NUTRITION DIPLOMATE / SYLLABUS

PROGRAM SYLLABUS

ONLINE NUTRITION AND FUNCTIONAL MEDICINE PROGRAM

OVERVIEW: This program is intended to provide participants with postgraduate education in the discipline of clinical nutrition and functional medicine to further knowledge from undergraduate education, previous postgraduate course work and experience as a licensed health care provider. This program may meet the requirements to qualify to sit a qualifying examination for or inclusion in organizations that give certification in the discipline of nutrition. Texas Chiropractic College advises anyone wishing to obtain certification, using official transcript hours from this course, to contact the organization they are applying to verify their requirements.

The program will be given in a 2 part series. Series I consists of 12 courses (1 - 12) and Series II consists of 12 courses (13 - 24.) A Certificate of Attendance will be given at the end of each series if a student completes all course sessions and successfully passes the examination requirements with a minimum grade of 75. At the end of the program an attendee who successfully completes the program, and requests in writing, will receive a certificate stating he/she has completed a 300 hour postgraduate program in Nutrition and Functional Medicine given by Texas Chiropractic College. Notes are part of each course and only available as each course is taught and only to those who have purchased the course. Course notes are not available to anyone who has not purchased the course.

At the end of Series I, as part of Course 12, a written examination will be given and each attendee will present and submit one original literature research paper suitable for publication in the format given. (Student /author will want to check with journal or other publication for format required by that specific publisher.) At the end of Series II, as part of Course 24, a written and practical examination will be given and each attendee will submit, and be prepared to defend, two (2) written case histories of actual patients in the format given. The case histories or research paper will count 50% of the grade for each series. A passing grade will be 75 or above for each part of the examinations.  Grades will be made available to any certification board if requested by the student in writing. There may be a fee for official transcripts.

The final curriculum for this program is at the discretion of the institution offering it. While a concerted effort has been made to cover the broad subject of nutrition and functional medicine with the end use in mind, a candidate for any Board Examination or any student wishing to apply to a certifying organization is ultimately responsible for learning the sources and material required by the examining board and/or organization. The institution offering this program does not guarantee that all required material will be covered in the program or that a student will pass a Board certification examination or meet requirements of a certifying organization.

Students who have completed postgraduate coursework in clinical nutrition and functional medicine, through an institution acceptable to Texas Chiropractic College, may submit an official transcript to Dr. Juanee Surprise, DC. NMD, DCBCN, BCIM to determine if all or part of the coursework will transfer into this program. All decisions made by the Dr. Surprise and TCC are final and not debatable.

CE Cruncher and Texas Chiropractic College reserves the right to alter dates, times, faculty, program locations or sources and sequences of presentations to accommodate for unexpected faculty, student or college needs.  Texas Chiropractic College cannot be held responsible for any expenses incurred by students if the program must be altered.

SERIES 1 COURSE 1 - 12

COURSE 1     Introduction to the Study of Nutrition and Functional Medicine, Assessment and Evaluation, Risk Management
JUANEE SURPRISE, DC, DCBCN

This course will begin with information on the syllabus, texts, instructors for the courses, extra classroom assignments, research paper and case history preparation and continue with the following topics: Consultation, Examination, Diagnosis and Documentation 

  1. Why is the study of nutrition important
  2. What is functional medicine
  3. Nutrition and its relation to health
  4. Trends in the American diet
  5. Adequacy of the American diet
  6. Cultural, age and economic factors
  7. Clinical appraisal of patient questionnaires and forms
  8. Psychological evaluation - stress and other questionnaires
  9. Physical examination of nutrition patient
    1. how it differs from medical and musculoskeletal examination
    2. examples shown
  10. Laboratory testing
  11. Information on how to choose supplement companies
  12. Risk management issues including the nutrition informed consent

COURSE 2      Nutritional and Functional Medicine Considerations Based on Common Laboratory Tests (Blood, Hair, Stool, Urine)
JODI L. JUDGE, DC, DACBN, DCBCN, CCN

This course will cover an introduction to laboratory analysis for the nutrition practice. The student will be responsible for obtaining required texts. Information on how to contact various testing laboratories to obtain knowledge on the tests including interpretation, obtaining specimen kits, order requisitions and pricing will be given. Specific tests pertinent to individual diseases or evaluations will be covered throughout the course.

