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					Southwestern Dietetic Internship: Intern Handbook
Table of Contents

Introduction ....................................................................................................................... 2
   Cost to Student .................................................................................................................... 2

Accreditation Status .......................................................................................................... 3

Admission Requirements.................................................................................................. 3

Computer Matching Statement for Application Materials ............................................. 3

Before You Arrive .............................................................................................................. 4

Program Schedule ............................................................................................................. 5

Graduation and Program Completion Requirements .................................................... 5

Equal Opportunity and Indian Preference ...................................................................... 5

Program Rules ................................................................................................................... 6
   Volunteer Services .......................................................................................................... 6
   Failure to Complete Program ......................................................................................... 6
   Code of Ethics ................................................................................................................. 7
   Grievance Procedures .................................................................................................... 7
   Scheduling ....................................................................................................................... 7
   Attendance....................................................................................................................... 7
   Holidays .......................................................................................................................... 7
   Protection of Privacy Information .................................................................................. 8
   Access to Personnel Files ............................................................................................... 8
   Services and Benefits ...................................................................................................... 8
   Attire and Appearance .................................................................................................... 9
   Recency of Education ...................................................................................................... 9
   Performance Appraisals ............................................................................................... 11
   Study Guides ................................................................................................................. 11

Appendices:
ADA Code of Ethics
Performance Appraisal Forms
Study Guides
Curriculum
References



                                                                                                                                       1
Introduction
        The Southwestern Dietetic Internship Consortium was formed by two
organizations in the Indian Health Service, Phoenix Indian Medical Center and Kayenta
Health Center. The Indian Health Service is an agency in the Department of Health and
Human Services of the federal government. It is responsible for providing health care
services to members of federally recognized tribes, mandated by the U.S. Constitution
and several treaties and laws. The mission of the Indian Health Service is “to raise the
physical, mental, social, and spiritual health of American Indians and Alaska Natives to
the highest level.” The goal of the IHS is “to assure that comprehensive, culturally
acceptable personal and public health services are available and accessible to American
Indian and Alaska Native people.”
        The mission of the Southwest Dietetic Internship is to prepare dietetics
professionals to provide culturally appropriate, comprehensive nutrition services in
American Indian and Alaska Native communities. This program is an internship that
provides a general emphasis in order to prepare graduates to meet a wide variety of
nutrition needs within Native American communities. The goals of the Southwestern DI
are as follows:
     To improve access to nutrition care provided by a qualified dietetics professional
        in American Indian and Alaska Native communities.
     To increase diversity in the dietetics profession by increasing the numbers of
        qualified American Indian and Alaska Native dietetics professionals.
     The program will prepare graduates to be competent entry-level dietitians.
    The desired outcomes of the Southwestern DI are as follows:
        1.      At least 80% of graduates will pass the Registration examination for
                Dietitians through the Commission for Dietetic Registration.
        2.      At least 70% of graduates will be employed in AI/AN communities.
        3.      At least 30% of interns will be members of federally recognized tribes.
        4.       At least 90% will complete the program in the allowable time frame.
        5.      At least 90% of interns will achieve a passing score at the end of each
                rotation.
        6.      Employers will evaluate graduates entry-level skills as meeting overall
                competency requirements with a score of 90%.

        In order to become a Registered Dietitian, students must first complete an
approved Didactic Program in Dietetics (DPD) and obtain a DPD Verification Statement
from their program. Students are then eligible to apply for the Southwestern Dietetic
Internship. Successful completion of the Southwestern Dietetic Internship will qualify
the student to complete the Registration examination for Dietitians and earn the credential
of Registered Dietitian (R.D.)

Cost to Student
        There are no tuition or application fees for this internship program. However, the
intern will be responsible for the following:
             Travel between sites (approximately $100), including own vehicle,
                automobile insurance, and a valid driver’s license. During the internship,
                the intern will be permitted to ride in a government vehicle, but will not

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               permitted to operate the vehicle. Passengers in government vehicles are
               covered by the federal government in the event of an incident.
              Housing while in the Phoenix area. Suggested websites for housing in
               Phoenix: www.rent.com, www.aptfind.com, www.apartmentfind.com
                  o Approximate cost for a one-bedroom apartment is $600.
                  o Government housing will be provided when the intern is at the
                       Kayenta Health Center if available at the time of that rotation.
              Books and other reference materials not available on-site.
              Medical exams and immunizations prior to arrival.
              Liability insurance must be purchased prior to arrival. It is available from
               Health Care Providers Service Organization. 1-800-982-9491.
               www.hpso.com. Cost is approximately $29 per year.
              Financial aid is not available. Interns participating in the Indian Health
               Service Scholarship Program should contact their Scholarship
               Coordinator.

