Practice Reviews

The Practice Review module of the Quality Assurance (QA) program is a measure of professional performance within the clinical setting.

Practice Reviews are based on standards of practice and related decision support tools. Only aspects of standards of practice that are prescriptive (i.e., ‘must dos’) rather than permissive (‘may dos’) are included in the process. See Registrant Resources for more information on all applicable standards of practice and related documents.

Practice Reviews are strictly confidential and between the College and the registrant. Employers may not participate, observe, or receive outcome results from practice reviews. Registrants are required to meet any planned remediation activities within the timeline established with the Practice Review Assessor and/or a profession-specific Practice Review Panel.

All regulated health professionals in BC have a duty to comply with their respective quality assurance program under a college’s bylaws and provisions of the Health Professions Act. If a registrant refuses to comply with a Practice Review as provided for in the Bylaws, the QA Committee must refer the matter to the College’s Inquiry Committee for investigation.

Practice Review process

The audiology, hearing instrument dispensing, and speech-language pathology professions regulated by the College are at different places in the evolution of the Practice Review module.

Hearing Instrument Dispensing

Registered Hearing Instrument Practitioners (RHIPs) registered in or before 2017, and in clinical practice, were reviewed using a two-part process. This involved the use of a validated screening tool. Registrants who did not pass the screening were seen for an onsite practice review. All remediation plans for this group have been completed.

RHIPs who registered in 2018 through 2020 and are in clinical practice have participated in onsite reviews, and remediations have been completed.

Speech-Language Pathology

The Practice Review pilot project for Registered Speech-Language Pathologists (RSLPs) is now complete and results of this pilot will help inform the Practice Review process for RHIPs, RSLPs, and Registered Audiologists (RAUDs) moving forward.


As with RHIPs and RSLPs, RAUDs are subject to Practice Reviews. The Practice Review process for RAUDs is under development and will align with the anticipated future Practice Review process for RHIPs and RSLPs.

Practice Review video

The following video was created in 2019, shortly after practice reviews of all RHIPs registered in or before 2018 were completed. Some aspects of the Practice Review module discussed in the video, including details of each phase of reviews, may not reflect future practice review processes for registrants. The video, however, still provides an informative overview of practice reviews. Watch the video:

Recommendations for remediation

If a Practice Review results in recommendations for remediation, the process depends on the significance of those recommendations. If the registrant can remediate the recommendations on their own, the plan and timeline is developed between the a and the registrant. If the recommendations are numerous or substantive, the assessor’s report will be referred to a profession-specific panel for their recommended plan and timeline. Registrants must sign an agreement to the plan and report back if there are any issues in meeting the established timeline.

The future of Practice Reviews

RHIPs, RAUDs, and RSLPs are subject to Practice Reviews and the review of a registrant’s professional performance may be conducted at any time. Registrants selected for a practice review will now, as a first step in the practice review process, participate in a preliminary assessment. If concerns are identified during this preliminary assessment, an onsite Practice Review may be conducted.

A registrant may undergo a Practice Review for a variety of reasons, including, but not limited to:

  • Random selection;
  • Risk-based selection criteria;
  • Return to work after long absence from practice;
  • QA Committee referrals for registrants who cannot meet other QA Program requirements that are conditions of registration renewal, for example continuing competency credits (CCCs) or practice hours; or
  • Inquiry Committee referrals as a result of a complaint investigation.

College of Speech and Hearing Health Professionals of British Columbia

900 – 200 Granville St
Vancouver, BC, V6C 1S4

Phone: 604.742.6380
Toll-free: 1.888.742.6380
Email: [email protected]