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

摘要

The Dietitians in Integrative and Functional Medicine (DIFM) Dietetic Practice Group (DPG) of the American Dietetic Association (ADA), under the guidance of the ADA Quality Management Committee and its Scope of Dietetics Practice Framework Sub-Committee, has developed Standards of Practice (SOP) and Standards of Professional Performance (SOPP) for Registered Dietitians (RDs) in Integrative and Functional Medicine (see the Web site exclusive Figure 1, Figure 2 and Figure 3 at www.adajournal.org). These documents build on the ADA Revised 2008 SOP for RDs in Nutrition Care and SOPP for RDs (1). ADA's Code of Ethics (2) and the 2008 SOP in Nutrition Care and SOPP for RDs are decision tools within the Scope of Dietetics Practice Framework (3) that guidethe practice and performance of RDs in all settings. The concept of scope of practice is fluid (4), changing in response to the expansion of knowledge, the health care environment, and technology. An RD's legal scope of practice is defined by state legislation (eg, state licensure law) and differs from state to state. An RD may determine his or her own individual scope of practice using the Scope of Dietetics Practice Framework, which takes into account federal regulations; state laws; institutional policies and procedures; and individual competence, accountability, and responsibility for his or her own actions.