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REPORT PHASE 2 FUTURE PRACTICE & EDUCATION TASK FORCE UPDATE

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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REPORT PHASE 2 FUTURE PRACTICE & EDUCATION TASK FORCE UPDATE

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  1. 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

  2. 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.

  3. 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.

  4. Mapping Our Route

  5. 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

  6. 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.

  7. The Case for Change • Original charge and final report on website • Major areas of agreement • Major areas of “Spirited Debate” • Flexibility with rigor

  8. Dissemination of Draft Report • 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 • Responses analyzed two ways: • Practitioner: RD’s, DTR’s, Students & Other • Years in Practice: -1 to 5 -6 to 10 -11 to 15 -16+

  9. Results of Survey Monkey Summary Spread Sheet for Overall Data: • Total responses. • Total by years in practice and by credential. • Total agree by question.

  10. 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.

  11. 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.

  12. 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.

  13. 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).

  14. 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.

  15. 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).

  16. 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.

  17. Survey Responses: #2, #3, #4Continued Note: most professions have technicians/assistants. Hours of experience should be tailored to student, not necessarily 450—number of hours should be evaluated. Allows for DPD graduates to become credentialed practitioners.

  18. 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).

  19. Survey Responses: #5 Firm support plus agreement of 75.2 to 78.1 % among 3 of 4 groups—those 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 CADE’s 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.

  20. 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).

  21. Survey Responses: #6 Major area of disagreement—only 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.

  22. 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).

  23. Survey Responses: #7 Agreement just over 50% which resulted in the following clarification and changes: • Qualified that experienced RD’s 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.

  24. 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

  25. 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

  26. 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).

  27. 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 & PhD’s. • This opens the door to future licensure areas without disrupting current licensure laws.

  28. 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).

  29. Survey Responses: #10 Almost total agreement, from 89 to 95.2%.

  30. 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).

  31. Recommendation #12 #12: The Task Force recommendsenhancing 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).

  32. 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.

  33. What’s 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.

  34. 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.

  35. 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.

  36. 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.

  37. 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.

  38. Future Education • Changing models for a changing world… • Today’s obstacles show us tomorrow’s opportunities. • Do we wait for change or make it happen? • The vision of 1917 and the vision of 2017…

  39. Let’s talk Now’s the time to ask your questions about the future….

  40. More Questions E-mail additional questions to the Phase 2 Future Practice & Education Task Force mailbox at Phase2TaskForce@eatright.org

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