Accreditation Status
The Southwestern Dietetic Internship Consortium has been granted Developmental
accreditation by the Commission on Accreditation for Dietetics Education of the
American Dietetic Association.
The contact information for the Commission on Accreditation of Dietetic Education is:
    Commission on Accreditation for Dietetics Education
    American Dietetic Association
    120 S. Riverside Plaza, Suite 2000
    Chicago, IL 60606-6995
    312-899-0040, ext. 5400.

Admission Requirements
      Completion of Didactic Program in Dietetics. Must provide DPD Verification
       statement that is dated within 5 years of the application deadline.
      Cumulative grade point average of at least 2.8. Must provide official transcripts
       sent directly from the degree-granting institution.
      A completed application packet
      2 letters of reference, preferably one from a professor and one from an employer.
       Should not be from a relative.
      In accordance with laws regarding Indian Preference, preference is given to
       recipients of the 437 Scholarship Program and applicants who are members of a
       federally recognized tribe. Must provide an official copy of tribal enrollment.

Computer Matching Statement for Application Materials
Applicants to Dietetic Internships (DI) must participate in computer matching.
Applicants should request instructions and a mark/sense card to prioritize their DI
preferences. Applicants should request this material from any CADE –
accredited/approved Didactic Program in Dietetics program director or from D&D
Digital Systems, Inc. This request should be made to allow turnaround time for
submitting by the established deadline dates for the April and November computer
matches. There is no charge for the computer matching material. However, there is a
$50 charge for computer matching that is due with the applicant’s computerized ranking.
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   D&D Digital Systems, Inc. contact information:
     D&D Digital Systems, Inc.            Phone: 515-292-0490
     304 Main Street, Suite 301           Fax: 515-663-9427
     Ames, IA 50010                       Email: dnd@netins.net

Before You Arrive
        You will need to contact your preceptor at Kayenta Health Center well before you
arrive there. Your preceptor will reserve housing for you as soon as she/he is aware of
your immanent arrival; thus, the earlier you make contact, the better your chances are of
having housing.
        All employees and volunteers at KHC must undergo a background check. This
involves fingerprinting, which is done after you arrive; but a detailed history of your past
work and school records are also required. Forms are included in your packet, which
pertain to this requirement. As these forms are very detailed, it is advisable that you have
them filled out and ready to present to Personnel on the day of your arrival.

Your contact in Kayenta:
   Linda White, RD
   Chief Executive Officer
   Kayenta Health Care Center
   P.O. Box 368
   Kayenta, AZ 86033
   Ph: 928-697-4247
   Fax: 928-697-4145
   E-mail: Linda.white@ihs.gov


The general telephone number for the clinic:
      928-697-4000


Housing
          You will be provided housing while you are in Kayenta if housing is available.
The housing provided will be that which is provided to our locum physicians and nurses;
so, it is possible that you may have a roommate for at least part of your stay at KHC.
The housing is a mobile home located within the housing area on grounds controlled by
Kayenta Health Center.
          You will not be charged for electricity, propane, or basic telephone service;
however you will need to make arrangements to pay for any long-distance telephone calls
that you make.
          Basic essentials are provided: sheets, pillows, pillowcases, towels, cooking
utensils, dinnerware, and cutlery. These provisions are very basic in nature; so feel free
to bring your own belongings to make yourself more comfortable.
Washers and dryers are not provided in the locum housing; however, there is a
laundromat located about 1 mile away in Kayenta.
          No pets are allowed in the locum housing.


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        For the sake of your roommate’s privacy (should you have one), no overnight
visitors are allowed.
        Upon your arrival at the locum housing, make note of any damage or defacing of
the property and submit the list to your preceptor.
        A maintenance crew is available to all residents living within the KHC housing
grounds; so if repairs are required for the housing unit or any of its standard fixtures,
notify your preceptor so that a work request may be submitted.
        Prior to your vacating the premises of the locum housing and of the Nutrition
Services Department, you will be required to complete a check-out procedure.



