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The ADA/CDR
Code of Ethics
for the
Profession of Dietetics
“Right & Wrong”
“Moral & Immoral”
“Just & Unjust”
1. The study of standards of conduct and moral judgment.
2. A treatise on this study.
3. The system or code of morals of a particular philosopher, religion, or group, etc...
Ethics: (eth/ iks)
Aspirational
Educational
Regulatory
Types of Codes
The 19 ADA Principles
• Protect the profession and the credential.• Influence public and private policy.• Improve professional practice.• Meet the guidelines of the accrediting agency for
the Commission on Dietetic Registration.• Identify and reprimand all unqualified dietitians and
dietetic technicians.
Functions of a Code
• 1934 - 1st Report presented to members.
• 1982 - 1st Code adopted. Enforced 1985.
• 1987 - 2nd Code adopted. Enforced 1987.
• 1997 - Joint ADA/CDR Task Force convened.
• 1998 - New Code presented to members, Spring
HOD. Adopted, Fall HOD 1998.
• 1999 - New Code published January 1999.
Effective June 1999.
History
What’s Different About the New Code of Ethics ?
• Educational options.• Modernization:
a) provide full disclosure regarding conflict of
interest.
b) avoid sexual harassment.
c) sensitivity to cultural differences.• Communication of violations.
Professional Development
Portfolio
Professional Development
Portfolio
The Standardsof Professional
Practice
The Standardsof Professional
Practice
LifelongLearning andProfessional Enhancement
LifelongLearning andProfessional Enhancement
The Code of Ethics
• JADA, January 1999 p.109-113.
• Brochure - for bulk purchase. Single copy for free.
• Fax on demand library- 1-800-877-1600:
document #5004.
• ADA Web site- http://www.eatright.org/adacode.html.
Accessing the Code
Tools & Resources
• Ethics committee; Ethics team - Handout C.
• Ethics reading list - Handout B.
• State and AME presentations.
• Opinion papers.
• Publications and articles.
Confidentiality
Honesty, Integrity
Patient’s Rights
Ethical Business Practices
Issues: # of Times Listed
49
18
16
6
Decisionsin Dietetics Practice
Anderson S. Top Clin Nutr 1991; 6 (3): 63-67.
Ethics Issue or Not ?
• Legal or regulatory issue ?
• Employer policy issue ?
• Personal issue ?
• ADA/CDR member issue ?
Self Assessment - Ethics Scenarios -
• 8 Ethics scenarios.
• Work in groups.
• Report back results of discussion.
Conflict of Interest
The president-elect of a state dietetic association is
employed by a nationwide supplemented, fast-weight-loss
program. Today the state association board is voting on a
position regarding very-low-calorie diets.
Confidentiality
A dietitian gets on the elevator with you and several other
people; she has just begun screening a client with an unusual
diagnosis, and begins to discuss the client’s case with you.
Principles Relating toDietetics Practice
At 4 pm on Friday you receive a phone call from the
administration department secretary, who tells you, the director
of nutrition services, that she has received a call from a retired
company executive who would like a copy of a renal diet.
Use of Credentials
An individual in private practice plans to take the registration
examination. In anticipation of a favorable outcome and to save
time in promoting his practice, he has business cards printed
with “RD” after his name and also uses advertisements
promoting his RD credential. Several months later he takes the
exam and receives notification that he has passed.
Disagreement WithEmployer’s Practice
You are an employee of a large medical group. One of the
physician partners prescribes megavitamin therapy for AIDS
patients and severely restricted diets for patients with cancer.
He asks you to counsel his patients in these two regimens.
Difficult Decisions
A food service employee asked the food service Director if she
could take home some left-over food. The Director told her it
was against the facility’s policy and that it would be considered
pilferage, punishable by immediate termination. A dietetic
intern observed this interaction and later witnessed the
employee take some left-over food.
Difficult Decisions
A food service employee asked the food service Director if she
could take home some left-over food. The Director told her it
was against the facility’s policy and that it would be considered
pilferage, punishable by immediate termination. A dietetic
intern observed this interaction and later witnessed the
employee take some left-over food.
Exam Questions
While taking a course to prepare yourself for the registration
examination, you are asked to memorize two test items and
write them down immediately after leaving the exam room, then
submit them for compilation of a practice exam.
Disagreement with MD Regarding Patient’s Needs
A patient is admitted with severe trauma. Upon screening and
subsequent nutrition assessment, you determine he is at risk of
becoming malnourished and recommend nutrition support.
Five days later the patient is still NPO and receiving D5-W
through a peripheral venous access. You call his physician,
who refuses to initiate nutrition support and states that the
patient has enough fat to meet his needs for a long time.
Q & A and Summation
Ethics Presentations at AME - 99
• Genetics into the 21st Century - Impact of Dietetics Professionals10/17/99, 8:00am-12:00pm, Room 205E.E. Virginia Lapham, PhD; Chahira Kozma, MD;Kathryn M. Camp, MS, RD, CSP
• Telemedicine - Ethical Implications10/18/99, 4:00pm-5:30pm, Room 216/217E.Robert J. Waters, MPA, JD
• Do the Right Thing - The Revised Code of Ethics-- An herbal Supplements Case Study.
10/19/99; 4-5:30pm, Room 216/217E.Jane Folkman, MS, RD; Bruce Rengers, PhD,RD; Jerry Foote, MS, RD.
• Lenna Frances Cooper Lecture: Dietetics, Legalitites, Ethics and Eccentricities.
10/20/99, 8:00am-0\9:00am, Room Hall C.
Doris V. Derelian, PhD, RD, FADA
• Genetics in Dietetic: Education and Practice Issues - ethical, legal and pyschological issues that affect individuals with genetic disorders.
10/21/99, 8:30am-9:30am, Room 313E.
Kathryn M. Camp, MS, RD, CSP; Judith A.
Gilbride, PhD, RD, FADA.
Ethics Presentations at AME - 99
