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Past Council Highlights

Please click on a meeting date to view a summary of key decisions taken by Council at the meeting.
2010:
  • December 7, 2010
  • October 1, 2010
  • June 17 - 18, 2010
  • March 26, 2010
  • 2009:
  • December 7, 2009
  • October 2, 2009
  • July 9 - 10, 2009
  • April 24, 2009
  • January 12, 2009
  • 2008:
  • December 8, 2008
  • October 3, 2008
  • July 10 - 11, 2008
  • April 11, 2008
  • 2007:
  • December 3 - 4, 2007
  • October 1, 2007
  • July 13, 2007
  • April 27, 2007
  • February 23, 2007
  • 2006:
  • December 4 - 5, 2006
  • July 14, 2006
  • April 28, 2006
  • February 24, 2006



  • December 7, 2010
    Council Highlights
    Below is a summary of key decisions taken by Council at its meeting held on December 7 & 8, 2010.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    CMRTO Strategy  Map 2011-2013
    Council approved the CMRTO Strategy Map – A Working Path to Implementing our Strategy for the Three Years Ending December 31, 2013.
    Budget Approved
    Council approved the 2011 budget for the College and approved in principle the 2011 - 2013 financial plan.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Discipline Committee, Fitness to Practise Committee, Inquiries, Complaints and Reports Committee, Quality Assurance Committee and Registration Committee.
    Quality Assurance Policies
    Council amended two policies related to the Quality Assurance (QA) Program to include practice  assessment by an assessor as a component of the QA program.
    Random Selection of Members for the Quality Assurance Program for 2011
    Council passed a resolution that in 2011, five percent (5%) of the members from each specialty will be randomly selected to undergo a practice assessment by means of a multi-source feedback system or by an assessor in accordance with the Quality Assurance Committee’s practice of random selection for assessment, and that those members who are selected but do not participate in a practice assessment will be required to submit their self-assessment profiles, continuous learning portfolios and related quality assurance records for January 1 - December 31, 2011.
    Project to Update the CMRTO Standards of Practice
    After a presentation by L. Gough, S. Saberton and D. Cane, followed by a lengthy discussion, Council passed a resolution to approve in principle the draft framework for theStandards of Practice, and for the Standards of Practice project to proceed as presented.
    Federation of Health Regulatory Colleges of Ontario Project (FHRCO Project)
    Council directed the Registrar and the Director of Policy to participate in the FHRCO Project: Development of Decision Making Tools to Enable Teams to Determine Optimized Interprofessional Roles.
    Next Council Meeting

    The next Council meeting will take place on Thursday, March 31, 2011.

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    October 1, 2010
    Council Highlights
    Below is a summary of key decisions taken by Council at its meeting held on October 1, 2010.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    By-law No. 42
    Council enacted By-law No. 42 which amends By-law. No. 23 regarding fees. By-law No. 42 changes the fees MRTs pay to sustain the College’s work in meeting its mandate to protect the public through self-regulation of the profession. Please see Insights Fall 2010 for more detailed information.
    By-law No. 43
    Council enacted By-law No. 43 related to professional liability insurance. The College’s Council enacted this by-law in response to an amendment made to the Health Professions Procedural Code of the RHPA by the Ontario government. The amendment requires all regulated health professionals, including MRTs, to be personally insured against professional liability and to comply with the requirements specified by a College in regulation or by-law. By-law No. 43 will not come into force until the professional liability insurance provision of the Health Professions Procedural Code (section 13.1) comes into force.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, the Discipline Committee, the Inquiries, Complaints and Reports Committee and the Registration Committee.
    CMRTO Approved Educational Programs
    Council passed a policy which approves the program offered at “Cambrian College of Applied Arts and Technology, Magnetic Resonance Imaging Program” as an approved program in medical radiation technology.
    Next Council Meeting
    The next Council meeting will take place on Tuesday and Wednesday, December 7-8, 2010.

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    June 17-18, 2010
    Council Highlights
    Below is a summary of key decisions taken by Council at its meeting held on June 17 & 18, 2010.   (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council).
    Amendment to By-law No. 13
    Council enacted an amendment to By-law 13 to change the composition of the Executive Committee by permitting one or two public members.
    Council Elections and Appointments
    Council received the results of the recent elections in Electoral District # 1 (Northern District, Radiography), Electoral District # 4 (Western District, Radiography), Electoral District #7 (Faculty Members) and Electoral District # 8 (Magnetic Resonance)for 2010.  Mary Ann Ginty, M.R.T.(R.) was re-elected by acclamation in District # 1, Bronwen Baylis, M.R.T.(R.) was re-elected in District # 4, Cathryne Palmer, M.R.T.(T.) was elected by acclamation in District # 7 and Caron  Murray, M.R.T.(M.R.), M.R.T.(R.) was re-elected in District #8.
    Council re-elected David Price as president and Tammy Urso as vice president. The Nominating Committee presented recommendations for membership on the College’s statutory and non-statutory committees. Council appointed members to the statutory committees and non-statutory committees for a one-year term. (Information about the membership of the statutory committees can be found elsewhere on the College’s website).
    2011 Council Election Date
    The date for the next elections for Council was set as April 8, 2011, for electoral districts #3 and #6.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, the Inquiries, Complaints and Reports Committee, the Patient Relations Committee, the Quality Assurance Committee, and the Registration Committee.
    Proposed Amendments to Registration Regulation
    After reviewing comments received regarding the proposed regulation, Council approved the proposed Registration Regulation in the form circulated to members of the College and other stakeholders under cover of a letter dated April 5, 2010 from the President.
    Proposed By-law No. 42
    After review and discussion, Council approved, for circulation to the members of the College, proposed By-law No. 42. Proposed By-law No. 42 addresses changes in the fees MRTs pay to sustain the College’s work in meeting its mandate to protect the public through self-regulation of the profession.
    Proposed By-law No. 43
    After review and discussion, Council approved, for circulation to the members of the College, proposed By-law No. 43. Proposed By-law No. 43 sets out the requirements related to professional liability insurance in order for College members to be personally insured against professional liability, in accordance with recent amendments to the Health Professions Procedural Code of the Regulated Health Professions Act.
    Information Items
    The following material was circulated to Council as information items:
    ·          Background information and news items related to the Proposed Excellent Care for All Bill
    ·          The Federation of Health Regulatory Colleges of Ontario’s Annual Report
    ·          The Canadian Institute for Health Information’s Report entitled ‘Medical Radiation Technologists and Their Work Environment’
    ·          Material related to the Canadian Association of Medical Radiation Technologists’  rebranding initiative
    Next Council Meeting
    The next Council meeting will take place on Friday, October 1, 2010.

