Georgia WIC Registered Dietitians Workforce Development Program

Registered Dietitians in Georgia WIC:
Workforce Development through a
Nationally Accredited Competency
Based Supervised Practice Program
DPH WIC Dietetic Internship
National WIC Association/Rhonda Tankersley/April 10, 2019
Objectives
Identify Department of Public Health (DPH) WIC Dietetic Internship
Program role in recruitment of Nutritionists in the Georgia WIC Program
Identify DPH WIC Dietetic Internship Program role in development of the
Georgia WIC Registered Dietitian workforce
Identify process and outcomes in DPH WIC Dietetic Internship Program
quality improvement
History and Mission
Background
Established in 1992
o
Pathway to the Registered Dietitian credential
- Community Nutrition Concentration
Accredited by the Accreditation Council on Education in Nutrition and
Dietetics (ACEND)
o
Ten (10) Standards of Accreditation
o
Self-Study
o
Site Visit
Importance
Lack of Dietitians in Georgia
Currently 2,569 active licenses
< 4% of these employed in Georgia WIC
Difficulty recruiting Dietitians in rural Georgia WIC programs
 
Mission
“To improve the health outcomes of Georgians through promotion of quality
nutrition care practice by assisting qualified employees of the Georgia
Department of Public Health’s Women, Infants, and Children’s Special
Supplemental Nutrition Program (WIC) to become Registered Dietitians
competent to practice at entry level.”
Program Philosophy
Staff of the Georgia Department of Public Health WIC Program and
participating Health Districts are committed to assisting those
interns/employees who wish to overcome financial, geographical, or
personal barriers to verify their professional competence through the
Academy of Nutrition and Dietetics (AND) credentialing process.
Program Goals and Objectives
Program Goal 1 and Objectives
The DPH WIC Dietetic Internship Program will prepare graduates to be
competent at an entry level through high quality educational offerings.
Over a five (5) year period:
o
80% of graduates will pass the CDR registration examination within one
(1) year of the first attempt
o
100% of graduates will take the CDR credentialing exam for
Dietitian/Nutritionist within 12 months of program completion
o
80% of employers will rate graduates as competent at entry level
Program Goal 2 and Objectives
The DPH WIC Dietetic Internship Program will attract and retain well
qualified candidates.
Over a five (5) year period:
o
90% of the interns will complete the program in 18 months or 150% time
planned for completion
o
90% of graduates will be employed in Nutrition and Dietetics or related
fields within 12 months of graduation
Program Goal 3 and Objectives
The DPH WIC Dietetic Internship Program will prepare graduates who will
continue to practice in Community Nutrition Care Services in Georgia after
program completion.
Over a five (5) year period:
o
80% of program graduates will indicate working / volunteering in DPH
nutrition two (2) years after program completion
Program Assessment and Improvement
Challenges
2012 Probationary accreditation status issued
Administration turnover
Admission policies and procedures
Registered Dietitian Exam preparation and pass rate
Lack of practice sites and preceptors
Program on-going evaluation and improvement
Solutions
Start with standards in mind
o
Resources
o
Policy and Procedure
o
Curriculum
o
Evaluation
o
Partnership
Marketing
Resources
Administration
Funding for Full-time Program Director
Allocation to districts
Advisory Board
Expert training to interns
Policy and Procedure
Application and Admission
o
Points system
o
Performance evaluation
o
Personal statement
o
Project
o
Interview
o
Contract
Curriculum
Area expert input
Pre-rotation preparation
Rotation specific orientation
Competency based activities
o
Supervised practice
o
Simulation
o
Case studies
Standardized rubrics and performance definitions
Evaluation
Formative
o
Pre/post rotation goals
o
Individual activities and assignments
o
RD practice exams
o
Mid-point evaluation
Summative
o
Preceptor/intern interview post rotation 
 
