Fair Registration Practices Report

Dietitians (2015)

The answers seen below were submitted to the OFC by the regulated professions.

This Fair Registration Practices Report was produced as required by:

  • the Fair Access to Regulated Professions and Compulsory Trades Act (FARPACTA) s. 20 and 23(1), for regulated professions named in Schedule 1 of FARPACTA
  • the Health Professions Procedural Code set out in Schedule 2 of the Regulated Health Professions Act (RHPA) s. 22.7 (1) and 22.9(1), for health colleges.

Index

  1. Qualitative Information
  2. Quantitative Information
  3. Submission

1. Qualitative Information

a) Requirements for registration, including acceptable alternatives
i. Describe any improvements / changes implemented in the last year.

The two significant improvements related to requirements for registration that were implemented in 2015 are:

  1.  Upgrading requirements for applicants who have failed the national registration examination 2 or more times  -     Prior to 2015, candidates who failed the Canadian Dietetic Registraiton Examination (CDRE) for a second or subsequent time were required to complete one three-credit university course in clinical nutrition, and a practicum of 12 weeks in duration.  The practicum was required to address 9 learning outcomes based on the national competency standards. Upon completion of the practicum, the candiates submitted a portfolio describing the activities that had been completed and the portfolio would be reviewed and approved by the registration committee.    

In 2015 the registration committee reviewed this policy.  They considered feedback from CDO staff, previous applicants, and other stakeholders. The significant changes to the policy include:

  • Removing the requirement to complete the course in clinical nutrition - feedback from applicants and educators was that the course did not prepare them for success on the exam.  In their opinion, the practicum provides the more valuable preparation for the exam. In addition, difficulty in accessing an appropriate course often meant delays of 4-12 months. This length of time away from practice was seen to hurt the applicants' chances of success on the exam. 
  • Basing the practicum on the new national entry to practice competencies (Integrated Competencies for Dietetic Education and Practice - ICDEP)
  • Removing the requirement to submit the lengthy portfolio with descriptions.   Instead, applicants submit a form confirming that they have addressed at least one performance indicator from each of the competency areas outlined in the ICDEPs. This ensures that their upgrading practicum addressess all areas of practice and all competency areas which will be tested on the exam. Whereas the portfolios were reviewed by the registration committee, the new form is reviewed by College staff.  

2.  Language proficiency requirement - In 2015, the policy for demonstrating proof of language proficiency was revised to allow assessments from IELTS as proof of language proficiency.  Previously, only TOEFL assessments were accepted. However, the College recognized that recent changes to the immigration system requires all applicants to have language testing through IELTS.  Since many applicants will already have IELTS assessments when they apply to the College, the registration committee investigated and determined that IELTS could be considered an acceptable alternative to TOEFL.    A comparison research report, published by TOEFL, was used to determine the equivalent or comparable IELTS score requirements https://www.ets.org/s/toefl/pdf/linking_toefl_ibt_scores_to_ielts_scores.pdf  

ii. Describe the impact of the improvements / changes on applicants.

Upgrading requirement

The impacts on the applicants have been positive.   

  • Eliminating the course requirement and the lengthy portfolio submission has resulted in applicants being able to complete the required upgrading sooner. 
  • Eliminating the portfolio submssion also resulted in faster processing time (as the new form can be reviewed by staff instead of the registration committee).  
  • Most applicants are eligible to complete the exam at least 6 months sooner than would have been possible through the old policy. 
  • Reduced costs (by eliminating the costs of completing the previously-required university course and by eliminating the fee of $300 for having the portfolio assessed by the registration committee). 

The first applicants to complete upgrading through the revised process will attempt the exam in May 2016. The College will monitor their performance on the exam, however it will be difficult to determine whether this change has any impact (positive or negative) on their results because the number of applicants who attempt the exam for a third time is very low.  

Language proficiency 

For many applicants, this change results in reductions in cost and time associated with their application because they have already completed the testing as part of their immigration process.    

iii. Describe the impact of the improvements / changes on your organization.

The changes to the upgrading requirements have resulted in reduced workload for staff and the registration committee, as it has eliminated the need to assess the upgrading portfolio submissions.  In addition, there are fewer inquiries from applicants as they pursue the upgrading because the documentation requirements are less onerous.  

b) Assessment of qualifications
i. Describe any improvements / changes implemented in the last year.

