2. DI directors acknowledge that many interns come to their internships without all the skills and knowledge they need to begin their supervised practice experiences.

3. Many employers are not willing to hire young practitioners who need supervision following their dietetic internship.

4. The dietitian of 2015 can have new practice sites and can create new jobs for themselves if they are armed with knowledge and skills. This will require more time and supervised practice experiences in the curriculum and are certainly the essence of a post-graduate degree.

5. All allied healthcare professions except dietetics educate their students in an integrated or seamless educational system that includes both the supervised practice experience and the didactic component under the control of one degree-granting institution.

6. All allied healthcare professions except dietetics have chosen to increase entry-level education based on expansion of knowledge and the need for deeper and wider expertise on the part of their practitioners.

7. Currently, universities support multiple dietetics education programs.

8. If "seamless" integrated and post-graduate entry-level recommendations are passed, the total number of CADE-accredited programs (DPD, DI, CP) providing dietitian education will likely decrease.

9. 57 programs (18% of our entry-level programs) currently award a Master's Degree; therefore, we have many programs as examples upon which to build.

10. With regard to RD salary, the brutal fact is that we currently do not consistently provide services that customers' value.

11. We know what customers value:
* Clients and the public value counseling skills
* Employers value management skills, multi-skilling, negotiation, bottom-line results, revenue generation

12. Regarding advanced practice doctoral degree options, the advanced level practice education provides a great opportunity for career laddering and new expanded job opportunities within an institution.

Brutal Facts for DT Education for Dietetic Technicians and programs that support them, several additional brutal facts were apparent:

1. The number of approved DT programs continues to decrease.

2. Enrollment in DT programs is decreasing nationwide while enrollment in other community colleges and healthcare and related science programs has increased by 37% in the past decade.

3. Of the 1800 students who enroll in DT programs each year
* Only 22% graduate
* Of which 59% sit for the DTR exam
* Of which 60-70% pass.

4. Of the total number of DTRs nationally half work in 4 states (OH, NY, CA, FL).

5. So few people seeking the DTR credential means quality accreditation of programs and credentialing of individuals are no longer possible without prohibitive cost to the Association and to those who wish to maintain the credential.

Overall, we felt these brutal facts from internal and external sources told us that:

1. We need different results if we are to survive.

2. The many competencies and knowledge practitioners need for future practice are not undergraduate work any more.

3. Most allied healthcare professions except dietetics have chosen to increase entry-level education based on expansion of knowledge and the need for deeper and wider expertise on the part of their practitioners.

* when queried all healthcare profession executive directors said the profession was satisfied with the results of increased entry-level standards and would do it again

As a Task Force we decided that we would recommend
what we believed would be best:

* profession in the long-run
* for the clients we serve, and
* for the employers who put their trust in our expertise
* We deliberately chose not to put ourselves or our positions or programs above what we thought would be best for our profession, clients and employers

I have more details if you wish. Just e-mail me with your requests.
PLEASE TELL ME WHAT YOU ARE THINKING AS WE MOVE FORWARD IN THIS DISCUSSION.

Thank you for all your comments so far.

Kay Oring, NV Delegate EMAIL

Thank you to all of you who provided feedback on issues this past year.

Fall 2004 HOD
What issues were discussed at the Fall Meeting?
" Communications: This discussion focused on how delegates and other leaders can more effectively communicate with members and how members can reach out to them.
" Generational Diversity: Participants discussed how dietetics professionals can more effectively deliver food and nutrition services to individuals from the various generational categories (Matures, Baby Boomers, Gen Xers and Gen Ys).
" Environmental Trends: This exercise was conducted to verify current trends and to identify emerging trends affecting the profession of dietetics.
" Presentations by ADA President Susan Laramee; Treasure Thomas Malone; and, CEO Ronald S. Moen provided participants with the status of the Association, ADA finances and operations at ADA Headquarters. For more details on these presentations, check out the HOD web page at www.eatright.org/Member/85_8281.cfm.

ADA BYLAWS AMENDMENTS MOTIONS VOTING RESULTS

94 TOTAL RESPONDENTS OUT OF 99 TOTAL DELEGATES
Motion #1: ADA Bylaws Amendment: Retired Members Category: 86 Support/8 Oppose
Motion #2: ADA Bylaws Amendment: Student Member Privileges: 84 Support/10 Oppose
Motion #3: ADA Bylaws Amendment: International Members Category: 93 Support/1 Oppose

Spring 2005 HOD

1. Scope of Dietetics Practice Framework and Standards of Nutritional Care
a. On Friday, April 29th, I'll be attending a training session on the use of the framework and standards so delegates can return home and offer programs to local dietetics professionals.
b. See the articles in JADA, April 2005, pp 634-40 and 641-45.

2. Report of the Education Task Force
a. This is the hottest item in years. Contrary to rumors, HOD will not be voting to implement the recommendations now. ADA has received over 800 responses.
b. Yolanda Ortega-Gammill, of Reno, has served on the Task Force. She and I will be presenting information and requesting feedback when we return from HOD.
c. You may join the discussion at ADA website www.eatright.org . Also I will post things to NDA website http://www.nevadard.org/
d. Responses from Nevada have been 99% in opposition to master's degree as entry level for RDs and 100% opposition to discontinuing credentialing of DTRs.

3. ADA Member Value
a. Concern that RDs/DTRs are dropping their ADA memberships
b. Responses to questions from NDA members
i. Why did you become a member?
1. thought I had to
2. only because of job
3. joined as a student to gain professional information, ed. Materials & networking; continues for same reasons
ii. What is happening to create excitement for being a member?
1. DPG newsletters help one learn new things quickly
2. DPGs are especially useful for specialized info
3. new ways to get free CPE
4. at state level-getting to other dietitians and working with them
5. Value to all of us for association efforts to lobby and promote our expertise
c. Responses from non-ADA dietetics professionals
i. ADA membership too expensive
ii. Membership in specialized groups (e.g., AADE) more value for the cost

Coming events
Meetings in Las Vegas and Reno to discuss the Education Task Force Report.
Yolanda and I will be doing these in May

Thank you to all of you. Call or write with your thoughts.

Kay Oring, NV Delegate
EMAIL
775-827-5824

SB197

Hello All,

I just wanted to let you know that SB197 was amended at today's hearing in Carson City. We made two
suggestions for an amendment to include a registered dietitian on the advisory council. The bill was amended to include our suggested option #2 and the bill was voted on and passed. I have attached my testimony for your perusal.

Thanks for all your help and support. This has been a very interesting process and I believe a good day for recognition of registered dietitians and the health and wellness of all Nevadans.

I look forward to seeing what the Advisory Council comes up with for the State Program for Fitness and Wellness. Other states are doing some very exciting things.

Deborah Klein
Legislative Chair
Nevada Dietetic Association
(775) 826-2373