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Medical CDM : Certified Dietary Manager Exam

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Test Number : CDM
Test Name : Certified Dietary Manager
Vendor Name : Medical
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CDM test Format | CDM Course Contents | CDM Course Outline | CDM test Syllabus | CDM test Objectives


- Management of Foodservice
- Sanitation & Food Safety
- Nutrition & Medical Nutrition Therapy
- Human Resource Management
- Career Skills

- Utilize the systems approach to procure, produce, and serve food to all customers.
- Provide a safe and sanitary environment for employees.
- Utilize appropriate supervisory management techniques.
- Provide appropriate quality nutritional care for the client.
- Meet all licensing and regulatory agency standards.
- Utilize business, marketing, and public relation skills to Strengthen foodservice and nutrition to peers, patients, and community.
- Constantly strive for improved performance as a Dietary Manager.
- Participate in the professional activities of the Association of Nutrition & Foodservice Professionals.

Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
=> Access data, references, patient education materials, consumer and other information from credible sources.
=> Perform nutrition screening and identify clients or patients to be referred to a registered dietitian nutritionist.
=> Evaluate information to determine if it is consistent with accepted scientific evidence. Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
=> Participate in quality improvement and customer satisfaction activities to Strengthen delivery of nutrition services.
=> Modify recipes and menus for acceptability and affordability that accommodate the cultural diversity and health status of various populations, groups and individuals.
Interpersonal Behavioral and Social Skills
The ability to show cultural competence in interactions with clients, colleagues and staff.
=> Demonstrate an understanding of cultural competence/sensitivity.
=> Show cultural competence in interactions with clients, colleagues and staff.
=> Implement interventions to effect change and enhance wellness in diverse individuals and groups.
Oral and Written Communication 1. The ability to listen to and understand information and ideas presented through spoken words and sentences.
2. The ability to communicate information and ideas in
=> Prepare and deliver sound food and nutrition presentations to a target audience.
=> Provide nutrition and lifestyle education to well populations.
=> Promote health improvement, food safety, wellness and disease speaking so others will understand.
3. The ability to read and understand information and ideas presented in writing.
4. The ability to communicate information and ideas in writing so others will understand. prevention for the general population.
=> Develop nutrition education materials for disease prevention and health improvement that are culturally and age appropriate and designed for the educational level of the audience.
Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Physical activities Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
=> Demonstrate sufficient upperbody strength and manual dexterity to operate and clean household and institutional equipment required for food preparation and food.
=> Travel to clinical sites and have mobility within and around the sites.
Activities may involve standing, sitting, stooping and be in hot and cold facilities.
=> Demonstrate the ability to exert maximum muscle force to lift, push, pull, or carry objects such as food supplies, small equipment and delivery of meals.
=> Sensing
=> Visual
=> Hearing
=> Taste
=> Smell
1. The ability to see details at close range (within a few feet of the observer).
2. The ability to taste and smell to determine acceptability of foods and supplements.
3. The ability to hear spoken words.
=> Demonstrate sufficient vision, smell and taste to evaluate the appearance, aroma, and flavor of food.
=> Demonstrate sufficient vision to observe compliance with food sanitation and safety codes.
Professional Attributes Practicing professional skills required in entry-level positions.
=> Attend scheduled classes, labs and supervised practices and be present for examination and testing. Be prepared for class.
=> Maintain professional demeanor in class and during supervised practice.
=> Maintain personal hygiene and dress code policies.



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Virus kills plastic warfare! The different facet-effect of COVID-19 | CDM boot camp and test Cram

The Creado family made an earnest attempt to go eco-friendly when the Maharashtra govt introduced a ban on plastics in 2018. Having witnessed mounds of non-biodegradable waste wash ashore close their sea-facing home, Reagan Creado, an biological farmer and eco-friendly warrior, convinced his folks, Sandra and Colin, to adopt a plastic-free way of life. And in that, they met with considerable success. The polythene shopping baggage have been changed with sturdier material bags and steel dabbas, used in particular for fish and meat gadgets picked up on the cold storage. All plastic bottles at domestic were ditched for recycled, glassware. The plastic backyard pots made way for these made from ceramic and clay. Reagan even dug pits in their garden to compost vegetable leftovers. These tiny changes, he remembers, made the family more "environmentally-focused". The pandemic, regrettably, upended every little thing.

