Professional Documents
Culture Documents
Clinical Prep
Mr. Brian Dormer
March 8, 2018
Interprofessional Assignment
Area of Focus Your Profession (state it) Other Profession Other Profession Other Profession
The Profession’s Naturopathy Act, 2007 Chiropody Act, 1991
Massage Therapy Act, 1991, S.O. Chiropractic Act, 1991, S.O.
Specific Legal
Act 1991, c. 27 Other Acts: 1991, c. 21 Other Acts:
Regulated Health Professions Other Acts: Regulated Health
Other Acts: Act, 1991 Regulated Health Professions Act, 1991 and
Regulated Health Professions Canadian Charter of Rights and Professions Act, 1991 the Health Professions
Act, 1991 (RHPA); Freedoms Chiropractic Act, 1991 Procedural Code
Regulations under the Drug and Pharmacies Health Care Consent Act, Health Care Consent Act,
Massage Therapy Act; Regulation Act 1996 1996
Health Care Consent Health Care Consent Act Statutory Powers Freedom of Information
Act, 1996 (HCCA); and Laboratory and Specimen Procedure Act, 1990 and Protection of Privacy
Personal Health Information Collection Centre Licensing Act Personal Health Act
Protection Act, 2004 (PHIPA); Ontario Human Rights Code Information Protection Municipal Freedom of
In some situations Official Languages Act Act, 2004 Information and
the Personal Information Occupational Health and Safety Healing Arts Radiation Protection of Privacy Act
Protection and Electronic Act Protection Act, 1990 Personal Health
Documents Act, 2000 Personal Health Information (CCO, 2018) Information Protection
(PIPEDA) may also apply. Protection Act Act, 2004
17 Technique Standards of (College of Naturopaths, 2018) Personal Information
Practice Protection and Electronic
(CMTO, 2014). Documents Act
Public Hospitals Act
(COCOO, 2018)
The Scope of The practice of massage therapy is “Naturopathic Doctors provide “The practice of chiropractic is As per the Federation of
Practice (brief primarily the hands-on assessment primary and adjunctive health care the assessment of conditions Health Regulatory Colleges of
description not and manipulation of the soft tissue to people of all ages, focusing on related to the spine, nervous Ontario,
each part) and joints (muscles, ligaments, the use of natural therapies to system and joints and the “The practice of chiropody is
tendons, connective tissue) of the support and stimulate healing diagnosis, prevention and the assessment of the foot and
body and the treatment and processes. Naturopathic doctors treatment, primarily by the treatment and prevention
prevention of physical dysfunction promote health and prevent adjustment, of, of diseases, disorders or
and pain to develop, maintain, illness, and diagnose and treat (a) Dysfunctions or disorders dysfunctions of the foot by
rehabilitate or augment physical disease in a manner consistent arising from the structures or therapeutic, orthotic or
function, or relieve pain. The goal with the body of knowledge and functions of the spine and the palliative means
is to optimize health and wellbeing standards of practice for the effects of those dysfunctions (FHRCO, 2015).
(Federation of Health Regulatory profession” (Federation of Health or disorders on the nervous
Colleges of Ontario, 2012). Regulatory Colleges of Ontario, system; and
2012). (b) dysfunctions or disorders
arising from the structures or
functions of the joints”
(Federation of Health
Regulatory Colleges of
Ontario, 2012).
Authorized “Performing a prescribed As per the College of Communicating a Society of Chiropodists
Controlled Acts procedure on tissue below the Naturopaths of Ontario: diagnosis identifying, as website:
& dermis (partial: acupuncture Putting an instrument, hand the cause of a person’s Cutting into the
Conditions/Rest exemption)” or finger beyond the labia symptoms, subcutaneous tissues of
rictions (Federation of Health majora but not beyond the i. a disorder arising from the the foot.
