Fair Registration Practices Report

Dietitians (2016)

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

This Fair Registration Practices Report was produced as required by:

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

Index

  1. Qualitative Information
  2. Quantitative Information
  3. Submission

1. Qualitative Information

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

The knowledge and skills required to become registered as a dietitian in Ontario are set out in the section 6 of the College's registration regulation.

  • Section 6 (1) 1 outlines an academic (i) and practical training (ii) requirement.  These requirements are addressed through completion of Canadian accredited undergraduate and practical training programs in dietetics, or equivalent.
  • Section 6 (1) 2 is a prior learning assessment and recognition (PLAR) process.

The PLAR has been developed over the past three years with funding from the Ontario government.   The PLAR involves three distinct steps:  1) a multiple choice exam (called the KCAT – Knowledge and Competency Assessment Tool) and 2) the Performance Based Assessment (PBA) and 3) the Jurisprudence Knowledge and Assessment Tool (JKAT).    The applicant must first write the KCAT.  The results of the KCAT will determine whether the applicant moves on to the PBA.  If the applicant is successful in the PBA, they would be required to complete the JKAT before being deemed to have met the requirements for knowledge and skills outlined in section 6(1)2 of the registration regulation.    An applicant who is not eligible to move on as a result of their performance in any component of the PLAR, the college will recommend additional education and/or training.   

The first administration of the KCAT took place in November 2016.    The PBA has been developed and pilot tested.  The first administration is set for March 25, 2017.   

The KCAT is comprised of:

  •          a knowledge component which is based on the foundational knowledge and academic performance indicators outlined in the national competencies.  (i.e. the content of the knowledge component would addressed in an accredited undergraduate degree)
  •          a competency component, which is based on a sampling of performance indicators from both the academic and practicum components of the national competencies (i.e. the content of the competency component would be addressed in both academic and practicum).  

The PBA will be implemented in early 2017 (pilot test occurred in February, with the first administration scheduled for late March).   

The first administration of the KCAT occurred in November of 2016.  

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

From the perspective of applicants the anticipated impacts are:

  1. While a credential assessment uses documentation about the content of the degree to make assumptions about what the applicant has learned, the KCAT and PBA will directly measure the applicants' current knowledge and skills.  This allows the College to recognize knowledge and skills that an applicant may have gained outside of school (e.g. work experience). It also allows the College to determine what an applicant's current knowledge and skills are, not what they learned possibly years before.                  
  2. Applicants are not required to provide detailed course descriptions.   This reduces the potential for delay and high costs related to accessing and translating course description documents.   It also elminates the potential for assessments to be negatively affected by short or inadequate descriptions or poor translations.  
  3. Dividing the assessment process into two sessions ensures that applicants are not required to undergo the stress and cost of unnecessary assessments.   Only applicants who are successful on the KCAT are required to take the PBA. 
  4. Due to the cost of developing and maintaining the two assessments, the KCAT and PBA will each be administered once per year.   

 

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

The new PLAR process provides a more valid and reliable assessment of applicants' dietetic knowledge and skills because it:

  • Enables the College to Recognize knowledge and skills that applicants gained outside of school (e.g. work experience)
  • Applicants' assessments are not affected by short or inadequate course descriptions or poor translations. 
b) Assessment of qualifications
i. Describe any improvements / changes implemented in the last year.

Implementation of the new prior learning assessment began with the first administration of the Knowledge and Competency Assessment Tool (KCAT) in November 2016.  See description in section a. 

The existing credential-based assessment was revised in 2016 to more accurately reflect the national entry-level competencies.   The old assessment compared the content of the applicant's degree to the content of a set of courses representative of an accredited degree in Canada. The revised assessment compares the content of the applicant's degree directly to the foundational knowledge requirements and performance indicators set out in the national competency standards.   

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

The impact of the new prior learning assessment process is described in section a. 

