Intern Handbook Oregon Health & Science University Graduate Programs in Human Nutrition Dietetic Internship Program OHSU - Dietetic Internship Program Handbook 2013-2014 Intern Handbook Oregon Health & Science University Graduate Programs in Human Nutrition Dietetic Internship Program Gaines Hall Room 207 3181 SW Sam Jackson Park Road Portland, OR 97239-3098 By signing this, you verify that you have read the OHSU Dietetic Internship Intern Handbook, the OHSU Code of Conduct, and By-Laws of the Graduate Council and that you understand all content. Any questions should be discussed with the Dietetic Internship Director before and/or during Orientation Week. Printed Name: _______________________________________________ Signature: Date: ______________ Please turn in this signature page during the week of Orientation. We must have this form on record before you begin summer term. Thank You! OHSU - Dietetic Internship Program Handbook 2013-2014 Intern Handbook Oregon Health & Science University Graduate Programs in Human Nutrition Dietetic Internship Program Gaines Hall Room 207 3181 SW Sam Jackson Park Road Portland, OR 97239-3098 By signing this, you verify that you have read the OHSU Dietetic Internship Intern Handbook, the OHSU Code of Conduct, and By-Laws of the Graduate Council and that you understand all content. Any questions should be discussed with the Dietetic Internship Director during Orientation Week. Printed Name: __________________________________________________ Signature: Date: ______________ Keep this copy for your records Table of Contents Introduction & DI Faculty and Staff Accreditation Dietetic Internship (DI) Program Mission and Vision Program Policies a) Absences b) Graduation c) Communication Tools d) Assessment of Prior Learning e) Background Clearance f) Drug Testing g) Immunizations h) Additional Pre-Entrance Requirements i) Extensive Absences j) Inclement Weather k) Injury or Illness at the Practice Site l) Liability and Safety in Travel m) Plagiarism n) Scheduled Breaks o) Student Grievances p) Unsatisfactory Performance q) Verification of Program Completion r) Withdrawal and Refund of Tuition Supervised Practice & Coursework; DI Curriculum Summary Area of Concentration; Additional Learning Outcomes Professionalism Estimated Program Expenses Access & Disability; Student Records Student Health; Other Services The Academy’s Code of Ethics; OHSU Code of Conduct Contact Information & Resources Introduction Page Number(s) 1 2 2-3 3-7 3-4 4 4 4 4 4 5 5 5 5 5 6 6 6 6 6-7 7 7 8-10 10-11 11-12 13 14 14-15 15-16 16 This handbook is designed to provide you with information about the Oregon Health & Science University (OHSU) Graduate Programs in Human Nutrition’s Dietetic Internship Program. It will give you a preview of the program and answer some of the questions you may have. Dietetic interns are held responsible for all of the information contained in this handbook. OHSU - Dietetic Internship Program Handbook 2013-2014 The faculty and staff of the OHSU Graduate Programs in Human Nutrition welcome you and look forward to an exciting year. Diane Stadler, PhD, RD, LD Director Melanie Gillingham, PhD, RD, LD Master’s Program Director Jeri Greenberg, MS, RD, LD Dietetic Internship Director Julie McGuire, MS, RD, LD Clinical Nutrition Education Coordinator TBD Administrative Coordinator Kathleen Holton, PhD, MPH Instructor Leslie Weidner, BS Administrative Coordinator Affiliated Faculty Jackie Shannon, PhD, RD, Research Scientist – Co-Instructor, NUTN 514 Jessie Pavlinac, MS, RD, CSR, LD, Clinical Nutrition Manager, OHSU – Instructor, NUTN 515 Joy Petterson, MS, RD, LD, Patient Food Service Manager, OHSU – Instructor, NUTN 513 Maureen McCarthy, MPH, RD, CSR, LD, Clinical Dietitian Specialist, OHSU – Co-Instructor, NUTN 516 1 OHSU - Dietetic Internship Program Handbook 2013-2014 Accreditation The Accreditation Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics exists to serve the public by establishing and enforcing quality standards for the educational preparation of dietetics practitioners, and by recognizing dietetics education programs that meet these standards. The OHSU Dietetic Internship Program submitted a Program Assessment Report in November of 2012 and was granted continued accreditation in April of 2013. Our next selfstudy and site visit for continued accreditation is scheduled for 2017. Attending and successfully completing the Dietetic Internship Program at OHSU will allow you to apply for eligibility to sit for the registration exam administered by the Commission on Dietetic Registration (CDR). To learn more about the Academy’s credentialing agency visit: http://www.cdrnet.org/ or contact CDR at: Commission on Dietetic Registration 120 South Riverside Plaza, Suite 2000 Chicago, Illinois 60606-6995 Phone: 312-899-0040 Ext. 5500* Toll Free: 800/877-1600 Ext. 5500* Fax: 312-899-4772 Oregon Health & Science University Mission Statement OHSU is the state’s only comprehensive public health academic health center. Its fundamental purpose is to improve the health and well-being of people in Oregon and beyond. A ten-member Board of Directors nominated by the Governor and confirmed by the Oregon Senate governs OHSU. As part of its multifaceted public mission, OHSU strives for excellence in education, research and scholarship, clinical practice and community service. Through its dynamic interdisciplinary environment, OHSU stimulates the spirit of inquiry, initiative, and cooperation among students, faculty and staff. Setting the example for integrity, compassion and leadership, OHSU strives to: • Educate tomorrow’s health professionals, scientists, engineers and managers in top-tier programs that prepare them for a lifetime of learning, leadership and contribution. • Explore new basic, clinical and applied research frontiers in health and biomedical sciences, environmental and biomedical engineering and information sciences, and translate these discoveries, wherever possible, into applications in the health and commercial sectors. • Deliver excellence in health care, emphasizing the creation and implementation of new knowledge and cutting-edge technologies. • Lead and advocate for programs that improve health for all Oregonians, and extend OHSU’s education, research and healthcare missions through community service, partnerships and outreach. Mission of the Dietetic Internship Program The Dietetic Internship (DI) Program prepares graduates