Table 4.

Proposed conceptual nutrition competency framework for medicine

Practice (does)	Assessment of nutritional health including the ability to calculate energy expenditure, nutrition requirements and body composition		Select and prescribe dietary strategies in the prevention and treatment of disease	Monitor nutrition status and modify dietary recommendations as needed	Effectively provide nutrition education and counselling	Work effectively in a multidisciplinary team to deliver nutrition care, including the ability to refer onwards
Cross-cutting (shows how)	Clinical practice	Health promotion and disease prevention		Communication		Working as a team	Professional practice
Critical (knows how)	Evidence-based dietary strategies for the prevention and treatment of disease	Knowledge of possible drug–nutrient interactions and prescribe accordingly	Think critically including the ability to interpret nutrition evidence and apply appropriately in clinical practice	Consider and apply principles of ethics related to nutritional management	Commitment to promote sound nutritional decision-making and appropriate levels of physical activity for all patients regardless of health status	Awareness of their own personal health and nutrition
Enabling (knows)	Knowledge of the functions of essential nutrients	Nutritional content of food including the major dietary sources of macronutrients and micronutrients	Nutrition applied to different stages of the life cycle	Describe food- borne illnesses and outline the process of reporting and investigating outbreaks of these illnesses	An understanding of how disease and its management can affect nutritional status	Awareness of the social and cultural importance of food, including food consumption trends and current nutrition recommendations
	Basic scientific principles of human nutrition	The role of nutrition in health promotion and disease prevention	Breastfeeding and complementary feeding practices	Food allergies and intolerances	Nutrition-related causes of mortality and morbidity in the population	Public health nutrition, including strategies to reduce the burden of disease	The role of other health professionals and community services in the multidisciplinary approach to nutrition