The following general information applies to all of the subcategories for section 1, but for ease of use, is included only once in this first subcategory. Please refer to this general information, for each subcategory for question 1 (a-p) in addition to the information that is specific to the subcategory.

Potential applicants who call or email the College of Dietitians of Ontario (CDO) for registration information are referred to the College website and invited to contact the appropriate registration staff member. Staff members answer all questions, explain the registration process, and refer the potential applicants to the appropriate section of the website to access additional information and download forms and checklists.

The CDO website is the central source for registration information for potential applicants. Potential applicants may not be aware of the need for registration with the College or may begin their search for information in a variety of places. The websites of many other organizations include information about CDO and provide a link to our website. Some examples include:

• The Alliance of Dietetic Regulatory Bodies
• Dietitians of Canada
• The Federation of Health Regulatory Colleges
• The Internationally Educated Dietitians Pre-Registration Program (IDPP)
• The Office of the Fairness Commissioner

To ensure that the information we provide is user friendly, CDO conducts regular satisfaction surveys with people who use our website. Regular updates to the website address the feedback received from these surveys. To ensure that improvements are ongoing, CDO’s website includes a link to allow users to provide feedback about the site or its content. Additionally, in 2009, CDO completed a survey of members to solicit feedback about all of the support for members, including the website.
Registration requirements do not change frequently, however when a change is made to requirements or the tools that we use to collect and assess information from our applicants, relevant staff are educated about the change, and the website is updated accordingly. The content of the website forms and checklists are written by registration staff. Prior to being posted on the website, the content is reviewed by the Registrar & Executive Director to ensure that it is current, accurate and in plain English. In addition, the Executive Office and Communications Coordinator reviews and edits content for clarity, language and readability.

Applicants who contact the College by phone or email are guided through a few questions, to ensure that they obtain information specific to their situation. The website guides potential applicants through this same series of questions. Once an applicant has gone through the questions, they are directed to a checklist which lists everything that should be included in a complete application package.

The website landing page for Registration information outlines what regulation means, followed by a list of the nine registration requirements that all applicants must meet. Because the documentation required to demonstrate some of these requirements is different for different groups, applicants are directed to separate pages depending on where their academic and practical training was completed. There are separate pages for applicants:

• currently registered in another province
• educated in Canada
• educated in the US
• Educated Internationally (other than the US)

The following information is relevant to how CDO makes information about the registration requirements available to potential applicants in the categories of section b – requirements for registration; section c – how the requirements are met; section d – education or practical experience that must be completed in Canada; section e – requirements that may be satisfied through acceptable alternatives; section g – documentation that must accompany each application:

Potential applicants are informed about the requirements for registration either from direct communication with CDO staff or on our website. The 9 registration requirements, which are common to all applicants, are listed on the registration landing page. They are repeated on the landing page for each category of applicant (educated in Canada, US, or internationally). By clicking on any one of the requirements, the applicant is brought to a table which lists each requirement and explains how those requirements are demonstrated by someone in their situation.

Because the documentation used to demonstrate the requirements is different for each different groups, there is a separate table for applicants who are educated in:
Canada (http://www.cdo.on.ca/en/becomeRD/canada/default.asp) , the US (http://www.cdo.on.ca/en/becomeRD/us/default.asp) , or Internationally (http://www.cdo.on.ca/en/becomeRD/international/default.asp).   For example, one of the registration requirements is language proficiency in English or French. The table for applicants educated in Canada or the US indicates that the applicant demonstrated proficiency in French or English by completing their education in one of those languages. The table for internationally educated applicants indicates the ways in which the language proficiency can be demonstrated (e.g. received education in English or French; language testing scores; or completion of the bridging program).

The College also provides potential applicants with application checklists that are individualized; each containing a list of the specific documents that should be provided by someone in their situation. Potential applicants who contact the College by phone or email are guided through a few questions, to ensure that they are directed to the appropriate checklist. For applicants who visit the website first, the website also guides potential applicants through this same series of questions. These checklists outline the alternative documentation that is acceptable for someone in each individual situation. There are 8 checklists for Canadian applicants, 8 checklists for US applicants and 1 checklist for all other internationally educated applicants.

Information specific to subsection a) Steps to complete the registration process.

In addition to the information provided, above, CDO staff members are invited annually to give presentations to Ontario dietetic internship programs, as well as the bridging program. During these presentations, the application process and fees are outlined, and applicants have an opportunity to ask questions.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

This information is provided to applicants in the table of registration requirements and application checklists that are described in section a, and by CDO staff, by phone or email.   In addition, registration requirements are communicated to dietetic interns and applicants from the bridging program in annual presentations conducted by CDO staff. In these presentations, the application process is outlined for the specific audiences, and applicants have an opportunity to ask questions.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

This information would be provided to applicants in the table of registration requirements and application checklists that are described in section a, and by CDO staff, by phone or email.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

This information would be provided to applicants in the table of registration requirements and application checklists that are described in section a, and by CDO staff, by phone or email.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

Because the College has individualized the tables of registration requirements and application checklists, applicants are provided with information only about the acceptable alternatives that would apply to their situation.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

CDO’s website provides applicants and potential applicants with information about the criteria used for assessment (e.g. list of course content that must be covered in undergraduate degree; minimum language test scores)

Distinct steps for applicants are detailed on the website and clearly labeled “Step 1..2…3..4.”

Applicants are advised by letter as to when their applications have been referred to the Registration Committee for assessment of their academic and practical training equivalency, or for assessment of continuing competency, competency attestation, Canadian Academic and Practical Training submissions, or upgrading practicum. In advance of Registration Committee meetings, the website is updated with submission deadlines for upcoming meetings, and Registration Staff advise applicants of these deadlines.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

CDO relies on the table of requirements and application checklists to communicate which documents are required for a complete application. In addition, when an incomplete application package is received, the College provides a letter which lists any further documents that are required to complete the application.

There are three documents that would be required of internationally educated applicants that may not be required of Canadian applicants:

Academic Assessment – CDO requires that applicants provide a copy of an assessment by World Education Service (WES) regarding the level of the degree. CDO considers only those degrees that have been assessed by WES to be equivalent to a university level degree in Canada.

Course Outlines/Descriptions – Any applicant, from Canada or other countries, who has completed a nutrition degree that has not been accredited by Dietitians of Canada or the Commission on Accreditation for Dietetic Education (US) must undergo an academic equivalency assessment. This means that in addition to transcripts, they are required to produce detailed course outlines or descriptions. All non-US internationally educated applicants would fall in to this category. Only some Canadian and US educated applicants fall in to this category.

