Part IV: Registration

Classes of Registrants  
38.   The following classes of registration are established:  
      (a) full registration,  
      (c) full registration (365 day rule exempt), for the purposes of section 6 (2) of the regulation;  
      (d) conditional registration,  
      (e) non-practicing registration,  
      (f) temporary registration, and  
      (g) student registration.  
Full Registration  
39. (1) An applicant may be granted registration in the full registration class if the applicant submits the applicable fees set out in Schedule D and provides evidence to the registration committee, in the form established by the committee, of  
      (a) graduation from an approved dental hygiene education program,  
      (b) certification by the National Dental Hygiene Certification Board,  
      (c) graduation from a local anaesthesia course approved by the registration committee, and  
          (i) eligibility to perform local anaesthesia in the jurisdiction of practice within the past three years, or  
          (ii) success within the past three years in a local anaesthesia refresher course approved by the registration committee,  
      (d) compliance with any requirements set out in section 52 or section 52.1, as applicable,  
      (e) completion of a jurisprudence module required by the registration committee,  
      (f) possession of professional negligence insurance in the amount of $1 million per occurrence,  
      (g) good standing in every jurisdiction in which currently or previously registered to practice dental hygiene,  
      (h) good character, consistent with the responsibilities and standards expected of a registrant, and  
      (i) authorization for a criminal record check in the form required by the Criminal Records Review Act.  
  (2) Applicants who have graduated from a dental hygiene program that is not an approved dental hygiene education program may satisfy the requirement in section 39(1)(a) where they  
      (a) have successfully completed the National Dental Hygiene Certification Board exam; and  
      (b) have successfully completed the examination approved by the registration committee and any upgrading programs required by the registration committee.  
  (3) Applicants who have graduated from a dental hygiene education program are exempt from the requirement in section 39(1)(d) until March 1 of the year following graduation.  
  (4) Despite section 39(1) to (3), the registration committee has discretion, in satisfying itself under section 20 of the Act that the applicant meets the conditions or requirements for registration as a member of the College, to consider whether the applicant’s knowledge, skills and abilities are substantially equivalent to the standards of academic or technical achievement and the competencies or other qualifications established in section 39(1)(a), (c) and (d), (2) and (3), as applicable, and to grant registration on that basis, if the applicant also meets the requirements established in section 39(1)(e) to (i).  
  (5) In this section, "approved dental hygiene education program" means  
      (a) a dental hygiene education program in British Columbia that is recognized by the board for the purpose of registration and specified in Schedule I, or  
      (b) another dental hygiene education program that is  
          (i) accredited by the Commission on Dental Accreditation of Canada or by the Commission on Dental Accreditation of the American Dental Association, and  
          (ii) considered by the registration committee to be equivalent to a program referred to in paragraph (a).  
Full Registration (365-Day Rule Exempt)  
40. (1) An applicant may be granted registration in the full registration (365-Day Rule Exempt) class if the applicant:  
      (a) is a full registrant or meets the requirements for full registration in section 39,  
      (b) submits the applicable fees set out in Schedule D, and  
      (c) provides evidence satisfactory to the registration committee that the applicant:  
          i. has current cardiopulmonary resuscitation qualifications consistent with those required of continuing care staff,  
          ii. has at least 3500 hours of clinical dental hygiene practice experience in the 5 year period prior to the date of application under this section, and  
          iii. holds a bachelor of dental hygiene degree, or has demonstrated the following abilities at a level equivalent to that ordinarily expected of a holder of a bachelor of dental hygiene degree, as assessed by an agency approved by the board:  
              A. ability to safely and effectively perform a needs assessment, develop a dental hygiene diagnosis and plan, implement and evaluate dental hygiene care, for clients with complex needs or disabling conditions;  
              B. ability to work effectively as a member of an interprofessional health care team;  
              C. ability to apply the standards of infection control and safe practice in alternative practice settings;  
              D. ability to make appropriate and timely referrals through the identification of abnormalities, conditions and circumstances which are outside the scope of dental hygiene practice or limit the registrant’s ability to provide safe dental hygiene care.  
