Entry-Level Registered Dietitian and Dietetic Technician, Registered Practice Today: Results From the 2020 Commission on Dietetic Registration Entry-Level Dietetics Practice Audit

Rogers, David E.; Griswold, Kelly; Sauer, Kevin; Abbay, Elizabeth; Coufal, Amanda; Eastman, Wanda; Lawson, Kathryn; Slack, Deborah; Sulik, Becky

doi:10.1016/j.jand.2020.09.027

Cited by 6 publications

(11 citation statements)

References 6 publications

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“…20 As in past practice audits, the results show that entrylevel US RDNs (with 3 years of experience) are different from those with !4 years of practice. 20 Practice audits include demographic data and a list of activities. 20 For each activity included in the practice audit, participants are asked to describe the ways of involvement (not involved, performed under supervision, performed without supervision, or supervise/manage), frequency of involvement (daily, weekly, or monthly), and perception of risk to the public if the activity is not performed satisfactorily (very low, low, moderate, high, or very high).…”

Section: What Is a Practice Audit?mentioning

confidence: 56%

“…[15][16][17][18][19] The most recent practice audit completed in 2020 includes similar questions to those on the 2015 practice audit. 20 In the United States, the emphasis is on understanding the requirements for entrylevel practice. The Commission on Dietetic Registration defines entry level as 3 years since registration.…”

Section: What Is a Practice Audit?mentioning

confidence: 99%

“…The Commission on Dietetic Registration defines entry level as 3 years since registration. 20 The most recent Academy Practice Audit sample included all US registered dietitian nutritionists (RDN)s in their first 5 years of practice. 20 As in past practice audits, the results show that entrylevel US RDNs (with 3 years of experience) are different from those with !4 years of practice.…”

Section: What Is a Practice Audit?mentioning

confidence: 99%

“…20 The most recent Academy Practice Audit sample included all US registered dietitian nutritionists (RDN)s in their first 5 years of practice. 20 As in past practice audits, the results show that entrylevel US RDNs (with 3 years of experience) are different from those with !4 years of practice. 20 Practice audits include demographic data and a list of activities.…”

Section: What Is a Practice Audit?mentioning

confidence: 99%

See 3 more Smart Citations

Clinical Dietetics Practice Audit in India: A Collateral Collaboration of Dietitians from India and the United States

Shanthi

Myers²,

Madan

et al. 2022

Journal of the Academy of Nutrition and Dietetics

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Section: What Is a Practice Audit?mentioning

confidence: 56%

Section: What Is a Practice Audit?mentioning

confidence: 99%

Section: What Is a Practice Audit?mentioning

confidence: 99%

Section: What Is a Practice Audit?mentioning

confidence: 99%

See 2 more Smart Citations

Clinical Dietetics Practice Audit in India: A Collateral Collaboration of Dietitians from India and the United States

Shanthi

Myers²,

Madan

et al. 2022

Journal of the Academy of Nutrition and Dietetics

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“…NDTRs are nationally credential, “…educated and trained at the technical level of nutrition and dietetics practice for the delivery of safe, culturally competent, quality food and nutrition services”, and may work to assist the RD in providing MNT in direct patient settings [ 55 ]. Since most NDTRs practice inpatient acute-care, long-term care facilities or social services organizations, a hiring agency would have been needed to recruit them appropriately [ 56 , 57 ]. Leadership should consult with staffing agencies who work closely with healthcare and hospitals, to recruit dietetics staff with the appropriate clinical skills and credentials.…”

Section: Challenges and Solutionsmentioning

confidence: 99%

Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station

Sanchez

Gelfand

Perkins

et al. 2021

IJERPH

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Military field hospitals typically provide essential medical care in combat zones. In recent years, the United States (US) Army has deployed these facilities to assist domestic humanitarian emergency and natural disaster response efforts. As part of the nation’s whole-of-government approach to the coronavirus disease (COVID-19) pandemic, directed by the Federal Emergency Management Agency and the Department of Health and Human Services, during New York City’s (NYC) initial surge of COVID-19, from 26 March to 1 May 2020, the US Army erected the Javits New York Medical Station (JNYMS) field hospital to support the city’s overwhelmed healthcare system. The JNYMS tasked a nutrition operations team (NuOp) to provide patient meals and clinical nutrition evaluations to convalescent COVID-19 patients. However, few guidelines were available for conducting emergency nutrition and dietary response efforts prior to the field hospital’s opening. In this case study, we summarize the experiences of the NuOp at the JNYMS field hospital, to disseminate the best practices for future field hospital deployments. We then explain the challenges in service performance, due to information, personnel, supply, and equipment shortages. We conclude by describing the nutrition service protocols that have been implemented to overcome these challenges, including creating a standardized recordkeeping system for patient nutrition information, developing a meal tracking system to forecast meal requirements with food service contractors, and establishing a training and staffing model for military-to-civilian command transition. We highlight the need for a standardized humanitarian emergency nutrition service response framework and propose a Nutrition Response Toolkit for Humanitarian Crises, which offers low-cost, easily adaptable operational protocols for implementation in future field hospital deployments.

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Completion of a Nutrition‐Focused Physical Exam with hospitalized adults and pediatric patients: Secondary analysis of a prospective cohort study

Jimenez,

Lamers‐Johnson,

Long

et al. 2024

Nut in Clin Prac

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BackgroundNutrition‐Focused Physical Exam (NFPE) feasibility is not well‐studied. We describe registered dietitian nutritionist (RDN)–reported NFPE completion for hospitalized adult and pediatric patients overall and by assessment parameters.MethodsTrained RDNs systematically conducted NFPEs for hospitalized adult and pediatric patients during the Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition Indicators to diagnose Malnutrition multisite cohort study (ClinicalTrials.gov: NCT03928548). RDNs reported their ability to evaluate assessment sites for subcutaneous fat and muscle loss, fluid accumulation, and micronutrient status and to complete handgrip strength (adults and children ≥6 years) and mid‐upper arm circumference measurements (children). RDNs noted if they could complete the full NFPE; if not, they noted challenges. We descriptively summarized results and used multilevel logistic regression models to examine relationships between patient characteristics and NFPE completion.ResultsRDNs from 39 adult and 29 pediatric US hospitals conducted NFPEs for 327 adults and 214 children aged 1 month to 17.9 years. RDNs reported completing the examination for 44% (n = 145) of adults and 15% (n = 33) of children. They successfully evaluated 25 of 27 and 19 of 26 unique NFPE components in >80% of adults and children, respectively. Common reasons the full NFPE was not completed were limited mobility in adults and patient refusal in children. RDNs had lower odds of completing NFPEs in adults with lower vs higher education levels or higher vs lower nutrition complexity and in younger vs older children.ConclusionRDNs evaluated NFPE components for a high proportion (>80%) of hospitalized patients.

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Entry-Level Registered Dietitian and Dietetic Technician, Registered Practice Today: Results From the 2020 Commission on Dietetic Registration Entry-Level Dietetics Practice Audit

Cited by 6 publications

References 6 publications

Clinical Dietetics Practice Audit in India: A Collateral Collaboration of Dietitians from India and the United States

Clinical Dietetics Practice Audit in India: A Collateral Collaboration of Dietitians from India and the United States

Providing Food and Nutrition Services during the COVID-19 Surge at the Javits New York Medical Station

Completion of a Nutrition‐Focused Physical Exam with hospitalized adults and pediatric patients: Secondary analysis of a prospective cohort study

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