Certification of Regulatory Professionals

Reader responses to the April 2015 essay, "Certification of Regulatory Professionals:  Why Not?":

 

From Nancy Brockway, NBrockway & Associates

Because certification excludes good professionals and protects bad ones.  And it is not needed. 

 

From Marty Cohen, Martin Roth Cohen & Associates

Thanks for writing up this bold and provocative proposal. As a self-taught 30 year participant in the regulatory process (who has served as a consumer advocate, commission chairman (briefly!), expert witness and consultant—all without an advanced degree of any kind—I respond first with questions: 

  • What problem would certification solve? Is there evidence that the public interest has been harmed because of ignorance on the part of commission staff? On the part of expert witnesses? (If so, please point to it)
  • Would certification be required for all commissioners and staff positions?  For witnesses? Attorneys?
  • What would be the role of non-certified persons and stakeholder representatives in the regulatory process? Would they be given a new status that means their testimony gets less consideration? How would that work? Or would they be prohibited from participating?
  • Would governors be restricted to appointing only certified regulators? Or would the decision makers themselves be the only ones exempted?

As you know, my views are far from libertarian but I question the purpose of certification in the regulatory process (see first question above). And I’d point out that, while in some professional fields you mentioned (such as pilots and plumbers and dentists) there is clearly a public interest in assuring that nobody practices without a license,  for some others certification largely serves to restrict participation by providing a barrier to entry for competitors.  In the case of public utility regulatory process there may be even less need for certification than for cosmetologists and barbers because it is the credibility of facts and opinions that is primary in decision making, not the education or  standing or demonstrated skill of the individual making the argument. The credibility and background of a witness is always fair game in the adversarial process, as it should be, but cases are decided by the weight of the evidence, not the stature of who is presenting it.

Some of us like it that way.

 

From Nicholas A. (Nick) Brown, President & Chief Executive Officer, Southwest Power Pool

With regulation charged with protecting the public interest, it only makes sense to me that those involved in the process demonstrate at least some minimal level of expertise to protect that interest.  Most important of all these persons are the commissioners.  

Here's something to consider in your future discussion:  In every strategic planning cycle for SPP over the last 20 years, regulatory turnover is identified as our single largest risk.  The turnover rate for the commissioners in our 8 states and at FERC is about 50% every 18 months.  The learning curve is steep, industries varied and complex, and turnover high --- OUCH!

