1May-18

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Welcome to CASLPO E-Forum

2May-18

College of Audiologists and Speech Language Pathologists of Ontario

External Influences on CASLPO

Brian O’Riordan, Registrar, CASLPO

boriordan@caslpo.com

May 16th 2018

3May-18

Brian O’Riordan

Registrar

Alexandra Carling

Director of Professional Practice and Quality Assurance

4May-18

Canadian Alliance of Audiology and Speech Language Pathology Regulators (CAASPR)

5May-18

BCAB

SKMB

ON

QC

NB

NL

6May-18

Background

• 2010: CAASPR Board approved, in principle, an entry-to-practice exam based on national competencies and sub-competencies.

Why have an exam?

7May-18

• Research into exam reviews found our two professions are one of the few which do not have entry-to-practice National exams.

• With new Labour Mobility

Framework across Canada,

risk of harm to public needs

to be mitigated by high-stakes

licensing assessment (exam).

8May-18

Is this going to be expensive?

• Exam development costs are

projected to be over $1,000,000.

• If Speech-Language and Audiology Canada (SAC) was the exam vendor, costs could be reduced, given their existing exam infrastructure and experience.

9May-18

October 2016: Employment and Social Development Canada (ESDC) granted an additional $1.3M to CAASPR to complete harmonization of regulatory requirements across Canada.

10May-18

Current CASLPO Members

• Current CASLPO members will not be affected.

• Current members will not be required to take an exam.

• However, after the exam is introduced, if you terminate your CASLPO membership to work in another country or an unregulated jurisdiction in Canada and you want to reapply to CASLPO, you will have to take the exam.

11May-18

CAASPR Regulatory Exam Principles

An exam will:

• be part of the registration requirements for each jurisdiction for all applicants, domestic and international, with exceptional circumstances recognized in Quebec

• have questions that reflect CAASPR Essential Professional Competencies for both professions

• be established for each profession

12May-18

CAASPR Regulatory Exam Principles

An exam will:

• be offered in English and French

• have fees that will be set at a cost-recovery level

Also:

• oversight of the exam content must rest with the regulatory bodies

• accessibility (location, frequency), will be maintained

• capacity of vendor to administer exam internationally

13May-18

• August 2017: CAASPR asked SAC to draft a “Service Agreement” to be a national entry-to-practice exam vendor.

• September 2017-March 2018: Discussions with SAC intensify; Service Agreement drafts are reviewed by respective organizational Working Groups and legal counsel.

• May 1st 2018, Service Agreement

was signed at the SAC conference

in Edmonton.

14May-18

What has been agreed?

15May-18

• SAC will administer the CAASPR Canadian Entry-to-Practice Exam for all regulated jurisdictions, except Quebec.

• Exam is not required for applicants who continue to practice or wish to practice in unregulated jurisdictions.

• CAASPR has oversight responsibility for the exam and individual provincial regulatory colleges will determine who is eligible to write the exam.

16May-18

When will it start?

17May-18

• The Canadian Entry To Practice (CETP) exam will likely start in the Fall of 2020 and will be administered twice per year starting in 2021.

• Exam Blueprint to be developed by CAASPR, working with SAC.

– Blueprint Steering Committee chaired by Linda Walsh, Registrar, New Brunswick.

18May-18

How will the CETP Exam work?

19May-18

• SAC is responsible for costs of administering and developing the exam.

• SAC will update CETP Exam content annually.

• Exam and all materials to be available in Englishand French.

• SAC to provide annual exam operational reportsto CAASPR.

20May-18

• Candidate exam fees to be determined by Exam Implementation Working Group

– (chaired by Brian O’Riordan, Registrar, Ontario)

21May-18

• SAC Clinical Certification Exam – will be offered for the next two years.

• SAC developing a Clinical Certification Program.

• For more information, contact SAC.

22May-18

Where will the Exam take place?

23May-18

• For Ontario, the CETP Exam will likely take place in Toronto, Ottawa and London

24May-18

How many applicants will take the Exam?

25May-18

Potential Pool of National Exam Candidates

• In 2016-2017, the seven regulated jurisdictions (excluding Quebec) in Canada registered :

– 69 Audiologists (domestic or labour mobility)

– 405 Speech-Language Pathologists (domestic or labour mobility)

– 170 internationally-educated across both professions.

26May-18

• A robust information and communication plan is being developed jointly by CAASPR and SAC to roll out over the next two years.

• Both CAASPR and SAC will have CETP exam information on their respective websites.

27May-18

What are the National Competencies and how were they developed?

