 words.)