Advertisement

Strategies for Addressing the Internship Shortage and Lack of Ethnic Diversity in Dietetics

Published:April 23, 2013DOI:https://doi.org/10.1016/j.jand.2013.03.012
      IN MARCH 2002, THE Institute of Medicine (IOM) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care reported that the quality of care in the United States is generally lower for people perceived as coming from communities of ethnic minorities than that provided to the majority population.
      Equal treatment: Confronting racial and ethnic disparities in health care, 2002.
      Racial and ethnic disparities have been associated with worse health outcomes.
      2007 chartbook on trends in health of Americans.
      Subsequently, in March 2011, the Academy of Nutrition and Dietetics (the Academy; formerly the American Dietetic Association) related the IOM recommendations to dietetics practitioners.
      • Johnson-Askew W.L.
      • Gordon L.
      • Sockalingam S.
      Practice paper of the American Dietetic Association: Addressing racial and ethnic health disparities.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of the Academy of Nutrition and Dietetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Equal treatment: Confronting racial and ethnic disparities in health care, 2002.
        (Accessed March 21, 2012)
      2. 2007 chartbook on trends in health of Americans.
        (Accessed December 15, 2012)
        • Johnson-Askew W.L.
        • Gordon L.
        • Sockalingam S.
        Practice paper of the American Dietetic Association: Addressing racial and ethnic health disparities.
        J Am Diet Assoc. 2011; 111: 446-456
        • Bryk J.
        • Soto T.
        Report on the 1997 membership database of the American Dietetic Association.
        J Am Diet Assoc. 1999; 99: 102-107
        • Greenwald H.
        • Davis R.
        Minority recruitment and retention in dietetics: Issues and interventions.
        J Am Diet Assoc. 2000; 100: 961-966
        • Rogers D.
        Report on the Academy's 2012 Needs Satisfaction Survey.
        J Acad Nutr Diet. 2013; 113: 146-152
        • Suarez V.
        • Shanklin C.W.
        Minority interns' experiences during their dietetic education and their recommendations for increasing diversity in dietetics: Findings from structured interviews.
        J Am Diet Assoc. 2002; 102: 1674-1677
        • Felton T.
        • Nickols-Richardson S.
        • Errano S.
        • Hosig K.
        African-American students' perceptions of their majors, future professions and the dietetics major and profession; a qualitative analysis.
        J Am Diet Assoc. 2008; 108: 1192-1197
        • Bryk J.A.
        • Soto T.K.
        Report on the 1999 membership database of the American Dietetic Association.
        J Am Diet Assoc. 2001; 101: 947-953
      3. Commission on Accreditation for Dietetics Education current report—2009 program year.
        (Accessed March 21, 2012)
        • Commission on Accreditation for Dietetics Education
        CADE connection—On-line update July 2011.
        (Accessed July 10, 2011)
        • Fitz P.A.
        • Mitchell B.E.
        Building our future: A summary of the ADA diversity mentoring project.
        J Am Diet Assoc. 2002; 102: 1001-1007
        • Escott-Stump S.
        • Jarratt J.
        • Mahaffie M.
        Key trends affecting the dietetics profession and the American Dietetic Association.
        J Am Diet Assoc. 2002; 102: S1821-S1839
        • White J.V.
        • Bronner Y.
        From catsup to salsa: A revised vision of multiculturalism.
        J Am Diet Assoc. 2001; 101: 396
        • Jarrratt J.
        • Mahaffie M.
        The profession of dietetics at a critical juncture: A report on the 2006 environmental scan for the American Dietetic Association.
        J Am Diet Assoc. 2007; 107: S39-S57
        • Rodriguez J.L.
        Courage of the over- and under-represented.
        J Am Diet Assoc. 2010; 110: 1793
      4. US Census data.
        (Accessed March 21, 2012)
        • White J.H.
        Hearing the Voices: African American Nutrition Educators.
        ([doctoral dissertation]) Northern Illinois University, DeKalb, IL2008
        • Kachingwe A.
        Interculturalization and the Education of Professionals.
        ([thesis]) Northern Illinois University, Dekalb, IL2000
        • Souvanhadi M.
        • Newborn J.
        Program promotes diversity, increases interdisciplinary skills.
        J Am Diet Assoc. 2004; 104: 1058-1059
        • Price G.
        Building Our Future. Mentor Program Toolkit.
        American Dietetic Association, Chicago, IL2001
        • Baldonado A.A.
        Transcending the barriers of cultural diversity in health care.
        J Cult Divers. 1996; 3: 20-22
        • Cole S.
        • Stutte L.
        Diversity in nursing: A challenge for the profession.
        J Cult Divers. 1998; 5: 53-57
        • Cooper-Patrick L.
        • Gallo Gonzales J.
        Race, gender, and partnership in the patient–physician relationship.
        JAMA. 1999; 282: 583-589
        • Corkery E.
        • Palmer C.
        • Foley M.E.
        • Schechter C.B.
        • Frisher L.
        • Roman S.H.
        Effect of a bicultural community health worker on completion of diabetes education in a Hispanic population.
        Diabetes Care. 1997; 20: 254-257
        • Culica D.
        • Walton J.W.
        • Harker K.
        • Prezio E.A.
        Effectiveness of a community health worker as sole diabetes educator: Comparison of code with similar culturally appropriate interventions.
