Regulation Matters: a CLEAR conversation-logo

Regulation Matters: a CLEAR conversation

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Episode 25: What It Means to Be a Good Regulator

Deanna Williams, President of Dundee Consulting and long-time CLEAR member, tackles the question, What does it mean to be a good regulator? She talks about being trustworthy and earning public confidence, putting public interest above all others, being genuine and authentic in explaining how our actions best serve and protect the public, and being adaptable on the front-end of change. She discusses how regulators should have frameworks for consistent decision-making, validated evaluative...


Episode 24: WHO Collaborating Centre for Health Workforce Regulation

Nick Lord and Kym Ayscough with the Australian Health Practitioner Regulation Agency discuss AHPRA's involvement as a World Health Organisation Collaborating Centre for Health Workforce Regulation. They discuss the WHO's interest in regulation of the health workforce, the current state of health workforce regulation in the Asia-Pacific region, and the WHO member states' interest in the Collaborating Centre. They share some goals of the network and opportunities for CLEAR members to be...


Episode 23: Professional Regulation and the Next Generation

Jimi Bush, director of quality and engagement with the Washington State Medical Commission, talks about making it millennial, focusing on professional regulation and the next generation. She notes some of the characteristics of millennials and Generation Z, the impact their preferences and behaviors are having on certain industries, and specifically the impact for regulated workforces. She shares some ways that regulators can adapt their practices to millennial and Generation Z...


Episode 22: How Regulators Can Use Behavioral Science

Cynthia Abel with the College of Early Childhood Educators in Ontario talks about how regulators can use behavioral science (sometimes called behavioral insights, behavioral economics, or nudging) - the concept of taking what we know about people and what influences how they behave and make decisions and harnessing that knowledge in order to design services and processes that are better aligned to the way we want people to behave and make decisions. She gives some examples and some...


Episode 21: Using a National Certification as Eligibility for Licensure

Ida Darragh, executive director of the North American Registry of Midwives and CLEAR board member, talks about the benefits to a state and the licensee when a national credential is used as an avenue to licensure for a profession, how the North American Registry of Midwives works with states that license certified professional midwives, practice in states that do not have a licensure process for CPMs, and trends for the future related to the link between certification and...


Episode 20: Lessons from Cases Involving Intentional Harm to Patients

When healthcare professionals intentionally harm or kill patients in their care, it shatters the public trust in the healthcare system, healthcare professionals, and their regulators. Lara Kinkartz with Weirfoulds LLP, Christine Braithwaite with the Professional Standards Authority in the UK, and David Benton with National Council of State Boards of Nursing discuss the impacts of such cases, processes and strategies regulators can put in place to help minimize the chances of intentional...


Episode 19: Addressing Mental Health Concerns in the Investigative Process

Mental health is a far-reaching issue in society and has numerous implications for professional regulation. Mark Pioro and Jenna Smith with the College of Registered Psychotherapists of Ontario and Dean Benard with Benard & Associates explore the issue of accommodating mental health in the regulatory investigations process. They discuss the relevance of mental health to the work of a front-line regulatory investigator, issues that can arise when a participant in the investigation has a...


Episode 18: Use of a Professional’s Social Media History in Registration, Investigations and Professional Misconduct Prosecutions

The approach that regulators have taken regarding social media has evolved over the years, with more regulators conducting social media searches on applicants during the licensing process. Information found on social media can be used to aid an investigation, and the number of investigations that are centered on regulated professionals' misuse of social media has increased. How does this influence public confidence in regulators, and how do regulators take into account public expectations?...


Episode 17: Role of a Content Developer in Licensing Exams

Sarah Wennik, content development manager with Pearson VUE and chair of CLEAR's Examination Resources and Advisory Committee, talks about what a content developer is; how their role differs from the role of a psychometrician; the skills needed to be a successful content developer; and examples of the tasks a content developer is responsible, working in partnership with psychometricians, subject matter experts and test sponsors. A session at the 2019 CLEAR Annual Educational Conference will...


Episode 16: Update on Initiatives for Credentialing of Transitioning Military Members

Bill Brigman with Solutions for Information Design, Michael Behm with Stateside, and Sara Appel with the Multi-state Collaborative on Military Credit share updates on various programs, initiatives and legislation to aid service members in transitioning to civilian careers through credentialing and military credit opportunities. They discuss the COOL programs, recognition of equivalent military training, licensure fee reductions or waivers, licensure compacts, Pathways legislation, licensure...