  (2) An applicant for the full registration (365 day rule exempt) class who meets the requirements in subsection (1), with the exception of the requirement in section 39(1)(c) may be granted full registration (365 day rule exempt) for a maximum period of two years.  
  (3) Full registration (365 day rule exempt) registrants who do not meet the requirement in section 39(1)(c) must not administer local anaesthesia.  
  (4) Despite section 40(1) to (3), the registration committee has discretion, in satisfying itself under section 20 of the Act that the applicant meets the conditions or requirements for registration as a member of the college, to consider whether the applicant’s knowledge, skills and abilities are substantially equivalent to the standards of academic or technical achievement and the competencies or other qualifications established in section 40(1)(a) and (c), and to grant registration on that basis, if the applicant also meets the requirements established in section 39(e) to (i) and section 40(1)(b).  
Full Registration (Dental Hygiene Practitioner)  
41.   * THIS SECTION IS NOT IN FORCE  
Conditional Registration  
42. (1) An applicant may be granted registration in the conditional registration class if the applicant submits the applicable fees set out in Schedule D and provides evidence to the registration committee in the form established by the committee that  
      (a) the applicant meets the requirements for full registration in section 39 with the exception of the requirements described in section 39(1)(c).  
  (2) An applicant registered in the conditional registration class pursuant to subsection (1) must not administer local anaesthesia.  
  (3) An applicant may be granted registration in the conditional registration class if the applicant submits the applicable fees set out in Schedule D and provides evidence to the registration committee in the form established by the committee that the applicant  
      (a) meets the requirements for full registration, with the exception of the requirement in section 39(1)(d),  
      (b) may, in the opinion of the registration committee, be expected to satisfy in a reasonable length of time the requirements in section 39(1)(d),  
      (c) may in the opinion of the registration committee practice as a conditional registrant under the supervision of a full registrant without any risk to public health and safety, and  
      (d) has delivered to the registrar  
          (i) a signed application for conditional registration in the form established by the registration committee, and  
          (ii) the applicable fees set out in Schedule D.  
  (4) A person who has been granted conditional registration pursuant to subsection (3) may only perform dental hygiene services under the supervision of a full registrant and upon any limits or conditions set by the registration committee.  
  (5) Full registration may be granted by the registration committee to a person who has been granted conditional registration pursuant to section 42(1) upon completion of the requirements in section 39(1)(c).  
  (6) Full registration may be granted by the registration committee to a person who has been granted conditional registration pursuant to section 42(3) upon completion of the requirements in section 39(1)(d).  
  (7) A person may be granted conditional registration for a maximum period of two years.  
Non-practising Registration  
43. (1) An applicant may be granted registration in the non-practising class if  
      (a) the applicant meets the requirements for full registration in section 39(1)(a), (b), (e) and (g) to (i) inclusive, and  
      (b) submits the applicable fees set out in Schedule D to the registrar.  
  (2) A person registered in the non-practising class may not practise dental hygiene.  
  (3) A person registered in the non-practising class may renew registration annually by submitting to the registrar  
      (a) an application in the form approved by the registration committee,  
      (b) the applicable fees set out in Schedule D, and  
      (c) a completed Declaration Statement in Form 2  
  (4) A person registered in the non-practising class may transfer to the full registration class by submitting to the registrar  
      (a) the applicable fees set out in Schedule D, and  
      (b) proof satisfactory to registration committee that the requirements in section 39(1)(c), (d), and (g) have been met.  
Temporary Registration  
44. (1) An applicant may be granted registration in the temporary class if the applicant  
      (a) is currently registered as a dental hygienist in good standing in another jurisdiction,  
      (b) submits the applicable fees set out in Schedule D,  
      (c) provides proof of professional liability insurance in the amount of $1 million per occurrence,  
      (d) undertakes to practice dental hygiene in British Columbia only for a period not greater than 90 days and only for the purpose of participating in or conducting an educational program sponsored by an agency approved by the registration committee.  
Student Registration  
45. (1) An applicant may be granted registration in the student class if the applicant submits the applicable fees set out in Schedule D and provides evidence to the registration committee in the form established by the committee of  
      (a) current enrolment in a dental hygiene education program approved by the board, and  
      (b) recommendation by the head of the program referred to in subsection (a) specifying those procedures which the student is competent to perform and the dates during which the student may perform those procedures.  
