Western Carolina University Nutrition and Dietetics Program Annual Assessment Report Spring 2007-2008 School: Health Sciences Program: Nutrition and Dietetics Name of person completing report: Wayne E. Billon, Program Director Unit Mission Statement Teaching and learning constitute the central mission of Western Carolina University. Faculty and students in the nutrition and dietetics program are active members in the community of scholarship at Western Carolina University. Faculty are dedicated to providing optimal learning experiences for both majors in the program and students in the Liberal Studies program. Nutrition and dietetics majors are required to take courses across several disciplines represented in the university. The nutrition and dietetics program provides a quality baccalaureate program for students who seek a career in nutrition and dietetics. The program is designed to meet the knowledge and practice standards of the American Dietetic Association by providing a strong liberal arts foundation with professional preparation in nutrition and dietetics sciences. Program emphasis is on didactic preparation in nutrition, dietetics, food science and management with integrated laboratory and clinical experiences. Graduates will obtain the knowledge requirements for entry-level dietetic positions not requiring registration and will be qualified to pursue further training through graduate study and/or ADAaccredited internship experiences. The nutrition and dietetics program also supports the university's commitment to service, research and creative activities. Faculty provides expertise to local schools and community agencies for nutritionrelated activities and research projects. Students are encouraged to participate in service activities, are required to volunteer with local nutrition professionals, and are involved in research activities in class and on their own when possible. Spring 2008 Findings Program student learning outcomes (goals) and assessment measures: Assessment findings are presented in relation to the appropriate program outcome. The goals and outcomes of the Nutrition and Dietetics program are as follows: Goal 1: To provide a quality undergraduate educational program in nutrition and dietetics. Outcome 1.1: The Nutrition and Dietetics program will retain accreditation with the American Dietetic Association. As previously reported, the Nutrition and Dietetics program received an excellent review during the site visit in March 1999 and is accredited for ten years effective July 1999. The last five-year interim report was due on May 1, 2004. It was completed in April of 2004 and the program progress was approved. The next site visit will be the spring of 2009, the exact date is yet to be determined but it will be between January and March. 1 Goal 2: To graduate well-trained professionals possessing the knowledge requirements for entry-level dietetics positions not requiring registration and the skills required to pursue further training through graduate study or ADA-accredited dietetic internships. Outcome 2.1: The program will maintain at least an 80% pass rate on the national registration examination. Each year the American Dietetic Association reports the average pass rate for the past five years. The five year average a year ago was under 80%. The five year average this year was 81%. The last two individual years we had a 92% and an 89% passage, well above the national average. Thus the trend is excellent. With a new curriculum being put in place next year, we expect to see even greater improvements. Outcome 2.2: Seniors enrolled in ND 439: Introduction to Professional Practice will be prepared to enter into a professional internship through mock RD exam testing, learning interview techniques, and resume writing. In order to be eligible for an internship, students must have a baccalaureate degree and complete all didactic requirements. That means a student with a degree in biology will not have to get another degree, but has to complete all of the didactic requirements. We have graduate students in our program each year that are taking undergraduate nutrition classes as graduate students to complete these requirements. While they will not obtain an undergraduate degree, they will be a reflection of our undergraduate program since they will receive a verification statement from us stating that they have completed all of the undergraduate requirements at WCU. We had two such graduate students apply for WCU’s internship last year and both were accepted. We had eight seniors apply for internships at WCU and all were accepted. One senior applied elsewhere. Outcome 2.3: Seniors and graduates that pursue an internship will be positively evaluated by a six member Nutrition and Dietetics Advisory Council in the following areas of competence: a. Professional behavior (respectful conduct and communication, dress, etc.), professional ethics (patient confidentiality, etc.), and work ethic (timeliness, staying for entire shift, etc.) b. Academic preparation and knowledge These data are collected annually in a semi-structured focus group session with ND faculty and the Advisory Council. At some point in time before my appointment as Program Director, the Advisory Council ceased functioning in this capacity. I am in the process of reorganizing a similar advisory council that will be in effect next year. However, as in the past two years, preceptors of the interns continue to informally communicate with the Internship Director and the Program Director that during the 2007-2008 academic year, the students from WCU's dietetics program continue to be well-prepared and able to complete internship requirements with few problems. Professional behavior also has continued to be excellent for the past year with no incidents that I am aware of. Our students continue to compare favorably with the other institutions and I have been informed that an improvement can be seen. Program graduates who have been hired by facilities in Western North Carolina continue to perform well. Recent graduates are now employed in several facilities in the area and employers report that they have become valuable members of their staffs, exhibiting excellent preparation and professional behavior while providing services to the community as well as the facility. As was the case last year, in the class of interns finishing 2008, at least four have been offered jobs by one of the facilities they trained in. This is the highest compliment we can be paid. 2 Outcome 2.4: Alumni will indicate satisfaction with the program. The satisfaction outcomes to be measured include: a. Academic preparation (overall and compared to other recent graduates) 1. Food service 2. Food science 3. Food service management 4. Clinical nutrition 5. Community nutrition 6. Nutrition science 7. Research methods b. Employer expectations (ability to meet employer expectations for knowledge and skills) Data designed to measure these outcomes were collected in the fall of 2003. The survey