Language Proficiency Test– May be required of some internationally educated applicants, because CDO’s registration requirements include proficiency in either English or French. If the applicant received their dietetics education or training in English or French, they are deemed to meet the language proficiency requirement. Applicants who complete the bridging program (IDPP) are also considered to meet the language proficiency requirement. All others must provide documentation of passing a language proficiency test.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

CDO does not encounter this situation very often. On the few occasions that it has occurred in the past, the circumstances have been different each time, such that it would be impossible to develop a policy. Currently, should an applicant indicate that, for reasons beyond their control, they are unable to obtain the required documentation, staff work with them to verify the situation and provide personalized assistance to identify appropriate alternatives. The website was updated in early 2010 to include a statement under “Step 2” that invites applicants to contact the College for assistance if they are having difficulty accessing the required documents.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

The “Contact Us” section of the website contains general contact information (mailing address, general telephone number, toll free telephone number, fax number and general email information), as well as a list of staff, their roles, and their contact information. Applicants are free to choose the means of contacting the organization that is most convenient for them.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

Upon receipt, an application is reviewed by staff to determine whether it is complete (i.e. does it include all necessary documents) and whether the applicant has completed accredited undergraduate and practical training programs. If the applicant has completed accredited undergraduate and practical training programs, the rest of the registration requirements are verified. If the applicant has not completed accredited undergraduate and practical training programs, the application must be referred to the registration committee to determine equivalence. Applicants are also referred to the Registration Committee for assessment of continuing competency if they have not been practicing in the profession within the past 3 years.

The communications initiated by CDO for these different scenarios are outlined below.

Communications for applicants who have completed accredited undergraduate and practical training programs:

Application is received, but is incomplete (documentation or information is missing) -  CDO sends email to the applicant acknowledging receipt of application and advising of information or documentation that is missing.

Complete file is received, and all registration requirements have been met - CDO sends letter by mail advising applicant that they are eligible to register for the Canadian Dietetic Registration Examination (CDRE). Applicant is also advised of the option to obtain Temporary Registration with the College, which allows the applicant to practice and use RD title until the exam results are received. 

Temporary Membership Fees are processed  - Applicants are sent a registration package by mail, with membership information and password for members’ website.

Registration for CDRE is complete - Applicants are sent exam package by mail, with exam rules, preparation guide, and information regarding date, time and venue of the exam.

Exam results are received - CDO sends exam results by mail. Applicants who have passed the exam are provided with information regarding fees for general membership. Applicants who have failed the exam are asked to contact the College to review their results.

General Membership Fees are processed - CDO sends a letter by mail advising RD of their General Membership status. If applicant did not have a temporary membership, the Registration package is sent at this time. 
 

Communications for applicants who have not completed accredited undergraduate and practical training programs

Application is received, but is incomplete (documentation or information is missing) -CDO sends letter by mail acknowledging receipt of application and advising of information or documentation that is missing. Applicant is given 60 days to provide the missing information or file will be closed.

10 days prior to deadline for providing missing information- Registration Coordinator sends email to applicant that deadline is approaching. Advises applicant of process for requesting an extension, if necessary.

Applicant's request for extension has been approved by the Registration Coordinator- CDO sends letter by mail advising applicant of new deadline.

Deadline passes and applicant has not provided missing information or requested an extension - Registration Coordinator sends letter by mail advising that deadline has passed. Applicant is given an additional 60 days to provide missing information or request an extension, otherwise, file will be closed.

Final deadline for providing documentation/information passes - Registration Coordinator sends letter by mail, advising that their file has been closed. If they wish to reopen their file, they must re-apply.

Missing documentation is received and file is now complete; referred to Registration Committee- Registration Coordinator contacts the applicant by phone or email to advise that the file is complete and to confirm the date of the Registration Committee meeting at which the file will be reviewed.

Application is received with all required documentation - CDO sends letter by mail acknowledging receipt of application and advising applicant that their file will be referred to the Registration Committee. The applicant is referred to the appropriate sections of the Health Professions Procedures code and advised of their right to submit additional documentation.

Registration Committee Decision: File Refused - CDO sends decision and reasons by mail. Decision and reasons letter includes information about appeal process.

Registration Committee Decision: Conditional Admission-  CDO sends Decision and Reasons by mail which outlines the requirements that applicant must met before becoming eligible to write CDRE, and the deadline for completion.

10 days prior to deadline for completing registration requirements - Registration Coordinator sends email to applicant that deadline is approaching. Advises applicant of process for requesting an extension, if necessary.

Applicant’s request for extension has been approved by the Registration Committee - CDO sends letter by mail advising applicant of new deadline.

Deadline passes and applicant has not provided documentation or requested an extension - Registration Coordinator sends letter by mail advising that deadline has passed. Applicant is given an additional 60 days to complete requirements or request an extension, otherwise, file will be closed.

Final deadline passes with no communication from applicant. Registration Coordinator sends letter by mail, advising that their file has been closed. If they wish to reopen their file, they must re-apply.

Throughout the application process, the Registration Coordinator notifies the applicant by email when documents are received at CDO, regardless of whether or not the file is complete.

Registration Committee Decision: Admit  - CDO sends letter by mail advising applicant that they are eligible to register for the Canadian Dietetic Registration Examination (CDRE). Applicant is also advised of the option to obtain Temporary Registration with the College, which allows the applicant to practice and use RD title until the exam results are received.

Temporary Membership Fees are processed - Applicants are sent a registration package by mail, with membership information and password for members’ website. 

Registration for CDRE is complete - Applicants are sent exam package by mail, with exam rules, preparation guide, and information regarding date, time and venue of the exam.

Exam results are received  - CDO sends exam results by mail. Applicants who have passed the exam are provided with information regarding fees for general membership. Applicants who have failed the exam are asked to contact the College to review their results.

General Membership Fees are processed - CDO sends a letter by mail advising RD of their General Membership status. If applicant did not have a temporary membership, the Registration package is sent at this time. 

 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

Information about translation of documents is provided verbally by Registration Program staff and is outlined on the application checklist. Documents that are not in English or French must be translated for the application. The applicant is asked to provide the original documents, along with an English translation that has been notarized or certified.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

The role of World Education Service (WES) is described on the landing page for internationally educated applicants. It is also described on the application checklist and the table that lists the 9 registration requirements. This information may also be explained verbally, by registration staff. If the applicant requires further information about WES processes and policies, they are referred to the WES website, as this is the best way to ensure that the information provided is accurate and current.

The IDPP (bridging program) is described on our website on the landing page for internationally educated applicants. It is also referred to in the table that lists the 9 registration requirements. Internationally Educated applicants are encouraged to investigate the program in the letter that CDO sends to acknowledge receipt of their application. Information about IDPP may also be explained verbally, by registration staff. Applicants are referred to the IDPP program website (both of these pages contain links), as this is the best way to ensure that information is accurate and current.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

See information regarding communications to applicants in answer to Subsection 1j
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

Internationally educated applicants are advised by CDO staff (verbally or through email) that it takes 4-12 weeks from the time that all required documents are received at the College to review an application and issue a decision. It is explained to applicants that the range of 4-12 weeks is dependent on the timing of the next Registration Committee meeting in relation to when all of the required documentation is received. The Registration Committee typically meets every 6-8 weeks. The deadline for submitting a completed application package is three weeks before the meeting. This allows time for the application packages to be sent and reviewed by committee members in advance of the meeting, and allows one week after the meeting for the decision and reasons letters to be drafted, reviewed, signed and mailed to the applicant.