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    March 26, 2010
    Council Highlights
    A summary of key decisions taken by Council at each of its meetings. The highlights here capture some of the main elements of the Council meeting held on March 26, 2010.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    Approval of Financial Statements
    Council received the auditor’s report and reviewed and approved the financial statements for the year ending December 31, 2009.
    Appointment of Auditors
    The accounting firm of KPMG LLP was appointed auditors of the College until the next annual meeting of the Council.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Patient Relations Committee, and the Registration Committee.
    Proposed Amendments to Registration Regulation
    After a presentation and consideration of proposed amendments to the registration regulation, Council approved the proposed amending regulation for circulation to the members of the College and other stakeholders.
    Letter from Fairness Commissioner
    Council received, for information purposes, a letter from the Office of the Fairness Commissioner (OFC) which acknowledged receipt of the College’s audit report submitted to the OFC.
    Update on Strategy Map for the Three Years Ending December 2010
    College Registrar Linda Gough presented an update on the College’s substantial completion of its goals set out in the strategy map previously approved by Council.
    Impact of HST on the College
    Anticipating the implementation by the province of Ontario of the harmonized sales tax, Council reviewed the implications on members’ and applicants’ fees collected by the College and on goods and services purchased by the College.
    Next Council Meeting
    The next Council meeting will take place on Thursday and Friday, June 17 & 18, 2010.
    December 7, 2009
    Council Highlights - A summary of key decisions taken by Council at its meeting on December 7, 2009 and an outline of the significant information circulated at the meeting. 
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    The Strategic Map for Three Years ending 2010
    The CMRTO Strategy Map – A Working Path to Implementing Our Strategy for the Three Years Ending December 2010 was approved by Council.
    Budget Approved
    Council approved the 2010 budget for the College and approved the 2010-2012 financial plan in principle.
    Information Technology Strategy Update
    A presentation was made to Council on the IT Budget and Strategy for 2010.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Inquiries, Complaints and Reports Committee, Patient Relations Committee, Quality Assurance Committee and Registration Committee.
    Multi-Source Feedback Practice Assessment – Random Selection for 2010
    Council passed a resolution that, with respect to 2010, 3% of the members from each specialty would be randomly selected to undergo a practice assessment by means of the multi-source feedback system and that members who were selected but do not participate in the practice assessment, would be required to submit their self-assessment profiles, continuous learning portfolios and related quality assurance records for January 1 – December 31, 2010 to the Quality Assurance Committee.
    Registrar’s Report
    Registrar Linda Gough reported to Council on the achievements of the College in 2009, based on the direction set out by Council in the strategy map for 2009.
    Bill 179 Update
    An update was provided to Council members on this legislation including a December 1, 2009 Ontario Ministry of Health and Long-Term Care news item titled ‘Improving Patient Care in Ontario’.
    Labour Mobility in Ontario
    Material was circulated and a verbal update was provided by Registrar Linda Gough and the College’s legal counsel Debbie Tarshis,  regarding implementing labour mobility under the Agreement on Internal Trade, as set out in the proposed Ontario Labour Mobility Act, 2009.
    MOHLTC CT and MRI Safety Strategy
    L. Gough provided Council an update on the MOHLTC CT and MRI Safety Strategy that the CMRTO and the College of Physicians and Surgeons of Ontario have been collaborating on.
    CAMRT Examination
    The ‘CAMRT certification examination policy for the number of examination writes and time frame’, approved November 22, 2009, was circulated to Council for review. Council passed a resolution amending one of the CMRTO policies to reflect that, effective February 1, 2010, applicants would be given four attempts to successfully complete the Canadian Association of Medical Radiation Technologist’s (CAMRT) examination. This is consistent with the CAMRT’s new policy.
    Appointment to Inquiries, Complaints and Reports Committee
    Council passed a resolution to appoint public member of Council, Ghulam Sajan, to the Inquiries, Complaints and Reports Committee effective April 21, 2010, for a term that expires at the first meeting of Council after the election in 2010.
    Change of Name of the Ordre des technologues en radiologie du Québec (OTRQ)
    Council passed a resolution to amend two CMRTO policies to reflect the name change of the OTRQ to ‘Ordre des technologues en imagerie médicale et en radio-oncologie du Québec’.
    Next Council Meeting
    The next Council meeting will take place on March 26, 2010.

