Agenda for NFSC Advisory Committee Meeting Friday, November 14 8:00 9:30 AM Holt Hall 129

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1 Agenda for NFSC Advisory Committee Meeting Friday, November 14 8:00 9:30 AM Holt Hall 129 8:00 Quick welcome (Katie Silliman) 1. Undergraduate Program in Nutrition/Didactic Program in Nutrition (DPD) 8:00 8:20 Michelle Neyman Discussion of dropping option in Foodservice Administration and substituting it with an option in Nutrition and Wellness o Addition of a course in Complementary and Alternative Medicine (CAM) 8:20 8:45 Faye Johnson and Suzanna Nye Discussion of House of Delegates (HOD) Report on Dietetics Education and the Needs of the Future o What additional skills and knowledge are necessary for students graduating from a DPD program to have to be successful in internships or jobs? o What would the impact be of requiring post-baccalaureate education prior to applying for dietetic internships? o What are the perceptions of the Advisory Committee on the following statements included in HOD report based on a 2000 Practice Audit? The audit revealed that employers believe that practitioners need to enhance key business competencies such as persuasive communication, negotiation skills, supervisory abilities, and financial knowledge in almost every area of dietetic practice. The audit also stated that employers believe that dietetic practitioners need to enhance key professional characteristics such as flexibility, creativity, initiative, a problemsolving mindset, and a heightened focus on the patient as a consumer. Break: 8:45 8:55 2. Graduate Program in Nutritional Science 8:55 9:05 Katie Silliman Discussion of any curricular changes for 2 options: General Nutritional Science and Nutrition Education Expansion of internship opportunities especially in areas of clinical nutrition and food industry 3. Dietetic Internship 9:05 9:25 Barbara Kirks Program Assessment Report (PAR) 5-Year Review of DI Results from Surveys Goals for the next 5 years o Additional sites recommended o Distance Education possibilities

2 NUTRTTION & FOOD SCIENCES ADVISORY BOARD MEETING November 14, 2003 Attending: Christa Seybold-Haynes, Regina Munster, Mary Aram, Margaret Kelly, Anne Kleimann, Karen Norris, Jane Anderson-Rodgers,Terri Fields Hosler, Suzanna Nye, Debbie Silveira, Marsha Miller, Julia Sabin, Shaunna Bass, Trish Cornwell, Rachel LaGrande (Pearson), Kathryn Silliman, Faye Johnson, Barbara Kirks, Michelle Neyman, Michelle Monastra. Summary of Minutes: 1. Undergraduate Program in Nutrition/Didactic Program in Nutrition (DPD) Michelle Neyman: Discussion of dropping BS degree option in Foodservice Administration and substituting it with a BS degree option in Nutrition and Wellness one course to be added is a course in Complementary and Alternative Nutrition (CAM): American Dietetic Association (ADA) 2000 Practice Audit revealed that 18% of entry level dietitians were using CAM in practice and 46% said they planned to use it in future In addition, consumers are reporting an increased use of CAM practices in addition to traditional medicine Task force from NIH advising ADA to add CAM into DPD curriculum in order to prepare students for future Currently certification programs for CAM exist on the web o Suggestion: this is one way to implement CAM into curriculum CSU, LA offers a 24-unit certificate in Alternative Nutrition CSU, San Jose offers a course in CAM and offers a minor in CAM requiring 15 units Discussion of possible BS degree option in Nutrition and Wellness at CSU, Chico: Presented possible core set of courses for both options: Dietetics and Nutrition and Wellness o Group recommended microbiology for both options Suzanna Nye discussed recent survey of consumers-consumers want to know more about CAM o CAM issue brought up in House of Delegates o Registered dietitians (RDs) need to know what the scientific support for these alternatives are o Potentially higher salaries for registered dietitians (RDs) who have basic knowledge of CAM Baby boomers are very interested in CAM and most try to learn it on their own but are getting biased responses. Health professionals need to know the science behind these therapies. RDs should be in a position to respond to clients needs Doctors responding to alternatives - some waiver on the idea but majority have resistance, also depends on geographic area as well Suzanna Nye also emphasized the importance of providing nutrition education in the most culturally understandable way