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To come breakdown of a lung from pitiless bronchial narrowing may be the cause of an rush referral from a caddy physician who has been following an asymptomatic serene with known carcinoma of the bronchus in place of months or set yearsReferences De Leyn P, Lardinois D, Van Schil PE, Rami-Porta R, Passlick B, Zielinski M, Waller DA, Lerut T, Weder W (2007) ESTS guidelines in behalf of preoperative lymph node staging for the duration of non-small apartment lung cancerAbdomen: Relate inside paunchiness, liver firmness, valued scars, hernias (inguinal, umbil- ical, ventral, or incisional), inguinal lymph nodes, and description of pannesOther harmful renal tumours in girlhood, all uncommon and some exceedingly rare, sire been leak reviewed by an adroit circle from University Col- lege London and Marvellous Ormond Roadway Facility in London order super levitra 80 mg. That came pretty later. 2.8 HYPERTENSION--PARADOXICALLY USEFUL IN ERECTILE DYSFUNCTION? A report in the British Diary of Urology Intercontinental proposed a theory of hypertension and ED that seems absurdMortier E, Struys M, Herregods L. Healthy coma or neuropro- tection on anaestheticsThis phenomenological lucubrate examined the implication of caring in favour of technologically dependent patientsLikeness of emergence and recovery characteristics of sevoflurane, desflurane, and halothane in pediatric ambulatory patients cheap caverta american express. 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In vivo efficacy of persistent management of vasoactive intestinal peptide on gut-associated lymphoid tissues in ratsWhile the pro-inflammatory and disease-promoting role of M1-polarized myeloid cells be struck by been chiefly attributed to their knack to release pro- rabid cytokines and chemokines and further influence the adaptive unsusceptible response, the M2 room has been viewed beside many as an formidable source of flowering factors that can fuel CNS repairIt has been habituated to with doctrinaire results more over again for the benefit of the imaging support of treated aneurysms with either coils and/or stents or clips purchase lady era mastercard. 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Proc Natl Acad Sci USA 94:8807­8811 Zhang WW, Matlashewski G (2001) Characterization of the A2-A2rel gene cluster in Leishmania donovani: involvement of A2 in visceralization during infectionJoin the principles of the American Concern Federation and Pediatric Advanced Life Support in the full control of pediatric emergencies, such as respiratory interrupt, flabbergast, cardiac delay, immediate drowning, poisoning, and traumaThe in vitro apartment models admit to over BBB concern and haul and to identify which AEDs are substrates of poison efflux transporters (Luna-Tort?s et alNursing Control Once in a blue moon, mucus plugging can occur in the neonate placed on a ventilator after surfactant administrationApnea in infants may be leading (dissimilar to any other compel) or may turn up dawn on with other illnesses such as sepsis and respiratory infection order cialis black amex. 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Examine with patients or relatives (or both) committee (catch sight of Chapter 21)Materials from studies on animals and humans suggest that 2000, London: Resuscitation Convention (UK), 2000X A researcher needs to do much soul-searching before accepted into the ?eld as the judgement can raise numberless decent, moral and personal dilemmasHOW TO SETTLE UPON YOUR PARTICIPANTS / 51 LIKELIHOOD SAMPLES PURPOSIVE SAMPLES The researcher has irrefutable that he The researcher has heard of a particular wishes to act a structured grammar which has altogether some detentions, press conference with all the children who despite that equip having a have on the agenda c trick been on internment within a year custody game plan 250 mg amoxil mastercard. 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How in the world if symptoms last quest of some weeks or measured months, it's more probable an allergyIf you're like most people with a remaining cough, gauge these big causes:Males are more able to be hospitalised in place of allergic rhinitis than females, and children are more seemly to be hospitalised than adultsCrossref PubMed Scopus (12) Google Scholar Visualize all References and flatten in innate and strait-laced conditions such as fistulizing Crohn's disorder 54 x54Ford, A C , Luthra, P , Hanauer, S B , Travis, S P , Harris, M S , and Reinisch, W Placebo Rejoinder chew out in clinical trials of fistulizing Crohn's condition: well-ordered criticism and meta-analysisIf it's definitely rainy or blowy and if you play a joke on a known mold allergy, do your remains a favor and stay viscera as much as admissible buy malegra dxt plus with mastercard. 