Regulatory Colleges of Ontario, cervix. structures or functions of the Administering, by injection
2014). Putting an instrument, hand spine and their effects on the into feet, a substance
or finger beyond the anal nervous system, or designated in the
verge but not beyond the ii. a disorder arising from the regulations.
rectal-sigmoidal junction. structures or functions of the Prescribing drugs
Administering, by injection or joints of the extremities. designated in the
inhalation, a prescribed Moving the joints of the regulations.
substance. spine beyond a person’s Administering, by
Performing prescribed usual physiological range inhalation, a substance
procedures involving moving of motion using a fast, designated in the
the joints of the spine beyond low amplitude thrust. regulations.
the individual’s usual Putting a finger beyond
physiological range of motion the anal verge for the As per the Federation of
using a fast, low amplitude purpose of manipulating Regulatory Health Colleges of
thrust. the tailbone. 1991, c. 21, Ontario website, the
Communicating a s. 4. Controlled Acts are as follows:
naturopathic diagnosis (FRHCO, 2015). Administering a substance
identifying, as the cause of an by injection or inhalation
individual’s symptoms, a (Complete)
disease, disorder or Prescribing dispensing,
dysfunction that may be selling or compounding a
identified through an drug (Partially)
assessment that uses (FRHCO, 2015).
naturopathic techniques.
Taking blood samples from
veins or by skin pricking for
the purpose of prescribed
naturopathic examinations on
the samples. 2007, c. 10,
Sched. P, s. 4 (1).
Prescribing, dispensing,
compounding or selling a drug
designated in the regulations.
Regulatory College of Massage Therapists of College of Naturopaths of The College of Chiropractors College of Chiropodists of
College Ontario (CMTO)— www.cmto.com Ontario of Ontario Ontario
(include www.collegeofnaturopaths.on. www.cco.on.ca www.cocco.on.ca
website) ca
Mandate/Missi As per CMTO.com, “The College of As per the college’s website: The College of Chiropractors The College has the following
on of Massage Therapists of Ontario of Ontario regulates the objects:
Regulatory (referred to as the College or As a College, CONO has a legal profession in the public To regulate the practice of
College CMTO) is dedicated to excellence mandate. This statement captures interest to assure ethical and the profession and to
in protecting the public’s the essence of that legal mandate competent chiropractic care. govern the members in
interest, guiding its registrants and for the purpose of communicating accordance with the
promoting the highest possible it clearly and succinctly to Build public trust and health profession Act, this
quality of the practice of Massage stakeholders. confidence and promote Code and the
Therapy” understanding of the role Regulated Health
"To regulate the practise of of CCO amongst all Professions Act, 1991 and
CMTO Stucture: naturopathy according to stakeholders. the regulations and by-
the Regulated Health Professions laws.
Council Act, 1991, and the Naturopathy To develop, establish and
Ensure the practice of
Nine Registered Massage Act, 2007." maintain standards of
members is safe, ethical,
Therapists (RMTs) elected by and patient-centered. qualification for persons to
their peers on a geographical Futhermore, “The College’s be issued certificates of
or academic basis; and mandate is to protect the public registration.
Up to eight public (non RMT) and to ensure safe, ethical and To develop, establish and
members appointed by the competent naturopathic care for Ensure standards and core maintain programs and
provincial government the people of Ontario” (College of competencies promote standards of practice to
Naturopaths, 2018). excellence of care while assure the quality of the
Committees responding to emerging practice of the profession.
Executive Committee CONO Structure: developments. To develop, establish and
Client Relations Committee Council - 8 cross-province maintain standards of
Discipline Committee professionals and public members Optimize the use of knowledge and skill and
Fitness to Practise Committee appointed by the Lieutenant technology to facilitate programs to promote
Inquiries, Complaints and Governor in Council. regulatory functions and continuing evaluation,
Reports Committee communications. competence and
Quality Assurance Committee Discipline Committee improvement among the
Registration Committee Executive Committee members.