The information above appeared on the internationally educated section of the website in 2009. In January, 2010, the website was updated so that this information was provided to all applicants whose files will be referred to the Registration Committee. The website was also updated to indicate that the process takes 10-14 days for Canadian and US applicants from accredited undergraduate and internship programs.


The actual time, from receipt of the application form, to notice of decision and reasons can vary considerably, depending on how long it takes for the applicant to provide the required documentation.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

Information about application and assessment fees is provided in tabular form on the website and on the application form itself.

Information about fees for the Canadian Dietetic Registration Examination (CDRE) is provided on the website. It is also provided in the letter that applicants received once they have been deemed eligible to write the exam.

Each year, CDO staff are regularly invited to give presentations to Ontario dietetic internship programs, as well as the bridging programs. During these presentations, the application process and fees are outlined, and applicants have an opportunity to ask questions.
 

Please refer to the general information for provision of registration information, which is included in the response to subsection a, in addition to the information below, which is specific to this question:

CDO rarely encounters requests for accommodation of applicants with special needs during the application process. Requests are sometimes received for accommodation during the exam process. As a result, the only accommodation policy that exists is related to the Registration Examination. If a request should be received for accommodation with respect to other application processes, it is dealt with on an individual basis and appropriate arrangements are made to address the needs of the applicant.

There is an accommodation policy for the Canadian Dietetic Registration Examination (CDRE). The CDRE preparation guide advises applicants to contact the College to arrange for accommodation of special needs. This policy addresses accommodation for a variety of special needs, including sight, mobility, learning disabilities, religion, breast feeding, other physical concerns.
 

The only change to CDO’s processes for provision of information was the adoption of the timelines listed in sections 3(a) (i) and 6 (a).  

Fees are based on the resources required to process the application. Applications that require an assessment by the Registration Committee use more resources, and therefore have an additional fee. The general application fee is $100.00. There are additional fees for assessment of academic equivalencies ( $100.00) and practical training equivalencies ($150.00).

These fees are the same for Canadian or internationally educated applicants, however, the majority of internationally educated applicants require the academic and practictal training assessments.

 

There were no changes to CDO’s application fees during the reporting period.
 

Registration decisions for applicants who are not referred to the Registration Committee are typically made within 10-14 days from the time the complete application is received.

For applications that are referred to the Registration Committee, CDO’s current timeline is 3-11 weeks from the time that all required documents are received at the College for an application to be reviewed and a decision made. The range of 3-11 weeks is dependent on the timing of the next Registration Committee meeting following completion of the application. The Registration Committee typically meets every 6-8 weeks. The deadline for submitting a completed application package is three weeks before the meeting. This allows time for the application packages to be sent and reviewed by committee members in advance of the meeting.
 

CDO’s timeline is to respond to applicants within 3-5 business days of receiving an application. If the application is complete when it is received, the applicant receives a file open letter. The file open letter acknowledges receipt of the application and either advises the applicant that they are eligible for membership with the College or that their file will be referred to the Registration Committee for assessment.

If an incomplete application is received from someone who will be referred to the Registration Committee, a file open letter is sent within 3-5 business days. In addition to the information, above, the file open letter for these applicants also includes a list of the missing documentation that must be provided.

If an incomplete application is received from someone who will not be referred to the Registration Committee, the applicant is notified by email and advised of the missing documentation within 3-5 business days.
 

Applicants who are not referred to the Registration Committee are sent a letter notifying them of their eligibility for membership within 1-2 business days after the decision is made.

Applicants who are referred to the Registration Committee are sent a decision and reasons within 5 business days after the Committee has made the decision.
 

CDO is currently working on formalizing a process so that timeliness of acknowledging applications, and decisions, responses and reasons can be tracked. We are in the process of making changes to the structure of our database that will allow us to easily print regular reports about the timeliness of our processes.

In 2009, the Registration Coordinator’s work hours were adjusted to enable her to be on site during Registration Committee meetings, which take place on Friday evenings and Saturdays. This change allowed the Coordinator to begin typing and printing the decisions and reasons so that panel chairs could sign the letters before leaving the meeting.

During 2009, the Registration Committee instituted a practice whereby they will convene a panel to review application files in between full Committee meetings, as appropriate, to reduce the amount of time it takes to make a decision on some files. The first such panel was convened in August of 2009.
 

Requests for access to records are infrequent as applicants have provided most of the documentation that appears in the file. For documents that are sent directly from a third party (e.g. University transcripts; confirmation of registration with another regulatory body, etc.), an applicant is provided a copy upon request.

Applicants are not refused access to any aspect of their records within the limits of the law, specifically,

Section 16 (2) of the Health Professions Procedures Code:
“The Registrar may refuse to give an applicant anything that may, in the Registrar’s opinion, jeopardize the safety of any person”. 1991, c. 18, Sched. 2, s. 16.
 

CDO does not charge fees for making records available.

CDO does not charge fees for making records available.

CDO does not charge fees for making records available.

There were no changes made to CDO’s processes with respect to access to records.

Resources for Application

Application Checklists have been developed to help applicants ensure that all required documents have been included in the application package. The CDO website guides applicants through a series of questions to determine the appropriate checklist for their situation. There are 17 different checklists, for a variety of different situations.

Course List – Applicants are referred to specific tables that outline the 9 Registration Requirements and how they will be demonstrated. These tables include a list of the courses that must be included in the undergraduate education. ( e.g. http://www.cdo.on.ca/en/viewPages.asp?ID=97#academic)

CDO Website – contains links to the external resources that an applicant may need to access in order to apply to CDO, for example:

• World Education Services (WES) – for assessment of the degree
• Internationally Educated Dietitians Pre-Registration Program (IDPP) – Bridging program
• Dietitians of Canada website provides a list of Canadian accredited academic and practical training programs
• The Commission on Accreditation for Dietetics Education (CADE) provides a list of accredited undergraduate and practical training programs in the US.

Resources for Applicants who are required to complete Upgrading Courses or Practicum

Planning and Documenting your Upgrading Practicum- This document outlines the responsibilities of the applicant, lists the learning outcomes that must be achieved, and describes key elements that must be addressed in planning and documenting an upgrading practicum. The document also provides detailed directions for documenting the practicum submission (e.g. formatting, content, and organization), as well as tips for planning a successful practicum.

Supervising/Coordinating an Upgrading Practicum – This document is meant to help registered dietitians who supervise or coordinate an upgrading practicum for an applicant. It provides the forms that dietitians must during the submission process, and describes the expectations of the practicum, and the responsibilities of the RD in this process. The document also outlines the learning outcomes and discusses the key elements that must be addressed during the upgrading practicum.

Sample Learning Diary – This document provides a sample of a learning diary to help applicants reflect on the learning that came from each activity, and help them to plan additional activities to address learning outcomes that have not yet been achieved.

Course Information – Applicants who are asked to complete upgrading courses and who require help in choosing an appropriate course are sent an email with a list of courses that have been previously approved by the Registration Committee. The list includes courses available on-site, on-line and those that are open to special students (as opposed to those enrolled in a degree program). Because course content and availability changes, applicants are advised not to rely solely on this course list. The email also includes the description of the course content that should be addressed in the course.

