GUIDANCE INFORMATION FOR ACEND DEMONSTRATION PROGRAMS IN NUTRITION AND DIETETICS USING THE FUTURE EDUCATION MODEL ACCREDITATION STANDARDS ...

 
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GUIDANCE INFORMATION FOR ACEND DEMONSTRATION PROGRAMS IN NUTRITION AND DIETETICS USING THE FUTURE EDUCATION MODEL ACCREDITATION STANDARDS ...
GUIDANCE INFORMATION FOR

ACEND DEMONSTRATION PROGRAMS IN NUTRITION AND
   DIETETICS USING THE FUTURE EDUCATION MODEL
             ACCREDITATION STANDARDS

                    Revised 11/1/2021
Guidance Information for Future Education Model Programs
This document provides guidance to program directors on implementing and documenting compliance with the ACEND Future Education Model Accreditation Standards for Graduate Programs
and Associate Programs in Nutrition and Dietetics. The document includes the types of information to be included in the self-study report narrative, types of exhibits to include in the self-study
report appendix and additional materials that should be available on site for the review team.

ACEND staff members are available to provide consultation, guidance and support on meeting ACEND’s accreditation standards, policies and procedures. Please email ACEND@eatright.org or
call (312) 899-0040 extension 5400.

Acronyms used in document:
ACEND: Accreditation Council for Education in Nutrition and Dietetics
AP: Associate Program in Nutrition and Dietetics
CDR: Commission on Dietetic Registration
CRDN: Competency for Registered Dietitian Nutritionists
FTE: Full Time Equivalent
GP: Graduate Program in Nutrition and Dietetics
KRDN: Knowledge requirement for Registered Dietitian Nutritionists
SEL: Supervised Experiential Learning

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Contents
       Standard 1: Program Characteristics and Resources ..................................................................................................................................................................................................................... 5
Required Element 1.1 ................................................................................................................................................................................................................................................................................................. 5
Required Element 1.2 ................................................................................................................................................................................................................................................................................................. 6
Required Element 1.3 ................................................................................................................................................................................................................................................................................................. 6
Required Element 1.4 ................................................................................................................................................................................................................................................................................................. 7
Required Element 1.5 ................................................................................................................................................................................................................................................................................................. 8
Required Element 1.6 ................................................................................................................................................................................................................................................................................................. 9
       Standard 2: Program Mission, Goals and Objectives .................................................................................................................................................................................................................. 11
Required Element 2.2 ............................................................................................................................................................................................................................................................................................... 12
Required Element 2.3 ............................................................................................................................................................................................................................................................................................... 13
       Standard 3: Curriculum and Learning Activities .......................................................................................................................................................................................................................... 14
Required Element 3.1 ............................................................................................................................................................................................................................................................................................... 14
Required Element 3.2 ............................................................................................................................................................................................................................................................................................... 15
       Standard 4: Student Learning Assessment and Curriculum Improvement ................................................................................................................................................................................... 17
Required Element 4.1 ............................................................................................................................................................................................................................................................................................... 17
Required Element 4.2 ............................................................................................................................................................................................................................................................................................... 18
Required Element 4.3 ............................................................................................................................................................................................................................................................................................... 18
       Standard 5: Faculty and Preceptors ........................................................................................................................................................................................................................................... 19
Required Element 5.1 ............................................................................................................................................................................................................................................................................................... 19
       Standard 6: Supervised Experiential Learning Sites .................................................................................................................................................................................................................... 22
Required Element 6.1 ............................................................................................................................................................................................................................................................................................... 22
       Standard 7: Information to Prospective Students and the Public ................................................................................................................................................................................................ 23
Required Element 7.1 ............................................................................................................................................................................................................................................................................................... 23

                                                                                                                                                                                                                                                                                                                      3
Required Element 7.2 ............................................................................................................................................................................................................................................................................................... 23
Required Element 7.3 ............................................................................................................................................................................................................................................................................................... 24
       Standard 8: Policies and Procedures for Enrolled Students ......................................................................................................................................................................................................... 25
Required Element 8.1 ............................................................................................................................................................................................................................................................................................... 25
Required Element 8.2 ............................................................................................................................................................................................................................................................................................... 26
       APPENDIX A: GLOSSARY............................................................................................................................................................................................................................................................ 28
                                                 ®
       APPENDIX B: GUIDELINES FOR USING THE ACEND LOGO .......................................................................................................................................................................................................... 35
       APPENDIX C: ACEND DOCUMENT RETENTION PROCEDURES ...................................................................................................................................................................................................... 38
       APPENDIX D: GRADUATE PROGRAM (GP) IN NUTRITION AND DIETETICS: COMPETENCIES, PERFORMANCE INDICATORS, LEARNING ACTIVITIES, PRACTICE ILLUSTRATIONS AND ASSESSMENT
        STRATEGIES ............................................................................................................................................................................................................................................................................. 40
       APPENDIX E: ASSOCIATE PROGRAM (AP) IN NUTRITION AND DIETETICS: COMPETENCIES, PERFORMANCE INDICATORS, LEARNING ACTIVITIES, PRACTICE ILLUSTRATIONS AND ASSESSMENT
        STRATEGIES ............................................................................................................................................................................................................................................................................. 73

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Standard 1: Program Characteristics and Resources
All programs applying for accreditation by the Accreditation Council for Education in Nutrition and Dietetics (ACEND®) must meet requirements including quality-assurance or oversight by other agencies,
organizational structure, financial stability, sufficient resources, the awarding of degrees and/or verification statements, program length and program management.

