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Regulation Matters: a CLEAR conversation

Council on Licensure, Enforcement and Regulation

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CLEAR’s podcast is a resource in the field of professional and occupational regulation to help stakeholders stay current on new developments and hear diverse opinions on a broad range of topics. 1) CLEAR is a place for novel, thoughtful, non-partisan debate, undertaken inclusively and respectfully. Those who contribute to the debate speak in their own capacity, and do not necessarily represent the view(s) of CLEAR. 2) CLEAR provides a space in which contentious issues can be safely and respe ...
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Gordon Giddings, Jeremy Beach, and Fisayo Aruleba share research they conducted to ask, "Do Medical Licensing Questions on Health Conditions Pose a Barrier to Physicians Seeking Treatment?" Their research focused on approaches to asking about physician health, sought evidence about whether those questions can act as a barrier to individuals seeking…
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CLEAR's story is a story of connections, learning, and engagement. Join us as host Line Dempsey engages in a compelling dialogue with CLEAR's President, Marc Spector, and President-elect, Staci Mason, exploring their personal journeys within the CLEAR community. Reflecting on their experiences, they highlight the invaluable connections, learning op…
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A few years ago, we had a great conversation with Deanna Williams where we discussed the big question of, What does it mean to be a good regulator? There’s not a better or more fundamental question to ask for our CLEAR audience. As the regulatory landscape evolves and we face different challenges in our roles, it’s great to go back to some of the f…
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From new trends like artificial intelligence and banishing diversity, equity and inclusion requirements, to some familiar ones like workforce mobility and licensure compacts, panelists will discuss current legislative initiatives and policy trends happening nationwide that are impacting occupational licensure in 2024. Join us for the legislative ru…
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Jo Perini-Abbott and Addie Smith with the Oregon State Bar Alternatives to the Exam Task Force talk about the OSB's deliberative process to research alternatives to the traditional bar exam, including diploma privilege, an experiential law school pathway, and a supervised practice pathway. Hear about the requirements for the ultimately approved Sup…
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One role of regulators is to make appropriate dispositions that adequately address a licensee’s or registrant’s conduct of concern. Often regulators determine that remedial interventions are necessary or advisable. Catherine Caldicott, Medical Director of PBI Education, helps define "intensive remedial interventions," gives some reasons that licens…
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This episode revisits a previous conversation about unconscious bias - what it means, how it can influence our decision-making, and what we can do to minimize its impact. We also announce new DEI resources for CLEAR members. CLEAR’s DEI Definitions workgroup has developed definitions of key terms frequently used in discussions about DEI. The workgr…
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The 2023 CLEAR Awards were presented in Salt Lake City during CLEAR's Annual Educational Conference. Our podcast host had the chance to catch up with the recipients and hear about the cases and accomplishments they were nominated for. In this part 2 episode, hear from Jayde Fuller with the AHPRA Aboriginal and Torres Strait Islander Health Strategy…
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The 2023 CLEAR Awards were presented in Salt Lake City during CLEAR's Annual Educational Conference. Our podcast host had the chance to sit down with the recipients and hear about the cases and accomplishments they were nominated for. In this part 1 episode, hear from John Crumley, recipient of the Investigative Excellence Award for an Individual; …
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Mukul Bakhshi with the Alliance for Ethical International Recruitment Practices for CGFNS International, Inc. shares information about the recently updated “Health Care Code for Ethical International Recruitment and Employment Practices.” He discusses the important balance of making sure people are treated fairly at the micro level while considerin…
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Get a sneak peek at the CLEAR conference plenary session, "Own Your Shift: Turn your season of change into your season of possibility." Tiffany Lanier, Change + Wellbeing Speaker and Founder of The Morning Shift Co., will share how to create meaningful impact in our lives, in our work, and in the world by pushing past the old paradigm of rise and g…
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Alicia Plemmons with the Knee Center for the Study of Occupational Regulation shares new research her team conducted to explore the relationship between nurse practitioner full practice authority, nurse practitioner workforce diversity, and disparate primary care access. They compared the ethnic and racial composition of different state populations…
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Jennifer Best with Nova Scotia College of Nursing talks about some recent policy and process changes the College made to streamline their licensing process for applicants from other provinces and from seven international jurisdictions to bring more nurses into the health system in Nova Scotia. She shares how the College analyzed data from ten years…
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Andrew LaFratte, Deputy Policy Director, shares an initiative that the Pennsylvania Department of State has developed to lessen the regulatory licensure burden for military veterans and spouses. Based on results from a veterans licensure survey they conducted, the Department recognized the need for better guidance on the transferability of military…
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Dan Hereth, Secretary of the Wisconsin Department of Safety and Professional Services, shares his agency's journey with a multi-year, multi-phase technology initiative. He focuses on how enhancements to the technology used for online license applications and renewals has resulted in better service to the citizens of Wisconsin. New cloud-based techn…
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Jan Robinson, Bradley Chisholm, and Micah Matthews explore the concept of sandboxes for professional and occupational regulators. What is a regulatory sandbox? It's important to think about it like a tool to relax legal and regulatory requirements to create a bit of safe space for experimenting. Experimentation is really necessary because we're wor…
