1. The ADA/CDR Code of Ethics for the Profession of Dietetics

2. “Right & Wrong” “Moral & Immoral” “Just & Unjust”

3. 1. The study of standards of conduct and moral judgment. 2. A treatise on this study. 3. The system or code of morals of a particular philosopher, religion, or group, etc... Ethics: (eth/ iks)

4. Aspirational Educational Regulatory Types of Codes

5. The 19 ADA Principles

6. Protect the profession and the credential. Influence public and private policy. Improve professional practice. Meet the guidelines of the accrediting agency for the Commission on Dietetic Registration. Identify and reprimand all unqualified dietitians and dietetic technicians. Functions of a Code

7. 1934 - 1st Report presented to members. 1982 - 1st Code adopted. Enforced 1985. 1987 - 2nd Code adopted. Enforced 1987. 1997 - Joint ADA/CDR Task Force convened. 1998 - New Code presented to members, Spring HOD. Adopted, Fall HOD 1998. 1999 - New Code published January 1999. Effective June 1999. History

8. What’s Different About the New Code of Ethics ? Educational options. Modernization: a) provide full disclosure regarding conflict of interest. b) avoid sexual harassment. c) sensitivity to cultural differences. Communication of violations.

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

10. JADA, January 1999 p.109-113. Brochure - for bulk purchase. Single copy for free. Fax on demand library- 1-800-877-1600: document #5004. ADA Web site- http://www.eatright.org/adacode.html. Accessing the Code

11. Tools & Resources Ethics committee; Ethics team - Handout C. Ethics reading list - Handout B. State and AME presentations. Opinion papers. Publications and articles.

12. Confidentiality Honesty, Integrity Patient’s Rights Ethical Business Practices Issues : # of Times Listed 49 18 16 6 Decisions in Dietetics Practice Anderson S. Top Clin Nutr 1991; 6 (3): 63-67.

13. Ethics Issue or Not ? Legal or regulatory issue ? Employer policy issue ? Personal issue ? ADA/CDR member issue ?

14. Self Assessment - Ethics Scenarios - 8 Ethics scenarios. Work in groups. Report back results of discussion.

15. Conflict of Interest The president-elect of a state dietetic association is employed by a nationwide supplemented, fast-weight-loss program. Today the state association board is voting on a position regarding very-low-calorie diets.

16. Confidentiality A dietitian gets on the elevator with you and several other people; she has just begun screening a client with an unusual diagnosis, and begins to discuss the client’s case with you.

17. Principles Relating to Dietetics Practice At 4 pm on Friday you receive a phone call from the administration department secretary, who tells you, the director of nutrition services, that she has received a call from a retired company executive who would like a copy of a renal diet.

18. Use of Credentials An individual in private practice plans to take the registration examination. In anticipation of a favorable outcome and to save time in promoting his practice, he has business cards printed with “RD” after his name and also uses advertisements promoting his RD credential. Several months later he takes the exam and receives notification that he has passed.

19. Disagreement With Employer’s Practice You are an employee of a large medical group. One of the physician partners prescribes megavitamin therapy for AIDS patients and severely restricted diets for patients with cancer. He asks you to counsel his patients in these two regimens.

20. Difficult Decisions A food service employee asked the food service Director if she could take home some left-over food. The Director told her it was against the facility’s policy and that it would be considered pilferage, punishable by immediate termination. A dietetic intern observed this interaction and later witnessed the employee take some left-over food.

21. Difficult Decisions A food service employee asked the food service Director if she could take home some left-over food. The Director told her it was against the facility’s policy and that it would be considered pilferage, punishable by immediate termination. A dietetic intern observed this interaction and later witnessed the employee take some left-over food.

22. Exam Questions While taking a course to prepare yourself for the registration examination, you are asked to memorize two test items and write them down immediately after leaving the exam room, then submit them for compilation of a practice exam.

23. Disagreement with MD Regarding Patient’s Needs A patient is admitted with severe trauma. Upon screening and subsequent nutrition assessment, you determine he is at risk of becoming malnourished and recommend nutrition support. Five days later the patient is still NPO and receiving D5-W through a peripheral venous access. You call his physician, who refuses to initiate nutrition support and states that the patient has enough fat to meet his needs for a long time.

24. Q & A and Summation

25. Ethics Presentations at AME - 99 Genetics into the 21st Century - Impact of Dietetics Professionals 10/17/99, 8:00am-12:00pm, Room 205E. E. Virginia Lapham, PhD; Chahira Kozma, MD; Kathryn M. Camp, MS, RD, CSP Telemedicine - Ethical Implications 10/18/99, 4:00pm-5:30pm, Room 216/217E. Robert J. Waters, MPA, JD Do the Right Thing - The Revised Code of Ethics-- An herbal Supplements Case Study. 10/19/99; 4-5:30pm, Room 216/217E. Jane Folkman, MS, RD; Bruce Rengers, PhD, RD; Jerry Foote, MS, RD.

26. Lenna Frances Cooper Lecture: Dietetics, Legalitites, Ethics and Eccentricities. 10/20/99, 8:00am-0\9:00am, Room Hall C. Doris V. Derelian, PhD, RD, FADA Genetics in Dietetic: Education and Practice Issues - ethical, legal and pyschological issues that affect individuals with genetic disorders. 10/21/99, 8:30am-9:30am, Room 313E. Kathryn M. Camp, MS, RD, CSP; Judith A. Gilbride, PhD, RD, FADA. Ethics Presentations at AME - 99