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“Introducing
Integrative & Functional Medicine Nutritioninto the Dietetic Curriculum”
Copyright 2019 All Rights Reserved Sudha Raj PhD RDN FAND, Diana Noland, MPH RDN CCN
“Introducing
Integrative & Functional Medicine Nutritioninto the Dietetic Curriculum”
DIFM Connecting Educators Webinar March 4, 2019
After the webinar, the attendees will be able to:
1. Describe the importance of developing and enhancing knowledge and skills expected of nutrition professionals who either currently practice integrative and functional medicine and/or those aspiring to make this their area of practice expertise.
2. Highlight/describe limitations in education and training that aspiring RDNs may face as they pursue this area of practice and/or attempt to increase their level of competency.
3. Identify facilitators to respond to previously identified challenges in the areas of education, training and practice.
“Introducing
Integrative & Functional Medicine Nutritioninto the Dietetic Curriculum”
DIFM Connecting Educators Webinar March 4, 2019
Academy of Nutrition and Dietetics Strategic Plan
Collaborate to solve the greatest food and nutrition challenges now and in the future
Professional DevelopmentCreate inter-professional training and professional development opportunities through strategic partnerships and partner organizations.
www.integrativeRD.org
• Begin 1998 with 80 membersAcademy of Nutrition & Dietetics
• Now in 2019, there are 5530+ members • 800+ student members
• Academy approved Certificate program
The landscape of nutrition and dietetics is responding to the evolving challenges in health care today. The strong increase in integrative RDs reflects this trend.
Integrative Medicine
Personalized care
Addresses full range of physical, emotional, mental, social, spiritual and environmental influences that impact health
Survey of professionals employed at Integrative Medicine Clinics within US Academic Medical Centers (Horrigan et al, 2012)
0 20 40 60 80 100
Yoga Instructor
Dietitian/Nutritionist
Massage Therapist
Meditation Instructor
Acupuncurist
Physician
96%
90%
86%
83%
68%
62%
Who is training the dietitians? At the time of the survey, there were no University based accredited programs to train RDs to practice in Integrative Medicine.
Integrative & Functional Medicine Nutrition
InDietetic
Education
COLLABORATION
Dietetics
&
Nutrition
KU Integrative Medicine
Dietetics
& Integrative Medicine
VISION:
…to provide graduate education
and training in the advanced
specialty of dietetics and
integrative medicine to better meet
the health needs of chronic
disease.
University of Kansas Medical Center
One approach to achieve the Academy GoalVisioning Report 2017: A Preferred Path Forward
for the Nutrition and Dietetics Profession (2012-2017)
Application of nutritional
interventions as effective therapies
for chronic disease…
to accomplish this a well-trained
workforce is mandatory…
University of Kansas Medical Center (KUMC)
Integrative Medicine
Clinical care
Physicians
Naturopathic Doctor
Advanced Practice Nurse
Registered Dietitian
Research
Basic Science
Clinical Trials
Education
Fellowship
Medical students
Dietetics and Nutrition
Education
Dietetic Internship
Accredited
Masters of Science
PhD in Medical Nutrition Science
Research
Basic Science
Clinical Trials
Clinical Care
Outpatient clinic
Integrated Collaboration
Started with 18 Interns
Three Integrative & Functional Nutrition WorkshopsDuring 11 month ASCEND-accredited Dietetic Internship
Month 1 - Introduction to Integrative & Functional Nutrition (6 hours)
Month 4 – IFN Application of Nutrition Care Process (4 hours) Mid-year
Month 10 – IFN Business Opportunities & Dietary Supplements (3 hours)
Formalize collaboration between departments
Funding obtained – anonymous source
Hire consultant – Diana Noland, MPH, RDN, CCN, LD
Beta test practical experiences with 2 Dietetic Interns
Obtain approval (about one year to accomplish)
✓ University graduate council
✓ Kansas System Council of Chief Academic Officers
✓ Kansas Board of Regents
Train faculty and professional staff
Develop curricula
Classes
Practicum & Enroll first 2 students “DIM Fellows”
Program Development–Year One
Program Development–Year Two
Challenges
Feasibility – Change Agents
Practicum development
Collaboration
Meeting Administrative &
State requirements
xxx
xxxxxx
xx
xxx
xxx
hello
Next gen”Integrative medicine is a quickly expanding field of health care that emphasizes nutrition as a key component.
Dietitians and nutritionists have an opportunity to meet workforce demands by practicing dietetics and integrative medicine (DIM).”