to deliver evidence-based nutrition care and dietetics services to improve the health of Oregonians and individuals living throughout the United States. Program faculty and preceptors foster the pursuit of excellence by dietetic interns through the 2 OHSU - Dietetic Internship Program Handbook 2013-2014 provision of a wide array of experiences in professional leadership, didactic opportunities and practice to be carried forward into their professional careers. Our Vision The Graduate Programs in Human Nutrition supports the overall vision of OHSU, which is to improve the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. A fundamental priority throughout OHSU is to enable each student to achieve his or her potential as a health care professional while efficiently and effectively meeting the health-related needs of the multiple communities he or she will serve. Our program strives to provide our interns with a dynamic array of knowledge and skills so that they are prepared to advance the fields of nutrition and dietetics. We also believe strongly in giving back to the profession, and it is our hope that students will be inspired to help others and to advocate for themselves and the profession. Program Policies Absences Your attendance at all program related events and activities is required at all times. Missed Supervised Practice Hours: Should it be necessary for the dietetic intern to be absent for any reason (including illness) from the assigned supervised practice setting, the intern must notify the preceptor and DI Director as soon as possible and before their scheduled start time for the day. If it is necessary to leave the practice setting early, the intern must obtain permission from the preceptor, as well as notify the DI Director. Personal business is an unacceptable absence. Medical appointments must be scheduled during “off hours” or scheduled with your preceptor so that no rotation time is lost. Prior approval from both the preceptor and DI Director is required before registering for non-mandated conferences, or scheduling appointments and travel arrangements that conflict with supervised practice hours. Please note that approval may not be granted in all cases. 1200 hours of supervised practice is required by ACEND and the OHSU Dietetic Internship. All learning experiences and scheduled hours must be successfully completed. Make-up time may need to be scheduled during time that would generally be considered "off" hours/days. Missed Didactic Hours: No intern is excused from class without the consent of the course instructor. Reasons for absence must be stated in writing. A professional email is an acceptable form of written communication to the course instructor. Personal business, including medical appointments, will be considered an unexcused absence. The Attendance and Tardiness Policy for didactic courses is summarized below. Please note that individual course instructors may modify or add to the general policy outlined below. The specific guidelines will be included on each course syllabus. Attendance and Tardiness Policy Interns are required to attend all scheduled classes in a punctual manner. Please arrive 5-10 minutes before the start of each session to prepare for lecture and avoid disrupting the speaker and your classmates. Excused absences including illness, death in the family and inclement weather may be made up in consultation with the course instructor within 10 working days of the absence. 3 OHSU - Dietetic Internship Program Handbook 2013-2014 Unexcused absences will result in a reduction of the final course grade by one letter grade for each 10% of classes missed (e.g., if 1 out of 10 classes are missed the final course grade will be reduced by one letter grade). Tardiness on more than 2 occasions will result in a 5% reduction in the final course grade. Late assignments will receive a 10% per day reduction in the assigned grade. Graduation All interns are required to attend the School of Medicine’s graduation ceremony. Graduation will be on Monday, June 2nd, 2014 beginning at 9:00 a.m. Communication Tools All interns will be issued an OHSU email account and will be expected to use this email account for all correspondence relating to the Dietetic Internship. Interns should check this email account daily. Instructors of DI Program courses use Sakai to organize and facilitate course materials, assignments, etc.; therefore interns are expected to access Sakai regularly. Laptops may be used during class when approved by the course instructor to take notes or to complete assignments relevant to the class, and by off-campus interns who may need a laptop for connectivity. Use of laptops during class for any other purpose (email, internet access, working on assignments for other classes, etc.) is not permissible. Cell phones should be off or set to silent during class, and stowed away for the duration of class. Most sessions allow for a break, so please plan accordingly as we expect your full participation in class at all times. Assessment of Prior Learning Interns entering the program with a thesis-requiring Master’s or Doctoral-level degree may petition for substitution of credit for NUTN 514 (Nutrition Research and Scientific Communication; 2 credits) if the intern’s transcript indicates that a similar graduate-level course has been completed within the past 3 years and a grade of “B” or better was obtained. There will be no credit substitutions for other DI didactic courses or for NUTN 504, the supervised practice experiences. Background Clearance Per OHSU Policy No. 03-10-011, all incoming dietetic interns are required to undergo a background check prior to matriculation into the program. OHSU has contracted with the vendor Pre-Employ for this service. Any background checks that reveal potentially disqualifying information will be reviewed on an individual basis by the DI Director, the OHSU Director of Public Safety and others as outlined by the policy. The complete policy may be accessed by the following link: https://o2.ohsu.edu/policies-and-compliance/ohsu-policy-manual/chapter-3-human-resources/ohsupolicy-03-10-011.cfm Drug Testing All interns accepted into the DI Program must complete an initial drug screening in accordance with OHSU Policy No. 02-01-003, Student Drug and Alcohol Testing. Students will complete the test during a two-week window of time immediately preceding the start of summer term. All interns may be tested "for cause" as needed. "For cause" testing includes alcohol and/or drug tests. The cost of the drug test is included in the student fees. See the link below to review the complete policy: https://o2.ohsu.edu/policies-and-compliance/ohsu-policy-manual/chapter-2-student-affairs/ohsu-policy02-01-003.cfm An intern who receives a positive result from the drug screen will be further reviewed by program faculty to discuss the problem and to outline recommendations and/or accommodations pending the 4 OHSU - Dietetic Internship Program Handbook 2013-2014 individual circumstances to ensure the intern’s full compliance with this policy. Failure to comply will result in dismissal from the program. Immunizations All interns accepted in the DI Program are required to provide documentation of the following immunizations: Hepatitis B series; Measles, Mumps, Rubella; Polio series; TB skin testing; Tetanus/Diphtheria; Varicella. More specific information about required immunizations can be found at the OHSU Student Health Services website: http://www.ohsu.edu/xd/education/student-services/joseph-trainer-health-wellnesscenter/services/preventive-care/immunizations.cfm Please be aware that additional background checks, drug tests, fingerprinting, etc. may be required by other supervised practice sites for which you are scheduled. Any costs not covered by the supervised practice sites will be the responsibility of the dietetic intern. Additional Pre-Entrance Requirements All interns accepted in the DI Program must complete several pre-entrance requirements including: Big Brain online training modules (HIPAA, Respect at the University, Hospital Compliance, Integrity Education Booster, Emergency Management, General Safety, Blood Borne Pathogens); ServSafe certification; CPR and First Aid training; Membership in the Academy of Nutrition and Dietetics; DPD Verification Statement; Official transcript(s) with degree(s) posted. Students must also submit a 2-inch by 2-inch passport photograph (in .jpeg format) to the program prior to orientation in order to receive an OHSU ID Badge. Extensive Absences Pregnancy, long-term illness or extenuating circumstances that keep you from meeting class and/or rotation demands for an extended period of time (a week or more) will require official documentation, such as a doctor’s note, so that we may formally accommodate your needs. Extended absences may require a formal leave of absence. The DI Program abides by the Graduate Council By-Laws. A leave of absence may be granted to an intern if they are in good academic standing at the time of the request. Please familiarize yourself with the By-Laws of the Graduate Council which describe Leaves of Absence: http://www.ohsu.edu/xd/education/schools/school-of-medicine/academic-programs/graduatestudies/faculty/upload/ByLaws-Rev-9-2009.pdf Inclement Weather In the event of inclement weather, updates are placed on the O2 website: http://ozone.ohsu.edu/blogs/facilities_logistics/about/what-to-do-in-inclement-weather/ The telephone number for the OHSU Alert Line is 503-494-9021. In the event of inclement weather, (i.e., snow or freezing rain) every attempt should be made to reach your rotation or class as scheduled as long as it can be achieved safely. If you are delayed, contact your preceptor or course instructor and inform him/her of the delay as soon as possible. Public transportation may experience delays but usually remains open. If a decision is made to cancel classes at OHSU, this will be communicated on the alert line and the O2 website, as well as by our emergency class phone tree. If inclement weather affects a rotation day, please follow the guidelines outlined by the facility to which you are assigned on that day. Injury or Illness at the Practice Site Should an intern become ill or have an accident while at a practice site, the preceptor for that intern should assist the intern with the medical emergency as needed. Then, the preceptor will notify the DI Director. The DI Director will make arrangements as dictated by the problem. 5 OHSU - Dietetic Internship Program Handbook 2013-2014 Liability and Safety in Travel Travel to and from practice sites is the responsibility of the intern. Distance between the intern’s primary placement and practice sites may vary and extended distances may occur. The OHSU DI Program does NOT pay for travel expenses, nor does the program provide vehicles for intern travel to rotation sites. The Dietetic Internship Program assumes no responsibility for intern travel. Vehicle insurance and expenses are the responsibility of the intern. If the intern is a passenger in a car traveling for internship-related business, the driver must carry liability insurance for coverage in the event of a car accident. Plagiarism Engaging in plagiarism, which is representing the work of another as one’s own, will not be tolerated. Program faculty will determine the appropriate sanction, which may be suspension or dismissal. Plagiarism includes copying materials from another source (including books, journals and web pages) without use of quotation marks; and/or not acknowledging the source of content with proper citation(s). The Dietetic Internship Program follows the Graduate Council Policy available at the following link: http://ozone.ohsu.edu/som/faculty/docs/graduatecouncil/profconductpolicy.pdf Scheduled Breaks Dietetic interns will be granted pre-scheduled leave during the year, which includes fall break, Thanksgiving, winter break, and spring break. Other holidays observed include Martin Luther King, Jr., Presidents’, Memorial, and Labor Days. Student Grievances If any problem or complaint arises during supervised practice, the dietetic intern should consult with the preceptor first. If the issue is not resolved, the DI Director should be consulted. If still not resolved, the grievance may be brought to a committee consisting of the DI Director, the preceptor and the preceptor’s respective manager as appropriate. Grievances involving didactic courses should first be discussed with the course instructor. Then, if not resolved, the intern, course instructor and DI Director will meet to discuss and resolve the issue. Grievances involving the DI Director should first be discussed with the DI Director directly, then if not resolved, with the Director of the Graduate Programs in Human Nutrition. If a solution satisfactory to all parties is not reached to resolve the issue, the grievant may