Program Schedule
The program activities are scheduled as follows:
       Week 1-6:      Phoenix Indian Medical Center, Phoenix, Arizona
                      Orientation
                      Community Nutrition– Urban
       Week 7:        Salt River – Adolescent Diabetes Case Management
                      Breastfeeding Education – PIMC
       Week 8-13: Food Service Management
       Week 14-22: Clinical Nutrition
       Week 23:       Nutrition Program Administration
       Week 24-25: Staff Relief
       Week 26-29: Kayenta Health Center, Kayenta, Arizona
                      Orientation
                      Community Nutrition- Rural
       Week 29:       Portfolio Development
       Week 30:       Portfolio Development
                      Health Care Management

Graduation and Program Completion Requirements
In order to complete the program, successful completion of all rotations is required. If an
intern does not successfully pass a rotation, the rotation may be repeated one time only.
Only one rotation may be repeated. If the intern fails to successfully complete a rotation
after the second attempt, the intern will be dismissed from the program.

Upon successful completion of all requirements, including evaluations, interns will
receive a verification statement.

Equal Opportunity and Indian Preference
The Southwestern Dietetic Internship complies with Title 25, Chapter 2, Section 45 of the
US Code with requires Indian preference to qualified Indian people. In accordance with
the Indian Health Care Improvement Act, Public Law 94-437, preference will be given to
recipients of the Indian Health Service Scholarships.
The Southwestern Dietetic Internship complies with Indian Health Service policies on
civil rights and equal opportunity, which prohibits discrimination based on race, color,
religion, sex, or national origin. Sexual harassment is prohibited under Title VII, Section
703, Civil Rights Act, 1964 as amended. United States citizenship is required.

                                                                                            5
Program Rules
Volunteer Services
       1.       Interns must apply to be a volunteer/postgraduate trainee with the PIMC
       Volunteer Services Office and cannot begin their experience until their
       paperwork is completed. (See Application materials). Upon acceptance into the
       program, the packet will be mailed to the intern. This will provide the necessary
       liability coverage and identification for these individuals. Files will be
       maintained in the volunteer services department for future reference and will
       include:
           a. Volunteer application
           b. Employee Health Profile
           c. Privacy Act Briefing
           d. Authorization to Serve as a Volunteer
           e. Professional Staff Trainee Position Description
           f. Student Volunteer Service Agreement
           g. Background Check
Failure to Complete Program
       1.       Withdrawal from the Program
           h. Interns may withdraw from the program at any time and for any reason by
                submitting written notification to the Program Director.
                     i. The Director will conduct an exit interview.
                    ii. The intern may not be re-admitted that year. However, the intern
                        may choose to re-apply for future admission.
                   iii. If an intern is readmitted to the program, all rotations will need to
                        be completed.
           i. Withdrawal Due to Circumstances Beyond the Intern’s Control
                     i. If an intern’s experience is interrupted by unavoidable absence or
                        other causes beyond an intern’s control and the intern’s work was
                        passable at the time of withdrawal, the intern will receive a grade
                        of incomplete.
                    ii. The intern may complete the experiences at a time mutually agreed
                        upon by the Program Director, the intern, and facility at which the
                        experiences are scheduled.
       2.       Dismissal from the Program
           j. Interns may be dismissed from the program for the following reasons:
                            1. Breaches of the ADA Code of Ethics
                            2. Unacceptable performance.
                                    a. Failure to successfully meet competencies and
                                         objectives of the rotation will result in the
                                         opportunity to repeat the rotation one time only and
                                         for only one rotation.
                                    b. Failure to complete competencies a second time
                                         will result in dismissal from the program.
                            3. Failure to comply with attendance policy.
                            4. Breaches of the federal government’s standards of conduct.
                            5. Violations of the Privacy Act.

