from the association American Dietetic Association: Revised Standards of Practice and Standards of Professional Performance for Registered Dietitians (Generalist, Specialty, and Advanced) in Oncology Nutrition Care Kim Robien, PhD, RD, CSO, LD, FADA; Lori Bechard, MEd, RD, LDN; Laura Elliott, MPH, RD, CSO, LD; Nicole Fox, RD, LMNT; Rhone Levin, MEd, RD, CSO, LDN; Sarah Washburn, MS, RD, CSO Editor’s note: Figures 1, 2, and 3 that accompany this article are available online at www.adajournal.org. T he Oncology Nutrition Dietetic Practice Group (ON DPG) of the American Dietetic Association (ADA), under the guidance of the ADA Quality Management Commit- tee and Scope of Dietetics Practice Framework Sub-committee, has re- vised the Standards of Practice (SOP) and Standards of Professional Perfor- mance (SOPP) for Registered Dieti- tians (RDs) in Oncology Nutrition Care (see the Web site exclusive Fig- ures 1, 2, and 3 at www.adajournal. org). The SOP and SOPP for RDs in Oncology Nutrition Care were origi- nally published in 2006 (1), and were scheduled for periodic review and re- vision. The revised documents reflect advances in oncology nutrition prac- tice during the past 3 years, including completion of the ADA Oncology Nu- trition Evidence Analysis Project, the ADA Oncology Evidence-Based Nutri- tion Practice Guideline, and the de- velopment of the Board Certification in Oncology Nutrition by the Commis- sion on Dietetic Registration (CDR). The revised standards replace the 2006 standards. The revised docu- ments build on the ADA Revised 2008 SOP for RDs in Nutrition Care and SOPP for RDs (2). ADA’s Code of Eth- ics (3) and the Revised 2008 SOP in Nutrition Care and SOPP for RDs (2) are decision tools within the Scope of Dietetics Practice Framework (4) that guide the practice and performance of RDs in all settings. The concept of scope of practice is fluid (5), changing in response to the expansion of knowledge, the health care environment, and technology. An RD’s legal scope of practice is defined by state legislation (eg, state licen- sure law) and will differ from state to state. An RD may determine his or her own individual scope of practice using the Scope of Dietetics Practice Framework (4), which takes into ac- count federal regulations; state laws; institutional policies and procedures; and individual competence, account- ability, and responsibility for his or her own actions. The Revised 2008 SOP in Nutrition Care and the SOPP for RDs are the result of a review and update of the 2005 ADA SOP in Nutrition Care and Updated SOPP (6) using information from ADA Regulatory Affairs’ review of regulations, electronic survey feed- back, and through the consensus of the members of the 2006-2007 and 2007-2008 ADA Quality Management Committees. Consensus is group opin- ion based on expert knowledge and experience. The Quality Management Committee members represent di- verse practice and geographic per- spectives (2). ADA’s Revised 2008 SOP in Nutri- tion Care and SOPP reflect the mini- mum competent level of dietetics Approved October 2009 by the Quality Management Committee of the American Dietetic Association House of Delegates and the Executive Com- mittee of the Oncology Nutrition Dietetic Practice Group of the American Dietetic Association. Scheduled review date: February 2015. Questions re- garding the Revised Standards of Practice and Standards of Professional Performance for RDs in Oncology Nutrition Care may be addressed to ADA Quality Management Staff at quality@eatright.org; Sharon McCauley, MS, MBA, RD, LDN, FADA, Director of Quality Management or Cecily Byrne, MS, RD, LDN, Manager of Quality Management. K. Robien is an assistant professor, Epidemiology and Community Health, School of Public Health, and Member, Cancer Outcomes and Sur- vivorship Program, Masonic Cancer Center, University of Minnesota, Min- neapolis. L. Bechard is a clinical nutrition specialist III, Children’s Hos- pital Boston, Boston, MA. L. Elliott is a clinical dietitian, Mary Greeley Medical Center, Ames, IA. N. Fox is a medical nutrition therapist special- ist, The Nebraska Medical Center, Omaha. R. Levin is a clinical dietitian III, St Luke’s Meridian Medical Center, Mountain States Tumor Institute, Meridian, ID. S. Washburn is a clinical dietitian, Seattle Cancer Care Alliance, Seattle, WA. 0002-8223/10/11002-0018$36.00/0 doi: 10.1016/j.jada.2009.11.001 310 Journal of the AMERICAN DIETETIC ASSOCIATION © 2010 by the American Dietetic Association