3 We, as a profession, need to be culturally understanding and sensitive of certain cultures use of CAM 2. Discussion of House of Delegates (HOD) Report on Dietetics Education and the needs of the Future Problem: there is too much information for students to receive in an undergraduate education to be competent in the profession Solutions: 1. Requiring students to get masters degree 2. Expanding number of internship opportunities Effect: Will decrease the # of people in the profession Suzanna Nye addressed concern for wage among dietitians solution: increase demand for RDs o HOD members met and decided that a task force would reconvene in February 2004 based on lack of enough information and biased input from a small group of individuals o Suzanna would like the masters to be required o This change would also shift the value of DTRs (currently a 2 year degree program) o DTRs cannot do assessment on low risk pts. increasing DTR value may solve this problem Internships are focused on clinical area but the jobs in the market place do not reflect this o House wants action on this o Getting cost analysis for internships and exposing them to other branches of this field is warranted o This will give them tool to branch out yet stay in dietetics 50% of RDs work in clinical in California a larger proportion of RDs work in WIC than other states Greater emphasis should be placed on area of preventative care Dr. Johnson stressed that there is a lot of variation in internships - students should be able to pick internships to meet their needs Recent ADA survey of educational needs of RDs for professional development portfolios revealed the top two requested areas are Geriatrics and CAM ADA must act on Geriatrics due to expected shifts in population B. Kirks, as internship director, stated that list of competencies is already hard to meet and with added competencies the time required to complete an internship may need to be increased. Also stated that while many students say they do not want to go into clinical area many change their minds and do thus we need to ensure that they are prepared in clinical Shift towards masters degree required will be more likely based on trends in knowledge base RDs working in outpatient centers are not thought of traditionally doing clinical but in reality they do Need to balance personalizing the internship for student without compromising time in clinical area Need to up the degree requirement in order to be respected Issue of low pay was brought up given a MS training Possible push for integrating the undergraduate program with internship at the same time Participating in internships will encourage students to continue their education and get their RD Renal dietitians would like RDs to have masters degree Part of what competencies need to include is negotiating skills ADA salary is a benchmark and all RDs need to learn to negotiate salaries based on skills Maybe change the DTR to a different title

4 Limitation to increase pay: hospitals are held to insurance companies and they will not pay more than the current reimbursement Strategy is to develop a portfolio of skills over and above nutrition skills Have portfolio consist of more than nutrition skills Show insurance companies that RDs provide a cost-saving 3. Graduate Program in Nutritional Sciences Kathryn Silliman: Currently 2 options for MS degree one in General Nutrition and one in Nutrition education o It was suggested that Nutrition Ed. Option needs to offer to students an understanding of negotiating own value, staffing and budgets, cost effectiveness in order to encourage them to be more successful o Offer/require a course in Management- for financial management, supervision, goal setting have a better understanding of the business world Behaviors you need to have to break the $70,000 pay range o Having up-scaling options and other opportunities Other area addressed was successful acceptance into dietetic internships o Background in clinical important but hard for students to obtain given that they work o Most students struggling to get clinical experience o Volunteering in a clinical setting is an issue; not allowed to let you volunteer due to issues with CMS/HCFA Suzanna stated that there is a lot of misunderstanding about what students can and can t do o In Arkansas students asked their local association to get clinical experience and get paid for it. Need to show that they are cost effective As long as facilities are covered for liability, students can work in clinical facility o Policies need to be looked at 4. Dietetic Internship (DI) 5 year review Barbara Kirks: Results of surveys of Interns- 100% pass rate on the first taking of exam Interns very happy with DI Felt very skilled In areas of resource mgmt, don t feel as competent Over half are not working in clinical settings Students were employed within 3 months Supply is low and demand is high for RDs Overall goal of DI is for graduates to be hirable Do not have rotations at UC Davis Medical Center and Sacramento any longer due to CSU, Sacramento and UC Davis DIs Long range goal (next 5 years) is getting distance education started with WebCT o Expanding the program via distance program is seen as advantageous for students, more students will be able to explore program o Hard to juggle so many, distance learning would benefit because it could place them in different places with a smaller number of interns/site Shasta County loves the dietetic interns and expanding public health experience from just WIC to public health options, ex: diabetes and disease prevention is encouraged Community rotation is only 6 weeks and we need to revisit this should it be longer?

5 Younger dietitians will be more willing to move out of geographic area It was suggested that we work with USDA regional center at UC Davis to study herbal medicine