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    October 2, 2009
    Council Highlights
    A summary of key decisions taken by Council at each of its meetings. The highlights here capture some of the main elements of the Council meeting held on October 2, 2009.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, the Quality Assurance Committee and the Registration Committee.
    Bill 179 – Regulated Health Professions Statute Law Amendment Act, 2009
    The CMRTO’s written submission to the Standing Committee on Social Policy respecting Bill179 was circulated and the Registrar and legal counsel reviewed the material and provided a verbal update on this matter. The submission can be found on the CMRTO website in the “What’s New” Section under “College Updates”.
    Labour Mobility Ontario-Quebec Agreement
    The Registrar and legal counsel reviewed documents relating to the Ontario- Quebec Trade and Cooperation Agreement including a letter from the Ministry of Training, Colleges and Universities indicating that “since it appears that the Quebec registration certificate does not match Ontario’s registration certificates, Medical Radiation Technologists will not be listed in the Annex and will not therefore be covered by Chapter 6 of the Agreement once signed”.
    This means that an MRT who is a member of the Ordre des technologues en imagerie médicale et en radio-oncologie du Québec (formerly the Ordre des technologues en radiologie du Québec) who is applying to become a member of the CMRTO, will continue to follow the current application and registration process.
    Report from CT/MR Advisory Committee Re: Guidelines for MRI and CT
    The Ministry of Health and Long-Term Care requested the College to work in collaboration with the College of Physicians and Surgeons of Ontario (CPSO) to develop interprofessional guidelines for the use of computed tomography and magnetic resonance imaging. Council passed a resolution, based on the feedback and recommendations from the CMRTO CT and MR advisory committees, to support the use of the following documents for such guidelines:
    ·         College of Physicians and Surgeons of Ontario – Independent Health Facilities – Clinical Practice Parameters and Facility Standards – Computed Tomography, 2nd edition 2009
    ·         College of Physicians and Surgeons of Ontario – Independent Health Facilities – Clinical Practice Parameters and Facility Standards – Magnetic Resonance Imaging, 2nd edition 2009
    ·         Ontario Best Practice Guidelines For Managing the Flow of Patients Requiring an MRI or CT Examination – Effective as of May 28, 2009, as published by the Ministry of Health and Long-Term Care    
    Council directed the Registrar to write to the CPSO with regard to this recommendation and to request their support in this regard.
    Thanks for participating in RCDSO Cone Beam CT Working Group
    Council received a letter from the Royal College of Dental Surgeons of Ontario thanking the Registrar for her contribution on an expert working group of RCDSO to establish clinical guidelines for dentists who wish to make use of cone beam CT technology.
    English Language Proficiency Standards Project
    C. Morris gave a presentation to Council on the results of the English Language Proficiency Standards Project, followed by a discussion regarding the project.
    Next Council Meeting
    The next Council meeting will take place on Monday, December 7, 2009.

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    July 9 and 10, 2009
    Council Highlights - Below is a summary of key decisions taken by Council at its meeting held on July 9 & 10, 2009.   (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    By-law No. 13
    Council approved and enacted an amendment to By-law 13 to add a second public member to the Executive Committee bringing the total membership of the Executive Committee to six.
    Council Elections and Appointments
    Council received the results of the recent elections in Districts #2 and #5 for 2009. David Price (District #2) and Donna Lewis (District #5) were re-elected by acclamation. 
    The Nominating Committee presented recommendations for membership on the College’s statutory and non-statutory committees. Council appointed members to the statutory committees and non-statutory committees for a one-year term.
    After the procedure for electing a president and vice president were reviewed, Council re-elected David Price as president and Tammy Urso as vice president.
    (Information about the membership of the statutory committees can be found elsewhere on the College’s website.)
    2010 Council Election Date
    The date for the next elections for Council was set as April 9, 2010, for electoral districts #1, #4, #7 and #8.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Inquiries, Complaints and Reports Committee, the Quality Assurance Committee, and the Registration Committee.
    Bill 179 – Regulated Health Professions Statute Law Amendment Act, 2009
    Council received documentation concerning Bill 179 currently being considered by the provincial government. Council directed staff and legal counsel to draft a submission to the Standing Committee on Social Policy with respect to three areas of Bill 179 on which the College wishes to make submissions, specifically:
    1.       Amendments to the MRT Act
    2.       Amendments to the RHPA
    3.       Amendments to the HARP Act
    Bills and Legislation Reviewed by Council
    Registrar Linda Gough and legal counsel Debbie Tarshis reviewed two Bills currently before the provincial legislature which could affect the College. Council will be kept apprised of developments with respect to these Bills
    1.       Bill 175 – Ontario Labour Mobility Act, 2009
    The legislation would establish a Labour Mobility Code to govern how Ontario regulators will support labour mobility for out-of-province workers who are already certified.
     
    2.       Bill 159 – Transparency in Public Matters Act, 2009
    The legislation would require designated public bodies to give reasonable notice to the public of their meetings and proposed additions to meeting agendas, and to ensure that the meetings are open to the public.
    Council was updated on Bill 141, Regulated Health Professions Amendment Act, 2009 which had received Royal Assent. The legislation permits a health regulatory college to directly observe a health professional’s practice and watch a procedure being performed.
    On-line Member Services and Public Register
    Council was updated on the progress of its information technology strategy and provided with a demonstration of the College’s online member services.
    CAMRT Presentation
    Elaine Dever, Director of Education, Canadian Association of Medical Radiation Technologists (CAMRT), did a presentation to Council on the CAMRT Certification Exam and a proposed policy change.
    Next Council Meeting
    The next Council meeting will take place on Friday, October 2, 2009.

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    April 24, 2009
    Council Highlights - A summary of key decisions taken by Council at its meeting on April 24, 2009 (note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    Approval of Financial Statements
    Council approved the financial statements for the year ending December 31, 2008 and the auditor’s report.
    Appointment of Auditors
    The chartered accountants firm of KPMG LLP was appointed auditors of the College until the next annual meeting of the Council.
    Fee Review
    Council reviewed information related to member fees and determined that the CMRTO fees as set out in By-law No. 23  would remain at the current level for 2010.
    Office Lease
    David Price, President of the College of Medical Radiation Technologists of Ontario, made an announcement regarding the CMRTO’s lease. The following are excerpts:
    “The CMRTO has been located in its current office space on Bloor Street in Toronto for approximately 15 years. The current lease expires on December 31, 2009. During those 15 years, there has been substantial growth in the volume and complexity of the College’s work, and we have outgrown our current 5,000 square feet of space.
    After a lengthy, comprehensive search and careful consideration (including a full analysis of the College’s current space), the College decided to enter into a lease with Manulife Financial for 7,800 square feet of space at 375 University Avenue, Toronto, commencing January 1, 2010.“
    The full announcement can be found here http://www.cmrto.org/about/whats-new.asp.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Complaints Committee, Discipline Committee, Quality Assurance Committee and the Registration Committee.
    By-laws 37, 38 and 39
    Council approved and enacted:
    ·          By-law No. 37 – a By-law amending By-law No. 13 - a By-law relating generally to transaction of the business and affairs of the College of Medical Radiation Technologists of Ontario
    ·          By-law No. 38 – a By-law amending By-law 12 – a By-law respecting the election and selection of Council members of the College of Medical Radiation Technologists of Ontario
    ·          By-law No. 39 - a By-law amending By-law No. 9  - a By-law respecting the appointment of non-Council members to committees of the College of Medical Radiation Technologists of Ontario
    These by-laws were enacted to implement changes needed as a result of the Health System Improvements Act  amendments to the RHPA that come into force June 4, 2009 including the addition of an Inquiries, Complaints and Reports Committee (ICRC). They also implement a change to the month in which Council elections will be held (from May to April).
    Committee Membership
    With the creation of the new Inquiries, Complaints and Reports Committee effective June 4, 2009 (as required by Health System Improvements Act changes), Council approved the appointment of the current members and chair of the College’s Complaints Committee to the new committee until their successors are appointed.
    Scope of Practice Review
    The Registrar and legal counsel reviewed with Council detailed materials relating to the report by the Health Professions Regulatory Advisory Council (HPRAC) on the scope of practice for MRTs. These materials included letters and submissions to the Ontario Ministry of Health and Long-Term Care (MOHLTC), letters and submissions to HPRAC and letters to the MOHLTC from a variety of other stakeholders on the same issues.
    Accreditation
    Council received a report that programs in medical radiation technology at Confederation College of Applied Arts and Technology and in medical resonance imaging at The Michener Institute for Applied Health Sciences were accredited under the Accreditation Services Agreement between the Canadian Medical Association and the College.
    Next Council Meeting
    The next Council meeting will take place on Thursday and Friday, July 9 &10, 2009.

