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Suggested Citation:"Appendix F: Advanced-Level Credentials in Nutrition." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
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Appendix F
Advanced Level Credentials in Nutrition

Credential

Who Grants? Associated Organization

Requirements to Attain

Advanced Level Credentials that Require Registration as a Dietitian (RD)

Certified Specialist Pediatrics (CSP) Renal (CSR)

Commission on Dietetic Registration (CDR)

American Dietetic Association (ADA)

RD for 3 years 4,000 hours of specialty experience (pediatric or renal) within last 6 years

Successful completion of written exam CE in area of specialty Renew every 5 years

Fellow of the American Dietetic Association (FADA)

CDR ADA

RD Graduate degree 8 years of work experience beyond RD in multiple roles with diverse & complex responsibilities

Peer review of portfolio

Renew every 10 years

Certified Nutrition Support Dietitian (CNSD)

National Board of Nutrition Support Certification

American Society for Parenteral and Enteral Nutrition

RD Recommend 2 years of nutrition support experience

Successful completion of written exam Renew every 5 years

Suggested Citation:"Appendix F: Advanced-Level Credentials in Nutrition." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
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Credential

Who Grants? Associated Organization

Requirements to Attain

Advanced Level Credentials that do not Require Registration as a Dietitian (RD)

Certified Diabetes Educator (CDE)

National Certification Board of Diabetes Educators

American Association of Diabetes Educators

Unrestricted license or registration (e.g., RN, RD) or be a health care professional with a minimum of a master’s degree from a U.S. college or university in…nutrition…

2 calendar years of experience in direct diabetes patient and self-management education; within those 2 years or up to 5 calendar years prior to date of application…, must have worked a minimum of 1,000 hours in direct diabetes patient and self-management education; must be engaged in practice of direct diabetes patient and self-management education at time of application

Successful completion of written exam

Renew every 5 years

Specialist in Clinical Nutrition (MD, DO)

Specialist in Human Nutrition (PhD)

American Board of Nutrition

MD or OD with primary board certification, and 1 year of postgraduate fellowship training in clinical nutrition or 2 years of postgraduate training in subspecialty training program with supervised experience with nutritional problems or PhD in nutrition or highly related field

Letters of reference; successful completion of written exam

PhD and 2 years postdoctoral training and experience in human nutrition of which 1 year must include clinical training/ patient consultation with supervision

Letters of reference; successful completion of written exam

Certified Nutrition Support Physician

National Board of Nutrition Support Certification

American Society for Parenteral and Enteral Nutrition

MD

Suggested Citation:"Appendix F: Advanced-Level Credentials in Nutrition." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×

Credential

Who Grants? Associated Organization

Requirements to Attain

Certified Nutrition Support Nurse

National Board of Nutrition Support Certification

American Society for Parenteral and Enteral Nutrition

RN

Recommend 2 years of nutrition support experience

Successful completion of written exam Renew every 5 years

Certified Nutrition Support Pharmacist

Board of Pharmaceutical Specialties

Current, active license to practice pharmacy

3 years practice (upon completion of a nutrition support residency or fellowship, this requirement is decreased to 1 year)

Successful completion of written exam

Other Certification

Certified Nutrition Specialist (CNS) (not advanced-level)

Certification Board for Nutrition Specialists

American College of Nutrition

Advanced degree in nutrition from regionally accredited program

At least 1,000 hours supervised experience or at least 4,000 hours unsupervised experience; successful completion of written exam

Renew every 10 years

NOTE: For additional information see Chernoff R, Bruner D, Fitz P, Gannon J, Glade M, Hausman P, Howell WH, Jensen G, Stallings V, Wallach S, Zeisel S. 1997. Credentials available in human clinical nutrition: A report of the Intersociety Committee on Nutrition Certification. Am J Clin Nutr 65:1562–1566.

Suggested Citation:"Appendix F: Advanced-Level Credentials in Nutrition." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×
Page 352
Suggested Citation:"Appendix F: Advanced-Level Credentials in Nutrition." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×
Page 353
Suggested Citation:"Appendix F: Advanced-Level Credentials in Nutrition." Institute of Medicine. 2000. The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population. Washington, DC: The National Academies Press. doi: 10.17226/9741.
×
Page 354
Next: Appendix G: U.S. Preventive Services Task Force Rating of Professionals to Deliver Dietary Counseling »
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Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited.

  • Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life?
  • Which health professionals are best qualified to provide such services?
  • What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population?

This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.

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