Advertisement

The Ethics of Competence, a Self-Assessment is Key

Published:March 08, 2022DOI:https://doi.org/10.1016/j.jand.2022.03.001
      The Continuing Professional Education (CPE) quiz for this article is available for free to Academy members through the MyCDRGo app (available for iOS and Android devices) and through www.jandonline.org (click on “CPE” in the menu and then “Academy Journal CPE Articles”). Log in with your Academy of Nutrition and Dietetics or Commission on Dietetic Registration username and password, click “Journal Article Quiz” on the next page, then click the “Additional Journal CPE quizzes” button to view a list of available quizzes. Non-members may take CPE quizzes by sending a request to [email protected] . There is a $45 fee per quiz (includes quiz and copy of article) for non-members. CPE quizzes are valid for 3 years after the issue date in which the articles are published.
      Maintaining competence in practice is an ethical responsibility for registered dietitian nutritionists (RDNs) and nutrition and dietetics technicians, registered (NDTRs) to ensure the public receives consistent, high-quality nutrition care. Competence, in this context, may be defined in a variety of ways, including “the application and demonstration of appropriate knowledge, skills, and behaviors.”
      What is competence in healthcare? (Part I). HealthStream.
      The Academy of Nutrition and Dietetics (Academy) defines competence as “a principle of professional practice, identifying the ability of the provider to administer safe and reliable services on a consistent basis.”
      Definition of terms. Academy of Nutrition and Dietetics.
      RDNs and NDTRs who exhibit competence typically share the following characteristics and practices: seek out current knowledge; make decisions based on appropriate data and evidence-based research; and communicate effectively with patients, clients, and other professionals.
      • Epstein R.M.
      • Hundert E.M.
      Defining and assessing professional competence.
      ,
      • Gates G.E.
      • Amaya L.
      Ethics opinion: Registered dietitian nutritionists and nutrition and dietetics technicians, registered, are ethically obligated to maintain personal competence in practice.
      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. What is competence in healthcare? (Part I). HealthStream.
        (Published April 1, 2021)
      2. Definition of terms. Academy of Nutrition and Dietetics.
        • Epstein R.M.
        • Hundert E.M.
        Defining and assessing professional competence.
        JAMA. 2002; 287: 226-235
        • Gates G.E.
        • Amaya L.
        Ethics opinion: Registered dietitian nutritionists and nutrition and dietetics technicians, registered, are ethically obligated to maintain personal competence in practice.
        J Acad Nutri Diet. 2015; 115: 811-815
        • Smith T.M.
        Why physician competence should be top of mind, every day. American Medical Association.
        (Published September 17, 2021)
      3. What is the code of ethics? Academy of Nutrition and Dietetics.
      4. Code of Ethics for the Nutrition and Dietetics Profession. 2018. Academy of Nutrition and Dietetics.
        • Scope of Practice
        Academy of Nutrition and Dietetics.
        • Scope and Standards for RDNs and NDTRs
        Academy of Nutrition and Dietetics.
        https://www.jandonline.org/content/core
        Date accessed: December 21, 2021
        • Standards of Practice
        Academy of Nutrition and Dietetics.
      5. Essential Practice Competencies for the Commission on Dietetic Registration’s Credentialed Nutrition and Dietetics Practitioners. 2021. Academy of Nutrition and Dietetics.
        • Peregrin T.
        Ethics practice: Before you file an ethics complaint: What you need to know.
        J Acad Nutri Diet. 2021; 121: 1350-1353
        • Scope of Practice Decision Algorithm
        Academy of Nutrition and Dietetics.
        • O’Reilly K.B.
        Physicians have duty to monitor their own competence. American Medical Association.
      6. Certificate of Training programs. Academy of Nutrition and Dietetics.

      Biography

      T. Peregrin is an editor and writer for a Chicago-based medical association and a freelance writer in Chicago, IL.