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    January 12, 2009 - teleconference
    Council Highlights - A summary of key decisions taken by Council at its teleconference meeting on January 12, 2009 and an outline of the significant information circulated at the meeting. 
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    Proposed By-law No. 36
    Council received a report from the Registrar summarizing the comments from members of the College on Proposed By-law No. 36 – a By-law amending By-law No. 28 related to the register and member information. After consideration and discussion of the report, a resolution was passed enacting proposed By-law No. 36 in the form circulated to the members of the College.
    Next Council Meeting
    The next Council meeting will take place on April 17, 2009.
    December 8, 2008
    Council Highlights - A summary of key decisions taken by Council at its meeting on December 8, 2008 and an outline of the significant information circulated at the meeting. 
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    The Strategic Map 2008-2010
    The CMRTO Strategy Map – A Working Path to Implementing Our Strategy For the Three Years Ending December 2010 was approved by Council.
    Budget Approved
    Council approved the 2009 budget for the College and approved the 2010 budget in principle.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Complaints Committee, Discipline Committee, Fitness to Practise Committee, Patient Relations Committee and the Quality Assurance Committee.
    Multi-Source Feedback Practice Assessment – Random Selection for 2009
    Council passed a resolution that, with respect to 2009, 3% of the members from each specialty would be randomly selected to undergo a practice assessment by means of a multisource feedback system and that members who were selected but do not participate in the practice assessment, would be required to submit their self-assessment profiles, continuous learning portfolios and related quality assurance records for January 1 – December 31, 2009.
    Registrar’s Report
    L. Gough reported to Council on the achievements of the College in 2008, based on the direction set out by Council in the strategy map for 2008.
    HPRAC Consultation – Non-Physician Drug Project
    Linda Gough provided Council with an update on this project including the November 12, 2008 submission to HPRAC by the College entitled Response to the Health Professions Regulatory Advisory Council’s (HPRAC's) Review of Non-Physician Prescribing and Administration of Drugs under the Regulated Health Professions Act. The full submission can be found in the What’s New section of the CMRTO website.
    Bill 97 – Increasing Access to Qualified Health Professionals for Ontarians Act, 2008
    An update was provided to Council members on this legislation and an Ontario Ministry of Health and Long-Term Care News release dated November 18, 2008 respecting ‘Foreign-Trained Health Care Providers Help Increase Access to Care’.
    Next Council Meeting
    The next Council meeting will take place via teleconference on January 12, 2009.

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    October 3, 2008
    Council Highlights
    A summary of key decisions taken by Council at each of its meetings. The highlights here capture some of the main elements of the Council meeting held on October 3, 2008.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, Complaints Committee, the Discipline Committee, the Fitness to Practise Committee and the Quality Assurance Committee.
    Queen’s University / Eastern Ontario School of X-ray Technology Collaborative Program: Bachelor of Science (General) in Life Sciences / Diploma in X-ray Technology
    Council determined that the Queen’s University / Eastern Ontario School of X-ray Technology Collaborative Program: Bachelor of Science (General) in Life Sciences / Diploma in X-ray Technology is an approved educational program in radiography for the purposes of registration with the College.
    Proposed Amendments to Quality Assurance Regulation
    After reviewing comments received regarding the proposed regulation, Council approved the proposed Quality Assurance Regulation in the form circulated to members of the College and other stakeholders under cover of a letter dated July 18, 2008 from the President.
    Proposed Amendments to Professional Misconduct Regulation
    After reviewing comments received regarding the proposed regulation, Council approved the proposed Professional Misconduct Regulation in the form circulated to members of the College and other stakeholders under cover of a letter dated July 18, 2008 from the President.
    By-law Respecting the Register and Member Information
    After review and discussion, Council approved, for circulation to the members of the College, Proposed By-law No. 36 relating to the register and information to be provided by members.
    HPRAC Scope of Practice Review for MRTs
    Council reviewed submissions to the Health Professions Regulatory Advisory Council (HPRAC) respecting the scope of practice review for medical radiation technology. L. Gough provided members with a verbal update on the Scope of Practice Review.
    MOHLTC Strategy to Improve Safety in CT and MRI
    A letter from MOHLTC was circulated to Council requesting the CMRTO to work collaboratively with the Royal College of Dental Surgeons of Ontario and the College of Physicians and Surgeons of Ontario to develop guidelines, policies and best practices for the use of CT and MRI where applicable to each profession. Council directed the Registrar to respond to the letter advising the MOHLTC that the CMRTO would be pleased to do so.
    Personal Health Information Protection Act, 2004
    Council reviewed a Submission to the Standing Committee on Social Policy – Personal Health Information Protection Act, 2004 dated August 28, 2008 made by the College of Medical Radiation Technologists of Ontario.
    Office of the Fairness Commissioner
    An overview was provided to Council on portions of Ontario’s Regulated Professions: Report on the 2007 Study of Registration Practices and a Study of Registration Practices of the College of Medical Radiation Technologists of Ontario, 2007.
    HPRAC Non-Physician Drug Project
    HPRAC document titled ‘Review of Non-Physician Prescribing and Administration of Drugs Under the Regulated Health Professions Act, 1991 – Applicant’s Questionnaire, October 2008 was circulated to Council. L .Gough advised that Council would be kept apprised of developments with respect to this initiative.
    Next Council Meeting
    The next Council meeting will take place on Monday, December 8, 2008.