Continue to meet CCO’s
Fitness to Practice Committee To develop, in
statutory mandate and
Inquiry, Complaints and Reports collaboration and
resource priorities in a
Committee consultation with other
fiscally responsible
Patient Relations Committee Colleges, standards of
manner.
Quality Assurance Committee knowledge, skill and
Registration Committee. judgment relating to the
CCO Structure: performance of controlled
acts common among
Council: health professions to
enhance inter-professional
9 Elected professional collaboration, while
members respecting the unique
7 appointed members character of individual
health professions and
Executive their members.
To develop, establish and
Inquiries, Complaints and maintain standards of
Reports professional ethics for the
members.
Discipline To develop, establish and
maintain programs to
assist individuals to
Fitness to Practise
exercise their rights under
this Code and
Patient Relations the Regulated Health
Professions Act, 1991.
Quality Assurance To administer the health
profession Act,
Registration this Code and
the Regulated Health
Professions Act, 1991 as it
CCO has one non-statutory
relates to the profession
committee.
and to perform the other
duties and exercise the
Advertising other powers that are
imposed or conferred on
Vision the College.
To promote and enhance
Committed to Regulatory relations between the
Excellence in the Public College and its members,
Interest in a Diverse other health profession
Environment. colleges, key stakeholders,
and the public.
Values To promote inter-
Integrity professional collaboration
Respect with other health
Collaborative profession colleges.
Innovative To develop, establish, and
Transparent maintain standards and
Responsive programs to promote the
ability of members to
respond to changes in
practice environments,
advances in technology
and other emerging
issues.
Any other objects relating
to human health care that
the Council considers
desirable. 1991, c. 18,
Sched. 2, s. 3 (1); 2007, c.
10, Sched. M, s. 18; 2009,
c. 26, s. 24 (11).
COCCO Structure
Council:
Executive;
Discipline;
Fitness to Practise (FTP);
Inquiries, Complaints and
Reports (ICRC);
Patient Relations (PRC);
Quality Assurance (QA);
and
Registration.
Commitment to “The CMTO is established by the As per the CNO website: As per the CCO.on.ca website: As per Cocoo.on.ca:
the Public Ontario government to protect the
right of the Ontario public to safe, Regulating the practice of Conduct of practice It is the duty of the College to
effective and ethical care” (CMTO, naturopathy in accordance Respectful, honest and work in consultation with the
2014). with relevant legislation and clear communication in all Minister to ensure, as a matter
regulations; aspects of care of public interest, that the
CMTO Principles and Values: Developing and enforcing Relevant, safe and people of Ontario have access
naturopathic standards of supportive patient- to adequate numbers of
Honesty
practice, policies, guidelines centered care qualified, skilled and
Integrity competent regulated health
and the code of ethics; Accurate and
Respect for others professionals. 2008, c. 18, s. 1.
Ensuring only those applicants comprehensive records
Transparency and openness
who have met the registration An awareness of current
Accountability requirements are authorized The College protects patients’
health and well-being
Fiscal diligence and sound to practice in Ontario; rights to safe, competent and
issues
financial planning Promoting continuing ethical foot care by supporting
Information about what
Governance, organizational competency among chiropodists and podiatrists in
chiropractic offers
development and naturopaths through a Quality maintaining the standards of
Timely and necessary
effectiveness; Assurance Program; practice of the profession and
communication and/or
Continuously developing Investigating and managing also by holding them
referral to other health
appropriate partnerships; the complaints process; accountable for their conduct
professionals
Professional ethics Imposing sanctions on and practice. The role of the
Timely transfer of records,
Excellence in Massage Therapy members who have been when appropriate members is not only to provide
education, research and found guilty of professional safe, quality care but also to
Compliance with the
practice accept accountability for doing
Dedication to public service misconduct or incompetence; College of Chiropractors of so. Continued public trust in
and safety Maintaining a public register Ontario’s (CCO) the profession and in the
Valuing staff through fair, that includes specific regulations, standards of principle of self-regulation is
equitable and competitive information about members practice, policies and dependent on the
employment practices and their practices; guidelines commitment of the College
Continuous commitment to Conducting routine Privacy and confidentiality and each individual member to
quality assurance; inspections of clinics that Behaviour and clarity maintain personal high
Meeting and exceeding perform Intravenous Infusion regarding dignified standards of ethical conduct.