file a written grievance with the Associate Dean for Graduate Studies within 20 business days after the termination of the informal grievance resolution procedures. The document should describe the nature and circumstances of the grievance, previous efforts to resolve the problem and the nature of redress the grievant is seeking (see pages 21-22 of the By-Laws of the Graduate Council for full details). Unsatisfactory Performance Preceptors evaluate the intern’s performance in meeting specified competencies for supervised practice as defined by ACEND, as well as professional attributes using the assessment tools provided by the program. The DI Director and course instructors assign grades at the end of each term. Interns failing to meet required competencies and/or on the professionalism evaluation or who obtain a grade of “C-” or lower in a course will be assessed on a case-by-case basis by the DI Director and preceptor(s) to discuss remedial performance plans. If a dietetic intern fails to meet an acceptable level on competencies and the professionalism evaluation, the following steps will be taken: 1. The DI Director will meet with the preceptor(s) that have indicated below average attainment of competencies. 2. The DI Director will meet with the intern who is failing to meet competencies and with the preceptor’s input, a plan for remediation will be devised. 3. The intern will be required to follow the remediation plan and complete competencies at an acceptable level in order to progress to the next rotation. i. Two things can occur at this point: 1. Intern passes the competencies and advances to the next rotation. 6 OHSU - Dietetic Internship Program Handbook 2013-2014 2. Intern fails to meet competencies and the DI Director will place the intern on academic probation. If an intern is placed on probation for unsatisfactory performance, a concise plan will be developed with that intern, the preceptor(s) and the DI Director. Dismissal from the program will result if the intern is not able to successfully complete the plan under the agreed upon conditions. An intern unable to move to good standing may choose to withdraw from the program. The guidelines for Voluntary Withdrawal from the Graduate Program are found in the By-Laws of The Graduate Council: http://www.ohsu.edu/xd/education/schools/school-of-medicine/academic-programs/graduatestudies/faculty/upload/ByLaws-Rev-9-2009.pdf The guidelines for Leave of Absence (LOA) and Withdrawal are also defined, and the form for a LOA or Withdrawal can be found here: http://www.ohsu.edu/xd/education/student-services/registrar/registrar-forms/index.cfm Verification of Successful Program Completion Upon successful completion of all didactic and supervised practice, the DI Director will meet with each dietetic intern to complete the RD exam registration eligibility paperwork. During this meeting, the DI Director will provide interns with five signed originals of the verification statement, indicating successful completion of the internship. In addition, a sixth original is maintained in the program files. Verification Statements are signed by the DI Director after the intern has met or exceeded all competencies for NUTN 504, met all professional attributes described on the professionalism evaluation form, passed all required courses with a grade of “C” or better and maintained an overall grade point average of 3.0 or higher. Following completion of all Commission on Dietetic Registration (CDR) paperwork, the DI Director submits registration eligibility applications electronically to CDR. Interns should receive confirmation of their RD exam application eligibility from CDR within 7-10 business days via email. The candidate will receive the registration exam application and handbook from ACT, Inc. within 10 business days. At graduation, each dietetic intern will receive a certificate signifying completion of the OHSU Dietetic Internship Program. Withdrawal and Refund of Tuition Refunds may be granted to interns in accordance with the refund schedule on file with the university Registrar’s Office. This schedule shall be prepared annually. Notification of program Withdrawal or Leave of Absence is required and can be completed by submitting a “Withdrawal/Leave of Absence” form available from the Registrar’s Office. Interns who believe that their circumstances warrant exceptions to the published refund schedule may submit a letter of appeal to the Registrar. Refund schedules are available on the Registrar’s website at http://www.ohsu.edu/xd/education/studentservices/registrar/registrar-forms/index.cfm. The refund for course load reduction applies to all interns reducing credit hours except for those credit hours within the full-time plateau. Any intern with orders to report for active military duty may withdraw at any time during the term and receive a full refund. If sufficient course work has been accomplished and the instructor feels justified in granting credit for the course work completed, credit may be granted and withdrawal proceedings are unnecessary. 7 OHSU - Dietetic Internship Program Handbook 2013-2014 Supervised Practice & Coursework for the Dietetic Internship Program NUTN 504, Supervised Practice (21 total credits) encompasses the work interns do at a wide variety of practice sites throughout the program. The OHSU DI Director will monitor your progress in this course and assign grades based on evaluations received from internship preceptors, including both your ability to meet ACEND competencies and professional characteristics; on your portfolio materials; and other assigned projects. Rotations generally occur Tuesday-Friday of each week for a minimum of 32 hours per week, and all schedules are finalized by the Administrative Coordinator after the respective preceptors confirm their scheduled rotations. The preceptor(s) will specify the start and anticipated end time for each day of a supervised practice rotation, as well as the desired location to check-in each day. Preceptor contact sheets will be provided during Orientation, and are posted on the supervised practice Sakai site. As a professional courtesy and to ensure there is sufficient time to arrange these plans, we mandate that you contact each preceptor two weeks in advance of each scheduled rotation. Failure to contact and make arrangements with a preceptor may result in a cancelled rotation. It is very difficult to reschedule rotations once schedules