  (2) A student registrant may perform dental hygiene services only under the direct supervision of a full registrant.  
Certificate of Registration  
46. (1) The registrar must issue a certificate in Form 4 to any person who is granted registration.  
  (2) The certificate must identify the class of registration and specify any limits or conditions applicable to that registrant.  
  (3) A certificate is valid until the date shown on the certificate.  
Registration Renewal  
47. (1) Registration in any class must be renewed annually, not later than the last day of February.  
  (2) To be eligible for a renewal of registration, a full, full (365 Day Rule Exempt), full (dental hygiene practitioner) or conditional registrant must submit to the registrar no later than the last day of February  
      (a) a renewal application in the form approved by the registration committee,  
      (b) the applicable fees set out in Schedule D,  
      (c) any other outstanding fee owed to the college,  
      (d) proof satisfactory to the registration committee of continued compliance with the continuing education required by these bylaws,  
      (e) a declaration in Form 2, and  
      (f) proof of possession of professional negligence insurance in the amount of $1 million per occurance.  
  (3) Notice of the renewal requirements and fees must be delivered to each registrant not later than January 31 and must describe the consequences of late payment and non-payment of fees.  
  (4) Each registrant must pay to the college the registration renewal fee on or before the last day of February.  
  (5) Where a registrant fails to pay a registration renewal fee on or before the last day of February, he or she ceases to be registered.  
  (6) The registrar must issue to a registrant who has met the requirements of this section a receipt for the fees paid bearing the seal of the college and a renewal certificate stating that the registrant is, subject to his or her compliance with the Act, the regulations and the bylaws, entitled to practice the profession of dental hygiene in the Province of British Columbia as a registrant of the college, and must specify the period during which the renewal certificate is valid.  
  (7) In this section, "continuing education" means either the continuing competency program set out in section 52 or the quality assurance program set out in section 52.1, as the quality assurance committee determines in respect of each registrant.  
Reinstatement Following Non-payment of Fees  
48. (1) A former registrant who has ceased to be registered by reason only of a failure to renew his or her annual registration, is eligible for reinstatement by the registration committee where the former registrant  
      (a) applies for reinstatement in the form approved by the registration committee not later than sixty (60) days following the expiry of his or her registration,  
      (b) has not had his or her registration suspended or cancelled pursuant to section 39 of the Act,  
      (c) submits the applicable registration renewal fees set out in Schedule D, and  
      (d) submits a reinstatement fee in an amount equal to 35 percent of the applicable annual registration renewal fee set out in Schedule D.  
Notification of Change of Registration Information  
49.   A registrant must immediately notify the registrar of any changes of his or her address, name or any other registration information previously provided to the registrar.  
Fees  
50.   The board may  
      (a) fix different fee amounts for the different classes of registration,  
      (b) establish a lesser registration renewal fee for registrants who practise for less than a full year,  
      (c) extend the time for a registrant to pay the annual registration fee on such terms and conditions as the board deems appropriate, and  
      (d) establish such fees in Schedule D as are necessary for the proper administration of the college and its affairs.  
Examinations  
51. (1) All examinations conducted by the college must be prepared by or under the direction of the registration committee and approved by the registration committee.  
  (2) The registration committee must  
      (a) determine the time and place for the holding of an examination, designate examiners and determine the procedures for the conduct of the examinations,  
      (b) review the results of the examination or re-examination for each applicant and make a determination as to that applicant’s qualification for registration, and  
      (c) notify the applicant of the results of the examination or re-examination as soon as is practicable.  
  (3) An applicant who fails the initial examination is entitled to 2 opportunities to repeat the examination.  
  (4) Where the examiner has reason to believe that an applicant has engaged in improper conduct during the course of an examination, the examiner must make a report to the registration committee and may recommend that the registration committee take one or more of the following courses of action  
      (a) fail the applicant,  
      (b) pass the applicant,  
      (c) require the applicant to rewrite the examination, or  
      (d) disqualify the applicant from participating in any examination for a period of time.  
  (5) After considering a report made under subsection (4), the registration committee may take one or more of the courses of action specified in subsection (4).  
