University of Michigan School of Public Health Department of Nutritional Sciences Dietetic Internship Program (DI)

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University of Michigan School of Public Health Department of Nutritional Sciences Dietetic Internship Program (DI) Procedure for Assessing Prior Learning I. Policy Prior learning assessment and the assignment of credit toward supervised practice hours is acceptable by the Accreditation Council for Education in Nutrition and Dietetics. II. Purpose A. Provide interns an opportunity to apply for credit of supervised practice hours gained prior to admission to the U-M SPH DI toward their dietetic internship. B. Apply up to 200 hours of intern s prior learning towards the required 1200 supervised practice hours requirement in CADE DI programs. III. IV. Definitions A. Supervised practice hours: Dietetic internship hours supervised by either a registered dietitian or qualified supervisor, leading to the registered dietitian credential. ACEND: Accreditation Council for Education in Nutrition and Dietetics, The Academy of Nutrition and Dietetic s accrediting agency for education programs preparing students for careers as registered dietitian nutritionists or dietetic technicians, registered. Policy Standards A. Interns are required to complete 1200 supervised practice hours, leading to the registered dietitian nutritionist credential. B. These hours meet defined CADE learning outcomes and competencies. C. A maximum of 200 hours of prior learning may be credited toward the supervised practice through this assessment. V. Procedures A. Interns can apply for prior learning credit only after acceptance into the U-M SPH DI Program. B. Interns complete the attached documents electronically and electronically submit no less then 6 weeks (42 days) prior to the internship start date. C. The attached documents contain the 2017 ACEND Learning Objectives and Competencies for DI Programs in table format. D. Interns applying for prior learning assessment credit must complete the table including activity, date, location and time (hours) spent at the sites achieving the competency and learning outcome(s). E. In addition to completing the ACEND Learning Objectives and Competencies table, the intern must include a 1 page essay for each applicable learning objective detailing HOW the learning objective and competency was met. The essay must include examples of activities. F. Interns will submit samples of projects, reports, presentation and professional practice that demonstrate advanced knowledge and skill in dietetics.

G. Interns must submit documentation from the registered dietitian or other qualified person who supervised their prior learning hours. This documentation may include an evaluation from the supervisor, a statement of the intern s activities, or other written documentation of activities. Documentation must include the supervisor s contact information. H. The dietetic internship director and other personnel, as indicated, will review attached documents for approved supervised practice hours. I. The intern will be notified 4 weeks prior to the start of the internship of any prior learning hours credited via this assessment. VI. VII. All tuition and fees for the U-M SPH DI will remain the same regardless if prior learning credit is given. Exhibits A. See Attached VIII. Author: Theresa Han-Markey, MS, RD IX. Approval Date: June 24, 2009 X. Revision-Review Date: March 29, 2017

Attachment 1: Electronic submission documenting activity, location, date, time, learning objectives and competencies met. Please use the following table and format to apply for prior learning credit toward supervised practice. Intern competencies/learning outcomes CRDN 1.1 Select indicators of program quality and/or customer service and measure achievement of objectives. CRDN 1.2 Apply evidence-based guidelines, systematic reviews and scientific literature. CRDN 1.3 Justify programs, products, services and care using appropriate evidence or data. CRDN 1.4 Evaluate emerging research for application in nutrition and dietetics practice. CRDN 1.5 Conduct projects using appropriate research methods, ethical procedures and data analysis. CRDN 1.6 Incorporate critical-thinking skills in overall practice. CRDN 2.1 Practice in compliance with current federal regulations and state statutes and rules, as applicable, and in accordance with accreditation standards and the Scope of Nutrition and Dietetics Practice and Code of Ethics for the Profession of Nutrition and Dietetics.

CRDN 2.2 Demonstrate professional writing skills in preparing professional communications. CRDN 2.3 Demonstrate active participation, teamwork and contributions in group settings. CRDN 2.4 Function as a member of interprofessional teams. CRDN 2.5 Assign duties to NDTRs and/or support personnel as appropriate. CRDN 2.6 Refer clients and patients to other professionals and services when needs are beyond individual scope of practice. CRDN 2.7 Apply leadership skills to achieve desired outcomes. CRDN 2.8 Demonstrate negotiation skills. CRDN 2.9 Participate in professional and community organizations.

CRDN 2.10 Demonstrate professional attributes in all areas of practice. CRDN 2.11 Show cultural competence/sensitivity in interactions with clients, colleagues and staff. CRDN 2.12 Perform self-assessment and develop goals for self-improvement throughout the program. CRDN 2.13 Prepare a plan for professional development according to Commission on Dietetic Registration guidelines. CRDN 2.14 Demonstrate advocacy on local, state or national legislative and regulatory issues or policies impacting the nutrition and dietetics profession. CRDN 2.15 Practice and/or role play mentoring and precepting others. CRDN 3.1 Perform the Nutrition Care Process and use standardized nutrition language for individuals, groups and populations of differing ages and health status, in a variety of settings. CRDN 3.2 Conduct nutrition focused physical exams

CRDN 3.3 Demonstrate effective communication skills for clinical and customer services in a variety of formats and settings. CRDN 3.4 Design, implement and evaluate presentations to a target audience. CRDN 3.5 Develop nutrition education materials that are culturally and age appropriate and designed for the literacy level of the audience. CRDN 3.6 Use effective education and counseling skills to facilitate behavior change. CRDN 3.7 Develop and deliver products, programs or services that promote consumer health, wellness and lifestyle management. CRDN 3.8 Deliver respectful, science-based answers to client questions concerning emerging trends. CRDN 3.9 Coordinate procurement, production, distribution and service of goods and services demonstrating and promoting responsible use of resources. CRDN 3.10 Develop and evaluate recipes, formulas and menus for acceptability and affordability that accommodate the cultural diversity and health needs of various populations, groups and individuals.

CRDN 4.1 Participate in management of human resources. CRDN 4.2 Perform management functions related to safety, security and sanitation that affect employees, customers, patients, facilities and food. CRDN 4.3 Conduct clinical and customer service quality management activities. CRDN 4.4 Apply current nutrition informatics to develop, store, retrieve and disseminate information and data. CRDN 4.5 Analyze quality, financial and productivity data for use in planning. CRDN 4.6 Propose and use procedures as appropriate to the practice setting to promote sustainability, reduce waste and protect the environment. CRDN 4.7 Conduct feasibility studies for products, programs or services with consideration of costs and benefits. CRDN 4.8 Develop a plan to provide or develop a product, program or service that includes a budget, staffing needs, equipment and supplies.

CRDN 4.9 Explain the process for coding and billing for nutrition and dietetics services to obtain reimbursement from public or private payers, fee-for-service and valuebased payment systems.