The National Competency Profiles

• Development is driven by CAASPR:

• Strong involvement of external stakeholders (e.g., CCUP, SAC, CAA, CACCE)

• Goal: Capture the core abilities required by all audiologists/SLPs for safe and effective practice, at entry-to-practice in Canada

• Sufficiently broad in order to relate to all settings

• The development of the Profiles proceeded in two main stages:• Development and validation of the Essential Competencies

• Development and validation of the Sub-competencies (including the ‘preamble’)

28

Subject Matter Experts (SMEs)

The Regulated Provinces*:

British Columbia (CSHHBC)

Leigh Ingram (AUD)

Mardi Lowe-Heistad (SLP)

Alberta (ACSLPA)

Holly Gusnowsky (AUD)

Susan Rafaat (SLP)

Saskatchewan (SASLPA)

Charlotte Douglas (AUD)

Jodi Haberstock (AUD) - Alternate

Lee Millar (SLP)

Manitoba(CASLPM)

Mandy Watson (AUD)

Laura Vandurme (SLP)

Ontario (CASLPO)

Jennifer Anderson (AUD)

Carol Bock (SLP)

Quebec (OOAQ)

Isabelle Billard (AUD)

Ann-Marie Lanoue (SLP)

New Brunswick (NBASLPA)

Amanda Reindorp-Young (AUD)

Linda Walsh (SLP)

External Stakeholders:

Canadian Council of University

Programs in Communications

Sciences and Disorders (CCUP-

CSD)

Lynne Methé (SLP)

Susan Wagner (SLP)

New Practitioners

Alexa Guse (AUD)

Kristina Thunburg (SLP)

Canadian Academy of Audiology

(CAA)

Janine Verge (AUD)

Speech-Language and Audiology

Canada (SAC)

Chantal Kealey (AUD)

Linda Rammage (SLP)

Canadian Academic Coordinators of

Clinical Education (CACCE)

Lu-Anne McFarlane (SLP)

29

Development and validation of the Essential Competencies (2016-2017)

• Fall 2016: work began on the development of the Essential Competencies

• December, 2016: In person 2-day meeting with SMEs

• Multiple rounds of email feedback with the SMEs and revisions by CAASPR

• April 2017: Teleconference with the SMEs to finalize the draft

• Translation of documents for validation process

• June 2017: Validation survey to all registered clinicians across Canada (18% overall response rate):

1861 AUDs (454 responses), 9586 SLPs (1657 responses)

• September, 2017: In person 2-day meeting with the group of SMEs to finalize the Essential Competencies (and begin the revision of the sub-competencies)

• October 2017: Set of 23 Essential Competencies are finalized30

Development and Revision of the sub-competencies(including the ‘preamble’)

• July 2017: Development of the original set of sub-competencies, based on feedback through the essential competency process

• September 2017: In person, 2-day meeting with SMEs, with subsequent email feedback

• Fall 2017: Two rounds of email feedback with the SMEs

• January 2018: Teleconference with the subject matter experts, with subsequent email feedback created)

• Translation of documents for validation process

31

Consultation and Validation of the Sub-competencies(including the preamble)

• Goal of the validation process:• To determine if the current set of sub-competencies is comprehensive and reflects

the current state of sub-competencies required for safe and effective practice

• January-March, 2018: Collection of feedback:• Written feedback from external stakeholders in the two professions• Focus groups across eight regulators with written feedback

• March 2018: Revision of the feedback by the SMEs via teleconference

• April 2018: Translation of the final documents

• April 29, 2018: essential competencies and sub-competencies approved

by CAASPR Board

32

Feedback received from…

Regulators (Focus groups)

• BC

• AB

• SK

• MB

• ON

• QC

• NB

• NFLD

External Stakeholders

• CCUP-CSD

• SAC

• CAA

• SHANS

33

Organization of the Competency Profiles

• Preamble• Definitions• Competency chart

Audiology

RoleEssential

CompetenciesSub-

competencies

1 Expert 12 452 Communicator 2 10

3 Collaborator 1 64 Advocate 2 55 Scholar 2 7

6 Manager 1 67 Professional 3 14

23 93

Speech-Language Pathology

RoleEssential

CompetenciesSub-

competencies

1 Expert 12 472 Communicator 2 10

3 Collaborator 1 64 Advocate 2 5

5 Scholar 2 76 Manager 1 67 Professional 3 14

23 95

34

35May-18

Are there any other CAASPR Projects

affecting CASLPO?

Centralization and Capacity Building Project

Intended outcomes of ESDC Funded Projects:

• Centralize registration functions for all applicants in order to better standardize outcomes and facilitate labour mobility of professionals.

Centralization and Capacity Building Project

Additional benefits:

• Improved access to licensing information for Internationally Educated (IE) applicants

• A streamlined “national” process for assessment of IE applicants

• Enhanced public safety through greater harmonization in assessment and admissions processes and standards determining academic equivalency for IE applicants

• Improved labour mobility

• Fewer instances of “jurisdiction shopping” based on the above outcomes

CAASPR Projects

1. National Essential Competency Profiles

2. Entry to practice National exams in English and French for all applicants

3. National Language Proficiency Standard

4. New public CAASPR website portal

5. Centralized assessment of applicants

6. Harmonized Academic Equivalency Framework

7. CAASPR Business Sustainability plan

8. Review of mentorship programs

9. Establishment of preparatory pre-arrival tool for IE applicants.