Resources for Applicants Who Complete a Canadian Academic and Practical Training (CAPT)

Planning and Documenting your Canadian Academic and Practical Training (CAPT) – This document outlines the responsibilities of the applicant, lists the learning outcomes that must be achieved, and describes key elements that must be addressed in planning and documenting an upgrading practicum. The document also provides detailed directions for documenting the practicum submission (e.g. formatting, content, and organization), as well as tips for planning a successful practicum.

Supervising/Coordinating a Canadian Academic and Practical Training (Practical Component)– This document is meant to help registered dietitians who supervise or coordinate a CAPT practicum for an applicant. It provides the forms that dietitians must use during the submission process, and describes the expectations of the practicum, and the responsibilities of the RD in this process. The document also outlines the learning outcomes and discusses the key elements that must be addressed during the upgrading practicum.

Sample Learning Diary – This document provides a sample of a learning diary to help applicants reflect on the learning that came from each activity, and help them to plan additional activities to address learning outcomes that have not yet been achieved.

Resources for Preparing for the Canadian Dietetic Registration Examination

Canadian Dietetic Registration Examination (CDRE) Preparation Guide – This document is developed and maintained by the Alliance of Canadian Dietetic Regulatory Bodies. CDO provides all applicants who are registered for the CDRE with a hard copy of the Preparation Guide; it is also available in PDF format on the CDO website. The guide includes descriptions of the purpose of the exam, general rules for writing the exam; process for requesting accommodations; the competencies on which the exam is based; the exam blueprint; sample questions and a list of resources that may help to prepare for the exam.

CDRE Audio Visual Guide - CDO has produced an audio-visual resource for helping applicants to prepare for the CDRE. It is available on the website. Applicants are notified about the Audio-visual guide in the letter that they receive to confirm that they are registered for the exam.

Resources for Individualized Practicum

Applicants who have not completed an accredited internship, practicum or practical training sometimes choose to organize a practical training experience that may be deemed to be equivalent to an accredited internship. CDO provides an Individualized Practicum Guide, which was developed to educate both the applicant and potential supervisors and advisors about what is involved in this process and what are the expectations. There are also two forms that have been developed to help the applicant plan the practicum and to guide the documentation of the practicum that must be submitted to the College.

Resources for Orientation to the Profession
When an applicant is deemed eligible to write the CDRE and applies for a temporary registration, they receive a registration package that includes information about the profession and regulation in Ontario. The registration package includes a copy of The Jurisprudence Handbook for Dietitians in Ontario, which includes information on the laws and ethics that affect dietetic practice in Ontario. The Jurisprudence Handbook and related materials are available on-line and used as a resource for education and practical training, as well as for new members of the profession.

CDO Staff
The staff at CDO is the biggest resource for potential applicants. Applicants are encouraged to consult the website to retrieve the appropriate forms and checklists for application; however staff is also available to help applicants who need further clarification or instruction to complete their application. This is done by email, phone or in-person meetings.

Additionally, any applicant who does not pass the CDRE is invited to meet with the Registrar & Executive Director and/or Registration Manager to discuss the applicant’s exam results and help them develop a plan to address deficiencies before the next exam. While these meetings generally take 45 minutes to an hour, some have lasted as long as 2-3 hours or as long as it takes for the applicant to feel comfortable moving forward with exam preparation.


 

CDO’s website is the main source of information for applicants. Potential applicants are first guided to the appropriate section of the website where they can access a checklist that applies to their individual situation (there are 17 separate checklists).

Information about the resources for applicants who are required to complete an upgrading or CAPT practicum are provided in writing to the applicant along with their decision and reasons letter. This information is also available on the How to Become an RD section of the website, under Resources and Links.

The Preparation Guide for the CDRE is provided to applicants in hard copy when they are notified that they are registered for the exam. It is also available on the website.

The Audio Visual Guide for preparing for the CDRE is available on the CDO website. There are links to the Guide from the home page of the website, as well as the CDRE page of the website. Applicants are advised about the guide in the letter that they receive to confirm their registration for the exam. Additionally, internship coordinators and the coordinators of the bridging program provide information to potential applicants about the guide.

The Jurisprudence Handbook is available on the website, and is provided to applicants in hard copy once they have been granted temporary membership while waiting to write the CDRE.

Any written correspondence provided to applicants advises them about the appropriate CDO staff person to contact if they require further assistance.
 

The only change to CDO’s resources for applicants in 2009 was the development of the Guide and forms for the Individualized Practicum option for demonstrating the practical training requirement.
 

Internal Reviews - The Registrar has authority to grant a certificate of registration for 2 types of applicants:

1. Applicants who have completed both academic and practical training programs that have been accredited by either Dietitians of Canada or the Commission on Accreditation for Dietetics Education (US). The Registrar can only admit applicants in this category who have completed their education and training within the past 3 years, or have practiced safely as an RD in another jurisdiction during the past 3 years. All others must be referred to the Registration Committee to determine whether upgrading is necessary.
2. Applicants who are currently registered with another Canadian dietetic regulatory body.

 The Registrar will refer the applicant to the Registration Committee in the situations noted above, or in any other situation in which she has any doubt as to whether the applicants meets the registration requirements. In these situations, review by the Registration Committee constitutes the original (first) decision. 

The Office of the Fairness Commissioner (OFC) has advised the College that they consider any referral to the Registration Committee to be an “internal review”. Likewise, the OFC considers any second review of an application - initiated either by the applicant or the College - to be an "internal review".

The answers to all questions in section 6 refer only to applications that were referred to the Registration Committee for a first or second review. As set out in the Regulated Health Professions Act, applicants who wish to appeal a registration decision from CDO are referred to the Health Professions Appeal and Review Board (HPARB). The cover letters for all Decisions and Reasons provide applicants with instructions about filing an appeal with HPARB. These letters also include an invitation for applicants to contact the Registrar & Executive Director if they have any questions about their decision. If an applicant has a question about their registration decision that requires interpretation or further explanation, College staff do not have the authority to answer the question. In this case the file would be returned to the same panel for clarification of the decision. Likewise, if an applicant produces additional information or documentation in response to the registration decision, the file will be returned to the original panel to review the new/additional information.

For applicants who will be referred to the Registration Committee
Incomplete application received -> File open letter is sent with a list of the documents/information that are missing, and notice that file will be referred to the registration committee. Timeline is 3-5 business days.

Complete application received -> File open letter is sent acknowledging application and providing notice that file will be referred to the registration committee. Timeline is 3-5 business days.

Applicant is notified that file will be referred to registration committee and advised of their right to submit any additional documentation within 30 days. (unless waived) Timeline is 0-30 days.

All missing information/documents are received -> communication is sent advising applicant that their file is now complete and notifying them of the date of the registration committee meeting to which they will be referred. Timeline is 1-2 business days.

Complete application received -> Registration committee reviews file and makes a decision.  Timeline is 3-11 weeks.

Registration committee reviews file and makes a decision -> Decision and reasons letter is sent to applicant. If applicant is admitted, required fees are included with this letter. Timeline is 1-5 business days.

