1. Hold an active license in the United States as an RD - Registration by Commission on Dietetic Registration
   
2. Hold an advanced degree. For RDs the requirement is Master's in a clinically relevant area, such as, MS in Nutrition, Master's in Public Health, Education (MEd), Exercise, Sports Nutrition, Counseling, Gerontology.
   
3. 500 hours (after discipline licensure) within 48 months of experience in Clinical Management and Education

* Note: information taken from the AADE website information on Advanced Credential. Please refer to the website for more details on the credentialing process.

AADE/ANCC Content Areas for BC-ADM Exam:
Content Outline (This information current 10/1/03, check AADE or ANCC websites for current updates.)

I. Clinical Practice

1. Assessment and data collection
   1. Therapeutic communication
   2. History and physical examination (diabetes-specific and/or comprehensive)
      1. Medical and family history
      2. Physical findings
      3. Drug therapy (i.e., prescription, over-the-counter, and herbal drugs; allergies; and compliance)
      4. Medical nutrition therapy
      5. Developmental and mental status
      6. Functional assessment
      7. Cultural, ethnic, and lifestyle assessment
      8. Diabetes self-care skills and behavior
      9. Complications and risks
   3. Health care resources assessment (e.g., insurance, health care team)
   4. Diagnostic tests, procedures, and evaluations
      
      
2. Diagnosis/problem identification
   1. Pathophysiology and analysis of diagnostic tests
   2. Problem list
      
      
3. Planning and intervention
   1. Identification and negotiation of expected outcomes
   2. Pharmacotherapy options and interventions
      1. Selection, initiation, and adjustment of pharmacotherapy
      2. Medication delivery systems
      3. Acute diabetes problems
      4. Chronic complications of diabetes
      5. Co-morbid complications of diabetes (e.g., hyperlipidemia, hypertension)
      6. Other health-related conditions (e.g., pregnancy, thyroid conditions, celiac disease, cystic fibrosis, human immunodeficiency virus (HIV) infection)
      7. Preventive interventions (e.g., aspirin, angiotensin-converting enzyme (ACE) inhibitors)
   3. Nonpharmacological and lifestyle options and interventions
      1. Medical nutrition therapy
      2. Exercise
      3. Cessation of substance abuse (e.g., alcohol, tobacco, drugs)
      4. Mental health issues (e.g., stress management, depression)
      5. Obesity management
   4. Plan of care
   5. Self-management education (e.g., teaching/learning and change strategies)
   6. Outcomes monitoring (e.g., clinical, behavioral, economic, quality of life)

II. Collaboration

1. Clinical coordination and case management
   1. Referrals
   2. Family, support system, and community resources
   3. Multidisciplinary health care teams
   4. Reimbursement
      
      
2. Consultant role
   1. Focused intervention (e.g., drug, disease, or device problems)
   2. Drug information request (e.g., interactions, side effects)

III. Public and Community Health

1. Public health trends and epidemiology
   
   
2. National health initiatives
   
   
3. Prevention strategies and programs

IV. Research

1. Identification of research problems
   
   
2. Research design and methodology
   
   
3. Study coordination
   
   
4. Translation, dissemination, and utilization of research findings

V. Leadership and Professional Practice

1. Organizational and management issues
   1. Patient care program development
   2. Team building and conflict resolution
   3. Staffing and resource management
   4. Financial management
   5. Health care delivery systems
   6. Marketing
   7. Technology and information systems (e.g., blood glucose meter and insulin pump downloading, data analysis and management)
      
      
2. Continuous quality improvement.
   1. Protocol development
   2. Outcomes monitoring
      
      
3. Legal and ethical issues
   1. Informed consent
   2. Patient advocacy
   3. Other issues
      
      
4. Standards of practice
   
   
5. Professional development
   1. Mentorship and preceptorship
   2. Continuing education and staff development
   3. Other activities (publishing, presentations)
      
      
6. Regulatory, accreditation, and reimbursement programs and standards for institutions and providers
   1. Occupational Safety and Health Administration (OSHA)
   2. Medicare and Medicaid
   3. Clinical Laboratory Improvement Amendments (CLIA) to the Public Health Service Act
   4. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
   5. Health Plan Employer Data and Information Set (HEDIS)
   6. Diabetes Quality Improvement Project (DQIP)
   7. National Standards for Diabetes Self- Management Education
   8. Evidence-based clinical practice guidelines and recommendations
   9. Health Insurance Portability and Accountability Act (HIPAA) 1
   10. National Committee for Quality Assurance (NCQA)