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Preceptor Orientation

Monica Esquivel PhD MS RDN CSSD

Dietetics Program Director

University of Hawaii at Manoa

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Orientation Agenda

UHM ISPP program goals and objectives
Program updates

Share UHM ISPP RD Exam performance
Curriculum changes
ACEND site visit schedule
Resources available to UHM ISPP preceptors

Updated ACEND Standards

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UHM ISPP Philosophy/Mission

To provide the foundation knowledge and skills in dietetics for successful preparation of students for supervised practice leading to eligibility for the CDR credentialing exam to become a registered dietitian nutritionist with an emphasis on community nutrition and an appreciation for the unique cultural environment of Hawai‘i and US Affiliated Pacific Region.
No other accredited programs in region
Approximately 80% of RDNs working in Hawai‘i have been trained either in UHM DPD or ISPP

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UHM ISPP Goals & Objectives

Goal 1: To produce undergraduate dietetics prepared for accredited dietetic internships, institutions of higher learning, and supervised practice graduates prepared for entry level RDN practice through high quality education and training.

“At least 80% of graduates of the Supervised Practice will complete the SP within 15 months (150% of the program length).”
“Of graduates who seek employment, 80% are employed in nutrition and dietetics or related fields within 12 months of completing the Supervised Practice.”
“100% of program graduates take the CDR credentialing exam for dietitian nutritionists within 12 months of program completion.”
“The program’s one-year pass rate (graduates who pass the registration exam within one year of first attempt) on the CDR credentialing exam for dietitian nutritionists is at least 80%.”
90% of employers who responded to the employer survey will rate our graduates as prepared or well prepared for their position.
90% of graduates who responded to the alumni survey will rate themselves as prepared or well prepared for their employment (UHM Specific).

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UHM ISPP Goals & Objectives

Goal 2: To produce graduates who have demonstrated a commitment to community service and appreciation for the unique cultural environment of Hawai‘i and the US Affiliated Pacific.

70% of graduates will indicate on an alumni survey they are now employed in a professionally related position in Hawai‘i and/or the US Affiliated Pacific.
80% of graduates will complete a community experience unique to Hawai'i.

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UHM ISPP News & Updates

RD Exam Pass Rate over past 3 years (% passed within 1 year of first attempt)

14/17 (82.35%)

New Accreditation standards for 2022 being implemented
3 Interns enrolled in MS Nutritional Sciences RDN Concentration

1 in final semester
2 in 2nd semester

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MS RDN Concentration Curriculum

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Fall 1

Graduate coursework
Thesis/Plan B project planning

Spring 1

ISPP Seminar
Supervised Practice Hours 350 hours
Teaching Assistantship Experience

Summer

Thesis/Plan B Project planning
Study for qualifying exam

Fall 2

ISPP Seminar
Supervised Practice Hours (350)
Take qualifying exam
Work on Plan B Project/Thesis

Spring 2

Supervised Practice Hours (350)
Defend plan B project/thesis

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Plan B Project

Of practice importance
Can include developing test, education method, evaluation of intervention, curriculum, or protocol in a practice setting
Examples:

Case Study
Systematic Literature Review
Grant Proposal
Service Learning Project

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UHM Resources for Preceptors

UHM ISPP Website: https://cms.ctahr.hawaii.edu/hnfas/Academics/Dietetics-SP

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Preceptor Resources

Preceptor Handbook

PDF on website
Roles of preceptors, faculty, staff, interns
Trajecsys training/how-to’s

Link to online orientation video
Information on earning CPEUs
Other free preceptor training resources

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Preceptor Resources- Toolkits

One per rotation, updated annually
Includes

Required steps (establishing schedule, learning plan)
Required competencies for each rotation
Examples of activities & assignments to be used to meet competencies
Outlines evaluations and required documents for each rotation

Note: interns ARE trained on this and are also responsible for being aware and actively participating in building learning plan with preceptor

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New ACEND Standard Highlights

1000 minimum hours, 700 must occur in professional work settings
Required to result in graduate degree or require graduate degree for admission to dietetic internships
Training for preceptors on strategies to recognize and monitor biases in self and others to reduce instances of microaggression and discrimination

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New ACEND Standard Highlights

New competencies:

CRDN 3.3 Perform routine health screening assessments including measuring blood pressure, conducting waived point-of-care laboratory testing (such as blood glucose or cholesterol), recommending and/or initiating nutrition-related pharmacotherapy plans (such as modifications to bowel regimens, carbohydrate to insulin ratio, B12 or iron supplementation)

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New ACEND Standard Highlights

New competencies:

CRDN 3.4 Provide instruction to clients/patients for self-monitoring blood glucose, considering diabetes medication and medical nutrition therapy plan.