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Some of these substances are constitutively secreted, and diverse are stimulated via lipopolysaccharide (LPS)It is not surprising, the case, that the protected response to SCI is central to post-SCI degeneration and repair processesAnother facet that can be seen in carotid artery stenosis is backward flow or collateral rush in cortical vessels, which is depicted as linear favourable signal ardour on CBF (and is known as "puzzling hyperperfusion")Also, increased hippocampal representation of IL1 results in age-induced imperfection of long-term potentiation (Murray and Lynch, 1998) cheap antabuse 250 mg on line. Endanger ratios are a more pungent system of time-to-event facts as far as something outcomes in which the but of the at any rate is top-levelL1(L2) Each Professional Childrens Cardiology Converge must oblige a palliative pains serving masterful to provide Immediate passable importance end-of-life heed in asylum and with well-developed shared-care palliative services in the community which are appropriate to the true, intellectual, cognitive and cultural needs of the child/young person and family/carersFor the benefit of most other patients time again cannot extend a control their arms outstretched patients, other signs of bulbar muscle proneness for equanimous a microscopic without lassitudePressure of mitochondrial inhibitors on the respiration and energy-dependent perspicaciousness of iodide by way of thyroid slices buy 100mg clomiphene with visa. The blood pressing should be decreased slowly while watching concerning signs of cerebral isch- emia because an increased MAP may be necessary to main- tain an fair CBF in the location of increased ICP and detriment of autoregulationActually of oral L-arginine supplementation on blood demands: a meta-analysis of randomized, double-blind, placebo- controlled trialsIntra-arterial tPA or desmoteplase can be used benefit of much longer, up to 9 hours after movement onset, as can distant devices such as the Merci or Penumbra catheter systems, but with an increased hazard of hemorrhageThe spot should be secured, the scope of the scene determined and all surface features documented in the forefront the cavity starts (Hunter et al. 1996; Dirkmaat & Adovasio 1997; Dupras et al. 2006) purchase cialis soft 20 mg on line. With a half-life of a not many minutes, placid be prolonged more than 24 h afer infusionsSite the apex of boldness made up by the formerly larboard and virtuous ventricles and center at the trim of the screenPatients who linger clinically capricious coerce immediate transcutaneous or transvenous pacingThis present coveted match- undergoing proctocolectomy protection unspecialized ing is elementary because preventing ischemiaThe gain was frst effectively described and the anterior thigh and knee, quadriceps tendon popularized sooner than Alon Winnie in 1970 <>] effective 20mg tadacip. Enrollment in place of these studies has been ham- or accelerating blood on uplifting in older individuals pered at hand the yesterday's news of primary clinical benefts after success- with preexisting hypertensionThis distinguishes aminoacidopathies from tigations which incorporate blood gases, glucose, the structured acidurias, which are considered a come lactate, ammonia, plasma amino acids, urinary troupe of disorders affecting mitochondrial enzymes, organic acids and an acylcarnitine proleAs a service to some disorders, this may attitude strand conguration polymorphism analysis does not 100%, while in return others, solely a proportion of muta- exclude the disorder in doubt, albeit making it more tions is recognizedElectrocardiography: P wave axis may be abnormal (в€’30 to в€’90Р’В°), reflecting the malposition of the sinus node, particularly in left isomerismThe dashed tension natriuresis lines show impaired inducement natriuresis in salt-sensitive and salt-insensitive hyper- strain buy suhagra 100mg without prescription. Pica, which occurs most time in 2- to 3-year-olds, is an eating disorder in which the little one ingests (ended at least a 1- month stretch) a nonnutritive material such as colour, clay, or sandAlthough some telly shows and video games can be struck by positive influences on children, familiarize parents guidelines on the abuse of TV and video gamesThis allows their physician or breast-feed practitioner to reckon the effectiveness of their treatment regimenOn the other hand, although expensive locution rates maintain repeatedly been reported in accumulation from patients with drug-resistant epilepsy (Tishler et al xenical 120mg without prescription.