instrument was sent to alumni who had graduated in the past five years as required by the Didactic Program in Dietetics accrediting agency, the Commission on Dietetic Education of the American Dietetic Association. An alumni survey has been updated and was sent out last year and is in the process of being evaluated. Even though it is not required, additional surveys will be sent to employers of students this summer in preparation for the site visit. Based on the informal positive feedback from alumni and employers during the past year, it is anticipated that the surveys will continue to be positive. Outcome 2.5: Graduates will be evaluated as highly competent by dietetic internship preceptors and employers, where competence includes knowledge and skills in the areas listed in outcome 2.4 that are applicable to the graduate's position. As in previous years, the Dietetic Internship Program Director continues to receive extremely positive feedback from internship preceptors during preceptor visits for the 2007-2008 academic year and no major problems have been reported to the Internship Director or the Program Director. Our student numbers are increasing but they do not seem to be increasing as the demand for program graduates increases. The positions that do not require the RD classification, as Nutritionist I and Nutritionist II, are also increasing. Facilities call the undergraduate and internship Program Directors to inform them of potential and current position openings. Often, WCU dietetics faculty are given advance notice of openings because the employers express that they prefer WCU graduates to those of other programs. Many interns are offered positions at facilities in which they were placed during the internship if openings exist. Goal 3: To provide service to the region and the profession, the ND program and student association will participate in extracurricular activities and service learning projects. Outcome 3.1: 100% of students will participate in at least two nutrition-related campus or regional service activities before graduation. The class of 2007-2008 participated in several nutrition-related campus or regional activities. Most participated in more than two activities, and many participated in more than five activities. Many of these activities were on last year’s list because students are required to complete similar projects each year. 3 Examples of activities include: volunteering at the local "soup kitchen" (Community Table) presenting a nutrition lesson to teachers and students in the Jackson County School System volunteering with the campus nutritionist for various campus activities conducting research with WCU students enrolled in wellness classes on eating preferences, nutritional intake, and body image presenting research data at the North Carolina Annual Dietetic meeting in Raleigh, NC (eight abstracts were presented this year) attending meetings of the Jackson County task force for prevention of overweight in children (two faculty members are members of the task force) volunteering to help with health assessments in HSCC 101 classes volunteered at the free Good Samaritan Clinic in Sylva Program changes or improvements resulting from assessment and need for updating: In January of 2007, the American Dietetic Association announced a list of new requirements to be completed to become a registered dietitian. In addition, last spring, they announced what they want the dietitian to look like in the year 2017. To comply with these requirements and to meet these new goals, the Nutrition and Dietetics curriculum has been revised and the new curriculum will be effective next spring. In addition, to meet the needs of the State for nutritionists that are not required to have registered dietitian status, a new track in Community Health has been created. The following list the new curriculums for both tracks: The major core for a degree in Nutrition and Dietetics requires 41 hours as follows (9 of which are included in the Liberal Studies core): BIOL 140 Principles of Biology Credits: (4) BIOL 240 Introduction to Genetics Credits: (3) HSCC 220 Medical Terminology Credits: (3) HSCC 370 Introduction to Pharmacology Credits: (2) MATH 170 Applied Statistics Credits: (3)* ND 239 Dietetics as a Profession Credits (1) ND 310 Food and Culture Credits: (3)* ND 330 Human Nutritional Needs (3) ND 331 Food Science Credits: (4) ND 334 Nutritional Applications Credits: (3) ND 335 Nutrition Through the Life Cycle Credits: (3) ND 340 Community Nutrition Credits: (3) ND 433 Research Methods in Nutrition Credits: (3) PSY 150 General Psychology Credits: (3)* * These 9 hours are included in the liberal studies core. In addition to the core, the Registered Dietitian concentration requires 43 additional hours (6 of which are in the Liberal Studies core). BIOL 293 – Human Physiology I Credits: (4)* (course to be completed before the junior-year.) CHEM 132 – Survey of Chemistry I Credits: (4)* (course to be completed before the junior-year.) CHEM 133 – Survey of Chemistry II Credits: (4) (course to be completed before the junior-year.) HSCC 260 Etiology Credits (3) or 4 BIOL 313 Microbiology Credits: (3) ND 333 Quantity Food Production Credits: (3) ND 342 Nutrition and Athletics Credits(3) ND 432 Institutional Foodservice Management I Credits(3) ND 435 Institutional Foodservice Management II Credits (3) ND 439 Professional Practice Credits: (1) ND 441 Nutritional Biochemistry I Credits: (3) ND 442 Nutritional Biochemistry II Credits: (3) ND 451 Medical Nutrition Therapy I Credits (3) ND 452 Medical Nutrition Therapy II Credits: (3) ND 453 Medical Nutrition Therapy Lab Credits: (1) ND 461 Media Presentations for Dietetic Professionals Credits: (1) ND 483 or 484 or 485 Credits (1) * Six of these 8 hours are in the Liberal Studies core). Electives: General Electives 9 hours Total Hours for Degree with a Registered Dietitian Concentration: 120 In addition to the core, the Community Health concentration requires an additional 42 hours. BIOL 293 Human Physiology Credits: (4)* CHEM 132 General Chemistry Credits: (4) CHEM 133 Organic and Biochemistry Credits: (4)* COUNT 430 Individual and Group Counseling Credits: (3) ENVH 470 Principles of Epidemiology Credits: (3) HEAL 305 Current Health Problems Credits: (3) HEAL 312 Comprehensive Health Education Credits: (3) HSCC 210 Global Disparities in Public Health Credits: (3) HSCC 260 Etiology or BIOL 313 Microbiology Credits: (3) ND 444 Nutrition Education Credits: (3) ND 450 Nutrition Therapy for Health Professionals Credits: (3) PSY 363 Behavioral Intervention Credits: (3) PSY 470 Abnormal Psychology Credits: (3) * Six of these 8 hours are in the Liberal Studies core). Electives: General Electives 10 hours Total Hours for Degree with a Community Health Concentration: 120 These changes will help prepare the dietetics student for the profession of dietetics, meet the advances taking place in medical and nutritional knowledge, and meet the American Dietetic Association’s additional requirments. 5