are finalized for the class, and all interns must meet the required 1200 hours of supervised practice. Making up these hours may interfere with your break plans and/or delay your date of graduation. Also, please note that some assignments and special projects required by your preceptor may need to be completed during off-duty time. Preceptors may also occasionally request that interns complete supervised practice activities in the evening or on a weekend. Rotation schedules may change at any time based on preceptor availability or other extenuating circumstances. The DI Director will inform you of any changes as soon as she is made aware of the issue. Due to the fast-paced and dynamic nature of the internship, we strongly advise against employment during this 11 month period of time. Affiliated Practice Sites: The OHSU Dietetic Internship Program maintains affiliation agreements with most major hospitals, clinics and nutrition-related programs in Portland and beyond. A list of major clinical sites follows: • Legacy (Emanuel, Good Samaritan, and Salmon Creek) • Asante (Three Rivers Community Hospital and Rogue Regional Medical Center) • Providence (St. Vincent, Portland, Milwaukee, Willamette Falls, Mt. Angel) • Kaiser Sunnyside Medical Center • PeaceHealth Southwest Medical Center (Vancouver, WA) • PeaceHealth Sacred Heart Medical Center (Eugene) • Portland and Vancouver VA Medical Centers In addition, the DI Program maintains affiliation agreements with multiple state agencies, non-profit organizations, corporations, and educational institutions in order to provide an array of supervised practice opportunities in public health, nutrition education, foodservice, management and patient care. Coursework: The didactic portion of the program typically occurs on Mondays. Individual syllabi will be posted on to the course Sakai site along with other course materials and resources. 8 OHSU - Dietetic Internship Program Handbook 2013-2014 DI Curriculum Summary NUTN 504 Supervised Practice Rotations; 3 credits/term (summer), 6 credits/term (fall, winter, spring), 21 credits total (Tuesday through Friday, in general, for the duration of the DI Program) Didactic Courses, Summer Term NUTN 500 Community Outreach Projects, 1 credit NUTN 513 Food Service and Clinical Management, 2 credits Didactic Courses, Fall Term NUTN 510 Public Health Nutrition, 3 credits NUTN 514 Nutrition Research and Scientific Communication, 2 credits Didactic Courses, Winter Term NUTN 500 Community Outreach Projects, 1 credit NUTN 511 Pathophysiology and Medical Nutrition Therapy, 4 credits Didactic Courses, Spring Term NUTN 512 Advanced Pathophysiology and Medical Nutrition Therapy, 4 credits NUTN 515 Case Studies in Advanced Medical Nutrition Therapy, 2 credits Definition of a Credit Hour The didactic and supervised practice components of the DI Program meet the standard definition of a credit hour defined by the U.S. Department of Education. Our program defines one didactic credit hour as 1 instructor contact hour plus 3 hours of independent work per week to total 4 hours of work/week for each credit hour. For the supervised practice component, 1 credit hour is defined as 5.3 hours of supervised practice plus any additional independent work time per week. Evaluation of Didactic Course Work All courses are graded in accordance with the By-Laws of the Graduate Council. The current Grading Policy may be superseded by a new policy accepted by the Graduate Council. You can review the current Grading Policy in The Graduate Council By-Laws at: http://www.ohsu.edu/xd/education/schools/school-of-medicine/academic-programs/graduatestudies/faculty/upload/ByLaws-Rev-9-2009.pdf Grading criteria that is consistent with the By-Laws will be provided on the course syllabus for each course. Graduate Credit Graduate credit shall be granted for course work in which grades of a C or better are earned (C- and less will not earn credit) and for the grade P. Failing Grades Interns who earn a D, F or NP will be considered to have failed a course and may be immediately recommended by their program for dismissal without being placed first on academic probation. (Interns 9 OHSU - Dietetic Internship Program Handbook 2013-2014 earning a C- will be assessed on a case-by-case basis by the DI Director and preceptor(s) to discuss remedial performance plans). GPA Requirement for Graduation A cumulative grade point average of at least 3.0 must be maintained throughout the program. An intern whose cumulative grade point average falls below 3.0 shall immediately be placed on academic probation. An intern placed on academic probation because of grades must obtain a cumulative grade point average of at least 3.0 within one academic term. An intern who fails to do so will be recommended for dismissal by the program faculty. An intern will be removed from academic probation as soon as his/her cumulative grade point average is raised to 3.0 or above. Grade of “Incomplete” The grade of Incomplete is assigned when a student’s work is of passing quality but incomplete for good cause. Assignment of an incomplete grade is at the discretion of the course instructor. A grade of Incomplete should not be assigned unless the student is unable to complete the work because of sudden illness, personal emergency, or other good cause outside the control of the student. The final grade earned will be recorded on the academic transcript with the grade of I/Final Grade (e.g., I/B). A course assigned an Incomplete must be completed within one term after the assignment of the Incomplete grade, or the grade will automatically be changed to a grade of I/F. An appeal for an extension to the one-term time frame must be approved by the DI Director prior to the grade of Incomplete being automatically assigned a grade of I/F. Withdrawal For courses that span the length of the term, after the first week of the term, but prior to the fifth week of the term, a withdrawal from a course will receive a grade of W (Withdrew) on the academic transcript. On or after the fifth week of the term, but prior to the last week of the term, a withdrawal from a course will be assigned a grade of WP (Withdrew passing) or WNP (Withdrew Non-Passing) by the course instructor/director based on the student’s performance in the course to date. Course withdrawal will not be accepted during the final week of the term. Area of Concentration The area of concentration in the OHSU Dietetic