Transforming and Supporting Patient Care - Health Professions ...

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136Chapter 6 – Scope of Practice of Medical Radiation TechnologyWhat the College and Association Have ProposedThe College and Association have proposed changes to the scope ofpractice statement and authorized acts set out in the Medical RadiationTechnology Act, 1991, as well as a consequential amendment to theregulations under the RHPA.1. Scope of Practice StatementThe proposed scope of practice statement reads:The practice of medical radiation technology is the use of ionizingradiation, electromagnetism and other forms of energy prescribed undersubsection 12(2) for the purposes of diagnostic and therapeuticprocedures, the evaluation of images and data relating to theprocedures and the assessment of the condition of the individualbefore, during and after the procedure.2. Controlled ActsThe proposed controlled acts are:• Performing a procedure on tissue below the dermis, 23• Putting an instrument, hand or finger• Beyond the larynx• Beyond the labia majora• Beyond the opening of the urethra• Beyond the anal verge, or into an artificial opening into thebody, and• Applying electromagnetism for magnetic resonance imaging.3. Amendments to Related LegislationThe following ancillary amendments would be required were the aboveproposals to be accepted:• Repeal section 3.1 of O.Reg. 107/96 when applying electromagnetismfor magnetic resonance imaging becomes an authorized act under theMedical Radiation Technology Act, 1991.• Amend section 1(11) of O.Reg. 855/93 (the Professional MisconductRegulation made under the Medical Radiation Technology Act, 1991) toprovide: The following are acts of professional misconduct for thepurposes of clause 51(1)(c) of the Health Professions ProceduralCode: (11) Carelessly, negligently or unskillfully using ionizingradiation, electromagnetism or a prescribed form of energy.23While MRTs already perform procedures on tissue below the dermis when they take blood fromveins or by skin pricking, the proponents are asking that this act be expanded to includeperforming injections.HPRAC Critical Links January 2009
137Chapter 6 – Scope of Practice of Medical Radiation TechnologyIt is important to note that the College and Association are proposing tomaintain the requirement that MRTs may perform only controlled acts thathave been ordered by a physician or other authorized health professional.How the College Regulates its MembersEducational PreparationApplicants to the College must complete an approved training program inone of the four MRT specialties. The Canadian Association of MedicalRadiation Technologists’ Essential Competencies 24 are used as the basis forMRT education curricula in Canada. The competency profiles for each ofthe four MRT specialties are established and validated by the CanadianAssociation of Medical Radiation Technologists through an extensiveconsultative process that includes educators, practising MRTs, managers,regulators and governments.The College assesses the curricula of MRT education programs through theConjoint Accreditation Process of the Canadian Medical Association. Thisprocess determines whether the educational programs sufficiently addressrequired practice competencies – typically through a combination ofdidactic and clinical learning. 25 Several programs, however, haveincorporated a simulated learning laboratory to augment the clinicalpractice component of the curriculum, and to address the shortages ofclinical placements for students. There are several approved programs inOntario for radiological technology and radiation therapy. Only TheMichener Institute of Applied Health Sciences offers approved programs inOntario in nuclear medicine and magnetic resonance, two of the fourspecialties within medical radiation technology.Entry to PracticeAll applicants to the College, whether trained in Ontario, other Canadianjurisdictions or internationally, must successfully complete the examinationset by the Canadian Association of Medical Radiation Technologists. MRTswrite exams within their chosen specialty. As with the curricula acrossCanada, the content of the certification exams is guided by the competencyprofiles for each specialty. These profiles were recently revised and the newversions will be reflected in examinations beginning in 2011. Programsacross Canada have already begun to revise their curricula accordingly andto seek program accreditation under the new competencies.It is a College registration requirement that applicants show proof of eitherclinical practice within five years immediately before the application orsuccessful completion of an approved educational program within thatperiod.24Canadian Association of Medical Radiation Technology. Professional Practice.CompetencyProfiles. www.camrt.ca/english/career/competency_profiles.asp.25Submission to HPRAC: Review of Interprofessional Collaboration Under the Regulated HealthProfessions Act; joint submission by College of Medical Radiation Technologists of Ontario andOntario Association of Medical Radiation Technologists; June 30, 2008, p. 64.HPRAC Critical Links January 2009
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Table of ContentsCritical Links:Tra
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5Chapter 1 - An Introductionprofess
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16Chapter 1 - An Introductionprofes
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18Chapter 1 - An Introductionwithin
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20Chapter 2 - Excellence in Health
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56Chapter 3 - A New Drug Approvals
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224Chapter 10 - Profession of Midwi
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250Chapter 11 - Profession of Natur
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274Chapter 12 - Profession of Nursi
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310Chapter 13 - Profession of Optom
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340Chapter 14 - Profession of Pharm
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394Chapter 17 - Conclusionscontinui
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396Chapter 17 - Conclusionsincluded
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398Chapter 18 - Summary of Proposal
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