Required Element 1.1                                                                  Narrative to Support Achievement                                       Appendix Evidence                          Onsite Evidence
                                                                             Note: Programs must submit the self-study report narrative           Note: Programs must submit all appendix
                                                                                in one searchable PDF file formatted using the Adobe           evidence in two searchable PDF files formatted
                                                                             bookmark feature. The self-study report narrative provided         using the Adobe bookmark feature. One set of
                                                                              for the Required Element should reference the location of        appendices will include all supporting evidence
                                                                                  any corresponding evidence in the appendices PDF.              with the exception of syllabi and/or rotation
                                                                                                                                              descriptions. Syllabi and/or rotation descriptions
                                                                                                                                              are to be included in a separate bookmarked PDF.

All Programs:                                                               All Programs:                                                     All Programs:                                          All Programs:
The program must be housed in a college or university or offered in a       • Explain how the organization is in compliance with this         • Copy of most recent letter or a website              • Copies of any reports
partnership with a college or university. The college or university must         required element. Describe the impact, if any, of the             screenshot and active website link from the            from the accrediting
be located in the U.S. or its territories and accredited in good standing        current status of the program, if the                             oversight agency website documenting the               agency related to
by a U.S. institutional accrediting body for higher education recognized         organization/institution is out of compliance with their          organization’s status with the oversight agency        accreditation status,
by the United States Department of Education (USDE).                             oversight agency. (Note: Applications for Candidacy will                                                                 if institution is not
                                                                                                                                              Partnership:
                                                                                 not be accepted if an accrediting or licensing body has                                                                  fully accredited by its
    a.   A partnership is defined as two or more independent                                                                                  •   Copy of the formal written partnership
                                                                                 taken action to place on probation, deny, suspend, revoke,                                                               accrediting agency
         institutions, one of which is an accredited college or                                                                                   agreement between the organizations involved
         university, working together under a formal written                     withdraw or terminate the institution’s accreditation.)
                                                                            • State the name of the U.S. institutional accrediting body       •
         agreement to sponsor a single program. The partnership must
         consider itself a single education program.                             and the institution’s current accreditation status.
                                                                              • [Partnership only] Describe the formal agreement
                                                                                between organizations in the program partnership
                                                                                including financial and other resource contributions of
                                                                                each member.

                                                                                                                                                                                                                                    5
Required Element 1.2                                                                Narrative to Support Achievement                                           Appendix Evidence                             Onsite Evidence
All Programs:                                                            All Programs:                                                         All Programs:
The program must be integrated within the administrative structure       • Describe the administrative structure of the                        • A copy of the organization chart that shows the
of the sponsoring organization, show this structure, such as in an            institution/organization and where the program is                     location of the program within the institution
organizational chart, and indicate where the program will be housed.          housed                                                                (entire structure to the “top” of

In a partnership, organizational charts must clearly show the            • [Partnership only] Describe the program partnership and                  the organization, e.g., up to the university
relationship of the graduate degree program to other                          the relationship of each member to the program                        president or hospital CEO) and its relationship
programs/services offered by the sponsoring organizations and the             partnership (refer to organization chart).                            to other programs within the department
relationship among the sponsoring organizations.                                                                                                       o      It is not necessary that the chart be an
                                                                                                                                                              “official” chart from the organization
                                                                                                                                                              as long as the location of the program
                                                                                                                                                              and other programs within the
                                                                                                                                                              department are evident. More than
                                                                                                                                                              one chart may be needed that shows
                                                                                                                                                              where the program fits within
                                                                                                                                                              college/school/department and the
                                                                                                                                                              institution, as applicable
                                                                                                                                                       o      All programs within the department,
                                                                                                                                                              including that of the accredited
                                                                                                                                                              program, must be identified by name
                                                                                                                                                              in the chart.
                                                                                                                                               Partnership:
                                                                                                                                               •   An organization chart showing the relationship
                                                                                                                                                   of each member of the partnership to the
                                                                                                                                                   program

Required Element 1.3                                                                Narrative to Support Achievement                                           Appendix Evidence                             Onsite Evidence
All Programs:                                                            All Programs:                                                                                                                   All Programs:
The program must demonstrate that it has the administrative,             • Explain the adequacy of program resources (e.g.,                                                                              • Tours of facilities
clerical or other staff, technical and financial support and the              administrative, clerical, technical and IT support, financial,                                                             •    Meeting minutes in
learning resources, physical facilities and support services needed to        physical facilities, learning resources, support services) to                                                                   which budget and
accomplish its mission and goals. If any portion of the program is            meet the needs of all program options (including distance                                                                       resources are
offered through distance education, the program must demonstrate              education, if applicable) and produce the desired outcomes                                                                      discussed, if
that technology and resources are adequate to support a distance-        •   Describe the process used to determine budgetary needs                                                                           applicable

                                                                                                                                                                                                                                   6
Required Element 1.3                                                             Narrative to Support Achievement                                       Appendix Evidence                           Onsite Evidence
learning environment.                                                      that are tied to the short- and long-term strategies to                                                              •    Examples of learning
  a. The program must demonstrate that administrative support              achieve program mission and goals                                                                                         resources available
       and resources are adequate to support continued                 •   State the maximum enrollment for which the program is                                                                     to students
       development and training for program faculty, preceptors            seeking accreditation and discuss the adequacy of
       and staff.                                                          resources to support the enrollment. Explain how these
  b. The program must provide a description of the budgeting               enrollment numbers ensure quality, viability and
       process for the program that demonstrates financial                 appropriate use of resources of the program.
       resources are sufficient to produce the desired short- and      •   [Partnership Only] Describe the formal agreement between
       long-term program goals and student outcomes.                       organizations in the program partnership including financial
       1. Programs offered in partnerships must document the               and other resource contributions of each member.
           responsibilities of and resources provided by each
           partnership organization to the total program.
  c. The program must report its maximum enrollment to ensure
       quality, viability and appropriate use of resources.

