COMMISSION ON ACCREDITATION FOR DIETETICS EDUCATION AMERICAN DIETETIC ASSOCIATION FOUNDATION KNOWLEDGE AND SKILLS AND COMPETENCY REQUIREMENTS FOR ENTRY-LEVEL DIETETIC TECHNICIANS Individuals interested in becoming Dietetic Technicians, Registered should expect to study a wide variety of topics focusing on food, nutrition, and management. These areas are supported by the sciences: biological, physiological, behavioral, social, and communication. Becoming a Dietetic Technician involves a combination of academic preparation and supervised practice culminating in a minimum of an associate degree from an institution sponsoring a program accredited or approved by the Commission on Accreditation for Dietetics Education (CADE) of the American Dietetic Association. The following foundation knowledge and skill requirements are listed in the eight areas that students will focus on in the academic component of a Dietetic Technician Program. These requirements may be met through separate courses, combined into one course, or as part of several courses as determined by the college or university sponsoring the program. Foundation learning includes knowledge of a topic as it applies to the profession of dietetics, and the ability to demonstrate the skill at a level that can be developed further. To successfully achieve the foundation knowledge and skills, graduates must demonstrate the ability to communicate and collaborate, solve problems, and apply critical thinking skills. The foundation knowledge and skills may be integrated with achievement of the competencies, which identify the performance level expected upon completion of the supervised practice component of the Dietetic Technician program. FOUNDATION KNOWLEDGE AND SKILLS Knowledge of counseling theory and methods, methods of teaching, concepts of human and group dynamics, educational materials development, COMMUNICATIONS interpersonal communication skills, interviewing techniques, basic mathematics, written communication CONTENT AREA PHYSICAL AND BIOLOGICAL SCIENCES applied concepts of chemistry; applied concepts of physiology; applied concepts of microbiology; nutrient-nutrient and drugnutrient interactions; general health assessment, eg, blood pressure and vital signs SOCIAL SCIENCES psychology/sociology, health behaviors and educational needs of diverse populations, economics and nutrition, public policy issues Demonstrated Ability to use oral and written communications in presenting an educational session for target groups, document appropriately a variety of activities interpret medical terminology, interpret laboratory parameters relating to nutrition, apply microbiological and chemical considerations to recipe development FOUNDATION KNOWLEDGE AND SKILLS CONTENT AREA RESEARCH FOOD NUTRITION MANAGEMENT HEALTH CARE SYSTEMS Knowledge of interpretation of current research, needs assessment, basic statistics, quality improvement Demonstrated Ability to sociocultural and ethnic food consumption issues and trends; food technology issues; availability of food and nutrition programs in the community; environmental issues related to food, promotion of pleasurable eating; food availability and access for the individual, the family, and the community; food and nutrition laws/regulations/policies; role of food in promotion of a healthy lifestyle; basic concepts and techniques of food preparation; applied sensory evaluation of food; food production systems; food delivery systems; food and non-food procurement calculate and analyze nutrient composition of foods, determine recipe/formula proportions and modifications for volume food production, apply functions of ingredients in food preparation, demonstrate basic food preparation and presentations skills fundamentals of nutrition and metabolism; assessment of nutritional health risks; influence of socioeconomic, cultural, and psychological factors on food and nutrition behavior; health promotion and disease prevention theories; strategies to assess need for adaptive feeding techniques and equipment; complementary and alternative nutrition and herbal therapies; dietary supplements; influence of age, growth, and normal development on nutrition requirements; applied clinical nutrition calculate diets for health conditions addressed by health promotion/disease prevention activities or uncomplicated instances of chronic diseases of the general population, eg, hypertension, obesity, diabetes, diverticular disease; screen individuals for nutritional risk; determine nutrient requirements across the lifespan; translate nutrition needs into food choices and menus for people of diverse cultures and religions; measure and calculate body composition; calculate basic enteral and parenteral nutrition formulas program planning, monitoring, and evaluation; marketing techniques; systems theory; materials management; financial management; facility management; quality improvement; risk management; diversity issues; applied management theories; applied human resources management, including labor relations; information management collect and interpret information, determine costs of services/operations, develop a personal portfolio current reimbursement issues, health care policy, health care delivery systems 2 Competency statements specify what every dietetic technician should be able to do