Step By Step: A Program for
to learn counseling skills
The program (newly revised for the
2012-2013 year) is designed to complement
Dietetic Internship outpatient rotations. The focus here is on the basic skills
that are the foundation of quality nutrition counseling. This is a practical
program that easily fits into the inevitable down time of rotations. It is
all on-line and available immediately upon purchase. It is appropriate for
interns who will be shadowing only as well as those who will be counseling
This program works best when
preceptors follow along. Up to 4 CPE credits are available for
preceptors at no additional cost.
Program includes: 9 topics, each with a podcast, notes and a practical
article. Suggested discussion
topics are provided for each section.
The Basics: OARS
Attending to the client:
When it's time to provide advice:
Evidence-based Strategies in Nutrition Counseling,
Joanne Spahn, MS, RD, FADA & Molly Kellogg, RD,
LCSW. Ninety-minute recording of presentation given
live at the 2009 Food & Nutrition Conference
& Expo in Denver, CO. Includes slides handout.
Now $199. Purchase allows all interns and
preceptors in one DI program to access the materials,
beginning June 15, 2012 through August 31, 2013.
If you purchased the 2011-2012 version, it will only be available through August, 2012. After that date you will need to purchase the new one.
I encourage Internship Directors and Preceptors to attend further counseling training for themselves. Step by Step purchasers get a
$50 discount on registration for the Counseling Intensive workshop. For cities and dates, click here. E-mail me at firstname.lastname@example.org to register.
This program is designed to fit the
Accreditation Council for Education in Nutrition and Dietetics (ACEND): Core
Competencies for the RD, 2012.
It will fulfill:
• Competency CDR 2.4 Use effective education and counseling skills to facilitate behavior change.
And contribute to these competencies:
• CRD 1.2 Apply evidence-based guidelines, systematic reviews and scientific literature (such as the ADA Evidence Analysis Library, Cochrane Database of Systematic Reviews and the U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality, National Guideline Clearinghouse Web sites) in the nutrition care process and model and other areas of dietetics practice
• CRD 3.1.c Plan and implement nutrition interventions to include prioritizing the nutrition diagnosis, formulating a nutrition prescription, establishing goals and selecting and managing intervention
• CRD 3.5 Deliver respectful, science-based answers to consumer questions concerning emerging trends
Update on the Step by Step Program: Spring,
Almost 40 Dietetic Internship programs used this all on-line training during this
past academic year, up from 20 the year prior. I collect suggestions to make the program
even better every year. Here are the tweaks for the
- A few more supportive readings have been added
- Some of the podcasts have been revised to include more practical ways to practice the
Some of the feedback from interns:
- Listening to the podcast and then practicing
right away really worked well.
- Hearing about resistance to change helped me
understand the patients better.
- I like that my preceptor listened to the
podcasts too. She showed me how she was using the
- I liked discussing the skills with the other
Preceptors have also benefited from joining in
with the interns. Many took advantage of the credits available.
Here is some of their feedback:
- I wish I had learned these skills early on in my career.
- Not only did it provide education on theories and skills, but it also allowed for role playing and critiquing to teach and enforce
- This helped the interns establish rapport
- Listening made me want to start putting the practical advice
to use right away in my own practice. Then I can better
assist the interns when they join me.