o
Final rotation evaluation
o
RD exam
o
Employer survey
Partnership
Affiliates and Preceptors
o
Community
o
School Nutrition
o
Clinical
Marketing
Internal
o
Program promotion to Department of Public Health Board of Health and
District Nutrition Services Directors
o
Annual virtual “Open House” session with local county Nutritionists
External
o
Program promotion and outreach to undergraduate didactic programs in
dietetics (DPD) in:
- Georgia, North Florida, East Alabama, South Tennessee and Western North and South
Carolina
Outcomes
Outcomes
Goals and Objectives
o
Recruitment
o
Program Completion
o
Pass Rate
o
Employment
o
Competency Achievement
o
Retention
Recruitment
Program Completion
Pass Rate
Program Objective Outcomes: Dietetics
Employment
Competency Achievement
Retention
30+ registered dietitian graduates currently working in Georgia WIC
The program maintains an average long term (more than 5 years)
retention of 50%
9 of 18 Local Agency District Nutrition Services Directors are DPH WIC
Dietetic Internship graduates
4 of 9 RD employees in the State WIC Office are DPH WIC Dietetic
Internship graduates
Benefit Beyond Retention
Program graduates work in a variety of positions
School nutrition
Clinical nutrition
Private practice
Community organizations
Network of RD’s to promote and advocate for WIC
Potential partnership contacts
Internship program preceptors
Future Threat and Opportunity
Future Threat and Opportunity
2024 Mandate
Beginning January 1, 2024, all applicants sitting for the RD exam will be
required to have a completed master’s degree
Program Options
Accept the last class in 2022 and close in 2023
Continue accredited program as is, but graduates cannot test until they
meet the requirement
Policy change to take only interns who have a completed master’s degree
Partner with university/college to provide distant education degree option
The Story of Lisa Murray
The Story of Lisa Murray
Meet Lisa Murray
Summary and Questions
Summary and Questions
Summary
The DPH WIC Dietetic Internship Program is a vital tool in recruitment of
Nutritionists in the Georgia WIC Program
The program removes barriers allowing qualified Georgia WIC employees
to obtain the Registered Dietitian credential
Resources directed at program improvement began and have continued
annually since 2012
The program meets accreditation standards and outcome goals including
pass rate, program completion, dietetics employment, competency
achievement, and workforce development
What questions do you have?
Contact
Rhonda Tankersley, MPH, RD, LD
Dietetic Internship Administrator
Office: 404-463-0742
Email: 
Rhonda.Tankersley@dph.ga.gov
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DPH WIC Dietetic Internship Program: Workforce Development through a Nationally Accredited Competency Based Supervised Practice Program for Qualified Georgia WIC Employees to Obtain the Registered Dietitian Credential

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The Georgia Department of Public Health offers a WIC Dietetic Internship program aimed at recruiting and developing nutritionists and registered dietitians. This program addresses the lack of dietitians in Georgia, particularly in rural areas, through a competency-based supervised practice approach. With the mission to improve health outcomes in Georgia, the program assists employees in becoming competent registered dietitians to practice at entry level. The program's philosophy focuses on overcoming barriers to professional competence, ensuring quality nutrition care practice.


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  1. Registered Dietitians in Georgia WIC: Workforce Development through a Nationally Accredited Competency Based Supervised Practice Program DPH WIC Dietetic Internship National WIC Association/Rhonda Tankersley/April 10, 2019 GEORGIA DEPARTMENT OF PUBLIC HEALTH

  2. Objectives Identify Department of Public Health (DPH) WIC Dietetic Internship Program role in recruitment of Nutritionists in the Georgia WIC Program Identify DPH WIC Dietetic Internship Program role in development of the Georgia WIC Registered Dietitian workforce Identify process and outcomes in DPH WIC Dietetic Internship Program quality improvement GEORGIA DEPARTMENT OF PUBLIC HEALTH

  3. History and Mission GEORGIA DEPARTMENT OF PUBLIC HEALTH

  4. Background Established in 1992 o Pathway to the Registered Dietitian credential - Community Nutrition Concentration Accredited by the Accreditation Council on Education in Nutrition and Dietetics (ACEND) o Ten (10) Standards of Accreditation o Self-Study o Site Visit GEORGIA DEPARTMENT OF PUBLIC HEALTH

  5. Importance Lack of Dietitians in Georgia Currently 2,569 active licenses < 4% of these employed in Georgia WIC Difficulty recruiting Dietitians in rural Georgia WIC programs GEORGIA DEPARTMENT OF PUBLIC HEALTH