at the beginning of his or her practice career. The competency statements build on appropriate knowledge and skills necessary for the entry-level practitioner to perform reliably at the level indicated. COMPETENCIES FOR ENTRY-LEVEL DIETETIC TECHNICIANS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. Perform ethically in accordance with the Code of Ethics for the Profession of Dietetics Refer clients/patients to other dietetics professionals or disciplines when a situation is beyond one's level of competence Participate in professional activities Perform self assessment, prepare a portfolio for professional development, and participate in lifelong learning activities Participate in legislative and public policy processes as they affect food, food security, nutrition, and health care Use current technologies for information and communication activities Document nutrition screenings, assessments, and interventions Provide dietetics education in supervised practice settings Educate patient/clients in disease prevention and health promotion and medical nutrition therapy for uncomplicated instances of common conditions, eg, hypertension, obesity, diabetes, diverticular disease Conduct education and training for target groups Assist with development and review of educational materials for target populations Apply new knowledge or skills to practice Participate in quality improvement, including systems and customer satisfaction, for dietetics service and/or practice Participate in development and measurement of outcomes for food and nutrition services and practice Participate in organizational change and planning and goal setting processes Participate in development of departmental budget/operating plan Collect and process financial data Assist with marketing functions Participate in human resources functions Participate in facility management, including equipment selection and design/redesign of work units Supervise organizational unit, including financial, human, physical, and material resources and services Supervise production of food that meets nutrition guidelines, cost parameters, and consumer acceptance Develop and/or modify recipes/formulas Supervise translation of nutrition into foods/menus for target populations Design menus as indicated by the patient's/client's health status Participate in applied sensory evaluation of food and nutrition products Supervise procurement, distribution, and service within delivery systems Supervise safety and sanitation issues Perform nutrition screening of individual patients/clients Assess nutritional status of individual patients/clients with health conditions addressed by health promotion/disease prevention activities or uncomplicated instances of chronic diseases of the general population, eg, hypertension, obesity, diabetes, diverticular disease Assist with nutrition assessment of individual patients/clients with complex medical conditions, eg, renal disease, multi-system organ failure, trauma Assist with design and implementation of nutrition care plans as indicated by the patient's/client's health status Monitor patients'/clients' food and/or nutrient intake 3 34. Participate in the selection, monitoring, and evaluation of standard enteral nutrition regimens, ie, in a medically stable patient to meet nutritional requirements where recommendations/adjustments involve primarily macronutrients 35. Implement transition feeding plans 36. Participate in interdisciplinary team conferences to discuss patient/client treatment and discharge planning 37. Refer patients/clients to appropriate community services for general health and nutrition needs and to other primary care providers as appropriate 38. Conduct screening of the nutritional status of the population and/or community groups 39. Assist with assessment of the nutritional status of the population and/or community groups 40. Participate in nutrition care for people of diverse cultures and religions and across the lifespan from infancy through geriatrics 41. Participate in community-based or worksite health promotion/disease prevention programs 42. Participate in development and evaluation of community-based food and nutrition program 43. Implement and maintain community-based food and nutrition programs 44. Participate in coding and billing of dietetics/nutrition services to submit for reimbursement from public or private insurers Resources Web Site The ADA/CADE Web site includes a listing with selected information on each CADE-accredited Coordinated and Internship Program, and each CADEapproved or accredited Didactic Program in Dietetics and Dietetic Technician Program. Although CADE does not accredit graduate level programs in nutrition or dietetics unless they meet entry-level academic requirements, a listing of graduate programs beyond entry-level in nutrition and dietetics-related areas also is included on the Web site. The URL is http://www.eatright.org/cade. For More Information Contact: ADA Accreditation, Education Programs, and Student Operations 312/899-0040, ext. 5400 Fax: 312/899-4817 E-mail: education@eatright.org Commission on Accreditation for Dietetics Education American Dietetic Association Your link to nutrition and health. sm 120 South Riverside Plaza, Suite 2000 CHICAGO, ILLINOIS 60606-6995 312/899-0040 ext. 5400 www.eatright.org 4/03 4