Essential Competencies

Introduction
Legislation, Standards and Ethics
Equipment and Materials
Diagnostic Examinations and Radiation Treatment
Safe Practice
Relationship with Patients
Records and Reporting

The Essential Competencies document has been developed by the College of Medical Radiation Technologists of Ontario (CMRTO) as a reference tool to determine whether a Medical Radiation Technologist (M.R.T.) can perform at an acceptable level. The Essential Competencies reflect the knowledge, skills and judgment M.R.T.s need in order to perform the services and procedures that fall within the scope of practice of the profession.

In the Essential Competencies, there are references to the Comprehensive Guidelines. These refer to the Comprehensive Guidelines for acting in accordance with the Regulated Health Professions Act Scope of Practice/Controlled Acts Model (the Comprehensive Guidelines). The Essential Competencies and the Comprehensive Guidelines, as amended from time to time, replace the “Standards of Practice for Medical Radiation Technologists” for radiography, nuclear medicine and radiation therapy published by the CMRTO, and together constitute the new standards of practice for M.R.T.s.



In the Essential Competencies, there is also reference to the Code of Ethics. This refers to the code of ethics for CMRTO members (the Code of Ethics). It is intended that the Essential Competencies and Comprehensive Guidelines be used in conjunction with the Code of Ethics. Together, these documents provide a model for ensuring safe, effective and ethical professional performance to ensure safe, effective and ethical outcomes for patients.

By providing objective criteria, the Essential Competencies will assist M.R.T.s in understanding the CMRTO’s expectations for professional practice. They will assist managers in making appropriate decisions regarding management of the practice of M.R.T.s and in developing appropriate policies and procedures. They will assist educators in curriculum development and in providing appropriate instruction. Finally, they will assist the public in assessing quality of care.

The Essential Competencies document will serve the College in all areas where criteria for professional performance are needed in making decisions. It will be used by the Complaints Committee, the Discipline Committee, and the Fitness to Practise Committee in making their determinations regarding professional misconduct, incompetence or incapacity. It will also be used for other College processes.

Some examples are:

Registration
  • ascertaining entry-level requirements

    Quality Assurance
  • peer review of practice
  • evaluation of QA records
  • evaluation of self-assessment profiles.

    The Essential Competencies are intended to be generic. The indicators following each competency are examples of the application of that competency in a specific dimension of practice. Most indicators refer to tasks that are common to all M.R.T.s. Indicators that refer to tasks generally performed only by M.R.T.s in one of the specialties are listed under separate headings.

    The methods for implementing each task may be determined by departmental policies and procedures. In the event that the Essential Competencies or Comprehensive Guidelines set standards that are higher than departmental policies or procedures, the M.R.T. must comply with the standards set by the Essential Competencies or Comprehensive Guidelines, as the case may be. In the Essential Competencies, the term “legislation” refers to both statutes and regulations.
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