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 info@goamp.com

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 info@ncbde.org

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…