There is one generally recognized dietetic bridging program in Ontario (Internationally Educated Dietitians Preregistration Program or IDPP, through Ryerson Unviersity's Chang School of Continuing Education). Although the IDPP is generally recognized as a bridging program, it is not an accredited program. Accordingly, since its inception in 2005, applicants who had completed IDPP were requried to submit detailed portfolios outlining the practical training that had been completed to be assessed by the registration committee. In 2015, the College undertook a review of the IDPP in order to streamline this process. The Committee reviewed the governance structures, policies and procedures of the IDPP against the national accreditation standards.  As a result of this review, the Committee will no longer require applicants who have completed the IDPP to submit the detailed portfolio.  Instead, applicants will be required to provide proof that they have successfully completed IDPP as evidence that they have bridged the gap (as determined by a previous registration committee assessment) between their education and training and current minimum Ontario standards.     

ii. Describe the impact of the improvements / changes on applicants.

Eliminating the portfolio submission reduces the documenation burden on applicants to draft and print the lengthy portfolio submission.  For most applicants this means that they are able to gain their Temporary Certificate of registration several weeks or months earlier than in the past.

The registration exam is administered twice a year, in May and November.  Due to the timing of the IDPP program, some applicants were unable to complete their portfolio in time to have it reviewed by the Registration Committee and become registered for the May exam.   Eliminating the portfolio submission requirement means fewer applicants will be delayed in writing the exam.  

iii. Describe the impact of the improvements / changes on your organization.

This has decreased the workload for the registration committee in reviewing 15-25 portfolio submissions.   

c) Provision of timely decisions, responses, and reasons
i. Describe any improvements / changes implemented in the last year.

Prior to 2014, the results of the national registration examination were mailed to applicants. In 2014, the College notified candidates by email. Because of concerns related to the security of information transmitted by email, in 2015, the College created a page on the CDO website to communicate exam results. This page is accessible to candidates through a secure log-in on the College's website, thus ensuring confidentiality. Candidates are notified via email when their results are available for viewing.   

ii. Describe the impact of the improvements / changes on applicants.

By eliminating the time associated with printing and mailing letters, applicants receive their exam results 1-3 weeks sooner than in the past. Several applicants contacted the College to provide positive feedback about the experience.  

iii. Describe the impact of the improvements / changes on your organization.

The improvements have added efficiencies and reduced costs associated with communicating exam results. 

d) Fees
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

e) Timelines
i. Describe any improvements / changes implemented in the last year.

The improvements described in parts a, b, and c ensure that the College continues to meet the ambitious timelines set for processing applications, in spite of increased application volumes.  

ii. Describe the impact of the improvements / changes on applicants.

The impact of the improvements on applicants is described in parts a, b, and c of this report.  

iii. Describe the impact of the improvements / changes on your organization.

The impact of the improvements on the organization is described in parts a, b, and c of this report.  

f) Policies, procedures and/or processes, including by-laws
i. Describe any improvements / changes implemented in the last year.

The changes outlined in parts a, b, and c all required changes to policies, procedures and processes.  

ii. Describe the impact of the improvements / changes on applicants.

The impact of the improvements on applicants is described in parts a, b, and c of this report.  

iii. Describe the impact of the improvements / changes on your organization.

The impact of the improvements on the organization is described in parts a, b, and c of this report.  

g) Resources for applicants
i. Describe any improvements / changes implemented in the last year.

The website, template letters and application checklists were all updated to reflect the changes outlined in sections a,b, and c. 

In addition to these updated communications, the Registration Program Manager met with two applicants who were pursuing upgrading after failing the exam for a second time. The new policy was reviewed and the applicants were given the choice of completing the upgrading using the old policy or the new policy. Both applicants chose to follow the new policy.  

ii. Describe the impact of the improvements / changes on applicants.

Updating our communications ensured that applicants were aware of the new policies, procedures and processes.  Meeting with the two applicants who were currently completing upgrading ensured fairness, because the applicants were able to choose to  benefit from the new policy, which reduced their submission requirements and eliminated the cost of having a portfolio assessed by the Registration Committee. 

iii. Describe the impact of the improvements / changes on your organization.

Updating our communications ensured that applicants were aware of the new policies, procedures and processes and ensured fairness during the transition.  

h) Review or appeal processes
i. Describe any improvements / changes implemented in the last year.

The OFC considers applications assessed by a health regulatory college's Registration Committee to be a "Review".    The responses in sections a, b, and c of this report outline improvements in the process for some assessments completed by CDO's Registration Committee. 

ii. Describe the impact of the improvements / changes on applicants.

The OFC considers applications assessed by a health regulatory college's Registration Committee to be a "Review".    The responses in sections a, b, and c of this report outline improvements in the process for some assessments completed by CDO's Registration Committee. 

iii. Describe the impact of the improvements / changes on your organization.

The OFC considers applications assessed by a health regulatory college's Registration Committee to be a "Review".    The responses in sections a, b, and c of this report outline improvements in the process for some assessments completed by CDO's Registration Committee. 

i) Access to applicant records
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

j) Training and resources for registration staff, Council, and committee members
i. Describe any improvements / changes implemented in the last year.

