Nutrition Care Manual® Board of Editors Application Form

Thank you for your interest in the Board of Editors for the Nutrition Care Manual®! This survey consists of 15 questions.

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* 1. Provide the following.

Name

Credentials

Email

Employer

Job Title

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* 2. Why should you be considered for the NCM® Board of Editors?

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* 3. Select up to 3 areas of expertise. These are the current open areas.

Bariatric Surgery

Cardiovascular Disease

Energy Expenditure

Gastrointestinal Diseases

Pulmonary Conditions

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* 4. How many years of experience do you have in practice and/or research?

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* 5. How many years of experience do you have in the area(s) of expertise you designated above?

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* 6. Are you a current or past subscriber of NCM®/PNCM®/SNCM®?

Yes

No

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* 7. Do you have previous experience as an author?

Yes

No

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* 8. Do you have previous experience as a peer reviewer for a peer reviewed publication?

Yes

No

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* 9. Do you hold the Advanced Practitioner Certification in Clinical Nutrition (RDN-AP) or certification in a specialty area relevant to the area(s) of expertise you designated above?

Yes

No

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* 10. Identify the steps of the Nutrition Care Process.

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* 11. Can you identify relevant nutrition assessment criteria, diagnoses, and interventions (ie, eNCPT) for the area(s) of expertise selected above?

Yes

No

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* 12. Do you have recent experience applying or teaching the Nutrition Care Process in a direct patient care setting?

Yes

No