Required Element 1.4                                                             Narrative to Support Achievement                                       Appendix Evidence                           Onsite Evidence
GP:                                                                    All Programs:                                                      All Programs:
The program must award at least a master’s degree and a verification   • Describe completion requirements for receipt of                  • A copy from catalog or website listing the
statement upon completing program requirements to individuals               verification statement. Information should be provided             degree obtained and course requirements and
who enter the program with a baccalaureate degree or less.                  separately for each option offered                                 prerequisites [draft information for candidacy
  a. If the program admits individuals with a master’s degree or                                                                               programs]
       higher, the program must award at least a verification          •   State the degree received upon completion of the program
       statement to individuals who complete program                       and describe completion requirements for receipt of
       requirements.                                                       degree. Information should be provided separately for
AP:                                                                        each option offered.
The program must award at least an associate degree and a
verification statement upon completing program requirements to
individuals who enter the program without a degree.
  a.   If the program admits individuals with an associate degree or
       higher, the program must award at least a verification
       statement to individuals who complete program requirements.

                                                                                                                                                                                                                            7
Required Element 1.5                                                                                      Narrative to Support Achievement                          Appendix Evidence                      Onsite Evidence
All Programs:                                                                                       All Programs:                                            All Programs:                             All Programs:
The program must have one designated program director who has primary responsibility for            • Describe how institutional policies related to         • Program director’s current              • Student and
the program and communication with ACEND. The program director must have the                             faculty roles and workload are applied to the            curriculum vitae or resume                graduate files
authority, responsibility and sufficient time allocated to manage the program, and provide               program in a manner that recognizes and             •   Formal position description for the        showing adherence
effective leadership for the program, the program faculty, and the students. The program                 supports the academic and practice aspects of the       program director that includes             to outlined
director may have other responsibilities that do not compromise the ability to manage the                nutrition and dietetics program, including              ACEND responsibilities and clearly         procedures for
program. Responsibilities and time allocation for program management are reflected in a                  allocating time and/or reducing teaching load for       specifies the amount of time               record keeping
formal position description for the program director and approved by an administrator.                   administrative functions provided by the director       allocated for program                 •    Examples of written
  a.   For programs offered in a partnership:                                                       •   State time allocation for program management             management (e.g., number of                communications
       1.   One individual must serve as the partnership program director and have primary          •   Describe the program director’s credentials and          hours, percentage of time, amount          with program
            responsibility for the program and communications with ACEND.                               how the director meets the ACEND requirements            of course release time)                    faculty, preceptors
       2.   Each member organization in the partnership must designate a coordinator (who               for the program director position                    •   Optional: Use Program Director             and others involved
            may be the program director) for the program within that organization who is                                                                         Position Description Template              with the program
                                                                                                    •   Describe the authority and responsibility the
            employed by the organization.
                                                                                                        director has to manage the program and how the       •   Evidence of CDR registration          •    Meeting minutes
  b.   Institutional policies related to faculty roles and workload are applied to the program          program director’s listed responsibilities are           status, such as photocopy of the           discussing
       in a manner that recognizes and supports the academic and practice aspects of the                achieved                                                 program director’s CDR                     accreditation issues
       nutrition and dietetics program, including allocating time and/or reducing teaching                                                                       registration card or printout from
                                                                                                    •   If the program director position is not a 12-month
       load for administrative functions provided by the director                                                                                                CDR website verifying registration
                                                                                                        appointment discuss year-round coverage of the
  c.   The program director must:                                                                       program when the program director is not                 status
       1.   Have earned a doctoral degree or equivalent and have a minimum of three years               available. This does not refer to short-term
            professional experience post credentialing OR have earned a master’s degree or              vacations or absences.                               Partnership:
            equivalent and have a minimum of five years professional experience post                Partnership:                                             • A copy of curriculum vita/resume
            credentialing (GP). Have earned at least a master’s degree or equivalent and have       • Identify the individual who serves as the                  for each coordinator other than
            a minimum of three years professional experience post credentialing (AP).                   partnership program director.                            the program director
       2.   Be credentialed as a registered dietitian nutritionist by the Commission on             • Identify the individual(s) other than the program
            Dietetic Registration (GP). Be credentialed as a registered dietitian nutritionist or       director who serve as partnership coordinator(s)
            a nutrition and dietetics technician, registered by the Commission on Dietetic          • Describe the employment status of each
            Registration (AP).                                                                          coordinator with the member institutions.
       3.   Be a full-time employee of the sponsoring institution (or one or more of the            • Describe the relationship of the coordinator(s) to
            sponsoring partnership institutions), or a full-time employee of another                    the partnership program director.
            organization that has been contracted by the sponsoring institution.
       4.   Not direct another ACEND-accredited nutrition and dietetics education program.

                                                                                                                                                                                                                                   8
Required Element 1.5                                                                                     Narrative to Support Achievement                         Appendix Evidence             Onsite Evidence
  d.    The program director responsibilities must include, but are not limited to:
       1.   Provision or delegation of responsibilities to assure year-round coverage of
            director responsibilities in the absence of the director or in cases where the
            director’s full-time appointment does not cover all 12 months. In programs where
            the program director assigns some responsibilities to other individuals, the
            director must ensure that all program director responsibilities are accomplished
            throughout the year.
       2.   Development of policies and procedures for effectively managing all components
            of the program and to ensure fair, equitable and considerate treatment of
            prospective and enrolled students (such as program admission, retention and
            completion policies).
       3.   Student recruitment, advisement, evaluation and counseling.
       4.   Maintenance of program accreditation including:
            a.   Timely submission of fees, reports and requests for major program changes;
            b.   Maintenance of the program’s student records, including student advising
                 plans, supervised experiential learning hours and verification statements;
            c.   Maintenance of complaints about the program received from students or
                 others, including disposition of the complaint;
            d.   On-going review of program’s curriculum to meet the accreditation standards;
            e.   Communication and coordination with program faculty, preceptors and others
                 involved with the program and its students;
            f.   Facilitation of processes for continuous program evaluation; and
            g.   Timely submission of required documentation supporting the graduate's
                 eligibility for a Commission on Dietetic Registration (CDR) credentialing exam
                 (not AP).