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New ACEND Standard Highlights

New competencies:

CRDN 3.5 Explain the steps involved and observe the placement of nasogastric or nasoenteric feeding tubes; if available, assist in the process of placing nasogastric or nasoenteric feeding tubes.

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New ACEND Standard Highlights

New competencies:

CRDN 3.6 Conduct a swallow screen and refer to the appropriate health care professional for full swallow evaluation when needed.

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Preceptor Resources- Trajecsys

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www.trajecsys.com

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ACEND® Accreditation Standards Overview

For Faculty and Preceptors

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Academy Relationships

©ACEND 2019

BOD

ACEND

CDR

Professional Membership Organization

Accrediting Agency for Nutrition and Dietetics Education Programs

Credentialing Agency for Nutrition and Dietetics Practitioners

Academy of Nutrition and Dietetics

ACEND

BOD

CDR

Accreditation Council for Education in Nutrition and Dietetics

Board of Directors

Commission on Dietetic Registration

ACEND stands for The Accreditation Council for Education in Nutrition and Dietetics. ACEND is the accrediting agency for education programs preparing students to begin careers as registered dietitian nutritionists or nutrition and dietetics technicians, registered.

I want to take a moment to explain ACEND’s relationship to the Academy of Nutrition and Dietetics. The Academy is a legally incorporated, not-for-profit corporation. It is a professional membership organization that provides products and services to its members and strives to empower members to be food and nutrition leaders. The Board of Directors oversees the strategic direction, budget, guidelines and policies of the Academy of Nutrition and Dietetics.

ACEND, although a part of the Academy’s not-for-profit corporation, is required by the US Department of Education to function autonomously from both the Academy and the Commission on Dietetic Registration, or CDR. All decisions made about accreditation standards and accreditation status are made by the ACEND Board without interaction or influence by either the Academy or CDR.

The Commission on Dietetic Registration is the credentialing agency for nutrition and Dietetics Practitioners and is part of the Academy’s not-for-profit corporation. CDR also functions autonomously from the Academy and ACEND in making credentialing decisions.

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About ACEND

©ACEND 2019

Fast Facts

USDE recognizes ACEND as the accrediting body for nutrition and dietetics education programs

ACEND assures the quality of nutrition and dietetics education through a peer review process

All accreditation decisions are made by a board of directors, comprised of educators, practitioners, student members and public members

Let’s discuss ACEND’s role in the accreditation process. ACEND is recognized by the US Department of Education, or USDE, as the accrediting body for nutrition and dietetics education programs. That means that ACEND is approved to create a set of standards that programs must follow in order to be considered an accredited program. Every five years the USDE reviews ACEND to ensure that it is meeting the USDE criteria for accreditors. Similarly, ACEND reviews its own accredited programs every seven years to ensure that they meet the ACEND standards. ACEND uses a peer-review process to assure the quality its programs. ACEND program review teams conduct site visits to programs who want to continue their accreditation, in order to assess whether those programs meet the ACEND Accreditation standards. The ACEND board of directors, comprised of educators, practitioners, student members and public members, review the recommendations from these teams and make all accreditation decisions as a group.

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Role of Program Director-MKE

Delegates data collection to faculty and preceptors
Compiles and analyzes student outcome data
Coordinates submission of all ACEND reports
Ensures faculty and preceptors are appropriate for subject area
Ensure faculty and preceptors are trained on program procedures and ACEND standards

©ACEND 2019

Manages compliance with ACEND requirements

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Role of Faculty and Preceptors

Implement and assess specific assignments and activities in courses or rotations
Track student outcomes on specific assignments and provide data to program director
Participate in trainings provided by program
Provide program director with CV or other professional information to confirm experience
Include knowledge requirements and competencies on syllabi and rotation descriptions (faculty, instructors only)

©ACEND 2019

“Boots on the Ground”

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Standard 5

Preceptors (ISPP):

Program-specific Rotation Description (or help creating) (Provided in toolkits)
Program-specific rubrics/assessment materials (Provided in toolkits)
Discuss student and preceptor expectations (Provided in handbook and orientation)

©ACEND 2019

What to Expect from Program Director

The program director should be in regular communication with the faculty and preceptors participating in the education of program students. If you are a faculty member of the program, you should expect the program director to discuss the following with you:

-Any learning activities from your course used to assess KRDNs or KNDTs, and

-Whether activities in your course will be included as alternate supervised practice hour activities to assess the CRDNs or CNDTs.

If you are a preceptor, program directors must provide a program-specific rotation description and assessment materials for the students you are training. In some cases, a preceptor may be working with the program director to create these rotation descriptions and assessment materials. The program director and preceptor should also discuss what is expected of both the student or intern and the preceptor during the rotation so that the appropriate student or intern experience is provided. It is important that each program provide its own materials to preceptors. Preceptors who are precepting students from multiple programs, must use the assessment materials from the program a student attends, not materials from any other institutions they may be working with.