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Code of Ethics
(See Appendix)
       1. Interns are expected to comply with the ADA Code of Ethics.
Grievance Procedures
       2. If the intern has a grievance with the Program or a preceptor, the intern must
           submit the grievance in writing to the Site Coordiantor.
               a. The Site Coordinator will investigate both sides and issue a decision
                   within 5 working days.
               b. If a resolution cannot be reached, the intern may request that all
                   grievance materials be forwarded to the Program Director.
       3. Materials must be forwarded to the Program Director within 3 working days.
               a. The Program Director will investigate both sides and issue a decision
                   within 5 working days. Resolutions may include reassignment.
       4. The Program Director is the final authority.
Scheduling
       1.      Site Coordinators will be responsible for scheduling rotations
               a. Preceptors are responsible for scheduling the intern’s activities during
                   the rotation.
               b. Preceptors will determine duty hours for each rotation and
                   communicate them to the intern either verbally or in writing.
Attendance
       1.      Interns are expected to report to assigned areas on time. Prior to
               beginning each rotation, it is the intern’s responsibility to contact the
               preceptor for duty hours.
               a. Tardiness must be kept to a minimum (15 minutes or more). A verbal
                   warning may be issued with 2 incidences of tardiness. If the intern
                   continues to be tardy, further disciplinary action may be taken, up to
                   and including dismissal from the program.
               b. Sick Leave
                        i. The intern must make contact with the preceptor at least one
                           hour in advance to request sick leave.
                       ii. Use of sick time in excess of 3 days requires a valid
                           physician’s written documentation.
   2. Days Off
           a. Full time interns: Interns are expected to work 40 hours per week. The
               schedule may be flexed by the preceptor to meet rotation needs.
           b. Interns must submit written requests for time off. However, this will be
               limited to no more than 1 day off during the internship.
Holidays
1. The federal government observes the following holidays:
New Year’s Day,
Civil Rights Day,
Presidents’ Day,
Memorial Day,
Independence Day,
Labor Day,
Columbus Day,
Veterans’ Day,
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Thanksgiving Day, and
Christmas Day.

a.      If an intern is scheduled to work at an affiliate site that does not observe a
particular holiday, the intern is expected to work on the holiday scheduled.
Protection of Privacy Information
1.      Except when in the process of providing nutritional care to the client or during
health team evaluation, interns will be responsible to maintain client/patient
confidentiality.
        a.      Information about the client obtained from the medical record, other
        health care personnel, the client or his family, is confidential and is not to be
        repeated or discussed without the client/patient’s prior written consent.

       b.       Information regarding the client, such as diagnosis, which is not pertinent
       to the nutritional care you are providing the client is not to be revealed to the
       client or his family.
       c.       Failure to adhere to this policy is cause for dismissal from the DI.
2.     The personnel records of all dietetic interns in the SDI will be maintained in a
locked file in the Program Director’s office to maintain privacy of the intern’s
information, including but not limited to applications, evaluations, and medical
information.

Access to Personnel Files
1.      The intern will have the right to receive for review the information about
himself/herself that is contained in the DI program file, and has the right to correct errors
in personal or biographical data.

2.      The Program Director will maintain the intern’s file, which will be available to
the intern upon written request.

3.     The personnel records of all dietetic interns in the SDI will be maintained in a
locked file in the Program Director’s office to maintain privacy of the intern’s
information, including but not limited to applications, evaluations, and medical
information

Services and Benefits
1.     Interns will be considered volunteers and therefore eligible for the following:
    Job-related injuries may be treated following the procedures applicable to regular
       Government employees. This may include laboratory testing, xrays, PPD, and
       other pertinent treatments.
    American Indian and Alaska Native interns eligible for care through the Indian
       Health Service may establish a medical record and access medical care at Phoenix
       Indian Medical Center.
    Protective clothing and equipment may be provided, such as masks and gowns, if
       needed.
    One meal per day during work days at PIMC.




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Attire and Appearance
1.       Interns are expected to be neat and clean, taking pride in personal grooming and
appearance to reflect concern and respect for the patients.
2.       Interns must follow established dress code policies available in the organization’s
Policy and Procedure Manual.
3.       Lab jackets will be provided while interns are at PIMC.
4.       Dress is business casual. No jeans, revealing clothing, form-fitting leggings, short
skirts, etc.
5.       Shoes must be closed toe and closed heel.
6.       When on duty at other locations, interns must follow the dress code of that
facility.
7.       Name badges are worn while on duty.
8.       Preceptors have the right to determine if the attire worn is consistent with the
image desired.
9.       Co-Step students are required to wear the US Public Health Service uniform of
the day while on duty at PIMC. Co-Step interns must check the USPHS uniform
requirement while at other locations.
Recency of Education
1.       Applicants to the Southwestern Dietetic Internship program will have a signed
Verification Statement or Declaration of Intent to Complete from an approved Didactic
Program in Dietetics (DPD) dated within five (5) years of the program application
deadline to be considered for placement into the internship program. Plan IV Verification
Statements are not acceptable.

2.     Applicants to the Southwestern Dietetic Internship program must submit a signed
Verification Statement or Statement of Intention to Complete from an approved Didactic
Program in Dietetics (DPD) dated within five (5) years of the program application
deadline to be considered for placement in the internship program.

3.     Applicants who submit Verification Statements from Plan IV academic
       programs will not be considered for internship acceptance. Exception: See
       following statement #3.