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    July 10 and 11, 2008
    Council Highlights
    A summary of key decisions taken by Council at each of its meetings. The highlights here capture some of the main elements of the Council meeting held on July 10 & 11, 2008.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    Council Elections and Appointments
    Council received the results of the recent elections in Districts 3 and 6 for 2008. Claudina Di Zio Longo (District #3) joins Council while Tammy Urso (District #6) was re-elected. 
    The Council Nominating Committee presented a report on its recommendations for statutory committee membership. After a review of the procedures for electing a president and vice president, David Price was re-elected Council president and Tammy Urso re-elected as vice president. Council appointed the members of the statutory committees and non-statutory committees for a one-year term.
    (Information about the composition of the statutory committees can be found elsewhere on the College’s website.)
    2009 Council Election Date
    The date for the next election for Council was set as May 1, 2009, for electoral districts 2 and 5.
    Reports from Statutory Committees Received by Council
    Council received reports from the Complaints Committee, the Quality Assurance Committee, and the Registration Committee.
    HPRAC Scope of Practice Review for MRTs
    Council reviewed certain portions of the CMRTO response to the HPRAC Interprofessional Collaboration Consultation and the joint submission of the CMRTO and OAMRT regarding HPRAC’s Scope of Practice Review for medical radiation technology.
    Council members commended all parties involved, in particular, the Registrar for the excellent and timely work accomplished under very challenging and complex circumstances with respect to the preparation of the two submissions to HPRAC.
    CMA Conjoint Accreditation Services
    Margaret Dukes, Associate Director, Accreditation, Canadian Medical Association  (CMA) Conjoint Accreditation Services provided a presentation to Council titled ‘Accreditation of Medical Radiation Technology Programs in Ontario’.
    The mission of CMA accreditation is to:
    ·          Maintain national standards for educational programs
    ·          Ensure that programs educate competent practitioners
    ·          Contribute to safe and effective patient care
    The CMA Conjoint Accreditation is the basis for the College Council’s approval of educational programs for MRTs.
    Proposed Amendments to QA Regulation and Professional Misconduct Regulation
    After a presentation and discussion on the proposed amendments to the quality assurance and professional misconduct regulations, Council approved the proposed regulations for circulation to the members of the College and other stakeholders.
    Bill 97
    Bill 97 – An Act to increase access to qualified health professions for all Ontarians by amending the Regulated Health Professions Act, 1991 – received 1st reading in the Legislature on June 16, 2008. The Council will be kept informed regarding developments respecting Bill 97.
    Next Council Meeting
    The next Council meeting will take place on Friday, October 3, 2008.