The revised process for credential assessments provides a more transparent link to the national competency standards.   

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

The impact of the new prior learning assessment process is described in section a. 

The revised process for credential assessments provides a more transparent link to the national competency standards.

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

In 2016, the College reviewed the use of email communications versus print mail for communicating with applicants and members.  The following changes were implemented:

1. The annual renewal notice is no longer sent to members via print mail.  Members are notified about the renewal through email reminders, on the College website, and in the College newsletter.   Late fee notices, suspensions and revocations are sent to members via print mail. 

2. The college increased the use of email vs. print communication with applicants.  The following communications are now sent to applicants by email rather than print mail:

  • confirmation of payment for Temporary and General Certificates
  • registration packages including initial password for the member's section of the website. 
  • notice of referral to the registration committee
  • notice about any required documents that are missing from the application package
  • notice when all required documents have been received
ii. Describe the impact of the improvements / changes on applicants.

The increased use of email vs print mail has two significant impacts on applicants and members:

  • The fees for application and annual renewal are set on a cost recovery basis.   Email communication reduces the costs associated with printing and mailing, thus helping to contain the costs of application and annual renewal. 
  • Applicants receive important communications more quickly when the additional work of printing, signing and mailing letters are eliminated.   Print mail can take up to 5-10 business days to be delivered.  Delivery times can be even longer for applicants located outside of Canada. 
  • Most new graduates (the majority of CDO's new applicants) prefer to receive communications by email rather than print mail.
iii. Describe the impact of the improvements / changes on your organization.

The increased use of email communication helps the College contain costs.   

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

The following are the by-law changes implemented in the last year related to fees

  • Addition of an application fee of $185 for the KCAT (the first step in the prior learning assessment process)
  • Addition of a registration fee of $400 for the KCAT
  • Addition of an appeal fee of $75 for appeals related to the KCAT
  • Increase the fee for assessing academic equivalency (credential assessment option) from $300 to $425
  • Increase the fee for assessing the equivalency of non-accredited practical training (credential assessment option) from $300 to $425
  • Increasing the fee for assessing upgrading programs for applicants who are returning to practice from $300 to $425
  • Increasing the application fee for professional corporations from $100 to $185
  • Increasing the annual fee for certificates of authorization (professional corporations) from $500 to $608
ii. Describe the impact of the improvements / changes on applicants.

For applicants who did not complete accredited academic and/or practical training, the changes will mean an overall increase in the cost of application/registration for some applicants and a decrease in the costs for other applicants.    

The main principle considered by the College in setting the assessment fees is cost-recovery.  The fees are set to reflect the actual cost of maintaining and administering the various assessments. The costs involved in developing a fair, valid, and reliable tool to assess the education and training of internationally educated applicants are significant.  When these costs are divided by a small number of applicants, the resulting fees can be high.

The College committed to ensuring that registration practices are transparent, objective, impartial and fair.   Throughout the development of both the KCAT and the PBA, the college was careful to consider how each decision would impact the affordability of the assessment, in addition to impacts on validity and reliability.  Several higher cost options were rejected because they would have resulted in an unreasonably expensive assessment for applicants.  The final products (both the KCAT and PBA) represent the most affordable process for delivering a fair, valid and reliable assessment of the qualifications of internationally educated applicants.  

For professional corporations, the change resulted in an increased cost.   

For both applicants and professional corporations, the changes did not result in significant change in the volume of applications or annual renewals for professional corporations.  

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

The main principle considered by the College in setting the assessment fees is cost-recovery.  The fees are set to reflect the actual cost of maintaining and administering the various assessments. The costs involved in developing a fair, valid, and reliable tool to assess the education and training of internationally educated applicants are significant.  When these costs are divided by a small number of applicants, the resulting fees can be high.