For a better part of the lockdown, Reagan didn't step out of home, as he lives with aged folks. "We started ordering in additional frequently from their native kirana- and sabziwallas." This intended that they now had completely no handle over the packaging these items had been coming in. "simply a number of days ago, there turned into a farmer's market organised in the neighbourhood, and in view that I wasn't at home, mum positioned the order over phone. The greens were delivered in 12 separate luggage, all plastic. It felt like an absolute waste, however can they have a choice?" From virtually zero-waste dwelling, the Creados are now struggling to maintain a investigate on their every day plastic consumption. "i'm afraid it be not going to change each time quickly," feels Reagan.

A Mumbaikar at Girgaum Chowpatty collects discarded masks. According to MPCB's report, titled Impact Evaluation of COVID-19 Pandemic on Environmental Attributes, during the first four lockdowns, there was a 45 per cent increase in bio-medical waste generation in Maharashtra from the pre-COVID-19 period. Pic/Bipin KokateA Mumbaikar at Girgaum Chowpatty collects discarded masks. in accordance with MPCB's file, titled impact assessment of COVID-19 Pandemic on Environmental Attributes, during the primary four lockdowns, there became a forty five per cent increase in bio-clinical waste generation in Maharashtra from the pre-COVID-19 duration. Pic/Bipin Kokate

whereas strict implementation of lockdowns throughout the globe resulted in a dramatic drop in greenhouse gasoline emissions, a document by the United nations convention on change and development (UNCTAD) printed that this building was not all that high-quality. other than a surge in pollutants from plastic face masks and hand sanitiser bottles, plastic waste generated with the aid of people additionally multiplied globally, as use of disposable products became the norm. "historic information tells us that about 75 per cent of Coronavirus plastic will likely turn into waste clogging their landfills and floating in their seas. And the costs are striking," the UNCTAD report warned.

examine: we've materials for COVID-19 vaccination inside three-four weeks: Delhi executive

one of the crucial largest complications of the pandemic globally, has been tackling the issue of waste—bio-clinical and plastics, in specific. In India, this is greater ambient, as the nation's relationship with waste has always been a sophisticated one.

Organic farmer and green warrior Reagan Creado's mother Sandra does an audit of the plastic bags in the house. The family had been following a zero-waste lifestyle until the lockdown made it almost impossible to do sobiological farmer and eco-friendly warrior Reagan Creado's mother Sandra does an audit of the plastic luggage within the condo. The household had been following a nil-waste way of life until the lockdown made it just about impossible to accomplish that

Assa Doron and Robin Jeffrey, authors of Waste of a Nation: garbage and growth in India (Harvard tuition Press, 2018), which changed into awarded the biennial President's Prize of the South Asian reviews affiliation of Australia this week, inform mid-day that notwithstanding guidelines of contemporary years—Swachh Bharat Abhiyan, for instance—have raised attention, "public sanitation is dependent upon day by day attention to aspect with the aid of citizens, by way of smartly-resourced native governments and their employees and by using the managers of amenities that obtain waste". these methods are, unfortunately, complicated to establish and maintain. "As India becomes extra urbanised, public sanitation becomes more urgent. methods and protection are a continuing problem, and other than citizen involvement, which is basic, no single method or device matches every part of a rustic as distinct as India," they are saying in an e-mail interview.

A case in aspect being bio-clinical waste (BMW), which includes all waste generated all over the prognosis, remedy and immunisation of human beings, and animals or in research actions. four years in the past, the imperative government, Ministry of atmosphere, forest and climate exchange (MoEF&CC) introduced the Bio-medical Waste administration guidelines, 2016 (BMWM suggestions 2016). This came into drive in supersession of the Bio-clinical Waste (administration and managing) suggestions, 1998. but, the year 2020, has challenged every legislations within the rule ebook regarding BMW management.

Members of Elsie Gabriel's Young Environmentalists Programme Trust celebrate an eco-Diwali with adivasis in Aareymembers of Elsie Gabriel's younger Environmentalists Programme have confidence celebrate an eco-Diwali with adivasis in Aarey

based on information shared via crucial pollutants control Board (CPCB), India has generated over 18,000 tonnes of COVID-19 related BMW between June and September. This blanketed own protecting gadget (PPE), gloves, face masks, head covers, plastic coveralls, hazmat fits, syringes amongst other apparatus used by healthcare providers and sufferers. an additional record, have an impact on contrast of COVID-19 Pandemic on Environmental Attributes, posted with the aid of the Maharashtra pollutants manage Board (MPCB), and researched and compiled by way of Technogreen atmosphere options, highlighted that notwithstanding the pandemic-brought about lockdown ended in "huge load discounts on strong waste administration," the state saw a giant rise in tonnes of daily BMW technology. truly, during the first 4 lockdowns, there become a 45 per cent raise in BMW generation from the pre-COVID-19 length—from sixty two.3 tonnes per day to ninety.6 TPD, the record mentioned.

study: 25 million couples in India couldn't access contraceptives because of COVID-19

Doron and Jeffrey describe clinical waste as "some of the toughest and most unhealthy challenges" for India. "It needs relentless consideration to aspect. If the general public fitness equipment in a state is susceptible and beneath power, medical waste disposal is well-nigh certain to be lax."