4.      Applicants who have a Plan IV Verification Statement and desire to be considered
for internship placement must:
        a. Update their education by obtaining a DPD Verification Statement
        b. Apply for internship placement consideration within five (5) years of the
            internship’s application deadline
        c. Obtain information on approved DPD programs from the Commission on
            Accreditation for Dietetics Education (CADE) of the American Dietetic
            Association (ADA)
                1)     Visit the CADE website at: www.eatright.org/cade

5.     The Program Director is responsible for reviewing all education documentation
submitted by a prospective intern applicant and determining its applicability,
appropriateness, adequacy, feasibility, and legitimacy.
       a.     The Program Director may, at his/her discretion, waive some educational
              requirements if the prospective intern applicant has demonstrated recent
              (five years or less) experience and knowledge in a particular area.
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       b.      However, a waiver of some educational requirements does not supercede
               the ADA/CADE stipulated DPD Verification Statement.
               1)    See policy contents for time limitations related to DPD
                     Verification Statements.

NOTE: Prospective intern applicants are encouraged to contact the Program Director
prior to internship application to discuss and review their individual educational
achievements, work history, and any coursework that may be required.
6.      Applicants who have a DPD Verification Statement dated greater than five (5)
years but less than ten (10) years of the program application deadline are required to
update their education by obtaining additional coursework and submitting proof of
performance in the following areas:
        a.      ServSafe
        b.      Food Service Management, to include Hazard Analysis and Critical
                Control Points (HACCP) – 200 level a minimum
        c.      Medical Nutrition Therapy Principles – 400 level
        d.      Medical Nutrition Therapy Applications – 400 level
        e.      Note: Proof of performance is defined as the following:
                1)      Transcripts from an United States accredited academic institution
                        in which the course grade is a “C” or better
                2)      ServSafe certificate with an expiration date at least one (1) year
                        beyond the anticipated completion date of the internship program

        7.      Applicants who have a DPD Verification Statement dated greater than five
(5) years but less than ten (10) years of the program application deadline may wish to
update their knowledge base with additional (optional) coursework and are encouraged to
consider taking courses in the following areas:
        a.      Quantity Foods Production – 200 level a minimum
        b.      Biochemistry or Physiochemistry– 200 level a minimum
        c.      Anatomy and Physiology – 200 level a minimum
        d.      Human Nutrition Assessment – 300/400 level
        e.      Community Nutrition – 200 level a minimum
        f.      Medical Terminology – 100 level a minimum
        g.      Other content areas, as applicable, and as recommended by the APHDI
                Director upon pre-application review of the applicant’s academic
                coursework and past and current work experiences, may also be suggested,
                such as:
                1)      General chemistry with lab
                2)      Organic chemistry with lab
                3)      Microbiology with lab
                4)      Mathematics
                5)      Statistics
                6)      Technical/professional writing
        h.      Note: Proof of performance in any of the above is defined as:
                1)     Transcripts from an United States accredited academic institution in
                    which the course grade is a “C” or better
                2) Proof of attendance at a relevant seminar or intensive training course
8.      Applicants who have a DPD Verification Statement dated greater than ten (10)
years of the program application deadline and who desire to apply for the Southwestern
                                                                                         10
Dietetic Internship program must obtain a new DPD Verification Statement from an
United States academic institution that has a Didactic Program in Dietetics (DPD)
approved by the Commission on Accreditation for Dietetics Education (CADE) of the
American Dietetic Association (ADA).
        a. To obtain information on approved DPD programs, visit the CADE website
            at: www.eatright.org/cade



Performance Appraisals
   1. The preceptor at the completion of each rotation will evaluate each intern’s
      performance. It is expected that preceptors will provide continuous feedback
      throughout the rotation. The overall evaluation of a rotation will be completed by
      the primary preceptor at the site and submitted to the Program Coordinators and
      Program Director.
   2. The Program Coordinator will maintain the evaluation database.
   3. Successful completion of a rotation is defined as performance of > 80%.
   4. Performance evaluations will be shared with interns and all involved
      constituencies to review areas of strength and opportunities for growth.
   5. The intern, preceptor, Program Coordinator and Program Director will meet at the
      completion of each rotation to review the student’s performance
   6. Intern’s with < 80% success will be required to repeat the rotation. Only one
      rotation may be repeated.
   7. If an intern does not successfully earn a grade of > 80% after the second attempt
      at a rotation, the intern will be dismissed from the program.


Study Guides
               1.     Study guides must be completed prior to each rotation, or as
                      assigned by the Preceptor.
               2.     Study Guides are included in the Intern Handbook.




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