The College committed to ensuring  that registration practices are transparent, objective, impartial and fair.   Throughout the development of both the KCAT and the PBA, the college was careful to consider how each decision would impact the affordability of the assessment, in addition to impacts on validity and reliability.  Several higher cost options were rejected because they would have resulted in an unreasonably expensive assessment for applicants.  The final products (both the KCAT and PBA) represent the most affordable process for delivering a fair, valid and reliable assessment of the qualifications of internationally educated applicants.  

Cost-recovery was also the primary factor in the changes to the fees related to professional corporations.   The change in the annual fee meant that professional corporations shared equally in the costs of regulating the profession.   The change in the late fee ensured that the costs related to late renewal are transferred only to those corporations that are late with their annual renewal, rather than the entire membership. 

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 following changes occurred in 2016:

  • Policies were established and implemented for the two components of the Prior Learning Assessment and Recognition (PLAR) process (the KCAT and PBA), including
    • Eligibility
    • Accommodations
    • Refunds
    • Candidates unable to write the KCAT or PBA due to compelling reasons
    • Administration of the assessments in an emergency or disaster
    • Disqualification for cheating
    • Appeals
  • By-law #2:  fees was updated to:
    • include the fees related to the Knowledge and Competency Assessment Tool (KCAT)
    • bring the fees related to Professional Corporations in line with the fees for General Members.   
ii. Describe the impact of the improvements / changes on applicants.

From the perspective of applicants the anticipated impacts are:

  1. While a credential assessment uses documentation about the content of the degree to make assumptions about what the applicant has learned, the KCAT and PBA will directly measure the applicants' current knowledge and skills.  This allows the College to recognize knowledge and skills that an applicant may have gained outside of school (e.g. work experience).                   
  2. Applicants are not required to provide detailed course descriptions.   This reduces the potential for delay and high costs related to accessing and translating course description documents.   It also elminates the potential for assessments to be negatively affected by short or inadequate descriptions, or poor translations.  
  3. Dividing the assessment process in to two sessions ensures that applicants are not required to undergo the stress and cost of unnecessary assessments.   Only applicants who are successful on the KCAT are required to take the PBA. 
  4. Due to the cost of developing and maintaining the two assessments, the KCAT and PBA will each be administered once per year.   
iii. Describe the impact of the improvements / changes on your organization.

From the perspective of the College, the new PLAR process provides a more valid and reliable assessment of applicants' dietetic knowledge and skills because it:

  • Enables the College to Recognize knowledge and skills that applicants gained outside of school (e.g. work experience)
  • Applicants' assessments are not affected by short or inadequate course descriptions or poor translations. 

 

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

In 2016, the following resources were developed and implemented as part of the implementation of the new Prior Learning Assessment and Recognition (PLAR) process:

  • An Online Self-Assessment Tool http://dietitianselfassessment.ca/terms-of-use.aspx
  • A preparation guide for the Knowledge and Competency Assessment Tool (KCAT) http://www.collegeofdietitians.org/Resources/Registration/KCAT-(Competency-Assessment)/KCAT-Preparation-Guide.aspx
  • Updated web pages explaining the two assessment options for assessing the knowledge and competence of internationally-educated applicants  http://www.collegeofdietitians.org/Web/Apply-to-the-College/Internationally-Educated-Applicants.aspx
ii. Describe the impact of the improvements / changes on applicants.

The purpose of these resources is to provide information about: 

  • Dietetic practice in Canada
  • The required knowledge and competence for registration with a Canadian Dietetic Regulatory Body
  • The assessment options for the application and registration process for internationally educated dietitians applying to the College of Dietitians of Ontario.

With this information, potential applicants may make informed decisions about:

  • How their current knowledge and competence compares to the required knowledge and competencies for dietetic practice in Canada (including any potential gaps)
  • Whether they wish to apply for registration as a dietitian in Ontario
  • Which of the assessment options they will choose
iii. Describe the impact of the improvements / changes on your organization.