Internship Program is Community Outreach. Community Outreach is a fundamental component of the mission and vision of OHSU. Our concentration in Community Outreach builds upon several of ACEND’s required Professional Practice competencies, including the following: CRD 1.3 - Justify programs, products, services and care using appropriate evidence or data CRD 2.2 - Demonstrate professional writing skills in preparing professional communications CRD 2.5 - Demonstrate active participation, teamwork and contributions in group settings CRD 2.8 - Apply leadership skills to achieve desired outcomes CRD 2.9 - Participate in professional and community organizations CRD 3.3 - Develop and deliver products, programs or services that promote consumer health, wellness and lifestyle management CRD 4.10 - Develop a plan to provide or develop a product, program or service that includes a budget, staffing needs, equipment and supplies Our program has developed the following concentration-specific competencies which are incorporated throughout the Dietetic Internship curriculum: 1) Identify a specific community need(s) involving food and nutrition; set the goals and objectives; and integrate all required parties to carry out the project or activity 10 OHSU - Dietetic Internship Program Handbook 2013-2014 2) Execute and then assess the effectiveness and impact of the community-focused project or activity Additional Intern Learning Outcomes (DI and combined DI/Masters in Clinical Nutrition) After successfully completing the OHSU DI Program, interns will be able to: 1) Demonstrate professional characteristics that reflect positively on the practice of dietetics 2) Communicate effectively across dietetic practice domains, including clinical, community and foodservice settings 3) Develop management skills and demonstrate application of these skills across dietetic practice domains, including clinical, community and foodservice settings 4) Apply the nutrition care process and standardized language in practice for individuals across the life course, from diverse cultures and for various health conditions 5) Critically evaluate and interpret research relevant to dietetics practice 6) Develop, propose and conduct nutrition-based research 7) Disseminate the results of their research through presentation (oral and/or poster) at local, state or regional meetings; and/or publication of an abstract or manuscript Professionalism It is the goal of the OHSU Dietetic Internship faculty/staff to help you make the transition from interns to professionals as quickly and easily as possible. The OHSU Code of Conduct, the Code of Ethics of the Academy of Nutrition and Dietetics and this handbook serve as guides for conduct at all times. Your professionalism will be assessed continually by your preceptors, faculty and staff. Much of your success will depend on your behavior and attitude. Dietetic preceptors at OHSU and all of our affiliated sites serve in this important educational role because of good will, a strong desire to mentor and a commitment to the dietetics profession. The impression you leave with your mentors and clients is important for your future success, as well as for the program to maintain good working relationships with all of these generous practitioners. First and foremost, be prompt in making all contacts and meeting appointments, and in carrying out all assignments. Some of your preceptors may be future employers. It is very important to make a consistent and positive impression. A significant portion of your grade for supervised practice is based on your preceptors’ assessment of your professional skills, as well as your ability to perform competencies. Please remember that your knowledge and professional attributes are assessed independently and you must demonstrate competence in both areas. Form of Address Unless given permission to do otherwise, use the formal form of address Mr., Ms., Mrs., Miss, Dr. or Professor, rather than the first name when addressing faculty, staff, preceptors, clients and other members of the health care team, including dietetic technicians, foodservice or clerical personnel. When in doubt, ask a person how he/she would like to be addressed. Professional Conferences To enhance your professional development and professional network, dietetic interns are required to attend selected professional meetings, including one day of the Oregon Academy of Nutrition and Dietetics annual meeting. Registration fees to attend these meetings are paid for by the Graduate Programs in Human Nutrition. Travel to and from conferences is the responsibility of the intern. 11 OHSU - Dietetic Internship Program Handbook 2013-2014 Professional Appearance Acceptable attire for dietetic interns includes: dress pants, dresses, skirts and blouses, shirts, suits, blazers, jackets and sweaters. All clothing must be suitable to the work performed and must be clean, free of wrinkles and absent of holes and flaws. In rotation, tights or nylons should be worn with skirts and dresses, and socks should be worn with slacks. Acceptable footwear includes: heels, flats, loafers and dress boots/shoes. Footwear must be clean, safe and appropriate for the individual’s work assignment. Non-slip shoes provided by OHSU Food and Nutrition Services during Orientation should be worn in all foodservice rotations. Unacceptable attire includes: shorts, mini-skirts, see-through fabrics and exposed undergarments, tight clothing, sweatshirts, sweat suits and other sports attire, clothing with logos or T-shirts with brand names, floor length dresses, tank tops, halter tops, clothing with spaghetti straps, denim, legging or stretch pants, low-cut necklines, bare midriff-designed clothing and other distracting or unprofessional items. Unacceptable footwear includes: bare feet, flip-flops, hiking boots, rubber boots, open-toe shoes, moccasins, sneakers, slippers, etc. Accessories/adornments, etc. a. Accessories such as jewelry and hair adornments must be clean and safe and appropriate for the environment. b. Dangling jewelry and loop earrings larger than a dime may not be worn in direct patient care areas. c. Body piercings and related jewelry (except for suitable earrings) are to be covered by clothing. Body piercings that cannot be covered must be without jewelry. d. No jewelry should be worn in food handling areas, except an engagement or wedding ring, watch and small pierced earrings. e. Tattoos are to be covered