The Big Challenges

  1. Bread and Butter "Conveyor Belt Issues" (Licensing, Discipline)

  2. Broad Issues relating to access, quality, shortages, retention, expansion of scopes, and all issues raised in the survey

  3. Big increase in licensees

  4. Fewer staff than 200,000 licensees ago

  5. More complex regulation, i.e., discipline, continuing ed, all issues that you raised

  6. HOW??