For all applicants
Payment of initial registration fees is received -> registration is processed and applicant becomes member.  Timeline is 4-5 business days.

 

There were 32 files for which timelines were exceeded.

Of the files for which timelines were exceeded, 12 were from Canadian applicants and 20 were from Internationally educated applicants.

Given that the definition of an “internal review” is a file that is referred to the Registration Committee, the “submissions regarding internal reviews or appeals” are, in fact, the documents in the initial application. See answer to question 1g (provision of information about the documentation of qualifications that must accompany each application).

Additionally, each applicant receives a “File Open” letter, which acknowledges receipt of their application. If the applicant’s file is being referred to the Registration Committee, they are advised of this fact in the File Open Letter. The letter also advises the applicant of their right to submit any additional documentation within 30 days, and that the 30 day waiting period may be waived if they wish to be referred to the Committee sooner.
 

Given that the definition of an “internal review” is a file that is referred to the Registration Committee, the “submissions for internal reviews or appeals” are, in fact, the documents in the initial application. See answer to question 1g (provision of information about the documentation of qualifications that must accompany each application).

Each applicant receives a “File Open” letter, which acknowledges receipt of their application. If the applicant’s file is being referred to the Registration Committee, they are advised of this fact in the File Open Letter. The letter also advises the applicant of their right to submit any additional documentation within 30 days, and that the 30 day waiting period may be waived if they wish to be referred to the Committee sooner.

 

This question is relevant to an appeal but not to an “internal review” as defined by the Office of the Fairness Commissioner (i.e. a file that is referred to the Registration Committee, or a file that is reviewed by the Committee for a second time).

Registration decisions are made by either the Registrar, in the limited scope outlined in the answer to question 6a, or by a panel of the Registration Committee. If a file is referred to the Committee for a second time, it is typically to answer a specific question from the applicant that was not answered in the decision and reasons, or to consider additional information that was supplied by the applicant in response to the decision and reasons. In either of these situations, the file is returned to the original panel for clarification of the decision, or to consider the additional information provided by the applicant along with the rest of the file.

 

The Office of the Fairness Commissioner (OFC) has advised the College that they consider any referral to the Registration Committee to be an “internal review”. Likewise, the OFC considers any second review of an application - initiated either by the applicant or the College - to be an internal review.

The Registrar has authority to grant a certificate of registration for 2 types of applicants

1. Applicants who have completed both academic and practical training programs that have been accredited by either Dietitians of Canada or the Commission on Accreditation for Dietetics Education (US). The Registrar can only admit applicants in this category who have completed their education and training within the past 3 years, or have practiced safely as an RD in another jurisdiction during the past 3 years. All others must be referred to the Registration Committee to determine whether upgrading is necessary.
2. Applicants who are currently registered in another Canadian Dietetic Regulatory body.

The Registrar will refer the applicant to a panel of the Registration Committee in the situations noted above, or in any other situation in which she has any doubt as to whether the applicants meets the registration requirements.

The panel of the Registration Committee will review the applicant’s file and complete an assessment of the equivalence of the academic and/or practical training programs as compared to Canadian accredited academic and/or practical training programs. The panel of the registration committee then reviews the file with respect to all of the other exemptible and non-exemptible requirements, and makes the initial registration decision.

As set out in the Regulated Health Professions Act, applicants who wish to appeal a registration decision from CDO are referred to the Health Professions Appeal and Review Board (HPARB). The cover letters for all Decisions and Reasons provide applicants with instructions about filing an appeal with HPARB. These cover letters also include an invitation for applicants to contact the Registrar & Executive Director if they have any questions about their decision. If an applicant has a question about their registration decision that requires interpretation or further explanation, College staff do not have the authority to answer the question. In this case the file would be returned to the same panel for clarification of the decision. Likewise, if an applicant produces additional information or documentation in response to the registration decision, the file will be returned to the original panel to review the new/additional information.

 

The Registration Committee is composed of :

i. at least two elected councilors (members of the profession);
ii. at least two public councillors; and
iii. at least one non-Council member ( members of the profession)

Composition of the panels follow the provisions of the Health Professions Procedures Code of the Regulated Health Professions Act:

Panels
17. (1) An application for registration referred to the Regristration Committee or an application referred back to the Registration Committee byt eh Board shall be considered by a panel selected by the chair from amon the members of the Committee. 1991, c. 18, Sched. 2, s. 17 (1): 2007, c. 10, Sched. M, s. 24 (1)

Composition of Panels
(2) A panel shall be composed of at least three persons, at least one of whom shall be a person appointed to the Council by the Lieutenant Governor in Council. 2007, c. 10, Sched. M, s. 24 (2).

Quorum
(3) Three members of a panel constitute a quorum. 1991, c. 18, Sched. 2, s. 17 (3)

In addition to the provisions of the RHPA, the Registration Committee’s policies indicate that each panel must include at least one member of the profession. A panel that will be considering a practical training equivalency must contain at least two members of the profession.

Given that the Registration Committee is composed of elected members of the profession, the College does not have a policy that would require an internationally educated member of the profession to be on a panel. In 2009, a change to CDO’s by-laws was passed whereby non-council committee members will be appointed, as opposed to the current system which elects committee members from each electoral district. The first committee members will be appointed in the spring of 2010. This new process will allow the College to appoint committee members with relevant expertise and interest, while also providing the flexibility for diversity among the committee members.
 

The only change to CDO’s processes for internal review was a change to the by-law regarding appointment of non-council committee members.

Decision and Reasons letters are provided to every applicant who se file is reviewed by the Registration Committee. These letters include information about their right to appeal to the Health Professions Appeal and Review Board, the deadline for submitting an appeal, format and content of the appeal, as well as the address and contact person.

There were no changes to CDO’s practices regarding provision of information on appeal rights.

The registration requirements for becoming a dietitian in Ontario are:

1. Academic Preparation from an accredited Canadian university program in foods & nutrition or equivalent
2. Practical Training in an accredited practical program in Canada or equivalent
3. Language Proficiency in English or French
4. Record of Ethical and Competent Practice
5. Good Character and Good Conduct
6. Current Dietetic Knowledge and Competence
7. Eligible to Work in Canada
8. Knowledge and practical experience related to the Canadian health care system
9. Pass the Canadian Dietetic Registration Examination (Registration Exam)
 

CDO recognizes the Commission on Accreditation for Dietetics Education (CADE), in the United States. Undergraduate programs and internship practicums that have been accredited by (CADE) are considered equivalent to undergraduate or internship programs accredited by Dietitians of Canada. Thus no further assessment is required.

CDO also recognizes registration with the American Dietetic Association’s Commission on Dietetic Registration, for the purpose of assessing continuing competence activities.

All applicants (Canadian and international) who have completed an undergraduate degree or internship program that was not accredited by Dietitians of Canada (DC) or CADE in the US, must have the degree or internship (or both) assessed by the Registration Committee. Undergraduate degrees that have been completed outside of Canada and the US must first be assessed by World Education Service, who will determine the equivalent level of the degree. Only those degrees that are assessed to be equivalent to a university level (bachelor’s degree or higher) will be considered by the Committee.

