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Molly Kellogg - Psychotherapist, Nutrition Therapist & Writer

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Step By Step: A Program for Dietetic Interns 
to learn counseling skills

The program (newly revised for the 2011-2012 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 actual patients. 

This program works best when preceptors follow along.  Up to 4 CPE credits are available for preceptors at no additional cost.

The Program includes: 9 topics, each with a podcast, notes and a practical article. Suggested discussion topics are provided for each section. 

And a Special bonus: Ninety-minute recording of a presentation given live at the 2009 Food & Nutrition Conference & Expo in Denver, CO.  Using Evidence-based Strategies in Nutrition Counseling, Joanne Spahn, MS, RD, FADA & Molly Kellogg, RD, LCSW. 

Introduction: 

  • Engaging the Client

The Basics: OARS

  • Open-ended questioning (5-minute podcast)

  • Affirming (10-minute podcast)

  • Reflecting (10-minute podcast)

  • Summarizing (10-minute podcast)

The Change process: 

  • Behavior change and resistance to change (16-minute podcast)

Attending to the client:

  • What is important to the client? (6-minute podcast)

  • Listening for change talk (12-minute podcast)

When it's time to provide advice:

  • Providing advice effectively (10-minute podcast)  

Putting it all together: 

  • Using 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.

Supplemental Materials:

  • Counseling Session Feedback Form

  • Pair Exercises:

    • Open questioning

    • Reflecting

    • Providing advice

Buy Now  $ 149. Purchase allows all interns and preceptors in one DI program to access the materials, beginning July 1, 2011 through August 31, 2012. 

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 molly@mollykellogg.com to register.

CADE Note:

This program is designed to fit the Commission on Accreditation for Dietetics Education: Eligibility Requirements and Accreditation Standards for Dietetic Internship Programs (DI), January 2008. 

It will fulfill:
• Competency DI 2.4 Use effective education and counseling skills to facilitate behavior change.

And contribute to these competencies: 
• DI 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
• DI 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
• DI 3.5 Deliver respectful, science-based answers to consumer questions concerning emerging trends

Update on the Step by Step Program: Spring, 2011

Twenty Dietetic Internship programs and a few WIC programs are using this all on-line training during this academic year. 

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 skills. 
  • I liked discussing the skills with the other interns.

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 the skills. 
  • This  helped the interns establish rapport with patients.
  • 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.

I collect suggestions to make the program even better on an on-going basis.