Required Element 1.6                                                                          Narrative to Support Achievement                                    Appendix Evidence             Onsite Evidence
All Programs:                                                                All Programs:                                                                 All Programs:
The program must establish its length and provide the rationale for the      •   State the program length and number of supervised experiential learning   • Planned SEL hours (use template
program’s length after taking into consideration didactic learning and           hours..                                                                        titled “Planned Supervised
required supervised experiential learning needed by students to                                                                                                                       Hours”)
                                                                             •   Describe how the didactic and supervised experiential learning will be
demonstrate the required competencies and mandates from the
                                                                                                                                                                                                                  9
Required Element 1.6                                                                       Narrative to Support Achievement                              Appendix Evidence   Onsite Evidence
program’s administration and state legislation. Programs must include         integrated throughout the program.
both the didactic and supervised experiential learning components         •   Briefly describe the rationale for the program length (considering
integrated into a single program.                                             learning activities that students must accomplish, required hours of
   a.   The program must be planned so that students complete at              supervised experiential learning and mandates from the program’s
        least 1000 supervised experiential learning hours (not AP). The       administration or state legislation).
        program must document the planned hours in professional
                                                                          •   State the major rotations and describe how the program ensures the
        work settings and in alternate experiences. The majority of the
                                                                              majority of the rotation hours (>50%) are completed onsite (in-person).
        professional work settings hours spent in the major rotations
        must be completed onsite.                                         •   Describe planned international experiences available for students, total
                                                                              supervised experiential learning hours provided internationally, and
                                                                              country in which experiences will occur, if applicable.
                                                                          •   [Partnership Only] Describe the coursework and supervised experiential
                                                                              learning activities provided by each partner organization.

                                                                                                                                                                                               10
Standard 2: Program Mission, Goals and Objectives
The program must have a clearly formulated and publicly stated mission with supporting goals and objectives by which it intends to prepare students for practice as a Registered Dietitian Nutritionist
(GP)/ Nutrition Health Associate (AP). The program must have a program evaluation plan to continuously evaluate the achievement of its mission, goals and objectives, use the plan to collect data,
improve the program based on findings and update the plan accordingly.

Required Element 2.1                                                                                             Narrative to Support Achievement                         Appendix Evidence             Onsite Evidence
All Programs:                                                                                                    All Programs:                                            •   Most recently             All Programs:
A program evaluation plan must be documented, reviewed annually, updated as needed with changes                  Mission                                                      reviewed Program          • Minutes from
noted and must include the following components:                                                                 • Provide the mission statements for:                        Evaluation Plan listing        planning meetings
     a. The program mission. The program mission must be specific to the program, distinguishes it from               o the institution                                       entries for the history        or other
         other programs in the sponsoring organization(s) and be compatible with the mission statement or             o the college and/or department in which the            of annual review,              documentation
         philosophy of the sponsoring organization(s).                                                                    program resides, and                                program mission,               discussing
     b. The program goals. The program must have at least two goals focused on program outcomes for                   o the program, itself                                   goals and objectives,          development of
         graduates that are consistent with the program’s mission.                                               • Explain how the mission supports the program’s             the data to be                 mission, goals and
                                                                                                                     intent to prepare students for nutrition and             collected for all              objectives
     c. The program objectives. The program objectives must measure the full intent of the mission and
         goals and are used to evaluate achievement of each program goal.                                            dietetics practice and careers.                          program goals and         • Historical data used
                                                                                                                 • Discuss the compatibility of the program’s                 objectives, groups             to determine target
         1. The program must align the following ACEND-required objectives with their program goals and
                                                                                                                     mission statement with the sponsoring                    from which data will           measures
             demonstrate that the program is operating in the interest of students and the public. The                                                                        be collected,
             program must set reasonable target measures when the targets are not specified. Required                organization.
                                                                                                                                                                              methods used to           •   Include separate
             objectives must be evaluated annually using an average of data from the previous three years:       Goals                                                        collect data,                 program completion
GP:                                                                                                              • State your program goals.                                  individuals                   data for students
             a.    Program Completion: “At least 80% of students complete program requirements within            • Discuss how the goals support the program’s                responsible for data          placed in 1) remote
                   ____ (150% of planned program length)”.                                                           mission                                                  collection and the            supervised
             b. Graduate Employment: “Of graduates who seek employment, at least ___ percent are                                                                              timeline for data             experiential learning
                                                                                                                 Note: Provide program goals that are well constructed
                   employed in nutrition and dietetics or related fields within 12 months of graduation”.        and generally stated in terms of the impact of the           collection (use               sites and 2) student-
             c.    Graduate Performance on Registration Exam:                                                    program on graduates and their contributions to the          program specific              identified supervised
                   1. “At least ___ percent of program graduates take the CDR credentialing exam for             nutrition and dietetics profession. The goals must use       template titled               experiential learning
                       dietitian nutritionists within 12 months of program completion”.                          the term “graduates” and must not use the terms              “Program Evaluation           sites, if applicable
                   2. “The program’s one-year pass rate (graduates who pass the registration exam within         “students”. Avoid having student learning objectives         Plan”)
                       one year of first attempt) on the CDR credentialing exam for dietitian nutritionists is   or management plans (i.e., action plans for running
                       at least 80%”.                                                                            the program on a day-to-day basis) as program goals.
             d. Employer Satisfaction: The program must develop an objective for employer satisfaction           A program can have more than two goals.
                   with graduate’s preparation for entry-level practice.