KUMC Dietetics and Nutrition 2013
Dietetics and Integrative Medicine: Curriculum Development Model
by Diana Noland, Leigh Wagner, Randall Evans
PaperbackandeBook
Remunerations toward IFMN Dietetic Intern Stipend Fund
Acknowledgements
Administrators Jeanne Drisko, MD CNS, Medical Director, KU
Integrative Clinic
Debra Sullivan, PhD RDN Chair Nutrition & Dietetics, KUMC
Faculty Leigh Wagner, PhD MS RDN LD
Randy Evans, MS RDN LD
Diana Noland, MPH RDN CCN LD
Internship Director
Rachel Barkley, MS RDN LD
Grateful for Anonymous funding $180,000
Endowment fund for IFMN Intern Fellows stipends
KUMCto
Syracuse University
Brief Commentary on the Development of a
Certificate of Advanced Study (CAS) in
Integrative and Functional Nutrition
Nutrition Science and Dietetics Program
Degrees offered
•Bachelor of science degrees in Nutrition and Nutrition Science;
•Master’s degrees (MA and MS) in Nutrition Science, and;
•Certificate of Advanced Study: Dietetic Internship
Falk College Mission Statement
“To provide instructional excellence and leadership in its fields of study through scholarship, practice, civic engagement, advocacy and entrepreneurial endeavors to promote health and well-being of individuals of all ages, their families and their communities within the framework of social justice principles”
Factors that led to the Development of the Certificate of Advanced Study
(CAS)
Healthcare
• New models of healthcare
• Personalized care
Dietetics Profession
• Visioning processes
• Credentialing requirements & competencies
Societal influences
• Consumer interest
• Practice opportunities
External Facilitators
External Facilitators
Growing student interest
ACEND Core competencies
RDNs looking for professional development opportunities
Interest from career transitioning professionals
Internal FacilitatorsOur unique position within the Department of Public health Food Studies and Nutrition
The Units within the Falk College
The College Administration; College and Department Curriculum Committees
Faculty efforts
Internal Facilitators
Internal Facilitators
The Process & Strategies
Consensus building on core competencies
Curriculum review; identify areas where integrative and functional medicine concepts can be introduced
The Process & Strategies
Identified courses to be developed
Core courses
Introduction to Integrative and Functional Nutrition (Graduate course offered since 2013)
Food as medicine (Undergraduate and Graduate course offered since 2012)
Nutritional genomics (Graduate course offered since 2015)
The Process & Strategies
Identified courses to be developed
Electives
Problems in Human Metabolism (existing graduate course modified to incorporate concepts related to metabolic disorders using a problem based learning approach)
Nutrition Counseling (existing course with a focus on Motivation interviewing)
The Process & Strategies
Strategies for content delivery:
Review of existing curriculum and relevant scholarly work,
Networking with experts;
Creating a multi-pronged training framework
Mentoring students interested in pursuing a thesis
Other activities
Involvement in DIFM DPG
Creating inter-professional networks and alliances
Challenges
Practicum development
Niche area
Meeting Administrative
requirements
CAS-Program description
The proposed Certificate of Advanced Study (CAS) in Integrative and Functional Medical Nutrition is intended for graduate students, dietetic practitioners, registered dietitians with undergraduate and/or graduate degrees in nutrition, food and nutrition professionals and students in the allied health fields of study interested in expanding their knowledge and skills in personal lifestyle approaches in this emerging area of professional practice.
CAS Curriculum (12 credits) The required courses are:
NSD 637 Integrative and Functional Medical Nutrition
NSD 685 Nutritional Genomics
NSD 617 Food as Medicine
The elective courses are:
NSD 512 Nutrition Counseling
NSD 765 Problems in Human Metabolism
Acknowledgements Administrators
Dean Diane L. Murphy
Associate Dean Eileen Lantier
Faculty
Dr. Kay Stearns Bruening PhD RD FAND
Dr. Tanya Horacek PhD RD
Dr. Lynn Brann PhD RD FAND
Dr. Margaret Voss PhD
Dr. Jessica Redmond PhD RD FAND
Dr. Jennifer Wilkins PhD RD
Dr. Sudha Raj PhD RD FAND
Jane Burrell Uzcategui MS RD
Chaya Charles MS RD
Nancy Rindfuss MS RD
Chef Mary P Kiernan MBA
Internship Directors
Debra Connolly (Retd.) MS RD
Nicole Beckwith MS RD
Office Administrator
Donna Sparkes
http://www.kumc.edu/school-of-health-professions/dietetics-and-nutrition.html
https://falk.syr.edu/nutrition-science-dietetics/
Diana Noland, MPH RD CCN LD [email protected] Raj, PhD RD FAND [email protected]
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