Regulation Matters: A Clear Conversation

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 behaviors. Transcript: html (https://www.clearhq.org/page-1860629) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode23_Regulation_Next_Generation_ 111219_transcript.pdf)

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 opportunities to use this concept in a licensing and compliance environment and offers some considerations for organizations interested in applying this concept. Transcript: html (https://www.clearhq.org/page-1860621) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode22_Behavioral_Science_ 100819_transcript.pdf)

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 licensure. Transcript: html (https://www.clearhq.org/page-1860615) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode21_Using_National_Certification_ 091019_transcript.pdf)

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 harm, and ways regulators can navigate the increased public scrutiny that results from such cases. This podcast episode is a lead-in to a session at CLEAR's Annual Educational Conference, September 18-21, 2019 in Minneapolis, Minnesota, that will further explore case studies and strategies. Transcript: html (https://www.clearhq.org/page-1860614) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode20_Cases_Intentional_Harm_ 082619_transcript.pdf)

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 mental health challenge or condition, legal principles that apply to these situations, and strategies regulators or investigators can adopt to resolve dilemmas and accommodate individuals dealing with mental health difficulties during the investigation process. This podcast episode is a lead-in to a session at CLEAR's Annual Educational Conference, September 18-21, 2019 in Minneapolis, Minnesota, that will further explore case studies and strategies. Transcript: html (https://www.clearhq.org/page-1860612) or PDF (http://c

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? How do regulators handle social media evidence and commentary during prosecutions? This podcast episode is a lead-in to a session at CLEAR's Annual Educational Conference, September 18-21, 2019 in Minneapolis, Minnesota, that will further explore the utility, legality and practicalities of relying on non-traditional sources of information, such as online and social media content, both in the registration process and investigations. Transcript: html (https://www.clearhq.org/page-1860608) or PDF (http://clearweb.drivehq.com

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 address further details about remediating test items with poor statistical performance and give attendees a chance to take on the role of a content developer and work on example items. Transcript: html (https://www.clearhq.org/page-1860601) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode17_content_Developer_ 061119_transcript.pdf)

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 endorsement and temporary licenses for military spouses, applying military training toward college credit, and career readiness programs. Websites: www.cool.army.mil www.cool.navy.mil/usn/index.htm www.cool.navy.mil/usmc.index.htm www.amcaexams.com/military/air-force-cool/ www.mhec.org/convening/multi-state-collaborative-military-credit Transcript: html (https://www.clearhq.org/page-1860599) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode16_Military_Credentialing_ 051419_transcript.pdf)

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 (https://www.clearhq.org/page-1860590) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode15_Working_with_SMEs_ 040919_transcript.pdf)

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 (https://www.clearhq.org/page-1860586) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode14_Practitioner_Substance_Abuse_ 031219_transcript.pdf)

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 (https://www.clearhq.org/page-1860583) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode13_Research_Practice_Hours_ 021219_transcript.pdf)

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 professionals sometimes don't follow standards, creating a risk calculator to advise on the right form of regulation or alternatives to regulation, and researching the idea of constructive distrust to determine what makes patients feel comfortable or inhibited about playing a part in their own care. Transcript: html (https://www.clearhq.org/page-1860577) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode12_PSA_Research_ 010819_transcript.pdf)

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 (https://www.clearhq.org/page-1860575) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode11_Marketing_Tips_ 121118_transcript.pdf)

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 a lead-up to a session at CLEAR's Regional Symposium, November 29-30, 2018 in Wellington, New Zealand. Transcript: html (https://www.clearhq.org/page-1860571) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode10_Scope_of_Regulation_ 111318_transcript.pdf)

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 (https://www.clearhq.org/page-1860561) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode9_Reform_Efforts_ 100918_transcript.pdf)

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 successful and award-winning investigation into unlicensed medical practice. Transcript: html (https://www.clearhq.org/page-1860556) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode8_Investigative_Award_Group_ 091118_transcript.pdf)

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 of regulating during a disaster. This podcast episode is a lead-up to a session at CLEAR's Annual Educational Conference, September 26-29, 2018 in Philadelphia, Pennsylvania. Transcript: html (https://www.clearhq.org/page-1860554) or PDF (http://clearweb.drivehq.com/podcast_transcripts /CLEAR_podcast_episode7_Regulating_during_Disaster_ 082818_transcript.pdf)

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, 2018 in Philadelphia, Pennsylvania. Transcript: html (https://www.clearhq.org/page-1860550) or PDF (http://clearweb.drivehq.com/podcast_transcripts/CLEAR_podcast_episode6_Health_Workforce_Data_081418 _transcript.pdf)

Eleven states are participating in the Occupational Licensing Policy Learning Consortium as part of the occupational licensing project undertaken by the National Conference of State Legislatures, the National Governors Association Center for Best Practices, and the Council of State Governments. Suzanne Hultin with NCSL gives an update on how the project is addressing license portability issues and focusing on population groups who face unique challenges and barriers related to entering the labor market in a licensed occupation. Suzanne reviews trends being seen in the 11 states and resources related to license portability and reducing barriers to labor market entry. Transcript: html (https://www.clearhq.org/page-1860548) or PDF (http://clearweb.drivehq.com/podcast_transcripts/CLEAR_podcast_episode5_Licensing_Consortium072418 _transcript.pdf)

There have been some significant changes to the framework, policies, and procedures for handling cases of sexual abuse committed by regulated professionals. Representatives from regulatory organizations in the United States, Australia and Canada share information about what prompted a review of these procedures, what changes have been implemented for investigations of allegations of sexual boundary violations, and what impact the changes have had. This podcast episode is a lead-up to a session at CLEAR's Annual Educational Conference, September 26-29, 2018 in Philadelphia, Pennsylvania. Transcript: html (https://www.clearhq.org/page-1860544) or PDF (http://clearweb.drivehq.com/podcast_transcripts/CLEAR_podcast_episode4_Sexual_Abuse071018_transcript.pdf)