                                                                                                                                                                                                                                11
Required Element 2.1                                                                                        Narrative to Support Achievement                         Appendix Evidence              Onsite Evidence
AP:                                                                                                 Objectives
              a. Program Completion: “At least 80% of program students complete program             • Provide ACEND-required program objectives,
                  requirements within ___ (150% of the program length)”.                                aligning them to the appropriate program goal.
              b. Graduate Employment: “Of graduates who seek employment, at least ____              •    Provide additional objectives that measure the full
                  percent are employed in nutrition and dietetics or related fields within 12            intent of the program’s mission and goals if
                  months of graduation”.                                                                 applicable.
              c. Employer Satisfaction: The program must develop an objective for employer
                 satisfaction with graduate preparation for entry-level practice.                   •    Describe how objectives with target measures set by
All Programs:                                                                                            the program demonstrate that the program is
     d. Qualitative and/or quantitative data needed to determine whether goals and objectives            operating in the interest of students and the public.
         have been achieved.                                                                        Note: ACEND-required program objectives must be
     e. Groups from which data will be obtained; both internal and external stakeholders must       written verbatim when listed in quotation marks in the
         be represented (such as graduates, administrators, faculty, preceptors, employers,         standard. They may be aligned to any of the program’s
         practitioners, nutrition and dietetics education program directors, faculty from other     goals as appropriate; they do not need to all be included
         disciplines and advisory committees).                                                      under the same goal.
     f. Evaluation methods that will be used to collect the data.                                   Note: Programs should avoid affixing a number of years
     g. Individuals responsible for ensuring that data are collected.                               to the ACEND-required objectives (e.g., Over a five-year
     h. Timeline for collecting the necessary data.                                                 period, …) because they are then not written verbatim.

Required Element 2.2                                                                 Narrative to Support Achievement                                          Appendix Evidence                    Onsite Evidence
All Programs:                                                            All Programs:                                                         All Programs:                                      All Programs:
The program must evaluate the achievement of its goals and               • Describe the process for the annual review of the program           • Actual data (including both the number “n”       • Minutes from
objectives based on its program evaluation plan and provide evidence          evaluation plan and the stakeholders involved in the review.          and percentage) collected for each program         planning meetings
that:                                                                         [Programs applying for candidacy describe how process will            objective, which must be provided in the           or other
                                                                              occur]                                                                final column in the Program Evaluation             documentation
      a.   Program outcomes data are collected according to the
                                                                         •   Discuss changes, if any, which have been made in the plan              Plan”) [Not applicable to programs applying        discussing review of
           program evaluation plan, summarized and analyzed by                                                                                      for candidacy since no data have been              program evaluation
           comparing actual achievements with objectives.                    since the last accreditation review. [Not applicable to
                                                                             programs applying for candidacy]                                       collected]                                         results [Not
      b.   Data analysis is used to evaluate the extent to which goals                                                                                                                                 applicable to
                                                                                                                                               •   Examples of tools used to collect evaluation
           and objectives are being achieved.                            •   Analyze degree of achievement of program goals and                    data such as surveys, evaluations, etc.             programs applying
      c.   The targets set for ACEND-required objectives are met.            objectives, including trends observed in the data [Not                                                                    for candidacy]
      d.   Program changes have been made to improve outcomes for            applicable to programs applying for candidacy]                                                                       • Completed
           unmet objective(s).                                           •   Discuss factors impacting achievement of program goals and                                                                evaluation surveys
      e.   Programmatic planning and outcomes evaluation are                                                                                                                                           and/or other
                                                                                                                                                                                                                          12
Required Element 2.2                                                                Narrative to Support Achievement                                        Appendix Evidence                        Onsite Evidence
        integrated with institutional planning and assessment, as           objectives [Not applicable to programs applying for candidacy]                                                            documentation
        appropriate.                                                    •   Describe how programmatic planning and outcomes                                                                           supporting the data
                                                                            evaluation are documented and as appropriate, integrated                                                                  in the PEP (e.g.,
                                                                            with institutional planning and assessment                                                                                completion records,
                                                                                                                                                                                                      focus groups,
                                                                        •   [Partnership only] If the program is a partnership, describe the                                                          interviews, Pearson
                                                                            role of each institution in the program evaluation process                                                                VUE reports, etc.)
                                                                        Note: To calculate program completion divide all students who                                                                 [Not applicable to
                                                                        finish the program (nominator) by all students who start the                                                                  programs applying
                                                                        program (denominator); this includes students who drop out at                                                                 for candidacy]
                                                                        any point after starting the program.                                                                                    •    Institutional
                                                                        Reminder: Data for all ACEND-required objectives must be                                                                      documents
                                                                        provided as three-year rolling averages. Three-year rolling                                                                   demonstrating
                                                                        averages should be indicated as 2019-2021, 2020-2022, 2021-                                                                   integration with
                                                                        2023, etc.                                                                                                                    institution
                                                                                                                                                                                                      assessment, if
                                                                        Note: Pearson VUE exam pass rate results are already provided as                                                              applicable
                                                                        three-year rolling averages.

Required Element 2.3                                                                Narrative to Support Achievement                                        Appendix Evidence                        Onsite Evidence
All Programs:                                                           All Programs:                                                          All Programs:                                     All Programs:
Results of the program evaluation process must be used to identify      • Briefly summarize information presented in the Continuous            • Most recent plan documenting continuous         • Minutes from
strengths and areas for improvement relative to components of the            Program Improvement Plan and discuss how it links with the            program improvement (use template titled           planning meetings
program (such as policies, procedures, curriculum, teaching methods,         outcomes presented in the Program Evaluation Plan.                    “Continuous Program Improvement Plan”)             or other
faculty, preceptors, resources). Short- and long-term strategies must        [Programs applying for candidacy must discuss how the                 [Programs applying for candidacy must              documentation
be developed and actions must be taken to maintain program                   improvement plan will link to the Program Evaluation Plan]            submit this plan with anticipated strengths        discussing
strengths and address areas for improvement identified through the                                                                                 and areas for improvement]                         identification of
evaluation process.                                                                                                                                                                                   program strengths
                                                                                                                                                                                                      and areas for
                                                                                                                                                                                                      improvement and
                                                                                                                                                                                                      development of
                                                                                                                                                                                                      short- and long-term
                                                                                                                                                                                                      strategies

                                                                                                                                                                                                                        13
Standard 3: Curriculum and Learning Activities
The competencies must be the basis on which the program curriculum and learning activities are built within the context of the mission and goals of the program. Demonstration of competence must
be integrated in the coursework and supervised experiential learning activities throughout the program.

