Introduction to Dietetics (Module 1) PDF

Introduction to Dietetics (Module 1) Learning Objectives  By the end of this lecture, students should be able to: 1. Distinguish between nutrition and dietetics 2. Distinguish between dietitians and nutritionists in Canada 3. Discuss broadly different roles and workplaces for...

Introduction to Dietetics (Module 1) Learning Objectives  By the end of this lecture, students should be able to: 1. Distinguish between nutrition and dietetics 2. Distinguish between dietitians and nutritionists in Canada 3. Discuss broadly different roles and workplaces for dietitians 4. Describe the purpose, structure, and content of the integrated competencies for dietetic education and practice (ICDEP) 5. Describe the four key steps to becoming a dietitian in Canada 6. Identify ways dietitians can meet their continuing education needs What is Nutrition What is Dietetics?  “science of food, the  “the integration, nutrients and other application and substances therein, their communication of action, interaction and practice principles balance in relation to derived from food, health and disease, and nutrition, social, the process by which the business and basic organism ingests, sciences, to achieve and absorbs, transports, maintain optimal utilizes and excretes nutrition status of food substances” individuals and groups.”  Academy of Nutrition and  Academy of Nutrition and Dietetics Definition of Terms List Dietetics Definition of Terms List 2021 2021 What is a Dietitian? “A professional who applies the science of food and nutrition to promote health, prevent and treat disease to optimise the health of individuals, groups, communities and populations.” What is a Dietitian?  “Dietitians are health professionals who use expertise in food and nutrition to enhance the lives and improve the health of Canadians. Practicing in a wide range of settings, we use our unique knowledge and skills to meet the varied concerns and interests of the diverse population of Canada.”  Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) Where do dietitians work? Where do dietitians work? Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 4) Dietitians at Work  Impacting Patient Lives: An RDN’s Role: https://www.youtube.com/watch?v=ROFL7P1tAh0  Nutrition Can Heal People Emotionally, Physically and Spiritually: https://www.youtube.com/watch?v=Ocofyhv7L2c Undergraduate Degree  In order to become a dietitian in Canada, you must have completed undergraduate degree that is accredited  There are currently 16 accredited undergraduate programs in Canada Practicum  In order to become a dietitian in Canada, you must have completed a dietetic practicum that is accredited  Practical/hands-on supervised training component  Min. 1,250 hours or ~35 weeks  Practicum programs can be part of a degree program or separate from the degree program Undergraduate Programs in Canada  Fully Integrated (degree + practicum)  University of Saskatchewan  University of Alberta  University of British Columbia  Université d’Ottawa  McGill University  Université de Montreal  Université Laval  Université de Moncton  Partially Integrated (degree +/- practicum)  Acadia University  Mount St. Vincent University  St. Frances Xavier University  University of Prince Edward Island Undergraduate Programs in Canada  Non-integrated (Degree Only) Programs  Toronto Metropolitan University (formerly Ryerson)  University of Manitoba  Brescia University College  University of Guelph  Post Degree Practicums  ~35-40 weeks  Very limited number of positions; offered by health authorities, hospitals, and universities Post Degree Practicum Options  Combined Masters Practicum Program  Brescia University College, Toronto Metropolitan University, University of Guelph, University of Toronto, McGill University,  Master of Nutrition and Dietetics (MND) at UBC  28 month program Accreditation “process of self and peer evaluation for institutions/organizations and assesses the delivery of services and programs against standards of acceptability.”  Partnership for Dietetic Education and Practice (PDEP)  Benefits numerous individuals and institutions Following Practicum Completion  After completion of the practicum, the candidate is now eligible to register with a provincial regulatory body  In Saskatchewan, individuals who have completed all training requirements are first granted Restricted Licensure and can work as a dietitian  Permitted titles: Graduate Dietitian, Professional Dietitian (Candidate), Registered Dietitian (Candidate), PDt (Candidate), RD (Candidate)  Can practice dietetics up to 12 weeks after the completion of the Canadian Dietetic Registration Exam (CDRE) using those titles Canadian Dietetic Registration Exam (CDRE)  Last step before obtaining registered dietitian status; required in all provinces for registration except Québec  Exam has one purpose only: to distinguish between competent and non-competent practitioners  Written in May or November each year; registration occurs through the regulatory bodies  Candidate must write the exam on the next available seating Canadian Dietetic Registration Exam (CDRE)  4 hour computer based, multiple choice exam in French or English (one part exam)  Currently costs $600 to write the exam  Developed and administered by the Alliance of Canadian Dietetic Regulatory Bodies Regulated Profession  A profession where there are mechanisms in place to protect the public when there is the potential for harm  Provincial laws delegate the responsibility of health profession regulation to specific organizations that are called provincial regulatory bodies Regulated Profession Features of regulation (Alliance of Canadian Dietetic Regulatory Bodies): registration procedures education program approval standards of practice, codes of ethics mandatory continuing competence complaint investigation discipline title protection Regulated Professions in Saskatchewan  Health professionals that are regulated in SK include:  Audiologists  Dentists, dental assistants & dental hygienist,  Nurses,  Occupational therapists & physical therapists,  Optician’s & optometrists,  Paramedics,  Pharmacists,  