  1. Routine blood chemistries and organ profiles
  2. Urinalysis
  3. Hair analysis
  4. Salivary testing
  5. Stool analysis
  6. Nutrient level determination

COURSE 3     Nutritional and Functional Medicine Considerations for Gastrointestinal Disease and Disorders
JUANEE SURPRISE, DC, DCBCN

  1. Mouth
    1. Tooth decay
    2. Bleeding gums
    3. Periodontal issues
  2.  Stomach
    1. Dyspepsia
    2. Gastritis
    3. Ulcers
    4. Hiatal hernia
  3. Gallbladder
  4. Intestine
    1. Dysbiosis
    2. Irritable bowel syndrome
    3. Malabsorption syndrome
    4. Parasitic infections
    5. Infectious diarrhea
    6. Colitis

COURSE 4        Nutrient and Drug - Nutrient Interactions, Contraindications in Nutritional and Functional Medicine
SUSAN ST.CLAIRE, DC, MS, DABCN, CCN, DCBCN

        a. Risk management for the clinical nutritionist includes knowledge of
                 i. Nutrient - nutrient interactions and reactions
                ii. Nutrient - drug interactions and reactions

COURSE 5         Metabolism I Carbohydrate, Fat and Protein Considerations in Nutrition and Functional Medicine
RICHARD LORD PhD

  1. Carbohydrates- General considerations, Dietary significance, Monosaccharide, Disaccharides, Polysaccharides, Digestion and absorption
  2. Fats - General considerations, Composition, classification and characteristics, Functions, Digestion and absorption, Metabolism, Cholesterol, Prostaglandins, phospholipids, Essential fatty acids and triglyceride
  3. Protein - General considerations, Composition, classification and characteristics, Functions, Digestion and absorption, Metabolism Enzymes
  4. Water - General considerations, Function and requirements

COURSE 6       Nutrition and Functional Medicine Considerations for the Female
JUANEE SURPRISE, DC, DCBCN

  1. Common female diseases and syndromes - PMS, Menopause, Vaginitis, Candidiasis, Endometriosis, Cystitis,  PCOS, Estrogen Dominance, Breast issues including cysts and cancer
  2. Pregnancy
  3. Lactation
  4. Functional laboratory testing for female disorders
  5. Diets and supplementation for specific female disorders

 COURSE 7       Nutrition and Functional Medicine Considerations in Infancy, Children and Adolescence
SUSAN ST.CLAIRE, DC, MS, DABCN, CCN, DCBCN

  1. Infancy – Growth, Nutritional requirements Feeding considerations, Alternatives to processed baby foods Supplementary foods, Allergies Specific health issues, Colic, Ear Infections, Iron deficiency anemia
  2. Adolescence - Growth and development, Evaluation of the child's nutritional state Age   group, need differences, Food habits, school lunch program and Nutrition education
  3. Specific health issues - Dentition and nutrition, Obesity, ADD and ADHD, Autism
  4. Functional laboratory testing for infant and adolescent disorders Diets and e. supplementation for specific infants and adolescents

    COURSE 8    Hyperimmunity- Hyper-Immunity, Autoimmunity and Dermatology 
    JODI L. JUDGE, DC, DACBN, DCBCN, CCN
    Allergies

    1. Acute and latent allergies
    2. Nutritional considerations in autoimmune disorders
    3. The role of the GI tract in both problems
    4. Food additives and preservatives Dermatology

    Functional laboratory testing for hyperimmune disorders

    Diets and supplementation for specific hyperimmune disorders

COURSE 9      Nutrition and Functional Medicine Considerations for Disorders of the Musculoskeletal System
JUANEE SURPRISE, DC, DCBCN

Nutrition consideration should always be included in the complete management of soft tissue injuries or complaints and those of bone tissue. Satisfactory repair of injured tissue and the maintenance of strong, healthy tissue should decrease the frequency and severity of injury.