Required Element 3.1                                                           Narrative to Support Achievement                                   Appendix Evidence                        Onsite Evidence
All Programs:                                                      All Programs:                                                      All Programs:
The Curriculum Map template must be used to document:              • Describe the program’s curriculum.                               Course descriptions as published in the          All Programs:
    a. Each competency.                                            •    Discuss and provide examples of how the program didactic      catalog [Programs applying for candidacy         • Textbooks, either
    b. Performance indicators for each competency on which              and supervised experiential learning courses are organized,   provide draft copy of course descriptions that        digital or hard copy,
       summative assessment occurs in the curriculum.                                                                                 will be published in the catalog]                     noted in course
                                                                        sequenced and integrated. (It is acceptable to have one or
                                                                                                                                                                                            syllabi
    c. Course(s) (including supervised experiential learning) in        two sole experiential learning courses, without a didactic
       which summative assessment of performance indicators will        component; additional experiential learning must be woven     •   A curriculum map of didactic courses and     •   Minutes from
       occur.                                                                                                                             supervised experiential learning courses         planning meetings or
                                                                        into other courses.)
                                                                                                                                          aligned with required performance                other documentation
    d. How the curriculum:                                         •    Discuss and provide examples of how the curriculum builds         indicators and competencies (use program         that show discussions
       1. is sequentially and logically organized,                      on previous knowledge and experience to progress from             specific template titled “ Curriculum Map”       of curricular planning
       2. progresses from introductory to more advanced learning        introductory to more advanced learning activities.                The curriculum map indicates where PIs
           experiences and                                                                                                                                                             •   Examples of
                                                                   •    Discuss and provide examples of how the curriculum                are covered or addressed in the                  completed student
       3. builds on previous knowledge, skills and experience to                                                                          curriculum. Reminder: It is the
                                                                        facilitates student achievement of the knowledge                                                                   projects as evidence
           achieve the expected depth and breadth of competence                                                                           competencies that must be assessed, not
                                                                        requirements and expected depth and breadth of                                                                     of breadth and depth
           by completion of the program.                                                                                                  each performance indicator.                      in the curriculum and
                                                                        competency.
                                                                                                                                                                                           educational
                                                                   •    Explain how students demonstrate entry-level competence.      Note: All performance indicators (PIs) must be       approaches used [Not
                                                                   •    Describe the culminating experiences.                         covered and identified on the curriculum map         applicable to
                                                                                                                                      at least once. PIs may be covered and                programs applying
                                                                   Note: Competencies, performance indicators, practice               competencies met in pre-requisites (including        for candidacy]
                                                                   illustrations and demonstration or assessment methods can be       undergraduate curriculum) through evaluation
                                                                   found in Appendix D (GP) and Appendix E (AP) of this Guidance      of prior learning; however, the enhanced
                                                                   Information Document.                                              competencies must be met in the program

                                                                                                                                                                                                                    14
Required Element 3.2                                                                         Narrative to Support Achievement                               Appendix Evidence                       Onsite Evidence
All Programs:                                                                        All Programs:                                              All Programs:                                    GP:
The program’s curriculum must provide learning experiences to attain the             •     Provide examples of the educational approaches        • Summary of where learning activities occur    Progress the program is
breadth and depth of the required curriculum competencies. Syllabi for                                                                               (use program specific template titled       making toward
                                                                                           that are used to meet learner needs and facilitate
courses (including those with supervised experiential learning) taught within                                                                        “Summary of Learning Activities”).          implementation of
                                                                                           achievement of competencies.
the academic unit must include the relevant competencies.                                                                                                                                        learning experiences e.1-
                                                                                                                                                • The following syllabi must be provided in a
                                                                                     •     Discuss how students are informed of where the                                                        4. (Not applicable if
GP:                                                                                                                                               separate third bookmarked PDF document         implemented in the
                                                                                           competencies are met and performance indicators
      a.   Learning experiences must prepare students for professional practice                                                                   and not as part of the appendices. Place       curriculum).
                                                                                           are covered, such as in a list or in the student
           with clients/patients with various conditions, including, but not                                                                      them in chronological order as they are
                                                                                           handbook.
           limited to overweight and obesity; disordered eating; developmental,                                                                   offered in the curriculum.
           intellectual, behavioral health, neurological, and endocrine disorders;   Note: Students should know where the competencies                  • All departmental syllabi within
           cancer; malnutrition; and cardiovascular, gastrointestinal and renal      are assessed in the curriculum. Students need to know                   the academic unit relevant to
           diseases.                                                                 when supervised experiential learning must be tracked                   the program (plan of study) and
      b.   Learning experiences must prepare students to implement the               within a course/rotation. Performance indicators do                • Any non-departmental course
           Nutrition Care Process with various populations of diverse cultures.      not need to be on the syllabi but perhaps just listed in                syllabi where competencies are
                                                                                     the handbook under the competencies. It is not                          assessed as identified on the
      c.   Learning experiences must address and build competency in diversity,
                                                                                     necessary to link them to courses as long as they are                   Competency Assessment Table.
           equity and inclusion. The program must ensure that students have the
                                                                                     linked to the competencies.                                             (Programs applying for
           skills to recognize biases in self and others and adapt to, understand
                                                                                     •     Describe how the program assures regular and                      candidacy provide draft syllabi
           and embrace the diversity of the human experience.
                                                                                           substantive interaction between students and                      for each course in the
      d.   Learning experiences must incorporate a variety of educational                                                                                    curriculum)
           approaches necessary for delivery of curriculum content to meet                 faculty occurs in distance courses, if applicable.
           learner needs and competencies.
                                                                                                                                                Expectations for Course Syllabi
           1.    If any portion of the program is offered through distance           GP:                                                         • Ensure the learning experience used for the
                 education, the program assures regular and substantive              Note: programs must either have learning experiences          competency assessment table is present on
                 interaction between students and faculty.                                                                                         the corresponding syllabi.
                                                                                     associated with e.1-4 implemented by June 1, 2022 or
                                                                                                                                                 • All courses within the academic unit (i.e.,
           Learning experiences must prepare students to become competent in         show evidence of plans for implementation such as             within the department) where
           the following skills:                                                     meeting minutes where implementation is discussed.            competencies are met and assessed, or PIs
            1.    Perform routine health screening assessments including             After December 31, 2023, programs must have these             are covered must be included in the
                  measuring blood pressure, conducting waived point-of-care          learning experiences fully implemented within the             curriculum map. Programs are expected to
                                                                                     curriculum.                                                   include non-departmental course(s) where
                  laboratory testing (such as blood glucose or cholesterol),
                                                                                                                                                   competencies are met and assessed on the
                  recommending and/or initiating nutrition-related                   •     If the program has not yet implemented learning         curriculum map.
                  pharmacotherapy plans (such as modifications to bowel                    experiences associated with e.1-4, state the plans    • Programs are not expected to include the
                  regimens, carbohydrate to insulin ratio, B12 or iron                     to do so and timeline.                                  competencies on the syllabi of non-
                  supplementation).                                                                                                                departmental courses (because the syllabus