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    April 11, 2008
    Council Highlights - A summary of key decisions taken by Council at each of its meetings. The highlights here capture some of the main elements of the Council meeting held on April 11, 2008.
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council.)
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, the Complaints Committee, the Quality Assurance Committee, and the Registration Committee.
    2007 Financial Audit
    Council received and approved the College’s financial statements and auditor’s report (KPMG LLP) for the year ending December 31, 2007. KPMG LLP was also re-appointed as the College’s auditor for the current fiscal year.
    By-law No. 35 Enacted
    After circulation to College members and consideration of comments received, Council enacted By-law No. 35. This by-law amends another College by-law (By-law No. 28) and permits the College to collect additional information from members about themselves and their practice. Council has determined, as part of its strategic plan, to participate in the Canadian Institute for Health Information’s (CIHI) project to establish a health human resource database for medical radiation technologists in Canada. This project will also assist the College in meeting its obligations under section 36.1 of the Regulated Health Professions Act to provide the Ministry of Health and Long-Term Care with health human resource information about medical radiation technologists in Ontario.
    HPRAC Consultation Documents
    Council reviewed documents of the Health Professions Regulatory Advisory Council (HPRAC) on Inter-professional Collaboration (IPC) among Health Colleges and Professions. All health regulatory colleges have been asked by HPRAC to respond to the consultation questions by May 31, 2008. A project plan was presented to Council with timelines and steps the College will take in developing its submission to HPRAC. Council directed that a working group be formed to identify issues and provide comments as the basis for the CMRTO’s response on IPC. The working group will include members of the Executive and Patient Relations Committees as well as any interested Council and statutory committee members.
    HPRAC has also requested the College to review the scope of practice of medical radiation technology in collaboration with the Ontario Association of Medical Radiation Technologists. The submission for this review is due on June 30, 2008. Council directed that the same working group will continue to provide advice and act as a resource for the College’s submission regarding the scope of practice review.
    Labour Mobility under the Agreement on Internal Trade
    Material was circulated regarding a consortium comprising key representatives from provincial associations and regulatory colleges for MRTs across Canada. The Registrar of CMRTO, Linda Gough, is chairing this consortium which will be updating the existing Mutual Recognition Agreement (MRA) for Labour Mobility for MRTs across the provinces in the specialties of nuclear medicine, radiation therapy and radiography. The consortium also will consider the development of a new MRA for MRI in those provinces where it is regulated. It is intended that this initiative be completed by April, 2009.
    Mohawk College of Applied Arts and Technology/McMaster University, Medical Radiation Sciences Program, Radiation Therapy Specialization and Radiography Specialization
    Council determined that the Mohawk College of Applied Arts and Technology/McMaster University, Medical Radiation Sciences Program, Radiation Therapy Specialization and Radiography Specialization are approved educational programs in radiation therapy and radiography for the purposes of registration with the College.
    Microsoft Customer Relationship Management (MS CRM) Project Update
    The new MS CRM system was implemented internally on March 3, 2008. The next phase, which is the implementation of the online component, is planned for summer 2008.
    Ontario Pilot – Provincial Nominee Program
    Background information was provided to Council about Ontario’s Pilot Provincial Nominee Program (PNP). The PNP program allows employers to attract skilled immigrants to meet their labour needs. Following an approval process, the provincial government will nominate the candidate and their family for fast-tracked permanent residency and support them in obtaining an interim work permit.
    Allied Health Professional Development Fund (AHPDF)
    The Allied Health Professional Development Fund (AHPDF) is an initiative of HealthForceOntario which provides financial support for professional development to members of nine regulated health professions including medical radiation technology. The purpose of the fund is to develop skills and enhance knowledge and leadership capacity among allied health professionals. Through this fund MRTs are able to apply for up to $1500 for professional development courses and programs they have attended.
    Council was provided with information on the funding provided through the AHPDF to allied health professions for the fiscal year ending March 31, 2008. An announcement was also circulated which indicated that the AHPDF will continue for the fiscal year ending March 31, 2009. The AHPDF will also be providing access to an electronic library for full text journal articles for allied health professionals. Information regarding this will be available through the AHPDF website in the next few weeks.
    Next Council Meeting
    The next Council meeting will take place on Thursday and Friday, July 10 & 11, 2008.
    December 3 and 4, 2007
    Council Highlights - A summary of key decisions taken by Council at its meeting on December 3 and 4, 2007 and an outline of the significant information circulated at the meeting. 
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    The Strategic Map 2008-2010
    The strategic map for 2008 was approved by Council. The strategic map for 2009-2010 was approved in principle.
    Budget Approved
    Council approved the 2008 budget for the College and approved in principle the 2009 and 2010 budgets.
    Microsoft Customer Relationship Management Project (MS CRM)
    A report on the MS CRM project was presented to Council. The new system will go live internally in January 2008 after extensive development and testing. It is expected that on-line renewal of registration and the option of credit card payment of College fees for members will be available in early summer 2008.
    Quality Assurance Committee Report to Council
    Council approved a new policy in connection with the College’s QA program to replace two existing policies.
    Health Human Resource Planning
    Council approved, for circulation to members, a proposed by-law to permit the College to collect additional information from members about themselves and their practice.
    In addition, the College Council approved the following additional object of the College, under paragraph 8 of subsection 3(1) of the Health Professions Procedural Code, as being desirable for the delivery of human health care:
    “to engage in and facilitate, with other stakeholders, activities, such as the collection and analysis of data, for the purpose of human resources planning and demographic, research and other studies”.
    These steps are being taken in conjunction with the College’s participation in the Health Human Resources Database project of the Canadian Institute for Health Information to establish a health human resource database for medical radiation technologists in Canada.
    Health Professions Regulatory Advisory Council (HPRAC) Patient Relations Program Review
    HPRAC is currently reviewing the patient relations programs of health regulatory colleges. The College staff met with HPRAC in October and submitted a report for 2007 on the performance of the College’s patient relations program.
    Fair Access to Regulated Professions Act
    The Office of the Fairness Commissioner (OFC) is an independent agency set up to ensure that regulatory bodies have registration practices that are transparent, objective, impartial and fair. The College had an introductory meeting with the OFC in October and a study meeting in November to report on the College’s registration practices.
    HPRAC Interprofessional Collaboration
    On June 28, 2007, the Minister of Health and Long-Term Care asked HPRAC to recommend mechanisms to facilitate and support interprofessional collaboration among health colleges. The CMRTO is participating in the discussion and consultative process. Two Council members and the Registrar attended a HPRAC working session on interprofessional collaboration on October 18, 2007.
    Pandemic Planning
    The College has developed a business continuity plan for emergency preparedness in the event of a pandemic or other emergency. Updates will be shared with Council as the business continuity plan is implemented. 
    Allied Health Professional Development Fund (AHPDF)
    The Ministry of Health and Long-Term Care has confirmed that the AHPDF will be available for medical radiation technologists for a second year. The College sent notification to all its members on behalf of the MOHLTC in November 2007.
    Physician Assistant Initiative
    Information was provided to Council on the Ministry of Health and Long-Term Care physician assistant initiative. There are currently four pilot demonstrations under the project. Physician assistants will work under the supervision of a physician.
    Next Council Meeting
    The next Council meeting will take place on April 11, 2008.

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    October 1, 2007
    The agenda involved a discussion of personnel matters and related financial matters.  The Council decided that the meeting would be closed to the public in accordance with the Health Professions Procedural Code.
    Next Council Meeting
    The next Council meeting will take place on December 3 and 4, 2007