The changes outlined in sections a,b, and c were reviewed and approved by the Registration Committee.   The implementation process for these changes included updating the assessment tools used by the Committee and communication/training for registration staff.  

In addition, staff presented an education session to the Registration Committee on ensuring fairness and impartiality.   

ii. Describe the impact of the improvements / changes on applicants.

Updating the training and resources for staff and committee members ensured the efficient implementation of the new policies.  

iii. Describe the impact of the improvements / changes on your organization.

Updating the training and resources for staff and committee members ensured the efficient implementation of the new policies.  

k) Mutual recognition agreements
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

l) Other (include as many items as applicable)
i. Describe any improvements / changes implemented in the last year.

No changes this year

ii. Describe the impact of the improvements / changes on applicants.

No changes this year

iii. Describe the impact of the improvements / changes on your organization.

No changes this year

Describe any registration-related improvements/changes to your enabling legislation and/or regulations in the last year

No changes this year

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2. Quantitative Information

a) Languages
Indicate the languages in which application information materials were available in the reporting year.
Language Yes/No
English Yes
French Yes
Other (please specify)
Additional comments:
 
b) Gender of applicants
Indicate the number of applicants in each category as applicable.
Gender Number of Applicants
Male 17
Female 341
None of the above 0
Additional comments:
 
c) Gender of members
Indicate the number of members in each category as applicable. Select the option that best corresponds to the terminology used by your organization.
Gender Number of Members
Male 104
Female 3702
None of the above 0
Additional comments:

This data includes General, Temporary and Provisional Members, as all are entitled to use the title of dietitian.

d) Jurisdiction where applicants obtained their initial education
Indicate the number of applicants by the jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
230 61 4
Australia
2
Brazil
2
Chile
1
China
3
U.K.
2
Ghana
1
Hong Kong
1
India
15
Iran
16
Jordan
2
Lebanon
1
Sri Lanka
1
Mexico
2
Pakistan
3
Philippines
3
S. Africa
2
S Arabia
2
Venezuela
1
Tanzania, United Republic Of
1
Kazakhstan
1
Germany
1
Total
63
0
358

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:
 
e) Jurisdiction where applicants who became registered members obtained their initial education
Indicate the number of applicants who became registered members in the reporting year by the jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
231 69 9
Australia
2
Belgium
1
Brazil
1
China
1
India
3
Iran
8
Jordan
1
Lebanon
1
Total
18
0
327

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:

This data represents the total number of General Certificates of registration (full practising status) that were issued during the reporting year.  

The majority of General certificates in any given year are issued to persons who are already members of the College holding Temporary certificates of registration.    A smaller proporation of General certificates are issued to applicants who either:

  • applied through labour mobility (i.e. they are registered as dietitians in another province);
  • are returning to practice and are not required to write the national registration examination; or
  • chose not to receive a temporary certificate of registration while they awaited the results of the registration examination.  

 

f) Jurisdiction where members were initially trained
Indicate the total number of registered members by jurisdiction where they obtained their initial education1 in the profession or trade.
Ontario Other Canadian Provinces USA Other International Unknown Total
2644 852 94
Argentina
2
Australia
7
Belgium
1
Brazil
5
China
5
Colombia
8
Germany
3
Ghana
1
Greece
1
Hong Kong
3
India
75
Iran
43
Israel
2
Jamaica
1
Jordan
2
Kazakhstan
1
Kenya
1
Lebanon
9
Mexico
3
Netherlands
1
New Zealand
1
Nigeria
2
Pakistan
9
Philippines
8
Poland
2
Somalia
2
S. Africa
2
Syrian Arab Republic
1
Taiwan, Province Of China
1
Turkey
1
Ukraine
1
U.K.
11
Venezuela
1
Total
216
0
3806

1 Recognizing that applicants may receive their education in multiple jurisdictions, for the purpose of this question, include only the jurisdiction in which an entry-level degree, diploma or other certification required to practice the profession or trade was obtained.

Additional comments:

This data includes General,Temporary and Provisional Members, as all are entitled to use the title of dietitian.

g) Applications processed
Indicate the number of applications your organization processed in the reporting year:
Jurisdiction where applicants were initially trained in the profession (before they were granted use of the protected title or professional designation in Ontario)
from January 1st to December 31st of the reporting year Ontario Other Canadian Provinces USA Other International Unknown Total
New applications received 230 61 4 63 0
358
Applicants actively pursuing licensing (applicants who had some contact with your organization in the reporting year) 265 66 4 114 0
449
Inactive applicants (applicants who had no contact with your organization in the reporting year) 2 2 2 6 0
12
Applicants who met all requirements and were authorized to become members but did not become members 0 0 0 0 0
0
Applicants who became FULLY registered members 231 69 9 18 0
327
Applicants who were authorized to receive an alternative class of licence3 but were not issued a licence 0 0 0 0 0
0
Applicants who were issued an alternative class of licence3 176 21 4 14 0
215

1 An alternative class of licence enables its holder to practice with limitations, but additional requirements must be met in order for the member to be fully licensed.