  6. Mission To improve the health outcomes of Georgians through promotion of quality nutrition care practice by assisting qualified employees of the Georgia Department of Public Health s Women, Infants, and Children s Special Supplemental Nutrition Program (WIC) to become Registered Dietitians competent to practice at entry level. GEORGIA DEPARTMENT OF PUBLIC HEALTH

  7. Program Philosophy Staff of the Georgia Department of Public Health WIC Program and participating Health Districts are committed to assisting those interns/employees who wish to overcome financial, geographical, or personal barriers to verify their professional competence through the Academy of Nutrition and Dietetics (AND) credentialing process. GEORGIA DEPARTMENT OF PUBLIC HEALTH

  8. Program Goals and Objectives GEORGIA DEPARTMENT OF PUBLIC HEALTH

  9. Program Goal 1 and Objectives The DPH WIC Dietetic Internship Program will prepare graduates to be competent at an entry level through high quality educational offerings. Over a five (5) year period: o 80% of graduates will pass the CDR registration examination within one (1) year of the first attempt o 100% of graduates will take the CDR credentialing exam for Dietitian/Nutritionist within 12 months of program completion o 80% of employers will rate graduates as competent at entry level GEORGIA DEPARTMENT OF PUBLIC HEALTH

  10. Program Goal 2 and Objectives The DPH WIC Dietetic Internship Program will attract and retain well qualified candidates. Over a five (5) year period: o 90% of the interns will complete the program in 18 months or 150% time planned for completion o 90% of graduates will be employed in Nutrition and Dietetics or related fields within 12 months of graduation GEORGIA DEPARTMENT OF PUBLIC HEALTH

  11. Program Goal 3 and Objectives The DPH WIC Dietetic Internship Program will prepare graduates who will continue to practice in Community Nutrition Care Services in Georgia after program completion. Over a five (5) year period: o 80% of program graduates will indicate working / volunteering in DPH nutrition two (2) years after program completion GEORGIA DEPARTMENT OF PUBLIC HEALTH

  12. Program Assessment and Improvement GEORGIA DEPARTMENT OF PUBLIC HEALTH

  13. Challenges 2012 Probationary accreditation status issued Administration turnover Admission policies and procedures Registered Dietitian Exam preparation and pass rate Lack of practice sites and preceptors Program on-going evaluation and improvement GEORGIA DEPARTMENT OF PUBLIC HEALTH

  14. Solutions Start with standards in mind o Resources o Policy and Procedure o Curriculum o Evaluation o Partnership Marketing GEORGIA DEPARTMENT OF PUBLIC HEALTH

  15. Resources Administration Funding for Full-time Program Director Allocation to districts Advisory Board Expert training to interns GEORGIA DEPARTMENT OF PUBLIC HEALTH

  16. Policy and Procedure Application and Admission o Points system o Performance evaluation o Personal statement o Project o Interview o Contract GEORGIA DEPARTMENT OF PUBLIC HEALTH

  17. Curriculum Area expert input Pre-rotation preparation Rotation specific orientation Competency based activities o Supervised practice o Simulation o Case studies Standardized rubrics and performance definitions GEORGIA DEPARTMENT OF PUBLIC HEALTH

  18. Evaluation Formative o Pre/post rotation goals o Individual activities and assignments o RD practice exams o Mid-point evaluation Summative o Preceptor/intern interview post rotation o Final rotation evaluation o RD exam o Employer survey GEORGIA DEPARTMENT OF PUBLIC HEALTH

  19. Partnership Affiliates and Preceptors o Community o School Nutrition o Clinical GEORGIA DEPARTMENT OF PUBLIC HEALTH

  20. Marketing Internal o Program promotion to Department of Public Health Board of Health and District Nutrition Services Directors o Annual virtual Open House session with local county Nutritionists External o Program promotion and outreach to undergraduate didactic programs in dietetics (DPD) in: - Georgia, North Florida, East Alabama, South Tennessee and Western North and South Carolina GEORGIA DEPARTMENT OF PUBLIC HEALTH

  21. Outcomes GEORGIA DEPARTMENT OF PUBLIC HEALTH

  22. Outcomes Goals and Objectives o Recruitment o Program Completion o Pass Rate o Employment o Competency Achievement o Retention GEORGIA DEPARTMENT OF PUBLIC HEALTH