For undergraduate degrees, the Committee reviews the syllabus/descriptions of each course to ensure that the subject matter from the following courses are covered:

1. Humanities/Social Sciences (12 credits)
2. Natural Sciences (9 Credits: 3 each in General Chemistry, Organic Chemistry and Microbiology)
3. Professional Subjects (18 Credits: 3 each in Basic Foods, Advanced Foods, Basic Principles of Management and Communications Arts and 6 in Basic Human Nutrition)
4. Human Nutrition (9 Credits: 3 each in Advanced, Clinical and Community Nutrition)
5. Food Service Systems Management (9 Credits: Foodservice systems organizations and Management, Quantity Food Production Management, Foodservice Facilities, Cost Control & Accounting and Personnel)
6. Supporting Sciences (12 Credits: 9 total in Biochemistry and Physiology and 3 total in Advanced Social Science, Statistics and Computers)

Where an applicant has not completed the subject matter from a particular course, the committee reviews the course content of all courses that have been completed to determine whether the content was covered in other courses, under different titles. If an applicant is missing some of the required courses, they will be asked to complete these courses before they will be eligible to become registered with the College.

For all applicants (Canadian and internationally educated) who have not completed an internship or practicum that is accredited by DC or CADE, the internship program is assessed by the Registration Committee. The applicant provides documentation from the program which describes the length, the structure of the program, the format for evaluation, and the competencies or learning outcomes that must be demonstrated or achieved for successful completion. These aspects are compared to the standards for accredited Canadian internship programs:

• The program must be a minimum of 1300 hours.
• It must provides supervised practical experience at an appropriate level of complexity (i.e. the activities should represent the activities that would be performed by an entry-level dietitian in Canada, meaning that they should be more complex than the activities that may be assigned to a dietetic technician or assistant in a Canadian healthcare system).
• The competency statements or learning outcomes must address all of the Competencies for the Entry Level Dietitian
• The practical experiences must be supervised by a dietitian who is qualified to practice in the country where the experiences were achieved.
• The practical experiences must address all 3 areas of Canadian dietetic practice (Clinical, Community and Food Services Management).

There are three potential outcomes of a practical training assessment:

• The committee may deem the practical training to be equivalent to an accredited practicum or internship in Canada
• The committee may determine may ask the applicant to complete additional practical experiences to cover specific competency statements or practice areas, or
• The committee may determine that the practical training is not equivalent to an accredited practicum or internship

Academic and practical training are two separate non-exemptible requirements, under CDO’s Registration Regulation. Currently, there is very little legal latitude to substitute work experience for formally structured, supervised practical training based on a comprehensive set of competencies. The nature of work experience, however, may be used to inform the Committee regarding the level of competency that was attained during the practicum. The College is currently reviewing its registration regulation in order to permit more flexibility in this area.

In addition, the College accepts completion of the dietetic bridging program as meeting the practical training equivalency, pending a favourable review by the Registration Committee of the documentation of learning activities completed by the applicant.
 

CDO’s Registration Manager regularly participates in the accreditation process for dietetic internship/practicum programs (programs outside of Ontario) as a reviewer. CDO maintains current and accurate information on the accreditation processes in both Canada and the US by maintaining copies of the Accreditation Standards for both Dietitians of Canada and the Commission on Accreditation for Dietetics Education. The Registration Committee meets with academics and reviews course descriptions from Ontario programs. The Registrar & Executive Director also represents CDO in the Partnership for Dietetic Education and Practice. Members of this group represent regulatory bodies, dietetic educators and the professional association from across Canada, and are dedicated to the development of national competency standards (knowledge, skill and judgment) for entry to practice and continuing competence. The Registrar & Executive Director also maintains a link with the Dietetic Education Leadership Forum of Ontario, which is an action group comprised of internship coordinators and university course directors within Ontario.

CDO maintains a reference binder with decisions and reasons from complicated applications. This resource binder will help the Committee to ensure that consistency is maintained when assessing the equivalency of academic degrees.

CDO considers the content of completed courses from university level institutions in Canada and other countries.  We rely on the expertise of World Education Services (WES) to assess whether an applicant's education is at a level equivalent to a univerisity level in Canada.   See section 9 c for information on the procedures used by WES for recognition of institutions.

CDO does not often receive requests for accommodation of special needs. When received, such requests are considered on an individual basis, and appropriate accommodations are made to address the specific needs of both the applicant and the College. Print material can be adapted and special needs are accommodated, as necessary, in the writing of the exam.

The typical time from the date that a complete application is received, to the date that a registration decision is mailed is:

• 10-15 days for applicants who will not be referred to the Registration Committee
• 4-13 weeks  for applicants who must be reviewed by the Registration Committee

The typical time differs for most internationally trained individuals, because the majority will be referred to the Registration Committee.  

The reason for the greater amount of time for internationally trained applicants is the fact that most internationally educated applicants must be referred to the Registration Committee for assessment of academic preparation equivalency and/or equivalency of their practical training. Canadian and US applicants would typically only be referred to the Registration Committee if they completed undergraduate degrees or practical training programs that were not accredited,  or if they have not practice dietetics for more than 3 years.

Another reason for the longer time frame for internationally educated applicants is the fact that more documentation is required for the academic and practical training assessments. Applicants often submit their applications before all of the required documents have been retrieved, thus increasing the time it takes for them to be referred to the Registration Committee (applicants are not referred to the Committee until all documents have been received).
 

To ensure that information used in the assessment about educational systems and credentials of applicants from outside Canada is current and accurate, CDO relies on the expertise of World Education Services. The first step in the assessment process for a university degree completed outside of Canada is for the degree to be assessed by World Education Service (WES) to determine the level (e.g. baccalaureate, master’s, Ph.D). For information on how WES determines the level of the credential, see the response for question 9(c).

The criteria for determining equivalency of the undergraduate degree are:

• The degree must be assessed as equivalent to a Canadian University degree
• The formal education must be a minimum of 14 years in length
• The academic degree must not be lacking more than one 3-credit course from the following:
  • Humanities/Social Sciences (12 credits)
  • Natural Sciences (9 Credits: 3 each in General Chemistry, Organic Chemistry and Microbiology)
  • Professional Subjects (18 Credits: 3 each in Basic Foods, Advanced Foods, Basic Principles of Management and Communications Arts and 6 in Basic Human Nutrition)
  • Human Nutrition (9 Credits: 3 each in Advanced, Clinical and Community Nutrition)
  • Food Service Systems Management (9 Credits: Foodservice systems organizations and Management, Quantity Food Production Management, Foodservice Facilities, Cost Control & Accounting and Personnel)
  • Supporting Sciences (12 Credits: 9 total in Biochemistry and Physiology and 3 total in Advanced Social Science, Statistics and Computers)

The following are the criteria used for determining the equivalency of practical training:

• The program must be a minimum of 1300 hours.
• It must provides supervised practical experience at an appropriate level of complexity (i.e. the activities should represent the activities that would be performed by an entry-level dietitian in Canada, meaning that they should be more complex than the activities that may be assigned to a dietetic technician or assistant in a Canadian healthcare system).
• The competency statements or learning outcomes must address all of the Competencies for the Entry Level Dietitian
• The practical experiences must be supervised by a dietitian who is qualified to practice in the country where the experiences were achieved.
• The practical experiences must address all 3 areas of Canadian dietetic practice (Clinical, Community and Food Services Management).
   

