REPORT PHASE 2 FUTURE PRACTICE

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REPORT PHASE 2 FUTURE PRACTICE EDUCATION TASK
FORCE UPDATE

• PROPOSED RECOMMENDATIONS
• March 25-27, 2008
• HOD Webinar
• Phase 2 Task Force Members
• Mute your own line to reduce background noise
  levels on the call

Dial-in 888/824-5783 Participant Code
33-42-25-49
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Objectives for Presentation

• Develop an awareness of potential future practice
  roles, including advanced practice, and the
  knowledge and skills that will be needed.
• Discuss the final report and proposed final
  recommendations of the Phase 2 Future Practice
  Education Task Force.
• Review the timeline and recommended strategies
  for implementation.

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Future Practice Roles

• Appendices C, D and E Future Practice Role
  Descriptions for the DTR, RD and Advanced
  Practice RD.
• Appendix F Broad Skills and Knowledge for the
  DTR and RD in 2017.
• Appendix G Broad Skills and Knowledge for the AP
  RD in 2017.

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Mapping Our Route
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HOD WebinarAgenda

• Task Force Introduction
• Brief Overview of Task Force Activities
• History
• Why 2017? (not sooner)
• Overview
• Expand career ladder
• Focus on advancing practice via specialty
  advanced practice
• Promote multiple flexible routes for entry into
  practice

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Where We Are in the Process

• Task Force Report released on March 14, 2008.
• Report is based on thousands of comments.
• HOD will discuss and may modify each
  recommendation at the Spring Meeting.
• HOD will vote electronically following the Spring
  Meeting.
• Feedback is requested.

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The Case for Change

• Original charge and final report on website
• Major areas of agreement
• Major areas of Spirited Debate
• Flexibility with rigor

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Dissemination of Draft Report

• Responses analyzed two ways
• Practitioner RDs, DTRs, Students Other
• Years in Practice
• -1 to 5
• -6 to 10
• -11 to 15
• -16

• Presented to Fall 07 HOD and FNCE 07
• Overwhelmingly positive response from HOD
• Excellent questions responses from open space
  sessions at FNCE
• Excellent response from town hall meeting at FNCE
• Survey Monkey used to solicit member input

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Results of Survey Monkey

• Summary Spread Sheet for Overall Data
• Total responses.
• Total by years in practice and by credential.
• Total agree by question.

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Results of Survey MonkeyContinued

• The survey results and numerous comments received
  suggested agreement with
• Development of and support for advanced practice
  recognition.
• Continued support for and expansion of specialty
  practice recognition.
• Emphasis on quality, rigor and compliance to CADE
  standards.

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Results of Survey Monkey, Continued

• Clarification of education models currently
  available.
• Wording changes for clarity.
• Need for a list of definitions to be included in
  the report.

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Results of Survey MonkeyContinued

• The survey results suggested disagreement with
• Expansion of alternate routes for entry into the
  profession using verification from knowledgeable
  RD.
• Requirement of more defined and intensive
  continuing education in first 5 years following
  registration.

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Recommendation 1

• The Task Force recommends establishment of a
  formalized unit within the House of Delegates to
  
• formalize an ongoing visioning process to
  identify/define future practice roles and the
  broad knowledge and skills needed for these
  roles.
• identify and monitor emerging practice roles,
  opportunities, and related formal and informal
  educational needs on an ongoing basis.
• collaborate with CADE, CDR, DPGs and other
  organizational units as needed.
• oversee the implementation and evaluation of the
  Phase 2 Future Practice Education Task Force
  recommendations and provide a yearly progress
  report to the House of Delegates (Refer to HOD).

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Survey Responses 1

• Agreement was 88.5 for the 492
• respondents practicing for 16 years or more,
• with agreement from 78.7 through 84.7
• for other groups.
• Minor changes
• Established a formal unit to implement the
  visioning process and related activities.
• Moved some implementation issues to 1 for
  clarity.