  23. Recruitment Number of Applications and Admissions 25 22 21 20 16 15 15 13 10 8 7 7 5 0 2015 2016 2017 2018 Applications Admissions GEORGIA DEPARTMENT OF PUBLIC HEALTH

  24. Program Completion Percent of Interns Completing the DPH WIC DI Program within 18 months 100 100 100 100 88 90 80 71 70 60 50 40 30 20 10 0 2014 2015 2016 2017 2018 GEORGIA DEPARTMENT OF PUBLIC HEALTH

  25. Pass Rate Percent of Program Graduates Passing the Registered Dietitian Examination within 1 Year of Program Completion 100 100 100 92 90 90 80 70 60 50 40 33 30 20 10 0 0 2012 2013 2014 2015 2016 2017 GEORGIA DEPARTMENT OF PUBLIC HEALTH

  26. Program Objective Outcomes: Dietetics Employment Percent of Program Graduates working in Dietetics within 1 year 100 100 100 100 100 100 90 80 70 60 50 40 30 20 10 0 2013 2014 2015 2016 2017 GEORGIA DEPARTMENT OF PUBLIC HEALTH

  27. Competency Achievement Percentage of Program Graduates Rated at or above Competent at Entry Level in all Criteria 100 100 86 86 84 90 80 80 70 60 50 40 30 20 10 0 2013 2014 2015 2016 2017 GEORGIA DEPARTMENT OF PUBLIC HEALTH

  28. Retention 30+ registered dietitian graduates currently working in Georgia WIC The program maintains an average long term (more than 5 years) retention of 50% 9 of 18 Local Agency District Nutrition Services Directors are DPH WIC Dietetic Internship graduates 4 of 9 RD employees in the State WIC Office are DPH WIC Dietetic Internship graduates GEORGIA DEPARTMENT OF PUBLIC HEALTH

  29. Benefit Beyond Retention Program graduates work in a variety of positions School nutrition Clinical nutrition Private practice Community organizations Network of RD s to promote and advocate for WIC Potential partnership contacts Internship program preceptors GEORGIA DEPARTMENT OF PUBLIC HEALTH

  30. Future Threat and Opportunity GEORGIA DEPARTMENT OF PUBLIC HEALTH

  31. Future Threat and Opportunity GEORGIA DEPARTMENT OF PUBLIC HEALTH

  32. 2024 Mandate Beginning January 1, 2024, all applicants sitting for the RD exam will be required to have a completed master s degree Program Options Accept the last class in 2022 and close in 2023 Continue accredited program as is, but graduates cannot test until they meet the requirement Policy change to take only interns who have a completed master s degree Partner with university/college to provide distant education degree option GEORGIA DEPARTMENT OF PUBLIC HEALTH

  33. The Story of Lisa Murray GEORGIA DEPARTMENT OF PUBLIC HEALTH

  34. The Story of Lisa Murray GEORGIA DEPARTMENT OF PUBLIC HEALTH

  35. Meet Lisa Murray GEORGIA DEPARTMENT OF PUBLIC HEALTH

  36. Summary and Questions GEORGIA DEPARTMENT OF PUBLIC HEALTH

  37. Summary and Questions GEORGIA DEPARTMENT OF PUBLIC HEALTH

  38. Summary The DPH WIC Dietetic Internship Program is a vital tool in recruitment of Nutritionists in the Georgia WIC Program The program removes barriers allowing qualified Georgia WIC employees to obtain the Registered Dietitian credential Resources directed at program improvement began and have continued annually since 2012 The program meets accreditation standards and outcome goals including pass rate, program completion, dietetics employment, competency achievement, and workforce development GEORGIA DEPARTMENT OF PUBLIC HEALTH

  39. What questions do you have? GEORGIA DEPARTMENT OF PUBLIC HEALTH

  40. Contact Rhonda Tankersley, MPH, RD, LD Dietetic Internship Administrator Office: 404-463-0742 Email: Rhonda.Tankersley@dph.ga.gov GEORGIA DEPARTMENT OF PUBLIC HEALTH

  41. GEORGIA DEPARTMENT OF PUBLIC HEALTH

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