        J Health Care Poor Underserv. 2008; 19: 1076-1095
        • Lujan J.
        The effectiveness of a promotoras-led intervention for Mexican Americans with type 2 diabetes.
        South Online J Nurs Res. 2008; 8: 1-2
        • Perez-Escamilla R.
        • Hromi-Fiedler A.
        • Vega-Lopez S.
        • Bermudez-Millan A.
        • Segura-Perez S.
        Impact of peer nutrition education on dietary behaviors and health outcomes among Latinos: A systematic literature review.
        J Nutr Educ Behav. 2008; 40: 208-225
        • Williams J.H.
        • Auslander W.F.
        • De Groot M.
        • Robinson A.D.
        • Houston C.
        • Haire-Joshu D.
        Cultural relevancy of a diabetes prevention nutrition program for African American women.
        Health Promot Pract. 2006; 7: 56-67
        • Stein K.
        Navigating cultural competency: In preparation for an expected standard in 2010.
        J Am Diet Assoc. 2009; 109: 1676-1688
        • Academy of Nutrition and Dietetics, Accreditation Council for Education in Nutrition and Dietetics
        Eligibility requirements and accreditation standards for US and international coordinated programs in dietetics (CP & ICP).
        (Revised August 2009) (Accessed December 15, 2012)
        • Accreditation Council for Education in Nutrition and Dietetics
        Accreditation Standards for Dietetic Education Programs Leading to the RD Credential.
        2012 (Chicago, IL)
        • Academy of Nutrition and Dietetics
        The Academy's strategic plan.
        (Accessed December 15, 2012)
        • Blaney-Koen L.
        Become a preceptor and get back while you give.
        ADA Times. 2010; 7: 18-19
        • Wilson A.L.
        Creating our competition: Why the dietetics internship shortage is as important to your future as it is to the practitioners of tomorrow.
        ADA Times. 2010; 7: 12-15
        • Conklin M.T.
        • Simko M.
        Direct economic benefits associated with dietetic internships.
        J Am Diet Assoc. 1994; 94: 174-178
        • Gilbride J.
        • Conklin M.T.
        Benefits of training dietetics students in preprofessional practice programs: A comparison with dietetic internships.
        J Am Diet Assoc. 1996; 96: 758-763
        • Marincic P.
        • Frankfort M.
        Supervised practice preceptors' perceptions of rewards, benefits, support, and commitment to the preceptor role.
        J Am Diet Assoc. 2002; 102: 543-545
        • Jay A.
        • Hoffman C.
        Benefits associated with serving as a preceptor for dietetic interns.
        J Am Diet Assoc. 2000; 100: 1195-1197
      5. Preceptor recruiting drive: Meeting the national need for qualified RDs and DTRs: Open discussion.
        (Accessed October 10, 2010)
        • Witte S.
        Innovating dietetics education.
        J Am Diet Assoc. 2000; 100: 190
        • Ochs M.
        • McKnight P.
        Preliminary report of the State Issues Task Force: Trends affecting the dietetics profession.
        J Am Diet Assoc. 2003; 103: 1595-1596
        • Bodman E.
        • Weintraub J.
        Essential to the profession's future: Clinical preceptors.
        Adv Nurse Pract. 2000; 8: 58-62
      6. Final Approved Phase 2 Future Practice & Educational Task Force recommendations.
        (May 30, 2008) (Accessed October 16, 2010)
        • Wilson M.
        Dietetic preceptors perceive their role to include a variety of elements.
        J Am Diet Assoc. 2002; 102: 968-974
        • Gates G.
        Characteristics of effective preceptors: A review of allied health literature.
        J Am Diet Assoc. 1995; 95: 225-226
        • Flynn J.
        • Stack M.
        The Role of the Preceptor: A Guide for Nurses, Educators, Clinicians, and Managers.
        2nd ed. Springer, New York, NY2006
        • Wolf K.N.
        • Dunlevy C.L.
        Impact of preceptors on student attitudes toward supervised practice.
        J Am Diet Assoc. 1996; 96: 800-802
        • Mannix J.
        • Faga P.
        • Beale B.
        • Jackson D.
        Towards sustainable models for clinical education in nursing: An ongoing conversation.
        Nurse Educ Pract. 2006; 6: 3-11
        • Ohrling K.
        • Hallberg I.
        The meaning of preceptorship: Nurses' lived experience of being a preceptor.
        J Adv Nurs. 2000; 33: 530-540
        • Chappy S.
        • Stewart S.
        Curricular practices in baccalaureate nursing education results of a national survey.
        J Prof Nurs. 2004; 20: 369-373
        • Kaviani N.
        • Stillwell Y.
        An evaluative study of clinical preceptorship.
        Nurs Educ Today. 2000; 20: 218-226
        • Warren A.
        Relationship between formalized preceptor orientation and student outcomes.
        Teach Learn Nurs. 2010; 5: 4-11
        • Kruzich L.
        • Anderson J.
        • Litchfield R.
        • Wohlsdorf-Arendt S.
        • Oakland M.A.
        Preceptor focus group approach to evaluation of a dietetic internship.
        J Am Diet Assoc. 2003; 103: 884-885
        • Accreditation Council for Education in Nutrition and Dietetics
        Individualized supervised practice pathways.
        (Accessed May 14, 2012)

      Biography

      J. H. White is an assistant professor and Coordinated Program director, PUENTES Grant, Christopher Center for Nutrition Sciences, Dominican University, River Forest, IL.

      Biography

      J. A. Beto is a principal investigator, PUENTES Grant, Christopher Center for Nutrition Sciences, Dominican University, River Forest, IL.