sue mclaughlin, mol, bs,rd,cde lead medical nutrition ......the value of being a cde sue mclaughlin,...
TRANSCRIPT
The Value of Being a CDE
Sue McLaughlin, MOL, BS,RD,CDE
Lead Medical Nutrition Therapist, Nebraska Medicine
Staff RD,CDE, Children’s Hospital Diabetes and Endocrine Clinic
Adjunct Instructor, SAHP & Preceptor, UNMC Dietetic Internship Program
CDE Testimonials…….“Why I became a CDE”
“ I am better able to contribute to the overall goal of
improving patient outcomes”
“ The CDE enables me to demonstrate to patients,
colleagues & employers that I have comprehensive
knowledge necessary to provide the high level of
education and care needed”
“The CDE enables me to stand out from other non-certified practitioners, especially in a competitive market”
“Why I became a CDE”
“I am making a small, but important, difference in my community... The look of understanding and relief on their faces is priceless when they realize that they can manage their disease with knowledge and support. “
“Why I became a CDE”
“Having the CDE® has opened up so many more opportunities for me. It is rewarding to see your patients have positive outcomes because you made this disease manageable. I am able to teach them what this disease really is versus what they perceive the disease to be.
Most importantly, I serve as my patients’ mentor, confidant and cheerleader. I have been a CDE® for 14 years and I have loved every minute of it”.
~LW, RN, C BSN, CDE®, Tucson, AZ
“Why I became a CDE”
“Certification legitimizes your position, no matter where you work. By having the CDE®, you are able to prove your competency and serve as a leader to co-workers who look to you for your knowledge and skill.
Earning my CDE® was a personal accomplishment and a source of immense pride. I am making a small, but important, difference in my community and that makes certification all the more important.”
~ N.A.B., MSN, RN, CDE®, Valdosta, GA
“Why I became a CDE”
“I have managed three diabetes education programs during the last 15 years and have always looked for the CDE® credential when hiring new staff. The CDE® credential is the embodiment of a true professional who has taken the initiative to achieve the gold standard of excellence in our field.”
~ SA, MSN, ARNP-BC, CDE®, BC-ADM, Lenexa, KS
“Why I became a CDE”
“It is crucial to have a CDE® as a team member in the hospital as well as outpatient setting. The CDE® empowers the patient to implement care that the physician has prescribed and learn day-to-day lifestyle management. Not only does the CDE® teach and educate, they also encourage and collaborate on how to manage and improve care.
CDE's® are a vital part of diabetes management and have the time to spend with patients that physicians do not always have to help achieve the best outcomes.”
~ RM, BSN, RN, CDE®, Marietta, GA
“Why I became a CDE”
“As an addition to my RD credential the CDE® has provided me invaluable status and credibility with physicians and peers, as well as advanced salary increases and secured career opportunities. The CDE® is well worth the time and money.”
~ MO, RD, LD, CDE®, Fairbanks, AK
“Why I became a CDE”
“Of all of my credentials, may I say I am most proud of the CDE®. The experiences necessary to earn and maintain it are rigorous. They require a repertoire of fresh knowledge to educate each patient based upon their unique abilities.
It is a disease that is more manageable currently than ever before, largely because Certified Diabetes Educators care deeply to impart accurate information to patients.”
~ HG, MS, RD, CDE®, LDN, Seekonk, MA
“Why I became a CDE”
“I became a CDE® because my patients deserve the best in diabetes care. As a CDE®, I can provide the highest standards in diabetes care and intervention.”
~ BE, MS, RD, CDE®, Chicago, IL
Presentation Objectives
Describe the value of being a CDE
Describe the steps toward becoming a CDE
Identify 3 groups or entities who benefit
from the work of CDEs
Identify 3 research studies that demonstrate
the integral role of diabetes educators in
facilitating positive outcomes for people
with diabetes
CDE Practice Jeopardy:Important Events, Research, and Trivia Related to Diabetes Care & Education(this slide purposefully left blank until presentation)
Becoming a CDE®
NCBDE Mission:
Define, develop, maintain and protect the certification
and credentialing process to promote quality
diabetes education
®
Becoming a CDE®
NCBDE Purpose:
Conduct certification activities in a way that upholds
standards for competent practice in diabetes
self-management education (DSME)
®
Becoming a CDE®
What is NCBDE?
• Autonomous specialty board overseen by Board of Directors comprised of volunteer CDEs & others
• Committees & Task Forces – volunteer CDEs
• NOT a membership association or dues paying organization (i.e. NOT part of AADE or ADA or ACDE)
Becoming a CDE®
Credentialing Concepts
Certification is different than entry level credentialing
Above and beyond mandatory, prescribed academic requirements (e.g., nursing license)
NOT intended to serve as entry to the specialty
Mastery-level practice-based certification –requires accrual of professional practice experience
Becoming a CDE®
• A health professional who possesses comprehensive knowledge of and experience in prediabetes,
diabetes prevention and management
• Educates and supports people affected by diabetes
to understand and manage the condition
• Promotes self-management to achieve individualized behavioral and treatment goals that optimize health outcomes
Who is a CDE®?
Becoming a CDE®
• Enhanced ability to contribute to the overall goal of improving patient outcomes
• Demonstration to patients, colleagues & employers that you have comprehensive knowledge necessary to provide the high level of education and care needed
• Recognition of a valued skills and service compared to other, non-certified practitioners, especially in a competitive market
Benefits of becoming a CDE®
Becoming a CDE®
The CDE® credential is considered the “gold standard” -the embodiment of a true diabetes professional
Why become a CDE®?