Elsie Gabriel, who is also national coordinator of the Oceans Climate Reality Project India, has been using social media to encourage people to join her zero waste-challenge. She also does clean-up drives around Powai lake, from where plastics go into Mithi river. Pic/Sameer MarkandeElsie Gabriel, who is additionally country wide coordinator of the Oceans climate fact mission India, has been using social media to encourage people to join her zero waste-problem. She additionally does clear-up drives round Powai lake, from the place plastics go into Mithi river. Pic/Sameer Markande

At latest, the BMC has specific separate cars to take bio-scientific waste from hospitals, dedicated COVID-19 centres and containment zones. This waste is amassed in yellow coloured, non-chlorinated bags, which can be then taken to Deonar, where they are supposed to be sprayed with disinfectant and incinerated immediately in a bio-clinical facility. Most states are at the moment imposing COVID-19 waste management instructions laid down through CPCB, which has already made 4 revisions to its rules considering March.

Dr Ajay Ojha, managing associate of Technogreen environment solutions, says whereas the SOPs for management of waste are amazing, the reason for issue is the bio-medical plastics being utilised by means of households—like masks, gloves and hand sanitisers—that commonly get combined with the domestic waste, because of customary lack of attention about waste segregation among public. at the moment, it's basically impossible to account for BMW being generated through particular person households. "Bio-clinical waste has a extremely particular characteristic, wherein there may be infectious agents linked to it. If now not segregated and treated thoroughly, the impact on the atmosphere will also be damaging. The pathogens can seep into the floor or sea, through rain water. imagine the synergetic impact that COVID-19 waste might have?"

Marriott on Wheels at The St. Regis Mumbai was recently awarded the Culinary Culture's Gourmet Delivery Award 2020 for Best Delivery Packaging. The boxes for delivery that started during the lockdown were made using Kraft brown paper and high quality ITC virgin paperMarriott on Wheels at the St. Regis Mumbai turned into lately awarded the Culinary culture's gourmet delivery Award 2020 for premier birth Packaging. The bins for beginning that begun right through the lockdown had been made the use of Kraft brown paper and excessive nice ITC virgin paper

whilst state governments are working additional time to tackle the insurmountable problem posed through BMW, or not it's the plastic threat that authorities had basically begun to nip within the bud, which is now rearing its gruesome head.

A CPCB file from 2018-19, pegged India's plastic waste generation at three.6 million tonnes per annum, with Maharashtra being the maximum contributor at 12.19 per cent. while figures from the yr of the pandemic are yet to be made attainable, consultants consider they will be worse. On one hand, using reusable, communal or secondhand gadgets are being absolutely discouraged for hygiene protection. On the different, social distancing has led people to show to on-line shopping and takeout capabilities, which mean tonnes of products are being delivered daily to homes, wrapped in a plethora of packaging.

Pradeep KandariPradeep Kandari

In all of this, the plastic business seems to have profiteered tremendously. "suddenly, it is k to use plastic, and while it may also be justified in times like these, my agonize is that its consumption should be would becould very well be normalised in future, and for distinct explanations," feels Reagan.

a couple of native outlets within the city, which unless currently followed the bring-your-own-bag coverage—adhering to Brihanmumbai Municipal organization guidelines on plastic ban—have turns into lenient In March, simply few weeks earlier than the lockdown, the civic body had performed a different pressure against single-use plastic at the Mahatma Jyotiba Phule or Crawford Market. This hit a road-block, with the Coronavirus outbreak. At a fowl shop within the bustling bazaar, which sells fresh bird, the shop manager, who wished to stay anonymous, told this writer that notwithstanding the BMC had now not issued instructions on how to promote meat, a lot of their valued clientele had cautioned they alternate their packaging from biodegradeable polythene baggage to containers. "The chance of leakage is bigger, and on account that or not it's a wet product, purchasers have develop into further cautious," he shared. The shop now sells hen and mince in disposable bins. "we now have needed to incur added packaging charge; each box comes for R5. it be impossible to pack a kilo of hen in a single box, and so, they should use additional. but, it's the want of the hour," he delivered.

