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In 2006, Ontario made history by passing legislation to address licensing barriers experienced by internationally educated professionals. While registration requirements have been slow to change, regulators demonstrate increasing openness to alternative ways that individuals can develop or demonstrate professional competencies. This paper reviews acceptable alternatives for meeting academic requirements in 38 Ontario professions and compares local experience requirements and alternatives for three professions in Canada and Australia. Acceptable alternatives improve flexibility and remove artificial barriers by focusing on competency. However, ongoing investment is needed from regulators and government to ensure that alternative routes to licensing are accessible, affordable, and sustainable. [ABSTRACT FROM AUTHOR]