Physicians,  Respiratory therapist  Social workers,  Speech language pathologists  Veterinarians Protected Titles for Dietitians in Canada British Registered Dietitian, Dietitian, RD Columbia Alberta Registered Dietitian, Dietitian, Registered Nutritionist, Nutritionist, RD, Dietetic Intern, Provisional Dietitian Saskatchewan Registered Dietitian, Dietitian, Professional Dietitian, RD, P.Dt Manitoba Registered Dietitian, Dietitian, RD Ontario Registered Dietitian, Dietitian, RD, diététiste professionel(le), Dt.P Québec Dietitian, Nutritionist, Dietician, RD, P.Dt, diététiste, nutritionniste, diététicien, Dt.P New Brunswick Dietitian, Dietician, Professional Dietitian, Registered Dietitian - Nutritionist, Registered Dietitian, P.Dt., R.D., RDN, diététiste, diététicienne, diététiste, diététicienne professionnelle, diététiste-nutritionniste, diététicienne-nutritionniste immatriculée, diététiste ou diététicienne immatriculée, Dt.P., Dt.I, Dt.N.I Nova Scotia Dietitian, Registered Dietitian, Nutritionist, Professional Dietitian, Professional Nutritionist, RD, P.Dt, RDN Prince Edward Registered Dietitian, RD Island Newfoundland Registered Dietitian, Dietitian, RD and Labrador Internationally Trained Dietitians  Have to meet the same requirements as applicants trained in Canada  Apply to the regulatory body to determine equivalency  Courses and practicum may be required  Need to write the CDRE What is a Nutritionist? “A nutritionist is a person who studies nutrition and/or provides education or counseling in nutrition principles.” “This individual may or may not have an academic degree in the study of nutrition, and may or may not actually work in the field of nutrition.”  Academy of Nutrition and Dietetics Definition of Terms List June 2017 Unregulated Titles  The following titles related to nutrition are unregulated:  Registered Holistic Nutritionist (RHN)  Registered Nutritional Therapist (RNT)  Functional Nutritionist  Certified Nutritional Practitioner (CNP)  Certified in Holistic Nutrition  Certified Holistic Nutritional Consultant (CHNC)  Registered Nutritional Consulting Practitioner (RNCP)  Registered Orthomolecular Health Practitioner (ROHP)  Natural Nutrition Clinical Practitioner (NNCP)  ?Others Unregulated Titles Source: https://csnn.ca/program/titles-and-designations/ #rd2b and #rd2be  The hashtags #rd2b and #rd2be hashtags are being used by nutrition and dietetic students from around the world on social media (e.g., X, TikTok, Instagram).  Have you ever seen those hashtags? Dietitian vs. Dietician? Partnership for Dietetic Education and Practice (PDEP)  The Partnership for Dietetic Education and Practice (PDEP) is a network formed with members from three groups:  Canadian universities and practical training organizations that provide dietetic education  Alliance of Canadian Dietetic Regulatory Bodies  Dietitians of Canada Integrated Competencies for Dietetic Education and Practice (ICDEP) Link to full document is available in Canvas Pathway to Becoming a Dietitian in Canada Undergraduate Degree (4 years) Guided by the Integrated Competencies Practicum for Dietetic Education and Practice Canadian Dietetic (ICDEP) Registration Examination (CDRE) Full registration with a provincial regulatory body ICDEP  The ICDEP has two purposes:  “define the minimum set of practice abilities that dietitians are expected to possess at the point of initial registration, enabling their entry to practice”  These practice abilities are called Practice Competencies (or PCs)  “delineate the manner in which possession of the PCs is assessed prior to registration through a candidate’s demonstration of Performance Indicators (or PIs).” Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 1) ICDEP - Practice Competencies  50 Practice Competencies are organized into 7 interrelated Domains of Competence:  1. Food and Nutrition Expertise  2. Professionalism and Ethics  3. Communication and Collaboration  4. Management and Leadership  5. Nutrition Care  6. Population Health Promotion  7. Food Provision Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 1) ICDEP – Domains of Competence Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 2) ICDEP – Performance Indicators  Under each Practice Competency (PC), there are multiple performance indicators (PIs)  There are between 2 and 11 PIs for each PC  Performance Indicators “describe abilities that are intended to be demonstrated either within education programs or within the CDRE [Canadian Dietetic Registration Examination]” Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 5) Examples of Practice Competencies and Performance Indicators Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 18) ICDEP Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 18) PI Assessment Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 7) Entry-Level Dietitians  The ICDEP prepares candidates for students to be safe, ethical and effective entry level dietitians  An ‘entry level’ dietitian uses approaches that meet the standards set in the profession, while also acknowledging professional situations that are beyond their abilities, and work to get support in order to maintain safe and ethical practice as a new dietitian Source: Integrated Competencies for Dietetic Education and Practice (ICDEP) – Version 3.0 (2020) (page 6) Continuing Professional Education/Lifelong Learning  Continuing Education (CE) or Continuing Professional Education (CPE)  Learning that advances from a previously established level of accomplishment to extend and amplify knowledge or skills Examples of Certificates and Other Credentials  Certified Diabetes Educator (CDE)  Certified Nutrition Support Clinician (CNSC)  Board Certified Specialist in Sports Dietetics (CSSD)  Certified Nutrition Manager (CMN)  And many more Graduate Programs  Types of Programs:  Masters  2 years full time study; thesis or non-thesis (course-based) option Graduate Programs  Types of Programs (continued):  Doctorate (PhD)  3-5+ years study after completion of a master’s degree  Original research required; doctorate is considered the “terminal degree”  Primary credential for university teaching or research