Episode 15: Guidelines for Working with Subject Matter Experts

Elizabeth Witt, chief consultant and psychometrician with Witt Measurement Consulting, talks about what a subject matter expert (SME) is; the role of SMEs in job analysis, standard setting, and item writing; qualifications of an SME; SME recruitment; and communication with SMEs. She gives advice on how to ensure that SMEs are engaged and how to handle challenges involved in managing SMEs. Transcript: html ( or PDF...


Episode 14: Perspectives on Practitioner Substance Abuse and Regulation

Donna Mooney Haywood, retired manager of regulatory affairs at the North Carolina Board of Nursing, shares her perspective, gained from 30+ years of regulatory experience, about substance abuse by licensed healthcare practitioners. She discusses the higher standard to which licensees are held, her views on alternative to discipline programs, and the difference in approach to handling practitioners misusing prescription drugs versus street drugs. Transcript: html...


Episode 13: Research on Practice Hours: Establishing Evidence for Regulatory Policies

The College of Registered Nurses of Manitoba undertook research on practice hours, or currency hours, to determine any correlation between practice hours and continuing competence. Deb Elias discusses the research methodology, the findings and interest in future collaborative research. This podcast episode is related to a CLEAR Resource Brief, "Establishing Evidence for Regulatory Policies: A Method and Case Example," by Deb Elias, Jill Tomasson and Leanne Worsfold. Transcript: html...


Episode 12: Current Research Interests at the Professional Standards Authority

Douglas Bilton, Assistant Director of Standards and Policy with the Professional Standards Authority in the UK, shares current research interests at the PSA. He discusses PSA's goal of linking the academic world and the world of regulatory practice to encourage research that helps to establish professional regulation as an evidence-led area of public policy. Recent and current research topics include applying the concept of Counterproductive Work Behaviour to help understand why healthcare...


Episode 11: Finding Opportunities to Tell Your Agency Story – Marketing Tips

Griffin Pritchard, public information specialist with the Alabama Board of Licensure for Professional Engineers and Land Surveyors, provides some tips on finding opportunities to tell your agency story in a new way to your audience. He discusses targeting your message to different audiences, leveraging branded merchandise, communicating via social media, and developing strategies for boards with a small staff or small budget. Transcript: html ( or PDF...


Episode 10: The Scope of Regulation – Can the Boundaries Be Stretched?

Andrew Charnock, Chief Executive and Registrar at the Occupational Therapy Board of New Zealand, looks at the factors that conform or restrict the governance scope and practice of regulation. He considers the questions of whether regulatory legislation is too cumbersome for regulation today and whether regulators should align their strategies around their country's major strategies, for example, health regulators alignment with health and health workforce strategies. This podcast episode is...


Episode 9: Licensing Reform Efforts: Professional Beauty Industry Perspective

Myra Reddy, Government Affairs Director for the Professional Beauty Association, summarizes why the PBA supports requirements for occupational licensure in the beauty industry. She discusses PBA's support of reform efforts to promote consistency of requirements across state, and even county, lines; enhance mobility; increase externship and apprenticeship programs; and increase testing opportunities including pre-graduate testing. Transcript: html (


Episode 8: Investigative Excellence Group Award winner

The CLEAR Investigative Excellence Group Award recognizes a team that has demonstrated exceptional performance in a particular case, or has a history of excellent performance beyond what is expected or required, resulting in a direct and significant impact to the protection of the public or consumer interests. Investigators from the Colorado Division of Professions and Occupations share how they overcame challenges of the case and collaborated with the Denver District Attorney's Office for a...


Episode 7: Breaking Down Licensing Barriers While Ensuring Public Protection During a Disaster

In 2017, at least 5 states or US territories suffered natural disasters or public health emergencies. Disaster response is, at best, orchestrated chaos. This chaos is compounded by the hodgepodge approach to license portability in the United States. Ronne Hines, Division of Professions and Occupations, Colorado Department of Regulatory Agencies, gives some examples related to the interplay of license portability laws, regulation of the out-of-state workforce, and the challenges and successes...


Episode 6: The Role of Regulators in Health Workforce Data Collection

Policymakers and planners in all jurisdictions face complex challenges in assuring access to needed health care services. Evidence-based decisions require objective and comparable provider supply and distribution data. Licensing boards are in a unique position to help. An expert panel representing the US and Canada discusses the role of regulators in health workforce data collection. This podcast episode is a lead-up to a session at CLEAR's Annual Educational Conference, September 26-29,...