if at all possible. f. No proprietary insignias or political buttons should be worn unless they relate to activities sponsored by OHSU or are authorized under labor agreements. g. Sunglasses are not allowed indoors unless ordered by a physician. h. Grooming requirements: Cleanliness and neatness of hair, nails and clothing is required at all times. Hair should be covered and above the uniform collar in food handling areas. Hair longer than collar length must be pulled back and secured in direct patient care areas. i. Interns should not wear any type of nail enhancement, which includes but is not limited to the following: artificial nails, acrylics, tips, wraps, appliqués, gels or any additional items applied to the nail surface, with the exception of nail polish. Nail polish should not be chipped and fingernails should not exceed ¼ inch beyond the fingertip. j. Gum chewing and chewing tobacco are not permitted. An OHSU Issued Identification Badge and/or affiliated site badge must be worn at all times in a visible, upright position at chest or collar level or on a necklace ID chain (lanyard) or suitable apparel fastener. Holders must be kept clean. Identifying information must be visible to others with whom the intern interacts. Dietetic interns should wear the white laboratory coat provided by the OHSU DI Program during Orientation over street clothes in all patient care and food handling areas, unless directed otherwise by your preceptor. Due to an increased incidence of reactive airway disease, interns are encouraged not to wear fragrances to work or class. In addition, OHSU is a smoke-free environment. These guidelines follow the professional appearance policies for OHSU employees. Your preceptors may have additional professional appearance policies, and these policies may vary according to rotation site. Please follow all guidelines as directed at your assigned supervised practice site. 12 OHSU - Dietetic Internship Program Handbook 2013-2014 Estimated Expenses for DI Program (11 months) For a detailed listing of tuition and fees, visit the academic year fee book at: http://www.ohsu.edu/xd/education/student-services/registrar/registrar-forms/index.cfm Additional DI Program Expenses (estimated) Expense Background Check $60.00 Fee approximate based on current and previous states of residency; University may cover a portion of this fee Academy of Nutrition and Dietetics Student Membership $50.00 Student category carries a 6 year limit ServSafe Certification $140.00 Through the National Restaurant Association at http://www.restaurant.org/. Classroom training is $140.00 and includes training, exam, certification and the 5th ed. ServSafe® Essentials book $90.00 Adult First Aid/CPR/AED Card Through Red Cross at www.redcross.org. Costs may vary according to location; AED is not required however most classes are combined First Aid/CPR/AED $40.00 Graduation Graduation regalia including cap and gown (gown must be returned, cap can be kept by intern) $7700.00 Housing Interns are responsible for making their own housing arrangement, estimated to be $700.00 per month per intern for a shared apartment $1,000.00 Transportation A car is required for transportation to and from rotation practice sites other than OHSU. Total travel expenses are estimated at $1,000.00 depending on living site and cost of gasoline. $140.00 Textbooks Interns are required to have a current medical nutrition therapy reference such as Food, th th Nutrition and Diet Therapy (Krause's 12 or 13 edition) or Nutrition and Diagnosisth th Related Care (Escott-Stump 6 or 7 edition), drug-nutrient interaction pocket guide, and medical terminology book or online reference. If interns do not have these resources, they will be expected to purchase these resources for the internship. Total $9220.00 * * This figure does not include tuition and fees for 2013-2014 as provided in the fee book. Optional Fees Parking at OHSU is not available except by purchase of a $12.00 day pass at intern discretion (Note: interns ride the Portland Streetcar and Sky Tram free of charge when wearing an OHSU ID Badge) TriMet passes are available at a reduced rate to our interns. The cost of transit passes purchased through OHSU is $318.00 for a TriMet Universal Pass and $384.00 for a C-Tran Portland Express Pass (a savings of about 70% from regular pass price). http://www.ohsu.edu/parking/pages/gi_general.html?WT_featured=spotlight&WT_rank=spotlight 13 OHSU - Dietetic Internship Program Handbook 2013-2014 Access and Disability Statement Our program is committed to all interns achieving their potential. If you have a disability or think you may have a disability (including but not limited to physical, hearing, vision, psychological and learning disabilities), which may need special accommodation, please contact the Program Accommodation Liaison, Allison Fryer (503-498-4010; fryera@ohsu.edu) or the Director of the Office for Student Access, Sue Orchard (503-494-0082; orchards@ohsu.edu) to discuss your request. Because accommodations can take time to implement, it is important to have this discussion as soon as possible. All information regarding an intern’s disability is kept in accordance with relevant state and federal laws. Please refer to the OHSU Student Access website for all details and services: http://www.ohsu.edu/xd/education/student-services/education-diversity/student-access/index.cfm Student Records The program and/or Registrar’s Office will maintain the following records: 1. Electronic copy of the complete DICAS application (includes personal statement, transcripts, letters of recommendation and resume) 2. Official copy of signed confirmation of appointment 3. Official transcripts from all colleges attended (includes date degree(s) granted) 4. Official Verification Statement showing completion of DPD program 5. Current address, telephone number and person to notify in case of emergency 6. Completed performance evaluations of the dietetic intern will be kept for 7 years 7. All required forms for OHSU appointments, including certificates of completion for online module training prior to matriculation, as well as completed background and drug testing screenings 8. Signed cover page of DI Handbook, indicating intern has read and understands contents of handbook, OHSU Code of Conduct, and Graduate Council By-Laws Access to Student Records Dietetic interns have the right to inspect their university records on request before