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    July 13, 2007
    Council Highlights - A summary of key decisions taken by Council at its meeting on July 13, 2007 and an outline of the significant information circulated at the meeting. 
    (Note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    Council Elections and Appointments
    Council received the results of the recent elections in Districts 1, 4, 7 and 8 for 2007. Mary Ann Ginty (District #1) and Bronwen Baylis (District #4) join Council while Janet K. Scherer (District #7) and Caron Murray (District #8) were re-elected. 
    The Council Nominating Committee presented a report on its recommendations for statutory committee membership. After a review of the procedures for electing a president and vice president, David Price was re-elected Council president and Tammy Urso re-elected as vice president. Council appointed the members to the statutory committees and non-statutory committees for a one-year term.
    (Information about the composition of the statutory committees can be found elsewhere on the College’s website.)
    2008 Council Election Date
    The date for the next elections for Council was set as May 2, 2008, for electoral districts 3 and 6.
    Reports from Statutory Committees Received by Council
    Council received reports from the Executive Committee, the Complaints Committee, the Discipline Committee, the Quality Assurance Committee (which included an update on implementation of the multi-source feedback assessment system), and the Registration Committee.
    Annual Fee
    Council approved maintaining annual fees at their current level at this time.
    MOHLTC Information on Bill 171 Circulated
    A letter and fact sheet about the Health System Improvements Act, 2007, which received Royal Assent on June 4, 2007, was circulated to Council. Schedule M of the Act amends the Regulated Health Professions Act, 1991 (RHPA) and the Health Professions Procedural Code (Code) to create a more efficient complaints and mandatory reporting process. Most of the provisions of Schedule M are expected to come into effect in June 2009.
    HPRAC on Patient Relations Program
    The College Registrar received a letter from Barbara Sullivan thanking the College for its participation in the Health Professions Regulatory Advisory Council’s (HPRAC’s) workshop on patient relations programs. Council reviewed a copy of the letter. Council also received two draft documents from HPRAC entitled ‘Patient Relations Overview Statement’ and ‘The Common Elements of a Patient Relations Program’ which will be the basis for consultation between HPRAC and the health regulatory colleges.
    CMRTO Approved Educational Programs
    Council passed amendments to its policies which approve the programs offered at “The Michener Institute for Applied Health Sciences/University of Toronto, Faculty of Medicine Joint Degree/Diploma Program in Medical Radiation Sciences - Radiological Technology, Nuclear Medicine Technology and Radiation Therapy Technology”, in order to reflect a change in the name of these programs.
    Minister’s Referral to Health Professions Regulatory Advisory Council (HPRAC)
    Council reviewed a letter from G. Smitherman, Minister of Health and Long-Term Care, dated June 28, 2007 to B. Sullivan, Chair, HPRAC asking HPRAC for advice and recommendations on a number of issues related to the regulation of health professions. Council noted that there are two referrals in particular that are of particular interest to the College:
    1.       regarding mechanisms to facilitate and support interprofessional collaboration between health colleges beginning with the development of standards of practice and professional practice guidelines where regulated health professions share the same or similar controlled acts, and
    2.       regarding a previous HPRAC report and requesting recommendations on the currency of, and any additions to, advice provided by HPRAC in relation to the regulation of diagnostic sonographers.
    Next Council Meeting
    The next Council meeting will take place on December 3 and 4, 2007

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    April 27, 2007
    Council Highlights - A summary of key decisions taken by Council at its meeting on April 27, 2007 (note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    Approval of Financial Statements
    Council approved the financial statements for the year ending December 31, 2006 and the auditor’s report.
    Appointment of Auditors
    The chartered accountants firm of KPMG LLP was appointed auditors of the College until the next annual meeting of the Council.
    Update on Bill 171 – Health System Improvements Act, 2006
    Council was advised that the College’s request to appear before the Ontario government’s Standing Committee on Social Policy with respect to Bill 171 was not granted. The Clerk of the committee was provided with the College’s written submission on April 18, 2007. The College supported the government’s initiative to create a more efficient complaints and reports process, to improve public access to information, to improve public protection and to support the government’s HealthForceOntario human resources strategy. The legislation will have significant impact on the College’s operations. Council and members will be kept informed about the progress of the legislation and its impact.
    Joint Michener/Laurentian Radiation Therapy Technology Program
    Council passed a policy which approves the Michener Institute for Applied Health Sciences/Laurentian University - Radiation Therapy Technology Program as an approved educational program in radiation therapy for the purposes of registration with the College.
    Fair Access to Regulated Professions Act, 2006
    Council reviewed a letter from the Ministry of Health and Long-Term Care about the Fair Access to Regulated Professions Act, 2006 which was proclaimed into force on March 1, 2007. The letter reminded that “these amendments place additional statutory responsibilities on colleges such as the duty to provide registration practices that are transparent, objective, impartial and fair, an obligation to provide information on the college's registration process to applicants, and the requirement to undertake audits of registration practices and provide reports for the Fairness Commissioner."
    Quality Assurance MSF Program
    Council reviewed the Quality Assurance Practice Assessment Workbook Part II for Medical Radiation Technology which will be sent to all CMRTO members in May 2007.
    Next Council Meeting
    The next Council meeting will take place on Friday, July 13, 2007.
    Postscript: Third reading of Bill 171 was carried by the legislature on May 31, 2007 and received Royal Assent on June 4, 2007.

