Fair Registration Practices Report

Dietitians (2017)

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.

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

b) Assessment of qualifications
i. Describe any improvements / changes implemented in the last year.
  1. The College completed the implementation of the Prior Learning Assessment and Recognition (PLAR) process, an alternative assessment for internationally educated applicants to demonstrate that they have the required knowledge and competence.   

From 2014-2017, CDO developed and implemented a robust, valid and reliable multi-step knowledge and competency assessment process for internationally educated applicants, consisting of a comprehensive online dietetic practice orientation and self-assessment tool (the OSAT), a multiple-choice Knowledge and Competency Assessment Tool (KCAT) and a combined short answer, interview-style Performance Based Assessment (PBA). Combined with CDOs existing assessment tools, we are confident that these new tools will provide a fair and objective method to assess the education and training of internationally educated applicants. 

The PLAR process is designed to directly assess an applicant's current knowledge, skills and judgment.  We believe this is an improvement over the previous credential assesment which relied on a paper review of the content of the applicant's courses.  The credential assessment does not account for changes in knowledge after graduation and is susceptible to variation because of things like poor translations or incomplete course descriptions. By directly assessing an applicant's knowledge, skills and judgment, the PLAR will enable the college to appropriately direct applicants with significant gaps to complete additional education and training after completion of the 

2. The Registration Committee reviewed a submission from Ryerson University's certificate program for Internationally-Educated Nutrition Professionals (IEPN).  The Committee approved a policy to permit an applicant who receives a level II result on the KCAT (partial knowledge and competence) to move on to the PBA by successfully completing the IEPN, rather than retaking the KCAT.   

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

The College believes that the PLAR provides applicants with better, more accurate information about the appropriate pathway to registration.

  • In 2017, two candidates chose to apply for the bridging program rather than complete the PBA even though they were eligible to move on to this next part of the assessment process.  They advised the College that they had made this decision because after being assessed by the colleges new tools, they believed that the next best step for them in the process was to participate in bridging, rather than continue in the assessment process. Essentially, the colleges tools gave them a better indication of how their current knowledge and competence compared to the required standards and helped direct their decision-making accordingly. 
  • Four candidates passed the KCAT and PBA without being directed to complete additional education or training and were permitted to register with a temporary certificate of registration while they waited to write and receive the results of the national registration examination.  In the past, these four candidates would likely have been directed to complete some form of bridging before being permitted to write the national exam.
  • Applicants who don't pass the KCAT but who demonstrate partial competence (level II) and then successfully complete the Ryerson IEPN may move on to the PBA without having to retake and pass the KCAT.   This saves applicants time and money.   
iii. Describe the impact of the improvements / changes on your organization.

The successful implementation of the PLAR process has prompted several other provinces to explore adopting the KCAT/PBA for assessing their own internationally-educated applicants.  The College has been working with these colleges and exam administration companies to determine the feasibility of administering the KCAT and PBA in other provinces. 

The workload for the Registration Committee has been reduced as there are fewer credential-based assessments being completed by the committee. This has resulted in some reduction in workload for staff supporting the Registration Committee, however there has been a corresponding increase in staff workload dealing with the administration of the PLAR process. 

c) Provision of timely decisions, responses, and reasons
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

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.

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

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

The Registration Committee revised policies related to:

  • recognition of dietetic practice in the Canadian Military - One of the ways that an applicant may demonstrate current dietetic knowledge and skills is to demonstrate that they have been registered as a dietitian in another jurisdiction and practising safely as a dietitian in that jurisdiction within the past three years.   The Canadian Military does not require their members who are practising dietetics to be registered with a provincial dietetic regulatory body.  This policy permits the Registration Committee to consider dietetic practice in the Military when assessing the currency of an applicants knowledge, skills and competence.    
  • appeals for the Prior Learning Assessment and Recognition (PLAR) process - revisions to the policy were made to provide a process for applicants to appeal the results of the Performance Based Assessment (PBA)
  • qualifications of supervising dietitians - this policy sets out the qualifications required for dietitians who are supervising and evaluting an applicant's practical training placement which is required by the College.
  • assessing the level of degrees (e.g. baccalaureate level) for degrees completed outside of Canada - this policy defines the degrees that are recognized by the Committee and which degrees must be assessed by World Education Services (WES) Canada

The Alliance of Canadian Dietetic Regulatory Bodies undertook a review of the policies related to the administration of the Canadian Dietetic Registration Examination (CDRE).  

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

The impact of these improvements on applicants are:

  • Being able to recognize dietetic practice completed in the Military may result in an applicant being able to avoid having to complete additional upgrading in order to meet the currency requirement. 
  • Applicants have a process to appeal the results of the PBA
  • The revised policy on the qualifications of supervising dietitians provides improved transparency for applicants who are seeking practicum placements. 
  • Changes to the policy regarding assessing the level of the degree permits applicants to submit an assessment completed by WES US in some situations.  This means that they avoid delays and the additional expense of having their degree re-assessed by WES Canada. 
  • Review and updating the CDRE policies ensures that the processes related to the administration of the CDRE continue to be transparent, objective, impartial and fair. 
iii. Describe the impact of the improvements / changes on your organization.

These changes provide direction for Registration Program staff to efficiently and effectively assist applicants to prepare their applications when they have recently practised dietetics in the Canadian Military, have completed practicum placements required by the College, or have previously had their degrees assessed by WES US. 

The changes to the policy regarding recognition of dietetic practice in the Canadian MIlitary has reduced the workload and streamlined the review process of the Registration Committee for these applicants.