  1. Soft Tissue Nutrition - Acute injury, Disc, Chronic sprain/strain, Myofascial / Fibromyalgia, Carpal tunnel
  2. Bone and Joint Nutrition – Fractures, Osteopenia, osteoporosis, osteomalacia, Arthritis
  3. Functional laboratory testing for musculoskeletal disorders
  4. Diets and supplementation for specific musculoskeletal disorders 
COURSE 10 Metabolism II: the Role of Vitamins, Macro and Trace Minerals
RICHARD LORD PhD

Vitamins - RDA/RDI, Optimum intake, Testing for insufficiency Function and pathways

Minerals - RDA/RDI, Optimum intake, Testing for insufficiency Function and pathways

Trace minerals - RDA/RDI

 COURSE 11    Hypo-Immunity, Immunology: Infections and Associated Diseases included Ebola, HIV/AIDS and Cancer
VAN D. MERKLE, DC, DABCI, CCN, DCBCN 

  1. Understanding phytochemicals and their role in nutrition
  2. Nutritional support for the immune system
  3. Nutrition for HIV/AIDS support
  4. Diet, nutrition and cancer prevention
  5. Discussion on alternative cancer therapies

Course 12 Nutrition Practice Management (includes 3 risk mgmt.). Present your research paper and take Series I exam (Covers Courses 1-12)
JUANEE SURPRISE, DC, DCBCN

General nutrition practice coordination tools will be covered including: incorporating nutrition into an existing practice redirecting patient dollars already spent on supplements risk management
Label reading

-     learn what the label really says

-      how to explain to patients Stress control

overview on the causes and effects of stress specific stress control technique will be taught

In addition to the written examination over Courses 1 - 12, each participant will submit and present 1 original literature research paper suitable for publication. The topic is to be approved by program lead instructor and typed in format given in Course 1, with a minimum of 25 references. Student will want to find out submission format from journal being considered.

SERIES 2 COURSE 13 - 24

 

COURSE 13    Nutrition and Functional Medicine Considerations for Geriatrics and Longevity

  1. Characteristics of aging including Vision loss
  2. Hearing loss Dry skin
  3. Constipation/diarrhea GERD
  4. Dysphagia Arthritis
  5. Sarcopenia/osteopenia Anemia
  6. Physiologic and metabolic changes Memory loss/Alzheimer's disease Multiple medication side effects Functional testing
  7. BIA, grip strength, albumin, metabolic markers Nutritional and diet requirements
  8. Obtaining adequate calorie intake Dentition complications
  9. Drug-nutrient interactions 

COURSE 14      Nutrition and Functional Medicine Considerations in Metabolic Disorders and Blood Diseases 

Functional laboratory testing for metabolic disorders and anemias. Diets and supplements for specific disorders.Emphasis will be on those that nutrition and alternative medicine has been found helpful

  1. Blood disorders
    i. Anemias
    ii. Leukemias
    iii.Others
  2. Metabolic Disorders
    i. Inherited
       A.  PKU
       B. Others
    ii. Acquired
       A. Insulin Resisitance to Metabolic Syndrome
       B. Diabetes - Mellitus and Gestational

 COURSE  15     Herbal Medicine: Introduction and Clinical Applications for Use in Nutrition and Functional Medicine
PAUL RATTÉ ND

Risk management issues including government regulations, manufacturing practices and standardization, herb­ nutrient and herb-drug interactions

  1. Basic introduction to and understanding of herbology
  2. Understanding the various preparations and when to use
  3. Dosage for pediatric, adult and geriatric patients
  4. Use of herbs in the treatment of common illnesses

COURSE 16       Nutritional and Functional Medicine Considerations in Cardiovascular Health
JUANEE SURPRISE, DC, DCBCN

  1. General considerations
    i. Coronary risk factors
    ii. Role of diet
    iii. Diet prescriptions
    iv. Patient education
  2. Atherosclerosis
  3. Peripheral vascular disease
  4. Hypertension
  5. Ischemic heart disease
  6. Rheumatic heart disease
  7. Pulmonary heart disease
  8. Functional laboratory testing for cardiovascular disorders
  9. Diets and supplementation for specific cardiovascular disorders

COURSE 17       Advanced Lab Testing and Analysis in Nutrition and Functional Medicine