statutory obligations Therapy injections to ensure professional boundaries The College is highly
The highest level of excellence compliance with established Disclosure of real or committed to sharing
in Massage Therapy practice standard and to support perceived conflicts of information with registrants,
(CMTO, 2018). continuous quality interest the public and other
See above for Mission of improvement a process for declining stakeholders, where
regulatory College (College of Naturopaths of treatment and withdrawal applicable, to maintain public
Ontario, 2018) of consent at any time trust (COCOO, 2018)
Full disclosure of policies,
procedures and fees
(College of Chiropractors of
Ontario, 2018)
Part A: /28
I believe a chiropractor and an RMT would benefit from working together because the RMT can focus on the ligaments, tendons, and connective
tissues and conduct assessments, however their findings might indicate issues regarding the vertebra. This is when the RMT might refer a patient to
a Chiropractor to manipulate the spine if the Chiropractor believes it is indicated. If there is nothing more the RMT can do to alleviate pain and
dysfunction it would be beneficial to the patient. The client’s well being can perhaps feel more considered when a professional decides they need
more care in a different way from an alternative source. It lets the patient know they are being taken care of appropriately.
It would benefit me as a professional to develop a professional relationship with a Chiropractor as they might also refer a patient to an RMT as spinal
adjustments might not completely alleviate pain or dysfunction in their patient. Perhaps soft tissue manipulation would be beneficial. Thus it would
mean more clients for my business.
Stress, anxiety and depression, body image issues (weight loss clients), alternative medicines to the pharmaceutical industry seem to be common
pathologies and concerns of clients of Naturopathic Doctor’s. I believe an RMT can aid in a holistic approach that a Naturopath patient would
appreciate. RMT might alleviate some of the issues of pain, which normally medications are prescribed by reducing their perception of pain through
Therapeutic Massage. Massage is proven to lower cortisol levels (C. Andrade, 2014) and can be indicated for someone with anxiety and depression
as well as body image issues. The client would benefit from this combined care because it would be a more in-depth treatment from multiple angles
to achieve the best results.
It would benefit me as a professional to learn a more in depth look at my client so that I can really hone in on specific issues in my plan of care so
that I can secure a client and experience their journey to more well-rounded healing.
RMT & Chiropodry
A lot of back issues begin with posture and feet are a large component of posture. If something is wrong with the feet the body will make postural
changes to adapt to the dysfunction or pain in the feet. The whole body can become misaligned, which can put new and different strains on
connective and soft tissues. I believe I could secure a client base from working with a Chiropodist and the Chiropodist might benefit from my
referrals as well. The client would subsequently benefit from a better-rounded plan of care including Impairment Massage to treat not only the feet,
but any pain or dysfunction from postural changes attributed to the feet.
References
College of Naturopaths of Ontario. (n.d.). Retrieved March 08, 2018, from https://www.collegeofnaturopaths.on.ca/
College of Massage Therapists of Ontario. (n.d.). Retrieved March 05, 2018, from http://www.cmto.com/
Controlled Acts Chart (Including Authorized Acts by Profession) [PDF]. (2015, June 02). Federation of Health Regulatory Colleges of Ontario .
Federation of Health Regulatory Colleges of Ontario . (2014). Retrieved March 08, 2018, from http://ipc.fhrco.org/
Ontario Society of Chiropodists. (n.d.). Retrieved March 08, 2018, from https://public.ontariochiropodist.com/
Scopes of Practice Chart [PDF]. (2012, November 04). Federation of Health Regulatory Colleges of Ontario .