Academic and practical training are two separate non-exemptible requirements, under CDO’s Registration Regulation. Legally, there is very little latitude to substitute work experience for formally structured, supervised practical training based on a comprehensive set of competencies. The nature of work experience, however, may be used to inform the Committee regarding the level of competency that was attained during the practicum.

CDO does not conduct competency assessments other than through the Canadian Dietetic Education Examination (CDRE).  See section 8 (l) for information regarding the CDRE.

CDO does not conduct competency assessments other than through the Canadian Dietetic Education Examination (CDRE),  See section 8 (l) for information regarding the CDRE.

CDO does not conduct competency assessments other than through the Canadian Dietetic Education Examination (CDRE). See section 8 (l) for information regarding the CDRE.

CDO does not conduct prior learning assessments

CDO does not conduct prior learning assessments

CDO does not conduct prior learning assessments

CDO Administers the Canadian Dietetic Registration Examination (CDRE) in Ontario. The CDRE is a multiple choice exam, consisting of 200 questions. Applicants complete the exam by filling out bubble cards, which are scored by computer. If an applicant has concerns about their exam score, they may request that their exam be re-scored. They may also appeal the administration and content of the exam. These appeals are investigated and reviewed by the Registrar and a decision is made in consultation with the Alliance of Canadian Dietetic Regulatory Bodies. A successful appeal would result in a rewrite of the exam at no cost and extension of a temporary certificate of registration permitting a candidate to continue to practice as an RD.

An applicant who does not pass the exam is allowed two rewrites. After failing for a second time, applicants are required to complete upgrading (in the form of course work and supervised practicum), before they can write the exam for a third time. The purpose of the upgrading requirement is to ensure that applicants have the opportunity to assess their performance and address any learning needs before writing the exam for the final time.
 

CDO Administers the Canadian Dietetic Registration Examination in Ontario. CDO relies on a third party to develop the exam and to determine the appropriate tests for validity and reliability. The third party is the University of Alberta’s Division of Studies in Medical Education (DSME). The lead consultant for DSME is a specialist in medical examinations.
An important aspect of establishing validity of a test is to ensure that the test is comprised of items that are a representative sample of content of the entry to practice competency domains. The test is built according to a blueprint that ensures adequate sampling based on level of importance and frequency of the entry to practice competencies. Items are developed by subject matter experts that test specific competencies.

KR-20 (alpha) reliability is calculated for each examination administration.

The alpha coefficients for the last two administrations were 0.87 and 0.86 which is considered as adequate for the purposes of the examination.

The exam results have never been below the desired levels.

Each question on every exam is also subjected to psychometric testing. If a question does not perform well in this testing, it is removed from the exam (i.e. it does not count in the scoring). The question is then either modified before it goes in to the question bank or removed from the bank altogether.
 

Each examination consists of 200 items, 70 of which are newly developed specifically for that test administration. The remaining items that are selected from the bank to be part of the exam are reviewed by the examination development committee as the first step in the development of an examination. Items are reviewed in terms of latest psychometric performance, currency, relevancy and relation to the specified competency.

Each question on every exam is also subjected to psychometric testing. If a question does not perform well in this testing, it is removed from the exam (i.e. it does not count in the scoring). The question is then either modified before it goes in to the question bank or removed from the bank altogether.
 

There have been no changes in CDO’s practices regarding assessment of qualifications in the reporting period.

CDO relies upon the following organizations in the registration process:

World Education Services – for assessment of the level of the degree

TOEFL for language proficiency testing

The Internationally Educated Dietitians Pre-Registration Program (IDPP) – the dietetics bridging program is sometimes relied upon for assessment of language proficiency

CDO Administers the Canadian Dietetic Registration Examination in Ontario. CDO relies on the University of Alberta’s Division of Studies in Medical Education (DSME) to develop the exam and to determine the appropriate tests for validity and reliability. The lead consultant for DSME is a specialist in medical examinations.
 

The CDO website contains links to some of the third parties on which it relies (WES, IDPP). These websites are reviewed regularly to ensure that applicants are able to find the necessary information. Information about the registration examination is provide directly by CDO (through the preparation guide, the audio-visual guide, and direct communication with applicants).

IDPP – CDO maintains a complete program binder and the Registration Committee meets with the IDPP Manager and Coordinator once a year. The Registration Committee has reviewed and approved the language assessment system used in the IDPP program (Ryerson University), which is based on CAELS.

CDO relies upon the expertise of other third parties (to determine the appropriateness of the information that is used for assessing the level of education (WES) and language proficiency (TOEFL).
 

CDO makes note of significant changes to the timeliness of decisions, responses and reasons. Where significant delays result in the applicants’ access to timely responses, CDO investigates. In 2008, issues related to the timeliness of the U of T Comparative Education Services resulted in selection of WES to assess the level of education for applicants.

(WES) CDO relies on the expertise of third party organizations to determine the appropriate training for individuals involved in their assessment processes.

(Exam) The Canadian Dietetic Regulatory Bodies collectively contract with DSME. The contract details the services to be provided and includes education and direct guidance of those involved in the development of the exam items and process.

(Bridging Program) The bridging program provides orientation to preceptors. In addition, the Registration Committee directly reviews the learning activities of applicants from the bridging program as submitted globally by the program and as submitted by each applicant.
 

CDO and the Registration Committee confirmed that WES provides appropriate access to records during an interview and presentation provide by WES for the Registration Committee.

CDO directly provides records, i.e. results of the registration examination, rescoring and appeals.
 

The CDRE policy for accommodation of special needs is controlled by the Alliance of Canadian Dietetic Regulatory Bodies. CDO’s Registrar & Executive Director is the lead for the Alliance on development of policies related to the Exam.

The Evaluation Methodology used by WES includes the following:

• Review for recognition of awarding authority and foreign educational institution.
• Place the credential in the educational system of origin in accordance with the admission requirement into the program (e.g. number of years of pre-university education).
• Determine the level and type of institution where the program is offered.
• Ascertain the length of the program, program structure and degree award requirements
• Establish the purpose and value of the credential in the home country
• Find the comparable credential on the Canadian academic spectrum.
 

CDO relies on World Education Services (WES) to provide a judgment on educational documents and the level of the degree only. Equivalency to an accredited university degree in foods and nutrition in Canada is assessed by CDO’s Registration Committee.

When evaluating academic credentials WES considers the level, scope and intent of the program in question. They draw from a variety of resources in the field of comparative education and actively remain abreast with current developments. Resources they use include national and international sources.

WES employs a number of clearly defined factors (length of programs, admission requirements, standing of institutions, presence of quality assurance mechanisms and educational outcomes).
 

