ACADEMY/CDR Code of Ethics for the Profession of Dietetics

Ethics is the Struggle Between… “Right & Wrong” “Moral & Immoral” “Just & Unjust”

Ethics: (eth/iks) 1. The study of standards of conduct and moral judgment. 2. The study of the general nature of morals and of the specific moral choices to be made by a person. 3. The rules or standards governing the conduct of a person or the members of a profession.

Types of Codes Aspirational Educational Regulatory

The Code consists of Five Categories Fundamental Principles Responsibilities to the Public Responsibilities to Clients Responsibilities to the Profession Responsibilities to Colleagues and Other Professionals Nineteen Principles

Functions of the Code of Ethics The code is intended to: Protect the profession and the credential Influence public and private policy Improve professional practice Educate dietetics practitioners about ethical decision making Meet the guidelines of the accrediting agency for the Commission on Dietetic Registration

Misconceptions about the Code of Ethics The Code is not intended to: Identify and reprimand all unqualified dietitians and dietetic technicians Be a punitive force to take away credentials

Professional Enhancement The Code of Ethics Professional Development Portfolio The Standards of Professional Practice Lifelong Learning and Professional Enhancement

History of the Academy/CDR Code 1934 – 1st Report presented to members. 1982 – 1st Code adopted. Enforced 1985. 1987 – 2nd Code adopted. Enforced 1987. 1998 – 3rd revised Code adopted by HOD in fall. 1999 – Revised Code published January. 2007 – New Task Force formed to review and revise the 1999 Code. 2009 – Revised Code approved by HOD, BOD and CDR.

Accessing the Code Journal of the Academy of Nutrition and Dietetics, August 2009, pages 1461-1467. Academy Web site – www.eatright.org/codeofethics

Tools & Resources Ethics Committee Ethics Team at Headquarters Ethics For Further Reading List FNCE sessions Ethics Opinions Ethics in Action columns Case Studies Case Studies and Discussion Question for Ethics Video Series Ethics Video Series

Academy Ethics Committee Ethics Committee was established in 1982 Composed of three members who each serve 3 year terms One appointed by the Academy President One appointed by the Speaker, HOD One appointed by chair of CDR One new member is added each year

Access to the Ethics Committee Any member or non-member can make a complaint. Complaints are not anonymous but are confidential. If a complaint is made, it is forwarded to the member for a response. The Ethics Committee then reviews the complaint and discusses the response in executive session.

Ethics Case Management Procedure The enforcement procedures are intended to permit a fair resolution of disputes on ethical practices in a manner that protects the rights of individuals while promoting understanding of ethical practice. The Ethics Committee has the authority and the flexibility to determine the best way to resolve a dispute, including educational means where appropriate.

What happens next… Case may be dismissed Further information may be requested Person may be contacted with specific actions for educational intervention

What happens next… Membership in the American Dietetic Association may be censured, placed on probation, suspended, or revoked RDN or DTR credential or specialist credential may be suspended or revoked Ethics Committee uses a defined policy and procedure handbook to guide its decisions.

Recent Complaints # Inquiries # Complaints Complaint Types 8 1 Personal dispute 15 5 Inappropriate advice (3); Practice without a license; Copyright violation 16 6 Inappropriate advice; Personal dispute; Poor business practice (4) 24 11 Poor business practice (5); Licensure violation (4); Lack of scientific support; Legal violation 18 Personal dispute; Lack of scientific support (2); Misuse of RDN, Poor business practice 17

Ethical Issue or Not ? Legal, regulatory, or ethical issue? Employer policy issue? Personal issue? Business dispute? Academy/CDR member issue? If violation of the Code violation-cite principle violated

Utilization of Academy’s Legal Counsel Attends all meetings of Ethics Committee Reviews files and correspondence Provides counsel as to legal implications of decisions, actions

Self Assessment - Ethics Case Studies - Three ethics case studies will be presented. Work in small groups to discuss each case study. Choose a reporter to report the discussion.

Questions to Discuss for Each Case Study: Is the situation described an ethical issue? Is the situation described a business dispute? What category and principle(s) of the Code of Ethics does it relate to and how/why? What are the key issues? How might you handle as a colleague?

Case Study #1: Practicing on the Edge of Science A new RDN and has been employed by a naturopathic medical clinic to provide diet education and therapy to patients. One of the Naturopaths is requesting that she recommends a new diet regimen advocating the use of pomegranates to improve patient’s circulation and an herbal tea for controlling diabetes. In addition she is to promote the raw food diet to all patients.

Small Group Discussion Is the situation described an ethical issue? Is the situation described a business dispute? What category and principle(s) of the Code of Ethics does it relate to and how/why? What are the key issues? How might you handle as a colleague?

Results of Discussions What Was the Ethics Committee’s Reaction to the Case? Key Discussion Points

Review Case Study #2: Falsifying Continuing Professional Education An RDN has been attending CPEU programs for 4 years, but has not recorded the information for her 5 year portfolio. She has documentation and paperwork for many of the hours but is not sure she has documentation to satisfy the full 75 hour requirement. She finds information from two wellness programs she attended but does not have the dates presented, nor the number of credit units. Rationalizing that she did attend the presentations, and that CDR will not check, she picks dates within her 5 year PDP period and a number of units and records the information on the activity log.

Small Group Discussion Is the situation described an ethical issue? Is the situation described a business dispute? What category and principle(s) of the Code of Ethics does it relate to and how/why? What are the key issues? How might you handle as a colleague?

Results of Discussions What Was the Ethics Committee’s Reaction to the Case? Key Discussion Points

Case Study #3: Social Media An RDN is on facebook and comes across a posting from an intern that is currently working in a clinical setting. The intern includes information about a patient and what the physician had said to her at the facility without using any names.

Small Group Discussion Is the situation described an ethical issue? Is the situation described a business dispute? What category and principle(s) of the Code of Ethics does it relate to and how/why? What are the key issues? How might you handle as a colleague?

Results of Discussions What Was the Ethics Committee’s Reaction to the Case? Key Discussion Points

Questions and Summation