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The Role of a Health Regulatory College

Ensuring That the Public Receives Safe, Effective and Ethical Care – The Role of a Health Regulatory College. Presented to: National Forum on Changing Entry-To-Practice Requirements in Allied Health Professions

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The Role of a Health Regulatory College

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  1. Ensuring That the Public Receives Safe, Effective and Ethical Care – The Role of a Health Regulatory College Presented to:National Forum on Changing Entry-To-Practice Requirements in Allied Health Professions Presented by:Sharon Saberton, M.R.T.(R.), M.A.(Ed.), RegistrarCollege of Medical Radiation Technologistsof Ontario Date:April 4, 2003

  2. The Role of a Health Regulatory College • Role of the College of Medical Radiation Technologists of Ontario (CMRTO) is to serve and protect the people of Ontario through self-regulation of the practice of medical radiation technology. • The Regulated Health Professions Act, 1991 (RHPA) and the companion health professions Acts govern the practice of regulated health professions in Ontario.

  3. Under the RHPA, regulated health professionals are expected to be … • Competent – have the knowledge, skill and judgement to perform safely, effectively and ethically • Accountable – take responsibility for decisions and actions (independently or as part of the team) • Collaborative – work with the health team member to achieve best possible outcomes for the patient

  4. Scope of Practice Statement • Under RHPA, each profession has a scope of practice statement which describes, in general terms, what the profession does. • The scope of practice statement clarifies MRT practice and provides a window for the evolution of that practice.

  5. Controlled Acts • Controlled acts are listed in RHPA and control the performance of 13 acts that pose risk of harm. • Controlled acts are authorized for specific health professions. • Procedures that are NOT controlled are in the public domain.

  6. Delegation • Delegation is the transfer of authority from a member of a regulated health profession who is authorized by his or her health professions Act to perform a controlled act procedure, to someone who is not authorized to perform the controlled act. • This can be to another regulated health professional or an unregulated person.

  7. Authorized Acts • MRTs are authorized to perform four controlled acts • taking blood samples from veins • administering a substance by injection or inhalation • administering contrast media through or into the rectum or an artificial opening into the body • tattooing • Under RHPA, a MRT could delegate those controlled acts to an unregulated person, such as a MRT assistant.

  8. Principle Expectations of Practice • Refers to services and procedures that clearly fall within the scope of practice for MRTs. It includes those taught in MRT entry level programs where students are provided with the knowledge base and clinical practice to perform them competently (entry level). • Expanded practice includes those procedures and services that graduate MRTs acquire through formal or informal education or on the job training (example CT).

  9. Beyond Principle Expectations of Practice • Refers to services or procedures that MRTs perform that are at the outer limits of or outside the MRT scope of practice (delegated procedures).

  10. The Educational Challenge • CMRTO Standards of Practice are generic and have been developed to describe the outcome of the various services and procedures that fall within the scope of practice for MRTs. • CMRTO approves 10 educational programs in Ontario to ensure that the new graduate is competent to practice at the entry level without supervision.

  11. The Educational Challenge cont’d • Changes in technology have identified a need for joint standards that take into account the competence required for all specialties of our profession (example CT). • Educational programs need to prepare MRT graduates to be able to expand their practice through formal or informal education (example CT).

  12. The Educational Challenge cont’d • Educational programs must prepare MRT graduates to be able to determine whether or not to provide services or procedures beyond principle expectations of practice. • MRTs must know the limits of their practice. Determining limits of practice includes: • Examining the foundation for practice • One’s basic educational preparation • The extent to which one’s knowledge, skills and judgement can support taking on additional services and procedures

  13. Conclusion • As the regulatory body for the profession of medical radiation technology, the CMRTO has the responsibility of approving medical radiation technology educational programs offered in Ontario and of approving a certification examination. • The College does not control either an educational institution’s decision to introduce a degree program or the process related to a program being granted a degree status.

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