The BMC has separate vehicles to take bio-medical waste from hospitals and containment zones. This waste is collected in yellow coloured, non-chlorinated bags, and sprayed with disinfectants at Deonar before it is incinerated. Pic/Suresh KarkeraThe BMC has separate automobiles to take bio-medical waste from hospitals and containment zones. This waste is gathered in yellow colored, non-chlorinated bags, and sprayed with disinfectants at Deonar earlier than it is incinerated. Pic/Suresh Karkera

The meals and beverage industry, which turned into struggling to contend with lockdown losses, started with takeaways, early into the lockdown.

Restaurateur Gauri Devidayal, who runs The table in Colaba, says that while they have always made a mindful effort to reduce carbon footprint, they have been confronted with more moderen and unforeseen challenges within the lockdown. "at the restaurant, water turned into served in glass bottles. They not ever used plastic takeaway baggage. Even their takeaway containers were crafted from sugarcane bagasse." When the restaurant opened for orders once again within the thick of the pandemic, masks and gloves, normal sanitization grew to become compulsory. "We ensured that their workforce wore reusable, customised masks, and that they were washed consistently. we've got also been adhering to BMC instructions and segregating waste in distinct bags." The difficulty arose with the takeaways. "For the longest time, salary from deliveries changed into their mainstay, and so, they needed to extend their menu and add greater diversity. all the way through the dry runs, they found that their latest packaging failed to work for all dishes. as an instance, if they had a fish dish with a light-weight sauce, the fabric they were the usage of become absorbing lots of juice. They had to stream to plastic. similarly, all their bring luggage had been double packed, so that people might discard the outer layer, to stay away from infection. but, when monsoon got here, their outer layer had to be plastic, as there become possibility of the equipment getting moist," says Devidayal.

Fresh chicken is being sold in plastic boxes in some shops at Crawford Market, instead of plastic bags, to better hygiene standardssparkling chook is being offered in plastic bins in some stores at Crawford Market, instead of plastic baggage, to greater hygiene requirements

The conclusion aim, she says, was to make sure they failed to compromise on food nice. "That may wreck the event for the visitor. One can't be so strict dogmatic that it defeats the product and the aim of what they are doing. They needed to discover a steadiness between practicality, fine and defense. optimistically, customers could be dependable when removing the plastics," she provides.

When The table opened a month ago, Devidayal and group also moved from material napkins to disposable paper ones. "yes, they have now needed to digress from their widespread coverage [this year], however i am making an attempt to figure out what else may also be finished to consist of sustainable practices [at the restaurant]. in the future, i hope to get a composting desktop, since they do definitely have a lot of wastage. i am nonetheless figuring the logistics. They could then use the compost in my Alibaug farm. It could be a full circle, as veggies from the farm come to the restaurant."

Robin Jeffrey and Assa Doron, authors Waste of a NationRobin Jeffrey and Assa Doron, authors Waste of a Nation

Powai-resident Elsie Gabriel has labored tirelessly for the final 15 years to create focus concerning the plastic threat, principally in her neighbourhood, which is home to Powai lake. "Powai is surrounded by hills, and everything that flows down, gets washed into the lake, from where it goes to the Mithi river, and right into the ocean," says Gabriel, who started the young Environmentalists Programme believe, an advocacy platform to elevate awareness about superb environment trade, appropriate after the 2005 deluge, led to essentially due to the clogging of Mithi with plastics. She has been conserving clear-up drives in Powai, specializing in the nullahs, sewages, storm-water drains and lake. "i'm doing this, in order that they can tackle the supply of plastic pollutants." however, the lockdown has seen her efforts coming to naught. "it be a worrisome fact. COVID-19 and isolation has made us more home-bound, and now the focal point is extra on fitness. due to this, the suggestions on plastic ban have develop into cozy," says Gabriel, who has been proficient and authorized by former vp of country, Al Gore, and is the countrywide coordinator of the Oceans climate fact assignment India.

while the pandemic may additionally have shifted their focal point towards preventive fitness, the environment should still nevertheless be precedence, as "public sanitation and public health are inextricably linked," feel authors Doron and Jeffrey. "probably the most ideas for minimising unfold of the virus is hand-washing and washing of fruit and greens. You need clean water to do that. ensuring enough clean water is likely one of the essentials of public fitness, and this depends on managing sewage, runoff and reservoirs. to see the effect of indiscriminate disposal of complicated waste on water their bodies, agree with the destruction of lots of Bengaluru's lakes, the contaminated Musi in Hyderabad or the choking Yamuna in Delhi."