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    February 23, 2007
    Council Highlights - A summary of key decisions taken by Council at its meeting on February 23, 2007 (note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    IT Upgrade/Replacement Project
    The timetable and budget for the information technology upgrade project was approved by Council. Scheduled to begin in March 2007, the project involves upgrading the College’s current CRM (customer relationship management) database for its register. The upgrade will be undertaken in conjunction with a supplier of the College’s current system called Burntsand Inc.. When completed, the upgrade will provide the College with a new customized register on a Microsoft platform, including full integration with office software and online member services.
    Submission to Standing Committee re Bill 171 – Health System Improvements Act, 2006
    College staff and legal counsel were instructed by Council to prepare a submission for the provincial government Standing Committee reviewing Bill 171: Health System Improvements Act, 2006. There are a number of areas of the bill on which the College intends to comment. Bill 171, Health System Improvements Act, 2006, can be accessed on the provincial government website at http://www.ontla.on.ca/web/bills/bills_detail.do?locale=en&BillID=519.
    Monitoring Bill 142 -Transparency in Public Matters Act, 2006
    The College has expressed concerns in the past about this private member’s bill because its provisions conflict with the confidentiality provision of the Regulated Health Professions Act, 1991. Although the College has received reassurances that the regulatory colleges will not be included in the Act, Council has asked College staff and legal counsel to continue to monitor the bill’s progress.
    New Kilometrage Rate for Members of Council and Committees
    Council approved an increase of $0.06 per kilometre for Council and Committee members using their personal vehicles for College business. This increase brings the kilometrage rate in line with that recommended by the Health Boards Secretariat for public members.
    Approval of CAMRT Competency Profiles
    One of the responsibilities of the College is to approve medical radiation technology education programs that meet the entry to practice requirements of the profession. The College achieves this objective through an agreement with the Canadian Medical Association (CMA) under which the CMA provides accreditation services to accredit medical radiation technology programs. Because the accreditation process is national, the profession needs a national competency profile against which the education programs can be assessed. This competency profile is set by the Canadian Association of Medical Radiation Technologists (CAMRT). The CAMRT recently redrafted the competency profiles for the four medical radiation technology specialties. After thorough consultation and review, and a detailed comparison of the CAMRT competency profiles with the College’s own essential competencies, Council approved acceptance of the CAMRT’s competency profiles for the four medical radiation technology specialties as the national entry-level competencies for the purposes of the accreditation process.
    Special Council Meeting to Review Governance Model
    Council will hold an additional meeting in 2007 to review the implementation of changes to Council policies and its governance model as identified in the 2007 strategic map.
    December 4 and 5, 2006
    Council Highlights - A summary of key decisions taken by Council at its meeting on December 4 and 5, 2006 (note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    Three-year Strategic Map
    After presentations by Sharon Saberton and Linda Gough, Council approved the College’s strategic map for 2007 and approved in principle the strategic map for the College for the years 2008-2009. The vision behind this strategic map is of the College as a “high quality and professionally managed college”.
    Approval of Budget
    Council approved the 2007 budget for the College and approved in principle the 2008 and 2009 budget.
    Members Online Survey
    Council heard a presentation of the complete results of the survey of CMRTO members on their opinions about current and future online services. Topline results of this survey are provided in the winter 2007 edition of Insights which can be viewed at www.cmrto.org.
    Information Technology Audit
    The College is continuing to explore options to upgrade its current member management software to ensure it is well positioned for new online fee payment options.
    College Investment Portfolio
    A representative from CIBC Wood Gundy attended the Council meeting to report on performance and options with respect to the College’s investment portfolio. The College’s investment policies are reviewed annually by the Finance and Property Committee as part of its responsibilities set out in its terms of reference.
    Amendment to Quality Assurance Regulation Approved by Council
    The College had circulated to members and stakeholders a proposed regulation, which amends the Quality Assurance regulation made under the Medical Radiation Technology Act, 1991. Council considered the comments received by the College and approved the proposed regulation. The proposed regulation deals with practice assessments, including assessments by a multi-source feedback system. It will be provided to the Ministry of Health and Long-Term Care for review.  As part of the discussion about the multi-source feedback system, it was decided that the College’s QA Committee would further consider ways to strengthen the confidentiality and privacy protections of the MSF system.
    Multi-Source Feedback System for Quality Assurance (MSF System)
    Council received a report from the Registrar and Deputy Registrar regarding the consultation in the fall of 2006 with CMRTO members on the recommendations of the College’s QA Committee for the implementation of the MSF system for quality assurance.
    Bill 124 – Fair Access to Regulated Professions Act, 2006
    Discussion took place about the presentation made by the College’s Registrar and legal counsel in the fall to the Standing Committee on Regulations and Private Bills outlining the College’s concerns respecting Bill 124, 2006 – Fair Access to Regulated Professions Act, 2006.
    Project on Controlled Acts and Authorizing Mechanisms
    Council received a report on a project of the Federation of Health Regulatory Colleges of Ontario regarding Controlled Acts and Authorizing Mechanisms. The Registrar is one of the project managers for the project. It has produced a document entitled “An Interprofessional Guide on the Use of Orders, Directives and Delegation for Regulated Health Professionals in Ontario”.

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    July 14, 2006
    Council Highlights - A summary of key decisions taken by Council at its meeting on July 14 (note . . . by-laws which have not been approved are not summarized in these highlights until they have been approved by Council):
    Election of President and Vice President
    David Price was elected by acclamation as president of the College. Tammy Urso was elected vice president by acclamation. Their terms of office continue until the first meeting of Council after the next election in 2007.
    Appointments to the College’s Executive and Other Statutory Committees
    Council approved a variety of appointments to the College’s Executive Committee and other statutory committees. The complete list of statutory committee members is available at http://www.cmrto.org/about/members.asp.
    Election Date for 2007
    The next election for Council members for Electoral Districts 1, 4, 7 and 8 will take place on Friday, May 4, 2007.
    Financial Reports
    Council received and reviewed a variety of financial statements, including the CIBC Wood Gundy Statement of Investment Accounts for the two preceding months, and the Statement of Revenues and Expenses, Balance Sheet and Variance Report for the month ending May 31, 2006.
    HealthForceOntario Strategy
    Updates on the Ontario Ministry of Health and Long-Term Care’s HealthForceOntario Strategy and New Health Care Professional Roles were provided for information purposes.
    Pandemic Planning
    Council received copies of two Ontario government publications, one called Planning Activity Considerations for Ontario’s Health Regulatory Colleges – Health Human Resources Planning for an Influenza Pandemic: Ontario Health Pandemic Influenza Plan, and one called What You Should Know About a Flu Pandemic.
    Health Professions Regulatory Advisory Council (HPRAC)
    A variety of materials and presentations were provided to Council concerning HPRAC’s report to the Ontario Minister of Health and Long-Term Care called Regulation of Health Professions in Ontario: New Directions. The College’s Registrar and legal counsel summarized this information as well as the substance of the College’s submission to the Ministry of Health and Long-Term Care in response to HPRAC’s report. (Changes to the Regulated Health Professions Act are expected to be introduced in the fall of 2006.)
    Amendment to Regulation
    The College will be circulating a proposed amendment to Ontario Regulation 545/94about quality assurance to College members and stakeholders for comment. The proposed amendment relates to practice assessments, including assessment by a multi-source feedback system. This system provides a means to assess how people in the profession actually perform in practice.
    (Note . . . Information about all College regulations is available at http://www.cmrto.org/resource/regulations.asp)
    Controlled Acts and Authorizing Mechanisms Project
    Information about this project is available in recent issues of Insights (http://www.cmrto.org/resource/publications.asp#insights ). Council asked the Registrar to arrange a stakeholder “summit” to discuss the project which is under the auspices of the Federation of Health Regulatory Colleges of Ontario.
    Bill 124, Fair Access to Regulated Professions Act, 2006
    Discussion took place at Council about the provincial government’s new legislation intended to “break down barriers so that more internationally trained professionals can work in their field”. The legislation was introduced just prior to the July Council meeting and received first reading.

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    April 28, 2006