VAN D. MERKLE, DC, DABCI, CCN, DCBCN    

  1. Functional approach to tests on blood, stool, urine, saliva to access nutrient recommendations
  2. Show standard clinical as well as optimal nutritional ranges
  3. Profile analysis for
    i. Heart disease
    ii. Liver disease
    iii. Kidney disease
    iv. Gall Bladder disease
    v. Metabolic disease and diabetes
  4. Reporting, documentation and follow up testing

COURSE 18       Nutritional and Functional Medicine Considerations for Neuro-Psychological Disorders
SUSAN ST.CLAIRE, DC, MS, DABCN, CCN, DCBCN

a.      Headache
b.     Neuromuscular disorders
C.      Toxicity Headache
d.      Depression I anxiety
e.      Hyperactive / manic states
f.       Stress management
g.      Attention deficit
Functional laboratory testing for neurological and psychiatric disorders Diets and supplements for specific neurological and psychiatric disorders

COURSE 19 Metabolism III 
RICHARD LORD PhD
Interrelationships and pathways of Importance in Nutrition and Functional Medicine Including Inborn errors of metabolism.
This course will pull information from all previous classes to show anabolism and catabolism of carbohydrates, fats and proteins, redox reactions for energy and antioxidant systems and the integration of metabolism .
Integration of endocrine and other messengers for regulation of metabolism including genetic/inborn errors of metabolism will be covered.
As time permits, instructor will address metabolism questions in general to pull all of the topic together for better understanding and application.

Course 20 Nutritional and Functional Medicine Considerations in Sports Nutrition, Eating Disorders, Obesity and Weight Management
SUSAN ST.CLAIRE, DC, MS, DABCN, CCN, DCBCN
a.      Diet for optimum athletic performance
b.      Proper nutritional supplementation for the athlete
c.      Anorexia
d.      Bulimia
e.      Obesity
Functional laboratory testing for sports disorders
Diets and supplements for specific sports disorders and training

COURSE 21    Use of Homeopathic Preparations in Nutrition and Functional Medicine Practice

This is an overview of homeopathy and the use of OTC products in clinical nutrition and is not intended to make the student a classical homeopath. Risk management issues will be covered including ethics and legalities.

 

History of Homeopathy Homeopathic material medica Potency and frequency

Specific items for constitutional vs first aid Sources for homeopathic medicines

When and how to integrate with nutritional supplements

Risk management in regard to homeopathic interactions with drugs and nutrients

 

COURSE 22

Nutrition and Functional Medicine Considerations in Renal and Male Disorders

Urogenital

a.      Glomerulonephritis

b.      Nephrosis

c.      Kidney failure

d.      Principles of dietary treatment

 

Conditions of the male reproductive organs

a.    Prostate

b.    Infertility

 

Functional laboratory testing for urogenital disorders Diets and supplements for specific urogenital disorders

Course 23  Parenteral Nutrient and Natural Medicine Pharmacology Considerations in Nutrition and Functional Medicine

This course will cover the history of chiropractic injectable nutrients, molecular considerations in

injectable nutrient, nutrient gradient, indications for intravenous nutrients, and goals of intravenous nutrient protocols. Sterile techniques and administration routes as well as government agency requirements (OSHA) and the steps necessary to fully inform and make administration legal will be reviewed. General and specific nutrients and HP remedies for administration will be covered.

 

This course also has a practical lab so all students will prepare and administer IM and IV injections

COURSE 24  Nutrition and Functional Medicine Considerations in Renal and Male Disorders

Urogenital

a.      Glomerulonephritis

b.      Nephrosis

c.      Kidney failure

d.      Principles of dietary treatment

Conditions of the male reproductive organs

a.    Prostate

b.    Infertility
Functional laboratory testing for urogenital disorders Diets and supplements for specific urogenital disorders

 Course 24 X-ray Findings in Metabolic Disorders (includes 4 x-ray hours,)

Case Histories and Final Examination Including Written and Practical over Series II Courses13-24

 

The course work will cover Volume 2 Chapter 14 in Essentials of Radiology by Yokum and Rowe.

In addition to the written and practical examinations, each student will submit 2 case histories from own patient files typed in proper format (given in Course 1) with supporting documentation to present and defend orally.