These resources assist staff to provide consistent and thorough information to help potential applicants make informed decisions about:

  • How their current knowledge and competence compares to the required knowledge and competences for dietetic practice in Canada (including any potential gaps)
  • Whether they wish to apply for registration as a dietitian in Ontario
  • Which of the assessment options they will choose
h) Review or appeal processes
i. Describe any improvements / changes implemented in the last year.

Internal review and appeal processes were established for the two components of the College's new Prior Learning Assessment and Recognition Process. Applicants have the right to appeal:

  • a decision about their eligibility for the PLAR process,
  • their disqualificaiton from one of the assessments for cheating;
  • the result of one of the assessments

These policies have been posted on the College website and are referred to in the preparation guides for the assessments.     

see policies 6-70 and 6-80 (http://www.collegeofdietitians.org/Resources/Policies-(1)/Registration-Program/Registration-Committee/Registration-Policies.aspx)

http://www.collegeofdietitians.org/Resources/Registration/KCAT-(Competency-Assessment)/KCAT-Preparation-Guide.aspx 

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

These policies ensure that there is a transparent, objective and fair process for hearing appeals.    

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

These policies ensure that there is a transparent, objective and fair process for hearing appeals.    

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 13
Female 325
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 103
Female 3801
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
196 59 9
India
19
Iran
8
Pakistan
6
Lebanon
5
Brazil
4
Korea
4
United Arab Emirates
3
Sudan
2
Jamaica
2
Jordan
2
Netherlands
2
Portugal
2
S Arabia
2
Sri Lanka
2
Chile
1
Australia
1
Bangladesh
1
Guatemala
1
Israel
1
Syrian Arab Republic
1
Taiwan, Province Of China
1
U.K.
1
Philippines
1
Egypt
1
Congo
1
China
1
Total
75
0
339

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
189 45 3
United Arab Emirates
1
Australia
1
Brazil
1
Chile
1
China
1
Egypt
1
Hong Kong
1
India
4
Iran
5
Kazakhstan
1
Korea
1
Lebanon
1
Netherlands
1
Pakistan
2
Portugal
1
Tanzania, United Republic Of
1
Venezuela
1
Total
25
0
262

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
2724 842 97
Argentina
2
Australia
5
Belgium
1
Brazil
6
Chile
1
China
6
Colombia
8
Congo
1
Egypt
1
Germany
3
Ghana
1
Greece
1
Hong Kong
3
India
78
Iran
47
Israel
2
Jamaica
1
Jordan
2
Kazakhstan
1
Kenya
1
Lebanon
12
Mexico
3
Netherlands
2
New Zealand
1
Nigeria
2
Pakistan
13
Philippines
8
Poland
2
Portugal
1
Somalia
2
S. Africa
2
Korea
3
Sri Lanka
1
Syrian Arab Republic
1
Taiwan, Province Of China
1
Tanzania, United Republic Of
1
Ukraine
1
United Arab Emirates
1
U.K.
11
Venezuela
1
Turkey
1
Total
241
0
3904

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 196 59 9 75 0
339
Applicants actively pursuing licensing (applicants who had some contact with your organization in the reporting year) 17 10 3 56 0
86
Inactive applicants (applicants who had no contact with your organization in the reporting year) 0 1 0 5 0
6
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 189 45 3 25 0
262
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 169 17 6 22 0
214

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:
 
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 the first seven requirements listed above 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 members.

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 3 1 0 51 0
55
Applicants who initiated an appeal of a registration decision 0 0 0 1 0
1
Appeals heard 0 0 0 0 0
0
Registration decisions changed following an appeal 0 0 0 0 0
0
Additional comments:
 
j) Paid staff
In the table below, enter the number of paid staff employed by your organization in the categories shown, on December 31 of the reporting year.

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

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

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

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3. Submission

Submission
I hereby certify that:
Name of individual with authority to sign on behalf of the organization:
Melisse Willems
Title:
Registrar and Executive Director
Date:
2017/03/01

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