Additional comments:

Applicants actively pursuing licensing 

Prior to 2015, new applicants during the reporting year were not included in the numbers reported for this fieldl (only those applicants who had applied in a previous year but were still actively pursuing licensing were included).  Upon the advice of OFC staff, however, the College started including new applicants from the reporting period in with this total beginning with the reporting period of Jan 1 - Dec 31, 2014 (reported in March 2015). 

Applicants who became fully registered members

This number can fluctuate significantly when compared year over year depending on when the November exam results are received by the College and subsequently communicated to candidates.  Exam results are typically received by the College in mid-to-late December.  IF the results are received by the College in the earlier part of this period, they may be communicated to applicants in December allowing those who have passed the exam to become fully registered before the end of the calendar year.  If the results are communicated to candidates in January, those who passed the exam do not become registered until the new calendar year (a different reporting period for the fair registration practices reports).  

The data seems to suggest a dramatic increase in the number of applicants who became fully registered compared with the 2014 reporting year, however a large part of the increase is the result of the timing for the communication of the exam results.   For the 2015 reporting period this data includes candidates from the November 2014 exam (results communicated in January 2015), the May 2015 exam, and some of the candidates from the November 2015 exam (results communicated on December 21, 2015).   

 

 

h) Classes of certificate/license
Inidcate and provide a description of the classes of certificate/license offered by your organization.

You must specify and describe at least one class of certificate/license (on line a) in order for this step to be complete.

# Certification Description
a) Temporary Description (a)

Members in this class have met all registration requirements with the exception of the national registration examination.  Applicants who wish to practice while awaiting the results of the examination may choose to take a temporary certificate of registration if:

  • they have not previously held a Temporary Certificate of Registration;
  • they have applied to write the next available Registration Exam; or
  • they have written the exam and are waiting for their results.

An individual holding a Temporary Certificate of Registration may practise using the title "Registered Dietitian" but may not supervise another dietitian.

A Temporary Certificate is issued for up to 16 months, as long as the member is actively attempting the successful completion of the Registration Exam.

  • If a member holding a Temporary Certificate fails the exam on their first attempt, an additional condition is added to their certificate which requires that they practise under the supervision of a member holding a General Certificate of registration.
  • ·A Temporary Certificate automatically expires if a member fails the exam for a second time.   
b) Provisional Description (b)

Applicants who are required to complete additional education and/or training in only one area of dietetic practice may be eligible to receive a Provisional Certificate of Registration only if:

  • a panel of the registration committee is satisfied that the applicant will become competent in that area of practice within 18 months after being issued the provisional certificate;
  • a panel of the registration committee is satisfied that the applicant can practise safely in all other areas of practice.

An individual holding a Provisional Certificate of Registration may practise using the title "Registered Dietitian" but may not supervise another dietitian. 

A Provisional Certificate is issued for up to 18 months, as long as:

  • the provisional member does not practise dietetics in the area where they are required to undertake additional education or training; and
  • the provisional member actively pursues the education or practical training activities required.

 

Additional comments:
 
i) Reviews and appeals processed
State the number of reviews and appeals your organization processed in the reporting year (use only whole numbers; do not enter commas or decimals).
Jurisdiction where applicants were initially trained in the profession (before they were granted use of the protected title or professional designation in Ontario)
from January 1st to December 31st of the reporting year Ontario Other Canadian Provinces USA Other International Unknown Total
Applications that were subject to an internal review or that were referred to a statutory committee of your governing council, such as a Registration Committee 2 6 0 64 0
72
Applicants who initiated an appeal of a registration decision 0 0 0 0 0
0
Appeals heard 1 0 0 0 0
1
Registration decisions changed following an appeal 0 0 0 0 0
0
Additional comments:

There was one appeal initiated in December of 2014.  It was heard in 2015 and the decision was received in September, 2015.   

j) Paid staff
In the table below, enter the number of paid staff employed by your organization in the categories shown, on December 31 of the reporting year.

When providing information for each of the categories in this section, you may want to use decimals if you count your staff using half units. For example, one full-time employee and one part-time employee might be equivalent to 1.5 employees.

You can enter decimals to the tenths position only. For example, you can enter 1.5 or 7.5 but not 1.55 or 7.52.

Category Staff
Total staff employed by the regulatory body 13
Staff involved in appeals process 3
Staff involved in registration process 4
Additional comments:
 

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3. Submission

Submission
I hereby certify that:
Name of individual with authority to sign on behalf of the organization:
Melisse L. Willems
Title:
Registrar and Executive Director
Date:
2016/02/29

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