Clark KM, Moore C, Trombley L, Skates J, Rogalski MJ, Schofield M, Welch J; Academy of Nutrition and Dietetics. Academy of Nutrition and Dietetics: Standards of professional performance for registered dietitians (competent, proficient, expert) in clinical nutrition management. J Acad Nutr Diet. 2012;112(10):1662-9, 1669.e1-17. doi: 10.1016/j.jand.2012.07.030. PubMed PMID: 23017575.
抄録はありません。管理栄養士の能力をcompetent, proficient, expertの3段階に分類しています。3段階のレベルはそれぞれ以下のように解説されています。
competentのレベルに達するだけでも正直、簡単ではない印象です。個々の患者への臨床栄養管理よりも、組織のマネジメントに関する記載が多いのも特徴かと感じます。expertレベルの管理栄養士が日本にもより増えると嬉しいですね。
Competent Practitioner
In dietetics, a competent practitioner is an RD who is starting practice after having obtained RD registration by the Commission on Dietetic Registration or an experienced RD who has recently assumed responsibility to provide nutrition care in a new focus area. A focus area is defined as an area of dietetics practice that requires focused knowledge, skills, and experience. A competent practitioner who has obtained RD status acquires on-the-job skills and engages in tailored continuing education to enhance knowledge and skills.
A competent level of professional performance in CNM is a level that is typically seen in those with little or no prior experience in a management position, although this level can be demonstrated by more tenured managers or clinicians new to the management role. The focus of a manager at this level is very task oriented. Process must be thoroughly considered, and the manager can benefit from guidance and step-by-step instructions. A manager at this level performs best in a controlled environment with close monitoring to execute tasks, prioritize, and troubleshoot problems. As the competent manager progresses, tasks are put into perspective, context is added to the rules, decision-making skills are refined, and related skills and situations are coordinated.
Proficient Practitioner
A proficient practitioner is an RD who has obtained operational job performance skills and is successful in his or her chosen focus area of practice. A proficient level of professional performance in CNM correlates with mid-level skills and abilities. The manager has developed a systematic approach to skill execution. Managers at this level have mastered the skills integral to the role and understand how these skills fit into a larger context; they have developed approaches to suit different situations. Managers at this level may or may not possess a specialist credential or certification. Compared with competent practitioners, proficient practitioners function at a higher level of management practice by developing long-term plans and goals, leading initiatives to expand current practice as well as managing human and financial resources with finesse and role comprehension. These managers function effectively within their organizations to institute change, secure needed resources, and advance the practice of medical nutrition therapy. As these managers advance their proficiency, they develop an intuitive understanding of the role, which enables them to focus on the critical issues that matter and the implications of information and actions. Their skills are embedded with other related skills, allowing them to form a wider framework of perspective and priorities. They often learn from experience and guidelines developed by others.
Expert Practitioner
An expert practitioner is an RD who is recognized within the profession and has mastered the highest degree of skill in or knowledge of a certain focus or generalized area of dietetics through additional knowledge, experience, and/or training. An expert practitioner has a high degree of professional autonomy and responsibility, exhibits a set of characteristics that include leadership and vision, and demonstrates effectiveness in planning, achieving, evaluating, and communicating targeted outcomes. The expert level of professional performance in CNM correlates with the acquisition of a sound knowledge base and complex decision-making skills that enable the manager to rapidly and accurately grasp the impact of a situation and seamlessly move to resolve it. These managers serve as a primary source of knowledge and information. Expert practitioners may or may not possess additional certification or credentialing. Expert practitioners possess an in-depth understanding of role requirements and a keen ability to envision service expansion and interface influentially with subordinates and peers to make a shared vision a reality. An expert level of practice may accompany tenure in a management position, which cultivates maturation in approaching and guiding others. These managers demonstrate mastery in professional practice, working relationships, leadership, mentorship, and staff/team development. Expert managers address complex cases without referring to management guidelines. Because they already have a mastery of the content, these guidelines are automatically applied without the need to refer to them. Conscious thought is spent more on exceptions, innovations, and challenges faced by others.
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