                                                                                                                                                                                                                             15
Required Element 3.2                                                                Narrative to Support Achievement              Appendix Evidence                    Onsite Evidence
                Provide instruction to clients/patients for self-monitoring blood                                        requirement in RE 3.2 only applies to
                glucose considering diabetes medication and medical nutrition                                            courses taught within the academic unit).
                therapy plan.                                                                                          • Competencies and learning experiences do
                                                                                                                         not have to be side-by-side on the
                Explain the steps involved and observe the placement of                                                  syllabi/rotation description, but both must
                nasogastric or nasoenteric feeding tubes; if available, assist in                                        be present. For example, if the learning
                the process of placing nasogastric or nasoenteric feeding tubes.                                         activity is noted on the Competency
                Conduct a swallow screen and refer to the appropriate health                                             Assessment Table, the expectation is that
                care professional for full swallow evaluation when needed.                                               the competency and learning experience
                                                                                                                         must be present on the course syllabus
AP:                                                                                                                      (with the exception of non-departmental
      a.   Learning experiences must prepare students for professional practice                                          course syllabi).
           with individuals with various health conditions in home and
           community settings.
      b.   Learning experiences must prepare students to work with various
           populations of diverse cultures, genders and across the life cycle.
      c.   Learning experiences must address and build competency in
           diversity, equity and inclusion. The program must ensure that
           students have the skills to recognize biases in self and others and
           adapt to, understand and embrace the diversity of the human
           experience.
      d.   Learning experiences must incorporate a variety of educational
           approaches necessary for delivery of curriculum content to meet
           learner needs and competencies.
           1.   If any portion of the program is offered through distance
                education, the program assures regular and substantive
                interaction between students and faculty.

                                                                                                                                                                                         16
Standard 4: Competency Assessment and Curriculum Improvement
The program must continuously assess student achievement of required competencies. The program must collect and analyze aggregate data on student competency attainment. The results of the
assessment plan must be used to evaluate and improve the curriculum to enhance the quality of education provided.

Required Element 4.1                                                                 Narrative to Support Achievement                                      Appendix Evidence                        Onsite Evidence
All Programs:                                                             All Programs:                                                         All Programs:                                    All Programs:
The program must have a plan for assessment of competencies. The          • Describe the program’s plan (process) for assessment of             • Three examples of assessment tools such        • All assessment
plan must identify summative assessment methods used, as well as               students’ achievement of competencies and discuss updates             as exams, rotation evaluations, rubrics,        methods
courses and/or supervised experiential learning activities in which            made to the plan, if any.                                             projects, portfolios, etc. listed on the        documented in 4.1-
assessment will occur and the process for tracking individual student’s                                                                              Competency Assessment Table                     4.2 Assessment Table
                                                                          •   Analyze the strengths and limitations of the assessment
demonstration of performance indicators/competencies.                                                                                                                                                (Assessment
                                                                              process since the last accreditation review. [Not applicable to   •   Completed Competency Assessment Table            methods may be
                                                                              programs applying for candidacy]                                      (use program specific template titled            detailed in course
                                                                          •   Describe the process for tracking individual students’                “Competency Assessment Table”) that lists        syllabi or provided
                                                                              demonstration of competencies.                                        each of the required competency                  separately)
                                                                                                                                                    statements, the course or supervised          • Examples of projects
                                                                                                                                                    experiential learning course/rotation in         completed by students
                                                                                                                                                    which assessment will occur, and the             demonstrating
                                                                                                                                                    specific, required assessment method(s)          achievement of
                                                                                                                                                    used to measure achievement of                   competencies [Not
                                                                                                                                                    competency                                       applicable to programs
                                                                                                                                                                                                     applying for candidacy]
                                                                                                                                                Note: Each competency must have at least one
                                                                                                                                                assessment, even if all the PIs within a
                                                                                                                                                competency are covered in prerequisites. In
                                                                                                                                                this case, the assessment may be of prior
                                                                                                                                                learning (Program must have a clear policy for
                                                                                                                                                evaluation of assessment of prior learning in
                                                                                                                                                RE 8.2i)

                                                                                                                                                Note: Enhanced competencies must be
                                                                                                                                                covered within the program and not in pre-
                                                                                                                                                requisite coursework.