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Recommendations 2, 3 4

• 2 The Task Force recommends the promotion of
  the DTR within the ADA membership and its
  organized units as a valuable member of the
  dietetics team (Refer to ADA).
•  
• 3 The Task Force recommends increased promotion
  of dietetic technician programs to community
  colleges. In addition, the Task Force encourages
  further development of articulation agreements
  between Dietetic Technician Programs and Didactic
  Programs in Dietetics (DPD) or Coordinated
  Programs (CP) to foster the career ladder (Refer
  to CADE).
•  
• 4 The Task Force recommends the creation of
  opportunities for DPD students/graduates to
  obtain quality dietetics practice experience for
  eligibility to sit for the Registration
  Examination for Dietetic Technicians after
  completion of the DPD and baccalaureate degree
  (Refer to CADE and CDR).
•  

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Survey Responses 2, 3, 4, Continued

• Over 24 of these responses were neutral
  without these, the percentage in each category
  agreeing with the recommendations was from 87.2
  to 92.
• Therefore changes were minor and editorial.
• Areas of disagreement often expressed lack of
  support for the DT category, but this was a
  minority.

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Survey Responses 2, 3, 4Continued

• Note most professions have technicians/assistants
  .
• Hours of experience should be tailored to
  student, not necessarily 450number of hours
  should be evaluated.
• Allows for DPD graduates to become credentialed
  practitioners.

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Recommendation 5

• The Task Force recommends that faculty of
  dietetics education programs continue to
  implement a variety of flexible quality education
  models. The Task Force also recommends the
  continued implementation of an array of
  experiential routes that satisfy
  entry-to-practice requirements (Refer to CADE).

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Survey Responses 5

• Firm support plus agreement of 75.2 to 78.1
• among 3 of 4 groupsthose in practice from 11 to
• 15 years had 63.2 agreement.
• In general, the disagreement showed concern for
  rigor, fears about loss of quality, etc.
• Recommendation was changed to note CADEs current
  experimental models (Demonstration Program) and
  to encourage continued development of new models.
• Licensure issues it was necessary to keep this
  recommendation somewhat open so as not to
  disrupt the wording of some licensure laws.

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Recommendation 6
The Task Force recommends that pathways for
entry into the profession be developed for
individuals who have earned masters or doctoral
degrees from US regionally accredited colleges
and universities or the equivalent. These
individuals must successfully complete either the
academic preparation or the experiential
preparation for entry into the profession through
a CADE accredited program and meet requirements
established by CDR to sit for the Registration
Examination for Dietitians (refer to CDR).
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Survey Responses 6

• Major area of disagreementonly 23.5 to 42.9
  of respondents in various categories agreed,
  therefore the TF made major changes.
• Set masters doctoral level as credentials
  necessary for this route to registration.
• Stipulated US accredited university or
  equivalent.
• CDR would determine qualifications to sit for
  exam with equivalent experiential route.

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Recommendation 7

• The Task Force recommends the creation and
  implementation of examinations in major areas of
  concentration in dietetics that will be offered
  with the core examination for entry-level
  practitioners. The Task Force also recommends
  that these concentration examinations be made
  available to experienced RDs to provide
  opportunities for professional development (Refer
  to CDR).

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Survey Responses 7

• Agreement just over 50 which resulted in the
  following clarification and changes
• Qualified that experienced RDs could use the
  concentration exam to establish competency.
• Competency area would be a designation on a
  certificate, but no additional credentials.
• The concept of core concentration begins to
  move us in direction of future.