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Paul Leavoy, Managing Director - Regulatory Content and editor of Ascend magazine for Thentia, talks with CLEAR about regulatory news and current themes in professional licensing. He highlights how labor shortage issues are intertwined with licensing reform and license portability. He talks about some interesting interviews he's done with Dr. Marie…
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Marcial Boo, chair of the new Institute of Regulation in the UK, joins us for this episode. Hear about the membership and goals of this new professional body for regulators in the UK. Marcial shares some of the challenges facing regulators in the UK, many of them similar to challenges faced by regulatory organizations around the world. Marcial hope…
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Carol Puchailo with the College of Registered Nurses of Manitoba discusses the College's Inquiry to Audit (I2A) Project, an initiative the practice team took to critically think through their systems processes with a focus on improving communication. She discusses how the goal of quality assurance - always striving to get better - can also be appli…
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Lisa McGiffert with the Patient Safety Action network and Carol Cronin with the Informed Patient Institute share research and recommendations from their report, Communicating about Physician Sexual Misconduct: How are state medical boards doing? They raise concerns about the ability to find information about physician sexual misconduct on state med…
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During CLEAR's return to our in-person annual conference in Louisville, we were able to sit down with Board members to discuss the 2022-24 strategic plan and some of the exciting initiatives underway to support CLEAR members. The conversation centered on CLEAR's role in facilitating peer learning and connections and forwarding innovative thinking t…
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Katie Templeton, Chair of the Federation of State Medical Boards Ethics and Professionalism Committee, shares details on FSMB's full policy on "Professional Expectations Regarding Medical Misinformation and Disinformation." She shares that addressing misinformation shared by practitioners is not something new - it falls under the professional duty …
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Get a sneak peek at another session from the upcoming Annual Educational Conference. Charla Burill with North Carolina Board of Dietitians and Nutrition and Pepin Tuma with Academy of Nutrition and Dietetics address the impact of constitutional free speech challenges to licensure of speaking professions. A lot of lawsuits recently in the US are dra…
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Get a sneak peek at some sessions from the upcoming Annual Educational Conference. Abby Migliore with Alabama Board of Nursing focuses on mental health and wellness in healthcare workers. She discusses the difference between mental health and mental wellness and shares statistics and survey responses about what healthcare workers are actually repor…
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A new research report released by the Institute for Justice analyzes 30 years worth of sunrise reviews and draw lessons for licensing policy. Co-authors Lisa Knepper and Kathy Sanchez define sunrise reviews as studies examining whether proposed occupational licenses and other regulations are really a good idea and genuinely in the public's interest…
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Lise Betteridge, Andrew Charnock, and Nancy Spector discuss social media policies and regulating licensees' use of social media. The theme that arose from the conversation is "the changing times," as the speakers consider why it's important to develop a social media policy or guidelines, protecting privacy and confidentiality, and guiding licensees…
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Adam Diersing, policy analyst for the Center of Innovation with the Council of State Governments, shares information about CSG's 2021 survey of universal license recognition laws. He describes what ULR laws mean and how they differ from other license portability models such as endorsement, reciprocity agreements, or interstate compacts. He details …
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Al Carter, executive director of the National Association of Boards of Pharmacy, discusses the report from NABP's work group to consider extending waivers that were issued during the pandemic. He shares how the work group evaluated policy changes into three categories: what should be looked at for permanent consideration in all circumstances, what …
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CLEAR is celebrating Episode 50 of our podcast! Listen as CLEAR presidents past and present take a look back at trends in professional regulation during 2021. Hear international perspectives on the following themes: Disciplining practitioners for COVID mis/disinformation, Mobility, DEI and discrimination in regulation, Reducing barriers to licensur…
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The health regulatory colleges in British Columbia signed a declaration to cultural safety and humility with First Nations Health Authority partners, committing to strengthening relationships with Indigenous peoples and ensuring that culturally safe practices are embedded in the operations and proceedings of the colleges. Hear from the College of P…
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Caroline Miller, Cathi Mietkiewicz, and Marc Spector speak from their perspectives from both the vendor side and the regulator side about the relationship between regulatory organizations and the vendor community. They talk about how technology is really embedded in all of the work that regulators do, so leveraging the expertise of the regulators a…
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Sandy Greenberg and Marlon Brown talk about where regulatory organizations are with the diversity, equity, and inclusion initiatives. After providing some working definitions of DEI terminology, Sandy shares results from a recent survey of CLEAR stakeholders - asking where they rate DEI as a priority, what prompted their interest in DEI, how they a…
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The Questions a Legislator Should Ask series is designed to provide important questions to be asked, as well as background information, to assist policymakers in their deliberation of proposed new professional regulation as well as revisions to current statutes. This series of online conversations, as well as the book on which it is based (order he…