  (6) An applicant disqualified under subsection 4(d) must be provided with written reasons for the disqualification.  
  (7) Applicants for registration must pay to the college the examination fees approved by the board.  
Continuing Competency  
52. (1) Full, full registration (365 Day Rule Exempt), full registration (dental hygiene practitioner) and conditional registrants, and new graduates not previously registered as dental hygienists in any other jurisdiction, must complete 75 credits of continuing dental hygiene education, approved by the quality assurance committee, within a three year period.  
  (2) The period referred to in subsection (1) begins January 1 of the year following registration, and continues in three year cycles thereafter.  
  (3) The board may vary the requirements in subsection (1) by extending the three year period and increasing the number of credits of continuing dental hygiene education to be completed by a registrant if the registrant  
      (a) has an on-going serious illness, or  
      (b) has experienced a catastrophe resulting in loss of human life, home or belongings.  
  (4) A full, full registration (365 Day Rule Exempt), full registration (dental hygiene practitioner) or conditional registrant who has not met the requirements set out in subsection (1) is not entitled to renew registration unless the registrant has successfully completed a dental hygiene refresher course approved by the registration committee or an examination approved by the registration committee.  
Quality Assurance Program  
52.1 (1) In this section:  
    "assessment" means the assessment described in paragraph (a) of the definition of QAP;  
    "continuing competency credit" means a continuing dental hygiene educational activity that has been approved for the purposes of QAP by the quality assurance committee for which a registrant receives credit;  
    "QAP" means the quality assurance program established by the quality assurance committee in accordance with this section, and consists of  
      (a) an individualized assessment process approved by the quality assurance committee,  
      (b) an individualized learning plan that includes stated learning goals,  
      (c) 75 continuing competency credits consistent with the individualized learning plan and learning goals described in subparagraph (b), and  
      (d) any other learning activities as directed by the quality assurance committee in accordance with paragraph (d) of the definition of "QAP cycle."  
    "QAP cycle" means each five year period starting on January 1, and continuing in five year cycles thereafter, during which a registrant  
      (a) completes the assessment within the first two months of the QAP cycle,  
      (b) states the learning goal portion of the registrant’s individualized learning plan within the first year of the QAP cycle,  
      (c) acquires 75 continuing competency credits, and  
      (d) completes any other learning activities that the registrant is directed by the quality assurance committee to complete within the QAP cycle.  
  (2) Each registrant described in section 47 (2) must complete the QAP within the QAP cycle.  
  (3) Despite paragraph (a) of the definition of "QAP cycle" in subsection (1), each first-time registrant who has not been registered with the College in any previous year  
      (a) must complete the assessment within 60 days of their date of registration,  
      (b) has a QAP cycle that begins on January 1 of the year following the date on which the registrant first registered with the College, and  
      (c) is exempt from the assessment requirement during the registrant’s first QAP cycle.  
  (4) Despite the definitions of "QAP" and "QAP cycle" in subsection (1), the quality assurance committee may modify, in respect of a registrant, one or more of the requirements of the QAP or QAP cycle as necessary to reasonably accommodate the registrant as required by the BC Human Rights Code or as otherwise required by law.  
  (5) The quality assurance committee must establish criteria for successful completion of the assessment.  
  (6) Registrants who satisfy the criteria established under subsection (5) must state learning goals and a learning plan in accordance with the policy for individualized learning goals and individualized learning plans established by the quality assurance committee.  
  (7) Registrants who do not satisfy the criteria established under subsection (5) may be assigned an assessor appointed under section 26.1 (4) of the Act, who must  
      (a) assess the registrant’s professional practice, and  
      (b) report to the quality assurance committee in respect of the assessment under paragraph (a).  
  (8) Upon receipt of a report described in subsection (7) (b), the quality assurance committee may act under section 26.1 (3) of the Act in respect of that registrant.  
  (9) The quality assurance committee must establish policies and procedures, consistent with the bylaws, for ensuring compliance of registrants with their individualized learning plans and individualized learning goals.  
  (10) The quality assurance committee must establish a policy, consistent with the bylaws, governing transfer during the transfer period of registrants from the continuing competency program to the QAP, and must notify each affected registrant of that registrant’s transfer date.