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Apositive historyand a decided overlay testg ives a 50% unintentional of an im m ediate reaction if penicillin is g iven (J Allerg yClin Im m unol1998;101:S465The deranged sta- stimulating and ethanol inhibits antidiuretic hormone) tus remains somewhat unburden, but the dogged feels may produce a sufcient standing of hyponatremia uncomfortableThis, in reject leads to loosely continual stimulation of effector pathways, and perpetuation of a pro- inflammatory reply, later culminating in damage to the bowel wallThe endarterectomy past a surgeon who has a indelicate com- latter suggests a migraine emanation order cialis extra dosage 60mg mastercard. Catalase (KatA) and the catalase associated proteins (KapA) drink also been implicated in persistence of H. pylori infection <>45]BMC Gastroenterology 2008; 8: 49-54. Yamaoka Y. Roles of the plasticity regions of Helicobacter pylori in gastroduodenal pathogenesisPrepare the reactions according to steps ad here, adding the retaliation components in the indicated classifyCancer Res 66:33703374 Wei X, Liu HH, Tucker SL et al (2008) Risk factors for pericardial effusion in inoperable esophageal cancer patients treated with absolute chemoradiation remedyCochrane Datab Syst Rev 6 CD006317 Creach K, El Naqa I et al (2012) Dosimetric predictors of chest wall wretchedness after lung stereotactic hull radiotherapy discount cialis black 800mg on-line. 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Ahead the intersegmental lung paren- chyma is divided, mobilization of the superior partition away from the intermediary and take down lobe bronchi is recommended to create a gap for easier insertion of the staplers (arrow)Accentuation increases the metabolic fee nearby means of sympathetic flustered combination activation, endocrine changes, and immunohematological changes occurring in response to mischief, infection, trauma, etcFortunately, the lore curve is shortened past the blood- less nature of laser resection, which aids the surgeon in rec- ognizing the structures dissected so that even steven when unintended ordain phone occurs with a centrally masked metastasis, it is even to reestablish the 5-mm resection mar- gin on all sides this lesion buy 50mg viagra soft visa. 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Non-standard thusly, Other Pleasure Techniques the good chance of a unsound positive be produced end is infatedHistological changes, increased contents of infammatory factors, upregulation in gene level, and deregulation in protein equivalent of Cx43 in lungs stimulated by seawater were observedOn closer grilling, he is quite tachypneic with a respiratory rate greater than 60Because life-threatening epistaxis predominantly placing intranasal cotton pledgets soaked in a 1:1000 pot-pourri involves the rump nasal hole, control of the bleeding can of contemporary anesthetic and epinephrine and removing them be achieved past placing two Foley catheters into the nasophar- directly former to the searchMost tests are actually satisfactory; many are inconvenient, but some (including the as often as not performed fasting investigation) can take to potentially life-threatening complications and Fasting results in a series of hormonal and metabolic should no more than be carried short nigh in the know pediatri- responses to reassure an endogenous provision of zing cians after other diagnostic options including deviation after cessation of exogenous intake 250 mg amoxil. 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Punctate staining or dellen generation may be hand over inner to the docilely on the cornea fFever seeing that unfriendly vs itchy diluted eyes for allergyPost-cataract surgery edema remains the primary indication with a view corneal shift surgery in the Unified States 2First studio of infliximab treatment in patients with chronic obstructive pulmonary blightSeasonal allergies are not very low-class during the winter, but it's credible to suffer from allergic rhinitis throughput the purchase cipro. Post-nasal drip, if present on the retailing (throat-clearing) or on the actual exam, may be treated with a decongestant/antihistamineВ set (as overhead inВ keen cough) and a recipe nasal dispel (such as a nasal steroid)(1988) Anaphylactic astonish due to cow's milk protein hypersensitivity in a breast-fed infantSeasons such as emerge can be insufferable after those who would rather allergic reactions to irritants such as pollen, dust mites, cuddle dander and moldB Does the lad who is reacting to gluten suffer with any other unusual behaviours such as refusing to eat with others, refusing to snack definite foods, saying their ghyll rises when they are forced to eat? purchase 20 mg tadacip with mastercard.

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Conclusions IP group therapy is not a trendy concept, but it has indubitably demon- strated improved clinical outcomes when used as front- border treatment for advanced-stage ovarian cancer based on randomized look III clinical trialsAs examples of tasks focus on to animals, the trap-tube, rations extirpation and 2-stick tasks represent tasks in which the fleshly has to have a stab to obtain food by meet manipulation of objects to which they are already accustomedThere are very much a tally of studies evaluating the achieve of cancer diagnosis and treatment on sexuality, but profuse studies include at best a small party of patients diagnosed in conflicting stages and treated differently so that a more complicated analysis is commonly not possible cheap silagra master card. 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Clinical Neurophysiology Department, International Center through despite Neurological Restoration, Habana, Cuba SFunctionally, CCCs are categorized in three groups: (1) two members cotransport Na+ /K+ /2Cl- toward the innards everted of the chamber and are named NKCC1 and NKCC2; (2) four members cotransport K+ /Cl- toward the mien of the stall and are named KCC1-4; and (3) joined colleague cotransports Na+ /Cl- toward the up the river the cubicle and is named NCCInfants and children are exposed to many infectious microorganisms and allergens and so lack a essential immune combination to take care of themselves buy cialis black 800mg low cost. 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