The changes to the appeal policy for the PBA ensures that there is an objective, fair and transparent process in place to hear appeals regarding the results of the PBA. 

Review and updating the CDRE policies ensures that the processes related to the administration of the CDRE continue to be transparent, objective, impartial and fair. 

 

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

As part of the implementation of the new PLAR process, the College developed a preparation guide for both parts of the Prior Learning Assessment and Recognition (PLAR) process, the Knowledge and Competency Assessment Tool (KCAT) and the Performance Based Assessment (PBA).  

The formal evaluation of the PLAR process included surveys and focus groups with applicants.  Feedback from applicants solicited regarding the adequacy of the resources, including the OSAT, College website and the Preparation Guides.  Feedback on these resources was used to revise and update the guides for 2018.  

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

Feedback from previous applicants has been incorporated in to the current website and preparation guides.    We will continue to solicit feedback from applicants to determine whether these revisions had the desired effect of improving applicant's knowledge and understanding of the assessment and application processes.  

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

The College website is undergoing significant revision in early 2018.  Feedback from applicants was considered in the design of the registration section of the revised website. We will continue to solicit feedback from applicants regarding the adequacy of the resources. 

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

The Registration Committee revised the policy related to appeals for the Prior Learning Assessment and Recognition (PLAR) process - revisions to the policy were made to provide a process for applicants to appeal the results of the Performance Based Assessment (PBA).  

The Alliance of Canadian Dietetic Regulatory Bodies reviewed and revised the policies related to the administration of the Canadian Dietetic Registration Examination (CDRE).   

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

The impact of this change is that applicants have an objetive, fair, and transparent process in place to consider appeals of the results of the PBA and the CDRE. 

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

The changes to the appeal policies ensures that there is an objective, fair, and transparent process in place to hear appeals regarding the results of the PBA and CDRE. 

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.

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

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 18
Female 340
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 110
Female 3874
None of the above 0
Additional comments:
 
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
217 67 12
India
17
Iran
7
Lebanon
7
Australia
2
Italy
2
Jordan
2
Philippines
2
S. Africa
2
U.K.
3
Bangladesh
1
China
1
Colombia
1
Egypt
1
Ethiopia
1
Germany
1
Malaysia
1
Mexico
1
Netherlands
1
Nigeria
1
Pakistan
1
S Arabia
1
Spain
1
Sri Lanka
1
Sudan
1
Turkey
1
United Arab Emirates
1
Venezuela
1
Total
62
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
144 58 3
India
3
Iran
3
Philippines
1
Pakistan
1
Congo
1
Korea
2
Sudan
2
n/a
0
Total
13
0
218

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:
 
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
2793 847 99
Argentina
2
Australia
5
Belgium
1
Brazil
7
Chile
1
China
6
Colombia
8
Congo
1
Egypt
1
Germany
2
Ghana
1
Hong Kong
3
India
82
Iran
50
Israel
2
Jamaica
1
Jordan
1
Kazakhstan
1
Lebanon
10
Mexico
4
Netherlands
3
New Zealand
1
Nigeria
2
Pakistan
13
Philippines
8
Poland
2
Portugal
1
Somalia
2
S. Africa
2
Korea
3
Sudan
2
Syrian Arab Republic
1
Taiwan, Province Of China
1
Tanzania, United Republic Of
1
Turkey
1
Ukraine
1
United Arab Emirates
1
U.K.
10
Venezuela
1
Total
245
0
3984

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:
 
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 217 67 12 62 0
358
Applicants actively pursuing licensing (applicants who had some contact with your organization in the reporting year) 20 10 5 55 0
90
Inactive applicants (applicants who had no contact with your organization in the reporting year) 0 0 0 0 0
0
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 144 58 3 13 0
218
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 174 17 7 13 0
211

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:

Note:  The number of applicants who became fully registered for 2017 will appear artificially low compared to 2016 and 2018 numbers.   The national registration exam is administered in May and November, with the majority (2/3) of applicants writing in November. In 2016, the results of the November exam were received in late December.  As a result, many of these applicants paid the initial registration fees and became General members in 2016.   The November 2017 exam was administered 3 weeks later than in the past, which means that applicants received their results and became General members in 2018.  In the future, the timing of the exam will remain later in November, which means this variation will not occur again because November exam results will be consistently received in January of the following year.  

 

 

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)

Applicants who have met all registration requirements with the exception of the national registration examination are eligible to receive a Temporary Certificate of Registration only 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.
c) General Description (c)

This is the full practising class

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 9 2 0 30 0
41
Applicants who initiated an appeal of a registration decision 0 0 0 5 0
5
Appeals heard 0 0 0 4 0
4
Registration decisions changed following an appeal 0 0 0 1 0
1
Additional comments:

The five appeals initiated in 2017 were:

  • 3 applicants appealed the results of the national exam.  One of these appeals was granted for personal reasons unrelated to the exam.   The applicant was permitted to write the exam again without the first attempt being counted towards the maximum number of attempts.  The other 2 appeals were denied.
  • 1 applicant appealed the results of the Performance Based Assessment.  The appeal was denied.  
  • 1 applicant submitted an appeal to the Health Professions Appeal and Review Board (HPARB) regarding a decision of the Registration Committee.  The appeal was withdrawn after the pre-review teleconference. 

Note:   Prior to the 2017 reporting year, appeals related to the national exam were not reported in this section.  On the advice of our OFC Compliance Analyst, this section will include information on appeals related to the national examination. 

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 12
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 Willems
Title:
Registrar and Executive Director
Date:
2018/03/01

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