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Dietitian, Don Mills Family Health Team

Toronto, Ontario
Deadline: June 23, 2011


Don Mills Family Health Team

Position:   Registered Dietitian
Reporting to:   Executive Director & Lead Physician (for clinical responsibilities)
Part time temporary;   one day per week
Close date:   June 23, 2011
Contact Info:   mwang@donmillshealth.com

Position Overview

The Don Mills Family Health Team (DMFHT) provides primary health care, including health promotion and disease prevention and chronic disease management to the population of DMFHT catchment’s area.  The FHT is comprised of an interdisciplinary team of health care professionals who work in a collaborative model of care.  

The Registered Dietitian (RD) will play an integral role in the care of the patients of the Don Mills Family Health Team. The RD will assist the FHT in achieving its vision and mission. The role of the RD in the Don Mills Family Health Team requires a thorough knowledge of diet and nutrition in a primary care context and the ability to function effectively in a team environment with physicians, other interdisciplinary health professionals and administrative staff. The role also requires a high level of interpersonal skills to deal with patients and their families in a holistic compassionate fashion.

The dietitian will support patient care and the delivery of programs including healthy lifestyles, chronic disease, palliative care, cancer care, reproductive and child health, and geriatric care. The dietitian will also provide physicians and Team providers with nutritional consultation, education and information that contribute to the health and wellness of patients and the knowledge and expertise of providers.

Responsibilities

• Work collaboratively with other team members to manage the needs of patients of the DMFHT
• Develop nutritional plans and provide nutritional counseling for patients based on comprehensive needs assessments.
• In consultation with primary care providers, contribute to therapeutic and management plans with patients.
• Monitor and follow up nutritional treatment and plans.
• Promote behaviour change related to food choices, eating behaviour and preparation methods to optimize health.
• Support clients to make positive, independent choices and decisions around diet and nutrition to maximize health.
• Develop programs or workshops around identified nutrition issues at times and locations appropriate for patients.
• Document all patient care activities in the patient’s electronic chart.
• Collaborate with family physicians to incorporate nutritional components in the management of chronic diseases such as hypertension, obesity, diabetes, dyslipidemia, and heart failure.
• Participate as a clinical team member in the development and delivery of targeted programs including but not limited to palliative care, cancer care navigation, chronic disease, mental health and addictions, reproductive and child health.
• Share results of assessment and intervention with referring physicians and other Team clinicians as requested within a specified timeframe.
• Coordinate appropriate diagnostic tests and procedures as per RD scope of practice, and/or in consultation with family physicians and Nurse Practitioners.
• Apply self-management and other strategies to support the development of an informed activated patient.
• Develop, update and maintain education resources for patients and for providers.
• Evaluate and document outcomes of individual patient care in collaboration with the team.
• Participate as a clinical team member in the development and delivery of targeted programs including but not limited to palliative care, cancer care, case management, chronic disease, mental health and addictions, reproductive and child health 
• Collection of data as required for statistical/reporting purposes
• Provide timely and informative reports as directed and requested by the Executive Director and/or Physician Lead.
• Observe, collect and record patient data in the EMR system.
• Participate in team building, program development, and improvement activities.
• Participate in staff meetings, to exchange ideas, receive mutual support and monitor program outcomes as well as present case studies.
• When required, assist in the development and implementation of the clinical model and guidelines for collaborative care
• Comply with established personnel policies, procedures, standards and guidelines for operation.
• Identify gaps and needed modifications in services.
• Facilitate referrals to other services as well as communication and networking between the primary care practice and hospital or home care.
• Maintain relations with networks, related professional organizations and other related service providers.
• Participate in building creative supportive environments for FHT staff and for patients.
• Represent the mission, values and philosophy of the FHT in the community, including networks, meetings or presentations, as requested.
• Assist in the training and supervision of students and/or volunteers as requested by the Executive Director and/or Lead Physician
• Help patients to identify and use health resources
• Involve patients in decisions about their own health
• Support patients in learning how to self manage care
• Initiate and support health education activities
• Identify community needs and resources
• Provide clinical leadership
• Participate in established performance evaluation process and professional development goals.
• Develop, update and maintain education resources.
• Participate in community meetings as required.
• Perform other related duties as assigned by the Executive Director and/or Physician Lead.

Qualifications and Requirements:

• University degree and relevant experience.
• Registration with the College of Dietitians of Ontario and proof of liability insurance are required.
• Current experience in chronic disease management preferred.
• Knowledge and experience in community health and public health sciences and chronic disease management.
• Knowledge of client-centred philosophy, change management, basic principles and practices of community service delivery, short-term treatment options and chronic disease management models.
• Knowledge of community resources connected to the provision of health promotion and illness prevention related services.
• Demonstrated skills in assessment, program planning, implementation and evaluation.
• Work effectively, both independently and as part of an inter-disciplinary team.
• Flexibility and ability to adapt to change.
• Computer skills.