Not Applicable. WES does not evaluate accomplishments outside of actual academic education. Academic education is a non-exemptible requirement, under CDO’s Registration Regulation. Legally, there is no latitude to substitute work experience for undergraduate study in foods and nutrition.

Not applicable.  CDO does not rely on a third party to conduct competency assessments.

Not applicable.  CDO does not rely on a third party to conduct competency assessments.

Not applicable. CDO does not rely on a third party to conduct competency assessments.
 

Not applicable. CDO does not conduct prior learning assessments or rely on a third party to conduct prior learning assessments.

Not applicable. CDO does not conduct prior learning assessments or rely on a third party to conduct prior learning assessments.

Not applicable. CDO does not conduct prior learning assessments or rely on a third party to conduct prior learning assessments.

CDO Administers the Canadian Dietetic Registration Examination (CDRE) in Ontario. The CDRE is a multiple choice exam, consisting of 200 questions. Applicants complete the exam by filling out bubble cards, which are scored by computer. If an applicant has concerns about their exam score, they may request that their exam be re-scored, by hand. They may also appeal the administration and content of the exam.

An applicant who does not pass the exam is allowed two rewrites. After failing for a second time, applicants are required to complete upgrading (in the form of course work and supervised practicum), before they can write the exam for a third time. The purpose of the upgrading requirement is to ensure that applicants have the opportunity to assess their performance and address any learning needs before writing the exam for the final time.
 

CDO Administers the Canadian Dietetic Registration Examination in Ontario.

CDO relies on a third party to guide the development of the exam and to determine the appropriate tests for validity and reliability. The third party is the University of Alberta’s Division of Studies in Medical Education (DSME). The lead consultant for DSME is a specialist in medical examinations.

An important aspect of establishing validity of a test is to ensure that the test is comprised of items that are a representative sample of content of the CDRE competency domain. The test is built according to a blueprint that ensures adequate sampling. Items are developed by subject matter experts that test specific competencies. Each item is reviewed by 7-10 registered dietitians to ensure that it represents current dietetic practice.

KR-20 (alpha) reliability is calculated for each examination administration. 

The exam results have never been below the desired levels.

Each examination consists of 200 items, 70 of which are newly developed specifically for that test administration. The remaining items that are selected from the bank to be part of the exam are reviewed by the examination development committee as the first step in the development of an examination. Items are reviewed in terms of latest psychometric performance, currency, relevancy and relation to the specified competency.

Each question on every exam is also subjected to psychometric testing. If a question does not perform well in this testing, it is removed from the exam (i.e. it does not count in the scoring). The question is then either modified before it goes in to the question bank or removed from the bank altogether.
 

There have been no changes with respect to third parties involved in CDO’s assessment of qualifications.

Registration decisions are made by the Registrar & Executive Director, and by the Registration Committee. All staff involved in registration participate in orientation and training as do members and the Chair of the Registration Committee.

When the Registrar & Executive Director and Program Manager are hired, they receive an orientation to the College, including relevant legislation, policies and procedures. They receive a resource manual for registration policies and procedures to aid in making consistent, fair and impartial decisions. They also periodically attends conference sessions related to registration practices.

The Registrar & Executive Director and Registration Program Manager are trained to handle applications from applicants who have completed accredited undergraduate degrees and accredited practical training programs within the past three years, as well as applicants who are registered in other provinces and are applying through the Mutual Recognition Agreement. This training includes:

• Verifying that transcripts indicate completion of the degree
• Verifying that transcripts and other documents are sent directly from the originating source
• Verifying the accreditation status of academic and practical training programs and the source of verification of completion of the practical training that is not part of a university program transcript
• Review of declarations and documents verifying good character and good standing
• Verifying completion of application including signature of the applicant
• Verifying name against documents or verification of a name change

On an ongoing basis, complicated files are reviewed and discussed by the Registrar with program staff. This supports ongoing training and consistency in handling applications, and provides a means to continuously test policies and practices.

Registration Committee Members

New members to the Registration Committee receive an orientation before participating in any registration decisions. The orientation includes a review of:
• the roles of staff, committee chair, and committee members
• resource binder for committee members
• tools, checklists, and criteria used for assessment
• policies and procedures for file assessment
• sample files

After the orientation is complete, new committee members participate in the review of several application files as an observer only. They review and score the file and participate in the discussion, but do not participate in the final registration decision. Observing the review of these files allows the new committee member to ask questions and improve their knowledge in specific areas before assuming the responsibility of reviewing an application file for decision. Additionally, new committee members are typically paired with experienced committee members on review panels. This allows the new member to discuss any questions about standards or process with the experienced committee member.

 

Please refer to the answer provided for question 10 (a) (i).

As discussed in the answer to question 6e, the Registration Committee does the assessment and makes the initial registration decisions for any applicant that has not completed accredited undergraduate or accredited practical training programs within the past 3 years, or in any situation where the Registrar has doubts about whether the applicant meets all of the registration requirements. CDO does not make appeal decisions.

Please refer to the description of the orientation for Registration Committee members outlined in the answer to question 10 a (i).
 

There were no changes during the reporting period regarding CDO’s training of individuals involved in assessment and registration decisions.

Canadian Labour Mobility
CDO is a signatory of a Labour Mobility Agreement, for Dietitians/Nutritionists in Canada (2009), which includes all Canadian Provinces.

Commission on Accreditation for Dietetic Education (CADE)
CDO recognizes academic and practical training programs that have been accredited by the Commission on Accreditation for Dietetics Education (American Dietetic Association).

In 2008, CDO has begun discussions with the Dietitians Association of Australia to explore the possibility of developing a reciprocity agreement. This work is ongoing.
 

Canadian Labour Mobility

Dietitians registered with a Canadian dietetic regulatory body are deemed to have met the academic, practical training and examination requirements for a general certificate of registration if the individual fulfills all of the following conditions:
1. When applying to the College of Dietitians of Ontario, the applicant is still registered with a regulatory body of dietitians in another jurisdiction in Canada.
2. The applicant's registration in the other jurisdiction is not in a restricted category such as temporary, qualifying, honorary, retired, inactive, associate or special.
3. When applying to the College of Dietitians of Ontario, the applicant's registration in the other jurisdiction is not subject to any conditions, restrictions or limitations other than those that apply to all members.

Commission on Accreditation for Dietetic Education

The impact of recognition of CADE accreditation is that applicants who have completed their undergraduate degree or internship/practical training at CADE accredited programs are deemed to meet the academic and/or practical training requirements in Ontario without undergoing further assessment.  These applicants must still demonstrate teh remaining 7 requirements.   

CDO’s practices were changed in 2009 to comply with the new Agreement on Internal Trade (Chapter 7, Labour Mobility), and the Ontario Labour Mobility Act. With these changes, applicants who are registered in other provinces, including Quebec, undergo no further assessments, other than to verify that they are currently registered and in good standing with another provincial regulatory body.

The November sitting of the national registration examination was moved two weeks earlier in November, to ensure that the results would be received before the December holidays.  This change meant that applicants received their results 4 weeks earlier than usual, because it eliminated delays because of office closures during the holiday season.   The change affected some of the data for this reporting year.