Becoming a CDE®
• Updated definitions of CDE, DSME definition, etc. throughout Handbook
• Multidisciplinary credential
• Addition to standard discipline: Master Certified Health Education Specialist (MCHES)
• Volunteer DSME experience accepted
• Unique Qualifications pathway available (discussed later)
Eligibility requirements and qualifications
effective 2014:
Becoming a CDE®
• As of January 2015 – just over 18,800 CDEs:
• RN (including CNS and NP): ~ 52%
• RD: ~ 39%
• RPh (including PharmD): ~ 6%
• Remainder of CDEs are health professionals from a variety of areas, including, but not limited to:
MD/DO, PA, LP, Advanced Degree Social Workers, RCEP®/CES®/Adv Deg Exercise Physiologists
CDE Demographics
Becoming a CDE®
• Minimum 2 years of practice in the discipline under which you are applying
• Myth - the 2 years has to be in diabetes or has to be full time – NOT TRUE. Neither statement is true.
• Minimum 1000 hours of professional practice experience in DSME, with at least 400 hours obtained in most recent year.
• Max 4 year window to accrue/all hours must be in US/territories.
• Myth – Job title must be diabetes educator – NOT TRUE. Must have role with responsibilities that include direct provision of DSME, as defined by NCBDE, but title is NOT required.
Eligibility Requirements - Practice
Becoming a CDE®
• Myth – Job must be full-time DSME - NOT TRUE. Four year window allows part-time DSME hours to count
• Myth – I must be doing a minimum of 4 hours per week of DSME to count the hours – NOT TRUE. Was requirement in “old days” – not true since 2010
Eligibility Requirements – Practice (cont’d)
Becoming a CDE®
• Mentorship program available for accrual of volunteer hours
• Myth – You must participate in the mentorship program prior to applying - NOT TRUE. Optional ONLY
• New for 2014 – Volunteer DSME hours will be accepted - outside of the mentorship program
Eligibility Requirements – Practice (cont’d)
Becoming a CDE®
• Minimum of 15 clock hours of continuing education activities applicable to diabetes within the 2 years prior to applying for certification
• Myth – title of activity MUST have diabetes in the title – NOT TRUE. Rather – title or brief description provided that verifies topic applicable to diabetes
Eligibility Requirements – Continuing Education
Becoming a CDE®
• What organizations are recognized?
Check the website for listing of recognized providers
• New to list since 2014:
National Commission for Health Education Credentialing
(NCHEC) Designated Providers
Eligibility Requirements – Continuing Education
Becoming a CDE®
• Any component of performing DSME can count
• Myth – I have to do every step of the DSME process with every patient to count the hours – NOT TRUE
• Not the setting – it’s what’s being done that is important
• Myth – DSME must take place as part of a program to count – NOT TRUE
• Myth – Hours can only count if being done one on one – NOT TRUE
Eligibility Requirements – DSME hours
Becoming a CDE®
Initial certification: Activities that are not considered diabetes education for purposes of certification eligibility and should not be included as part of Professional Practice Experience. Examples…
• demonstration of a skill that does not include some or all of the components of the DSME process
• supervising and managing other professionals
• providing medical assessment, diagnosis, or treatment
• conducting/participating in research activities in which the individual is not involved in DSME
Eligibility Requirements – What Doesn’t Count?
Becoming a CDE®
New in 2014 – Unique Qualifications Pathway
• Advanced degree in health related concentration or major
• 2,000 hours of DSME, with 400 hours in last year
• 30 hours of acceptable continuing education hours
• Two recommendations re: DSME experience – at least 1 from a CDE®
• Pre-approval process
Eligibility Requirements
Becoming a CDE®
Applied Measurement Professionals (AMP) administers the examination process for NCBDE, including application submission.
• Contact AMP:
www.goamp.com or [email protected]
Phone: 913-895-4600 Fax: 913-895-4651
• Apply on-line or using paper application
• 2015 fee - $350 initial/lapsed; $250 renewal
Examination - Application
Becoming a CDE®
• Two testing windows w/ separate application windows per year
• Each window is open for approximately 2 months
• Individual may make appointment on-line or via phone
Examination - Application
Becoming a CDE®
• Computer-based test offered at over 190 different test
centers
• Based on examination content outline developed from
2013 practice analysis surveying CDEs about usual tasks
• Each question is linked directly to a task or tasks on
examination content outline
• 200 multiple-choice, objective questions, including 25 pre-test (unscored) questions
• 4 hour time frame
• Normally, score reports provided upon completion of examination.
Taking the Examination
Becoming a CDE®
Examination Preparation
• Review and thoroughly review exam content outline
(handbook/website)
• Consider your typical patient – do not overlook
aspects of the exam content outline that fall outside
of your typical patient profile
• Review Handbook information that outlines
resources for the examination and references
Becoming a CDE®
Examination Preparation
• Check around for other resources for review courses/materials
• Consider forming a study group
• Still nervous about exam day? Consider making use of the Practice Examination (PE)
Becoming a CDE®
Questions?
Contact NCBDE:www.ncbde.org [email protected]
Voice 877-239-3233 (toll free) or 847-228-9795Fax: 847-228-8469
National office: 330 E. Algonquin Rd, Suite 4
Arlington Heights, IL 60005Facebook page: CertifiedDiabetesEducators
Parting thoughts….Why I am proud to be a CDE…