• 500 advanced clinical practice hours – To apply for the BC-ADM exam, you must complete 500 clinical practice hours within 48 months prior to applying for the certification exam. Clinical hours must be earned after relevant licensure and advanced degree was obtained.
• Download the Practice Hours Spreadsheet to easily track your practice hours.

What counts as “Advanced Clinical Practice” hours?

From pages 11 & 12 of the BC-ADM Handbook, here is an explanation of what counts towards the 500 advanced clinical hours requirement:

Managing complex patient needs

• Monitoring, interpreting, and applying results generated from complex patient data sets

• Formulating and prioritizing a problem list

• Educating individuals about medical nutrition therapy

• Incorporating technologies into practice for the maintenance and/or management of diabetes and cardiometabolic conditions

• Managing and adapting interventions for special populations

Assisting patients with therapeutic problem-solving

• Conducting therapeutic interviews using a systematic approach
• Counseling patients on lifestyle modifications
• Incorporating appropriate behavior change models and techniques to improve health
  outcomes through problem-solving and teamwork
• Collaborating with individuals to individualize and prioritize their care
• Establishing and implementing measurable self-care goals to improve health outcomes
• Utilizing technology-enhanced devices to collect, analyze, and inform judgments for
• individual and/or aggregated health data

Adjusting medications if within their discipline’s scope of practice

• Managing pharmacologic therapy options and interventions for diabetes, cardiometabolic, and related conditions

Treating and monitoring acute and chronic complications and other comorbidities

• Performing comprehensive assessments of diabetes, complications, and related chronic and cardiometabolic conditions across the lifespan (e.g., functional status, sensory/foot, eye exam, medication, and complementary alternative medication review)
• Implementing standards of diabetes care and clinical practice guidelines pertaining to assessment
• Interpreting and applying results generated from assessment and diagnostic tests
• Performing screenings and understanding diagnostic criteria for diabetes, cardiometabolic and related conditions
• Implementing interventions that reflect standards of diabetes care and clinical practice guidelines
• Discussing surgical options for diabetes management including eligibility, risks, benefits, and long-term outcomes
• Collaborating with healthcare providers to coordinate care for individuals and populations
• Managing diabetes in the hospital and during transitions of care
• Engaging in telehealth services for diabetes management
• Performing interventions pertaining to follow-up care, reflecting standards of diabetes care and clinical practice guidelines

Addressing psychosocial issues

• Evaluating self-care behavior and perform behavioral health assessment
• Assessing social determinants of health
• Collaborating with mental health providers to adjust interventions for psychosocial conditions

Participating in research

• Utilizing QI infrastructure to gauge population-level diabetes measures

Mentoring other clinicians in diabetes care

• Reviewing treatments and outcomes, comparing, and explaining results
• Evaluating and adjusting diabetes and cardiometabolic treatment care plans accordingly