Ashish Jain, founder and director of Indian Pollution Control AssociationAshish Jain, founder and director of Indian pollution manage association

Many corporates had been eyeing dependable enterprise practices. E-commerce company Flipkart, which opened up its grocery delivery model right through the lockdown—up to now purchasable most effective in choose cities—has been taking a look at eco-pleasant packaging alternatives. It has changed single-use plastic, stretch movie, polythene pouches, bubble wrap with paper shreds, recycled paper bags, carton waste shredded cloth and two-ply roll. "we're leveraging a superb mixture of technology in their fulfillment centres to assist optimise the class and the volume of packaging to avoid wastage. they now have [also] undertaken 'no kit transport' or transport with only primary packaging for many items reminiscent of diapers, bedsheets, batteries, microphones, luxurious items and massive appliances. As of September 2020, they already finished a fifty one per cent discount in consumption of plastic packaging," a Flipkart spokesperson informed mid-day.

Marriott on Wheels at the St. Regis Mumbai additionally made sustainable packaging trendy when it launched its 5-big name takeaway provider in the pandemic. "when they determined to start the takeaway carrier, they have been entirely aware of the plastic ban, and were trying to find options. They desired it to mirror their company values," says Pradeep Kandari, director, meals and Beverage, The St Regis Mumbai. The team finalised a group of in a different way-sized bins made using Kraft brown paper and high nice ITC virgin paper with long lasting poly lined paper fabric to cling liquid gravy with out spillage. Their solo run was successful, and recently awarded the Culinary lifestyle's gourmet delivery Award 2020 for surest start Packaging.

Gauri Devidayal, restaurateur. Pic courtesy/Anurag BanerjeeGauri Devidayal, restaurateur. Pic courtesy/Anurag Banerjee

notwithstanding the plastic threat has been a global problem, Satish Sinha, affiliate director at Toxics link, an environmental NGO, committed to bringing toxics-connected counsel into the general public area, says India has now not fared half as badly as different international locations on earth. Toxics link could be publishing its examine on plastic waste generated during the pandemic in December. "Plastic waste has now not considered a fantastic upward push right here [in India], notably if you evaluate it with cities like Wuhan [in China], the place the plastic waste technology has long gone up by way of 50 per cent. it truly is because in these countries, takeaways had been a norm. In India, a huge a part of the population, buys and eats for the day, and ordering in is still restrained usually to the cities. a extremely small percentage of Indians is living off Zomato. all over the lockdown, creation and consumption had been also all the way down to zero. So, the plastic waste generation changed into no longer as giant.

This additionally hit the livelihood of many rag-pickers who collect recyclables and plastics for a residing," says Sinha.

some of the options to coping with non-bio-clinical plastic waste is recycling. Ashish Jain, founder and director of Indian toxins manage association, India's first CPCB-registered NGO for Plastic Waste management, has been working with rag-pickers, scrapdealers and rubbish collectors to stem the concern of plastic pollutants. "now they have been instructing them about the distinct grades of plastic substances, assisting them assemble it, and linking them with the appropriate form of recyclers." The initiative is a part of the Ministry of atmosphere and woodland's extended Producers responsibility (EPR), beneath Plastic Waste administration rules, 2016. "therefore, all corporations are answerable for gathering and recycling plastics added through their items. The policy is good, however many are still unaware of it. If a hundred per cent EPR is applied, within the coming years, no matter the outbreak of a virulent disease or now not, they may not have a single piece of plastic mendacity on the roadside," says Jain.

75Percentage of Coronavirus plastic it truly is more likely to reach landfills and oceans, in keeping with an UNCTAD document

Dr Ajay Ojha, managing partner, Technogreen Environment SolutionsDr Ajay Ojha, managing partner, Technogreen atmosphere options

. behavior a plastic audit of your home, and exchange plastic substances with biodegradable or glass containers

. unless you're a frontline medical examiner or otherwise at high chance, are trying using a recyclable fabric masks and other protection equipment

. in case you plan a takeout from a cafe, inform them that you just will be bringing your personal sustainable containers

. With order in nutrients on the upward push, focal point on composting your leftovers, either recycling or appropriately removing your takeout containers

. hold a glass water bottle and cloth bag effortless in your backpack or vehicle, to prevent the use of plastic luggage and bottles

. Declutter your domestic—have an online thrift sale or donate outfits and other family unit objects in decent situation

. Audit your leftovers. With the world going through challenging instances, steer clear of wastage at all expenses

Courtesy: Elsie Gabriel, founder younger Environmentalists Programme trust

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