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Test Number : CCN
Test Name : CNCB Certified Clinical Nutritionist
Vendor Name : Medical
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The Clinical Nutrition Certification Board (CNCB) is a 501(c)(3) non-profit tax-exempt certification agency which provides professional training, examination and certification for health care practitioners.

The discipline of Human Clinical Nutrition applies principles derived from current biochemical and physiological scientific knowledge for the purpose of promoting optimal health while recognizing biochemical individuality. The Certified Clinical Nutritionist assesses a persons nutritional needs to achieve normal physiological function. Assessment includes the use of appropriate test and observations such as case history, anthropomorphic measurements, physical signs, laboratory tests, and nutrition/lifestyle analysis to determine an educational nutrition program. Assessment also provides the basis for referral to a licensed physician, or other health care professional.

The educational protocol may include, among other information, nutrition / lifestyle modification, nutritive supplementation, understanding of physiological/biochemical pathways, and evoking of regenerative processes.
The Certified Clinical Nutritionist (CCN) Examination establishes reputable standards of excellence.
Creation of a quality examination, based on a validated scope of practice which appropriately represents the field of clinical nutrition.
Candidate access to the broad scope of clinical nutrition training and a mechanism for recertification every five years, recognizing continued competency in the field.
The CCN Examination Candidate must:
Satisfy the CORE Requirements
Submit Credential Review Application and College Transcripts
Obtain Credential Review Approval
Complete the Post Graduate Studies in Clinical Nutrition Program (PGSCN)™
Achieve a passing score on the online CCN Examination

The CCN Examination processes and the examination data bank are reviewed and revised annually, in accordance with the specifications of the Role Delineation Study. The CNCB utilizes a criterion referenced passing point for each section of the certification examination.



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document: Hack of DOT's scientific examiner registry has limited oversight, created capabilities for fraud | CCN Test Prep and Study Guide

The seven-month outage of the Federal Motor service security Administration’s countrywide Registry of licensed medical Examiners in late 2017 and half of 2018 has restricted the company's skill to correctly oversee its scientific certificates program as a result of lacking driver information and out of date clinical examiner credentials, based on the U.S. DOT’s office of Inspector typical, who this month launched the outcomes of an audit of the program.

without appropriate oversight, OIG says FMCSA may be missing clinical certificates fraud indications or other dangers, and has less assurance that drivers are physically qualified to power a commercial car.

"with out thoroughly imposing its necessities for monitoring scientific examiner eligibility and performance, together with a representative sample of driver examinations, FMCSA could be lacking fraud warning signs or different hazards that might also require mitigation," OIG says.

The company continues to be working to rebuild the registry after it was hit with a malware attack in 2017. The desires of the audit, OIG talked about, had been to analyze FMCSA’s methods for overseeing its medical certificates application, in particular for validating and keeping data satisfactory in the registry and monitoring medical examiner eligibility and efficiency and reviewing driver tests. OIG initiated the audit in 2019.

before the seven-month outage, FMCSA required medical examiners to submit driver examination results to the registry as soon as every month. although, all the way through the outage, the company prompt examiners to hang their consequences until performance to the database turned into restored. The prolonged outage resulted in a backlog of about 780,000 driver examination consequences that were no longer entered into the registry.

The audit notes that FMCSA is in the procedure of rebuilding the registry, however it’s uncertain when it should be complete, inserting the company’s June 2021 compliance date for the scientific Examiner’s Certification Integration last rule in jeopardy.

FMCSA says it plans to award a contract to rebuild the registry in the 2nd quarter of fiscal 12 months 2021. When the rebuilt registry is comprehensive, OIG says FMCSA plans to publish a Federal Register notice requiring medical examiners add backlogged exams with a due date. until then, OIG adds, the suggestions missing from the registry "limits FMCSA’s potential to make sure that driver clinical counsel is valid, complete and accurate."

while there is a backlog of clinical examination effects yet to be uploaded into the registry, drivers who bought their medical certificates whose tests were now not uploaded to the database are nonetheless in the clear. States are nonetheless using tough reproduction scientific certificates from drivers to issue or renew CDLs and update driver data, and the requirement for medical examiners to add examination effects to the database is part of a transition length unless the registry is comprehensive. once the registry is rebuilt and completely useful, medical examiners will post drivers' test outcomes to the registry, FMCSA will transmit them electronically to states, and states will then use the counsel in the database, in lieu of complicated reproduction clinical certificates, to situation or renew CDLs and update driver statistics.

in addition to the missing statistics, OIG's audit also found weaknesses within the accuracy and completeness of facts in the registry. As of may also 2019, forty six% of the registry’s 70,208 information of certified scientific examiners had old-fashioned clinical license information, based on OIG’s analysis. additionally, an OIG assessment of two separate samples totaling 452 driver tests from three states found that 21% had been now not recorded within the registry. 

"The countrywide Registry information quality issues passed off partially because of facts availability and monitoring obstacles due to the outage in December 2017," OIG says. "without best facts, FMCSA can not with ease ensure that drivers meet physical qualification requisites to operate a commercial car safely."

OIG says that whereas FMCSA has conducted initial certification stories of clinical examiners’ eligibility skills because organising the registry, the company has now not totally implemented a requirement to habits annual eligibility audits after preliminary certification. The audit also discovered that FMCSA had most effective performed 12 random efficiency reviews of scientific examiners in 2015 and 2016 before the outage, which is also a requirement for the registry.

OIG did discover, although, that FMCSA has analyzed data from the registry to locate traits, reminiscent of flow/fail rates for drivers and to observe examiners who behavior an overly giant number of checks.

“in keeping with FMCSA, the agency has now not absolutely met its necessities for conducting medical examiner eligibility and efficiency monitoring reports because it has restricted team of workers to perform a sustained system to analyze records and conduct these stories,” OIG’s record says. “with out these oversight studies, FMCSA may well be lacking fraud warning signs or other risks that may also require mitigation and has less assurance that drivers are physically certified to safely operate a commercial car.”

in an effort to enhance FMCSA’s oversight of its clinical certificate program, OIG recommends the agency do here:

  • put in force plans for removing the backlog of driver examination effects held through clinical examiners
  • strengthen a plan to allocate components to the scientific classes Division to absolutely implement requirements for medical examiner eligibility audits and random selection performance monitoring
  • update methods for conducting periodic scientific examiner eligibility audits and random alternative performance monitoring as mandatory to comprise upgraded countrywide Registry equipment
  • Reinstate the habits of eligibility audits and random choice efficiency monitoring of medical examiners
  • FMCSA agreed with the 4 ideas after reviewing the file and proposed movements and compliance dates for finishing the concepts. The company says it's going to tackle the first suggestion by means of March 31, 2021; the 2d through Jan. 31, 2022; and the third and fourth techniques by way of June 30, 2023.


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