                                                                                                                                                                                                                               17
Required Element 4.2                                                                Narrative to Support Achievement                                      Appendix Evidence             Onsite Evidence
All Programs:                                                           All Programs:                                                                                             All Programs:
The program must document that data on student competency               • Describe how data on competency achievement were collected                                                  Competency assessment
achievement are collected, summarized and analyzed for use in                and analyzed for use in curricular review and improvement.                                               data demonstrating
curricular review and improvement.                                           [Programs applying for candidacy must describe how the                                                   individual student tracking
                                                                             process will occur.]                                                                                     of competency
                                                                        •   Analyze the extent to which students achieved the                                                         achievement [Not
                                                                            competencies since the last accreditation review [Not                                                     applicable to programs
                                                                            applicable to programs applying for candidacy]                                                            applying for candidacy]

Required Element 4.3                                                                      Narrative to Support Achievement                                    Appendix Evidence         Onsite Evidence
All Programs:                                                           All Programs:                                                                                             All Programs:
Formal curriculum review must routinely occur and:                      • Describe the curriculum review process including timeframe and how input                                • Minutes from meetings or
  a.   Use results of program evaluation and competency                      from students is incorporated [Programs applying for candidacy must                                       other documentation of
       assessment to determine strengths and areas for                       describe how the curriculum review process will occur]                                                    the program's curriculum
                                                                                                                                                                                       review process [Not
       improvement.                                                     •   State curriculum strengths and areas for improvement and discuss how
                                                                                                                                                                                       applicable to programs
  b.   Include input from students and other stakeholders as                results of program evaluation and competency assessment were used to
                                                                                                                                                                                       applying for candidacy]
       appropriate.                                                         determine strengths and limitations. [Not applicable to programs applying
                                                                            for candidacy]                                                                                        •   Examples of input collected
  c.   Include assessment of comparability of educational                                                                                                                             from students about the
       experiences and consistency of competency achievement            •   Discuss how comparability of educational experiences and consistency of
                                                                                                                                                                                      curriculum [Not applicable
       when different courses, delivery methods (such as distance           learning outcomes are assessed and maintained [Programs applying for
                                                                                                                                                                                      to programs applying for
                                                                            candidacy must describe plans to ensure comparability of educational
       education), or supervised experiential learning sites are used                                                                                                                 candidacy]
                                                                            experiences and consistency of learning outcomes.]
       to accomplish the same educational objectives.
                                                                        •   Discuss how the program ensures comparability of educational experiences
  d.   Result in actions to maintain or improve student learning.
                                                                            and consistency of learning for distance education students, if applicable.
                                                                        •   Provide examples of how the curriculum review process has resulted in
                                                                            actions to maintain or improve student learning. [Not applicable to
                                                                            programs applying for candidacy]
                                                                        •   [Candidacy Programs]: Describe how the curriculum review process will
                                                                            occur and plans to ensure comparability of educational experiences and
                                                                            consistency of student learning.

                                                                                                                                                                                                                    18
Standard 5: Faculty and Preceptors
The program must have qualified faculty and preceptors in sufficient numbers to provide the depth and breadth of learning activities required in the curriculum and exposure to the diversity of
practice. Program faculty, including the program director, must show evidence of continuing competence appropriate to teaching responsibilities, through professional work experience, graduate
education, continuing education, and research or other activities leading to professional growth in the advancement of their profession.

Required Element 5.1                                                            Narrative to Support Achievement                                      Appendix Evidence                        Onsite Evidence
All Programs:                                                        All Programs:                                                        All Programs:
The program must provide evidence that qualified and appropriately   • Discuss the adequacy of qualified and credentialed faculty         • List of faculty members within the
credentialed faculty and preceptors are sufficient to ensure              and preceptors to ensure implementation of the program’s             academic unit, with their credentials and
implementation of the program’s curriculum and the achievement of         curriculum and achievement of the program goals and                  courses taught (use the template titled
the program goals and objectives.                                         objectives.                                                          “Faculty Roster”)
                                                                     •   Describe the process used to ensure the faculty and
                                                                         preceptors including those used for international experiences,   •   List of preceptors with credentials aligned
                                                                         and those selected by students are qualified for their role in       with supervised experiential learning
                                                                         the program.                                                         facility and course/rotation (use the
                                                                                                                                              template titled “Preceptor and Facility
                                                                                                                                              Roster”). Include preceptors and facilities
                                                                                                                                              where students are placed for the
                                                                                                                                              academic year in which the site visit takes
                                                                                                                                              place. It is adequate to list only the lead
                                                                                                                                              preceptors who manage other preceptors
                                                                                                                                              in a facility.
                                                                                                                                          Note: This template is also used to
                                                                                                                                          demonstrate compliance with Standard 6, RE
                                                                                                                                          6.1.

Required Element 5.2                                                            Narrative to Support Achievement                                      Appendix Evidence                        Onsite Evidence
All Programs:                                                        All Programs:                                                        All Programs:                                     All Programs:
The requirements for program faculty (faculty within the academic    • Describe the sponsoring organization‘s criteria for faculty        • Examples of orientation materials, such as      • Evidence that
unit) must include:                                                       appointment and how the program ensures that faculty meet            handbook, orientation outline or checklist        orientation and
    a. Program faculty, including the program director, must meet                                                                              including orientation to ACEND standards,         training has been
        the sponsoring organization‘s criteria for appointment and                                                                             competencies, and the program’s mission,          completed (agenda,
                                                                                                                                                                                                                      19
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