and/or after graduation under provisions of the Federal Educational Rights and Privacy Act (FERPA). Student Health Services OHSU JBT Health and Wellness Center offers a wide range of health and counseling services. Please see the website for all details: http://www.ohsu.edu/xd/education/student-services/joseph-trainer-healthwellness-center/ The student health insurance requirements are listed on the following link: http://www.ohsu.edu/xd/education/student-services/joseph-trainer-health-wellness-center/studentrequirements/newstudents.cfm If you already have medical coverage you must submit a Waiver Form to JBT Health and Wellness Center. Your completed waiver application must be received by Aetna Student Health within 30 days after your first day of class begins for new students. The Waiver Form is located at the Aetna Student Health website at: https://www.aetnastudenthealth.com/students/studentconnection.aspx?GroupID=474951 Contact Information for JBT Health and Wellness Center: Oregon Health & Science University Baird Hall Rooms 18 and 6 3181 SW Sam Jackson Park Road, Mail Code L-587 Portland, Oregon 97239 Phone: 503 494-8665 Fax: 503 494-2958 E-mail: askjbthealth@ohsu.edu Office Hours: Monday through Friday 8:00am-5:00pm 14 OHSU - Dietetic Internship Program Handbook 2013-2014 Other Services Scholarships The Academy of Nutrition and Dietetics Foundation offers a variety of scholarships to dietetic interns and graduate students. Information and applications about the foundation’s scholarships can be downloaded through the Academy's Web site at http://www.eatright.org/foundation/. The Oregon Academy of Nutrition and Dietetics typically offers a modest award to an Oregon student(s). To be eligible for certain student awards, you must be a member of the Oregon affiliate. To become a member, you can change your state affiliation with the Academy of Nutrition and Dietetics. Visit http://www.eatrightoregon.org for more information. Library An extensive medical library is provided at OHSU. An overview of the OHSU Library Services is provided during Orientation. Interns placed out of the Portland/Metro area for supervised practice can access the library remotely. There is also a small Program Library in Gaines Hall, Room 201. Mail Incoming mail addressed to the program is held in the administrative office in Gaines Hall, Room 207 (mail code: GH 207). If you are receiving correspondence from off-campus, it should be addressed to you at Oregon Health & Science University, Dietetic Internship – GH 207, 3181 SW Sam Jackson Park Road, Portland, OR 97239-3098. We will forward program-related mail to interns placed out of the Portland Metro area. March Wellness The March Wellness Center is a fitness facility located on the South Waterfront Campus and is accessible via the Sky Tram. The center offers a wide variety of fitness classes, equipment, and programs for OHSU students and fitness center members. Student membership is included in tuition and fees. For more information, please see the Wellness website at: http://www.marchwellness.com Code of Ethics for the Profession of Dietetics The Academy of Nutrition and Dietetics and its credentialing agency, the Accreditation Council for Education in Nutrition and Dietetics, believe it is in the best interest of the profession and the public it serves to have a Code of Ethics in place that provides guidance to dietetics practitioners in their professional practice and conduct. Dietetics practitioners have voluntarily adopted this Code of Ethics to reflect the values and ethical principles guiding the dietetics profession and to set forth commitments and obligations of the dietetics practitioner to the public, clients, the profession, colleagues, and other professionals. The current Code of Ethics was approved on June 2, 2009, by the Academy Board of Directors, House of Delegates, and the Commission on Dietetic Registration. J Am Diet Assoc. 2009;109:1461-1467. The complete Code of Ethics document is posted in the NUTN 504 resource folder on Sakai. The Code of Ethics document is reviewed in detail during DI Program Orientation Week, along with this handbook and the OHSU Code of Conduct (see below). OHSU Code of Conduct As members of the OHSU community, our interns are held to the standards outlined in the OHSU Code of Conduct, as well as to the Professional Conduct Policy for Graduate Programs of the School of Medicine. The OHSU Code of Conduct guides the behavior and performance of members of the OHSU community, while the Professional Conduct Policy outlines responsible behavior for our interns. Other policies specific to the DI Program are contained in this handbook. Please be sure to read, in addition to this handbook, both documents by accessing the following links: Oregon Health & Science University Code of Conduct http://www.ohsu.edu/xd/about/services/integrity/policies/coc.cfm 15 OHSU - Dietetic Internship Program Handbook 2013-2014 Professional Conduct Policy for Graduate Programs of the School of Medicine http://www.ohsu.edu/xd/education/schools/school-of-medicine/academic-programs/graduatestudies/loader.cfm?csModule=security/getfile&pageid=2121647 Contact Information & Other OHSU Resources Course Number Course Instructor Contact Email/Telephone Number NUTN 500, 504, 510 Jeri Greenberg, MS, RD, LD greenbej@ohsu.edu 503-494-0745 NUTN 511, 512 Julie McGuire, MS, RD, LD mcguirju@ohsu.edu 503-494-7839 NUTN 513 Joy Petterson, MS, RD, LD pettersj@ohsu.edu NUTN 514 Diane Stadler, PhD, RD, LD Jackie Shannon, PhD, RD stadlerd@ohsu.edu 503-494-0168 shannoja@ohsu.edu 503-494-4993 NUTN 515 Jessie Pavlinac, MS, RD, CSR, LD pavlinac@ohsu.edu 503-494-3756 503-494-3762 Academic and Student Affairs http://www.ohsu.edu/xd/education/student-services/ By-Laws of the Graduate Council http://www.ohsu.edu/xd/education/schools/school-of-medicine/academic-programs/graduatestudies/faculty/upload/ByLaws-Rev-9-2009.pdf Codes of Conduct http://www.ohsu.edu/xd/about/services/integrity/policies/coc.cfm http://ozone.ohsu.edu/som/faculty/docs/graduatecouncil/profconductpolicy.pdf Graduate Programs in Human Nutrition http://www.ohsu.edu/graduate-programs-in-human-nutrition Registrar http://www.ohsu.edu/xd/education/student-services/registrar/ Student Access http://www.ohsu.edu/xd/education/student-services/education-diversity/student-access/index.cfm Student Center http://www.ohsu.edu/xd/education/student-services/joseph-trainer-health-wellness-center/ 16