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Specialty Practice

• Source Scope of Dietetics Framework
• Definition A specialty practitioner is an
  individual who concentrates on one aspect of the
  profession of dietetics. This specialty may or
  may not have a credential and additional
  certification, but it often has expanded roles
  beyond entry-level practice.
• Example weight management, nutrition support

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Advanced Practice

• Source Scope of Dietetics Framework
• Definition An advanced practitioner has
  acquired the expert knowledge base, complex
  decision-making skills and clinical competencies
  for expanded practice, the characteristics of
  which are shaped by the context in which he/she
  practices. Advanced practitioners may have
  expanded or specialty roles or both. Advanced
  practice may or may not include additional
  certification. Generally the practice is more
  complex and the practitioner has a higher degree
  of professional autonomy and responsibility.
• Example Board Certified in Advanced Diabetes
  Management

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Recommendations 8 9

• 8 The Task Force recommends that ADA
• continue to recognize specialty practice areas in
• dietetics and provide support for additional
• appropriate education and credentialing
• opportunities (Refer to ADA and CDR). 
• 9 The Task Force recommends that ADA
• define and recognize advanced practice.
• Advanced practitioners will be supported with
  educational programming and appropriate
  credentials (Refer to ADA).
•  

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Survey Responses 8 9

• Almost total agreement with these ( 86-95).
• This agreement was so strong, that it was obvious
  that we should spend the time to work on
  Specialty and Advanced Practice.
• This is where we encourage masters, practice
  doctorates PhDs.
• This opens the door to future licensure areas
  without disrupting current licensure laws.

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Recommendation 10

• The Task Force recommends that adequate
  resources be allocated by the ADA Board of
  Directors to support the planning and
  implementation of a Future Practice and Education
  Summit involving both Dietetic Practice Groups
  and all types of dietetics education programs
  (Refer to HOD Leadership Team).

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Survey Responses 10

• Almost total agreement, from 89 to 95.2.

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Recommendation 11

• 11 The Task Force recommends the establishment
  of a two-prong grant program to promote the
  integration of practice and education by
  supporting educators to obtain updated practice
  experience and practitioners to increase their
  exposure to academic settings (Refer to ADA
  Foundation).

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Recommendation 12

• 12 The Task Force recommends enhancing the
  efficiency and effectiveness of academic and
  experiential education through
• development of practice simulations and
  utilization of other appropriate educational
  technologies.
• development of educational opportunities for
  dietetic educators to obtain updated practice
  exposure and for practitioners to enhance skills
  in developing and evaluating practice experiences
  of students.
• continuing education to assist dietetic education
  program directors in managing programs
  effectively (Refer to CADE).

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Survey Responses 11 12

• Survey responses to these recommendations were
• based on the fact that if there were earlier
  areas of
• disagreement, you may have chosen not to agree
• with implementation. However there was still
  from
• 65 to almost 80 agreement.
• Therefore changes were based on clarity or
  organization rather than content.

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Whats Next

• Task Force Activities
• Webinars Week of March 24
• Presenting at all DEP Area Meetings (March-April)
• Presentations at various affiliate DPG meetings
• Spring HOD Meeting
• Presentation by TF as follow up to Webinars
• Discussion by HOD.

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Timeline

• March 2008 Final report, recommendations and
  implementation timelines released to HOD and
  membership for review.
• May 2008HOD conducts dialogue during Spring HOD
  Meeting HOD votes electronically on the final
  recommendations.

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Timeline

• Pending HOD Approval
• June-July 2008 Prepare final report for
  publication and release at 2008 FNCE Plan FNCE
  sessions to present final report Continue
  communication with CDR and CADE Practice
  Education Vision Committee established by HOD
  appointed by HOD Leadership Team.

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Timeline

• 2016 Dietetic education programs make changes
  based on models refined by pilot program
  research.
• 2017 Phase 2 Future Practice and Education Task
  Force 2008 report fully implemented.

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Assignment

• Talk with your members and post comments to the
  HOD CoI.
• Re-read the report before the Spring Meeting.
• Participate in HOD Meeting dialogue session and
  post meeting electronic (May 8-30, 2008).
• Notify members of results on June 3, 2008.

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Future Education

• Changing models for a changing world
• Todays obstacles show us tomorrows
  opportunities.
• Do we wait for change or make it happen?
• The vision of 1917 and the vision of 2017

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Lets talk

• Nows the time to ask your questions about the
  future.

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More Questions

• E-mail additional questions to the Phase 2 Future
  Practice Education Task Force mailbox at
  Phase2TaskForce_at_eatright.org