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Line Dempsey, chair of CLEAR's National Certified Investigator Training committee, talks with longtime NCIT instructors Mike Ferjak and Amigo Wade to share insights from their vast experience as investigators. The take-away: preparation is the key to success in investigations. Mike, Line, and Amigo share their stories from experience about the impo…
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Kathy Parry, corporate energy expert and keynote speaker for CLEAR's 2021 Annual Educational Conference, talks about three phases on the resilience curve and the meaning of rubber band resilience. She offers some tips to help teams and organizations understand and manage their reactions to disruptive situations and some tips to help you make a plan…
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The UK Department of Health and Social Care has published proposed changes to healthcare regulation. How might this influence professional regulation in other jurisdictions? Mark Stobbs with the UK's Professional Standards Authority gives an overview of what the PSA does, including an annual report to Parliament on how each regulator is meeting the…
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Carla Caro with ACT and Rebecca Durcan with Steinecke Maciura LeBlanc explore how regulatory bodies consider and deal with criminal history or record among applicants for licensure. Carla shares results of an international survey about where regulatory bodies currently are regarding their consideration of criminal background in licensure decisions,…
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Sarah Blackmore with Social Work England shares the journey and progress of establishing a new specialist social work regulator in England, including consultation and development of professional standards, a focus on dialog and collaboration with all stakeholders in the sector--social workers, student social workers, academics and those with lived …
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This episode of the CLEAR podcast celebrates the important contribution of long-time CLEAR Exam Review editorial board members Steve Nettles and Jim Zukowski. Steve and Jim just stepped down from a tenure of 26+ years with CER, so who better to give some perspective on the testing industry through the years. Steve and Jim talk about changes, innova…
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Nicholas Woloszczuk, recipient of the 2020 CLEAR Investigative Excellence Award, talks about the case for which he was nominated, challenges he encountered during the investigation, and the investigative tools and techniques he used to bring the case to successful conclusion. The case involved a 14-year-old girl who was subjected to grooming by her…
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Dr. Elizabeth Carter with the Virginia Board of Health Professions provides an overview of the Sanction Reference Points program, a tool used by licensing boards in Virginia to ensure fair and consistent treatment during the discipline and sanctioning process. She talks about the process to statistically analyze past case data and consult with the …
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Caroline Miller with Tyler Technology and James Collins with Microsoft talk about regulatory modernization, highlighting the difference between a refresh or update and a transformation. They advise to avoid recreating the old system in the new system but instead adopt the new system from the consumer/public's perspective. They talk about the need f…
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Chris McIntyre, keynote speaker for CLEAR's 2021 Winter Symposium, talks about what we really mean when we say "unconscious bias," different areas we need to consider related to diversity, ways that unconscious bias can influence our decision-making on a personal and professional level, and what we can do to minimize the impact of unconscious bias.…
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CLEAR Board members Marc Spector and Staci Mason discuss how the Board is beginning to address the topic of unconscious bias. They share why the Board decided to take this important step of learning and listening to better understand unconscious bias, prejudices and discrimination, beginning with some training sessions and self-reflection. They sha…
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Graeme Keirstead and Barbara Holtry discuss the unique role that public members serve on regulatory boards and councils. They talk about why it's important to include public members and how their role differs from professional members. They offer ideas for ensuring diversity on boards and recruiting qualified members. They also discuss ways in whic…
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Peter Mackey with Peterbridge Communications LLC discusses conflicts of interest that subject matter experts might encounter when serving in exam-related roles for credentialing organizations. He talks about the risks to integrity of the exam and the reputation of the program if bias or conflicts of interest are allowed to affect exam-related activ…
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The National Conference of State Legislatures (NCSL), the Council for State Governments (CSG), and the National Governor’s Association Center for Best Practices (NGA Center) partnered with CLEAR on a comprehensive resource covering regulatory structures in use in the United States. The State Regulatory Structures report is informed by a survey cond…
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Micah Matthews and Helene Goldberg, chair and vice-chair of CLEAR's Conference Program planning committee, share news about the shift to the 2020 Annual Conference Virtual Experience. Listen in to hear about the pre-recorded and live content being offered, with relevant and informative sessions as attendees have come to expect from CLEAR's Annual E…
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Marschall Smith, executive director of the Interstate Medical Licensure Compact Commission, discusses how the idea for creating a physician compact came about, what the compact does, and how it works. He shares some ways the compact has had a beneficial impact on improving access to care in rural and underserved areas and via telemedicine, especial…
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As state and jurisdictions start to reopen personal and medical services that were shut down in response to the COVID-19 pandemic, Sara Chambers with Alaska Division of Corporations, Businesses, and Professional Licensing; Gina Fast with Minnesota Board of Cosmetology; and Adam Higginbotham with Nevada State Board of Cosmetology share information a…
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