American Dietetic Association: Standards of Practice and Standards of Professional Performance for Registered Dietitians (Competent, Proficient, and Expert) in Integrative and Functional Medicine

Developing an Advanced Practice Credential for Registered Dietitian Nutritionists in Clinical Nutrition Practice

“…Seventy tasks were developed based on prior research [2][3][4]16 and Standards of Practice and Standards of Professional Performance in clinically focused practice areas, [17][18][19][20][21][22][23][24][25][26][27] and reviewed and vetted by RDN experts of diverse clinical backgrounds. Cognitive interviewing was used with 16 RDNs to assure tasks were interpreted as intended.…”

The Next Generation of Dietitians: Implementing Dietetics Education and Practice in Integrative Medicine

“…Dietitians and nutritionists are called to address the changing health care needs in the dietetic workforce [19,21]. Beyond conventional dietetic training, an understanding of systems biology, nutrigenomics, and biochemistry is required as the core knowledge to understand the root cause of a chronic disorder and to choose appropriate nutritional tools for interventions [22,23], which is a piece of the newly defined term "personalized lifestyle medicine" [24]. We contend that dietitians practicing integrative medicine are addressing these challenges and that this paradigm needs expansion to supply the skilled workforce.…”

Herbal/Botanical Medicine

“…' 2 In 2011, the American Dietetic Association (now the Academy of Nutrition and Dietetics [AND]) Standards of Practice and Standards of Professional Performance for Registered Dietitians in Integrative and Functional Medicine identified professional performance indicators for evidence-based practice for the following 3 levels of practice in this area: competent practitioner, proficient practitioner, and expert practitioner. 3 The Standards of Practice indicates that competent practitioners should consider evidence-based and practice-based research and protocols when ranking nutrition diagnoses in order of importance (indicators 2.2 and 2.2A), and practitioners should base their intervention plan on evidence and research. 3 The Standards of Practice further specifies that dietitians should use evidence-based resources (eg, national guidelines, published research, and evidence-based libraries and databases), AND position papers, and Institute of Medicine (IOM) guidelines (indicators 3.2 and 3.2A).…”

“…3 The Standards of Practice indicates that competent practitioners should consider evidence-based and practice-based research and protocols when ranking nutrition diagnoses in order of importance (indicators 2.2 and 2.2A), and practitioners should base their intervention plan on evidence and research. 3 The Standards of Practice further specifies that dietitians should use evidence-based resources (eg, national guidelines, published research, and evidence-based libraries and databases), AND position papers, and Institute of Medicine (IOM) guidelines (indicators 3.2 and 3.2A). Proficient and expert dietitians have more comprehensive and sophisticated knowledge of the evidence and utilize these data in ranking the nutrition diagnoses and planning the intervention (indicators 2.2B, 2.2C, and 3.2B).…”