CTCMPAO Practitioners Handbook-1

RACTITIONER S ANDBOOK
COLLEGEOFTRADITIONALCHINESE
MEDICINEPRACTITIONERSAND
ACUPUNCTURISTSOF
ONTARIO
INTRODUCTION
TheCollegeofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntario
(CTCMPAO)iscreatedtoregulatethepracticeoftraditionalChinesemedicineinOntariotoserve
andprotecttheinterestsofthepublic.Itisdedicatedtoprovidingguidancetomemberstoensure
thattheymaintainandenhancetheircompetenciesinthedeliveryofsafe,competentandethical
traditionalChinesemedicineservices.
TheCTCMPAOpublishesthisMembersHandbook,theJurisprudenceCourseHandbookandthe
SafetyProgramforTraditionalChineseMedicinePractitionersandAcupuncturistsasresourcesto
supportmembersdailypractices.Thesepublicationsofferquickandorganizedreferencesonthe
legislation,regulations,bylaws,standardsofpracticethathelpmembersandaspiringmembers
understandtherequirementsandapplicationsofthelawandstandards;theiraccountabilitytothe
totheCollege;theirroleinthehealthcaresystem;andtheirdutiestopatients.
Itmustberecognizedthatwiththepassageoftime,legislation,regulations,bylaws,practice
standardswillevolve.Therewillbenewrequirementsresultingfromchangesinlegislationand
newdevelopmentsintraditionalChinesemedicinepracticesandthehealthcaresystem.The
CTCMPAOwillpublishupdatedinformationonthewebsite:www.ctcmpao.on.ca.Membersare
encouragedtoexplorethewebsitetoobtainthesenewupdatedchanges.TheCTCMPAOmaynot
printupdatedversionsofthesehandbooks.
COLLEGECONTACTINFORMATION
TheCollegecanbereachedonMondaystoFridaysfrom9:00a.m.to5:00p.m.
Address:
Phone:
Fax:
Email:
Website:
163QueenStreetEast,4thFloor
Toronto,ONM5A1S1
416.862.4790
416.874.4078
info@ctcmpao.on.ca(generalinquiries)
www.ctcmpao.on.ca
163QueenStreetEast,4/F,Toronto,ONM5A1S1t:416.862.4790866.624.8483f:416.874.4078info@ctcmpao.on.ca
RESOURCES
TraditionalChineseMedicineAct,2006(TCMA)(TabNo.1ofthishandbook)
http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_06t27_e.htm
RegistrationRegulation(RegulationundertheTCMA)(TabNo.2ofthishandbook)
http://www.e-laws.gov.on.ca/html/regs/english/elaws_regs_130027_e.htm
ProfessionalMisconductRegulation(RegulationundertheTCMA)(TabNo.3ofthishandbook)
QualityAssuranceProgramRegulation(RegulationundertheTCMA)(TabNo.4ofthishandbook)
StandardsofPractice(TabNo.5ofthishandbook)
http://www.ctcmpao.on.ca/resources/standards.html
QualityAssuranceProgram(TabNo.6ofthishandbook)
http://www.ctcmpao.on.ca/resources/qaprogram.html
RegulatedHealthProfessionsAct,1991(RHPA)
http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_91r18_e.htm
HealthProfessionsProceduralCode(Schedule2oftheRHPA)
http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_91r18_e.htm#BK51
ByLaws,CollegeofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntario
http://www.ctcmpao.on.ca/Media/en/CTCMPAO%20By-Law.pdf
CollegeofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntarioPolicies
http://www.ctcmpao.on.ca/regulation/policies.html
PersonalHealthInformationProtectionAct,2004(PHIPA)
http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_04p03_e.htm
GeneralRegulation(RegulationunderPHIPA)
Traditional Chinese Medicine Act, 2006
S.O. 2006, CHAPTER 27
S.O. 2006, CHAPTER 27
Consolidation Period: From April 1, 2013 to the e-Laws currency date.
Last amendment: 2007, c. 10, Sched. B, s. 23.
Last amendment: 2007, c. 10, Sched. B, s. 23.
Definitions
Definitions
1. In this Act,
1. In this Act,
College means the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario; (Ordre)
College means the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario; (Ordre)
Health Professions Procedural Code means the Health Professions Procedural Code set out in Schedule 2 to the
Regulated Health Professions Act, 1991; (Code des professions de la sant)
Health Professions Procedural Code means the Health Professions Procedural Code set out in Schedule 2 to the
Regulated Health Professions Act, 1991; (Code des professions de la sant)
member means a member of the College; (membre)
member means a member of the College; (membre)
profession means the profession of traditional Chinese medicine; (profession)
this Act includes the Health Professions Procedural Code. (la prsente loi) 2006, c. 27, s. 1.
this Act includes the Health Professions Procedural Code. (la prsente loi) 2006, c. 27, s. 1.
Health Professions Procedural Code
Health Professions Procedural Code
2. (1) The Health Professions Procedural Code shall be deemed to be part of this Act. 2006, c. 27, s. 2 (1).
Same, interpretation
(2) In the Health Professions Procedural Code, as it applies in respect of this Act,
2. (1) The Health Professions Procedural Code shall be deemed to be part of this Act. 2006, c. 27, s. 2 (1).
Same, interpretation
(2) In the Health Professions Procedural Code, as it applies in respect of this Act,
College means the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario; (ordre)
health profession Act means this Act; (loi sur une profession de la sant)
College means the College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario; (ordre)
health profession Act means this Act; (loi sur une profession de la sant)
regulations means the regulations under this Act. (rglements) 2006, c. 27, s. 2 (2).
regulations means the regulations under this Act. (rglements) 2006, c. 27, s. 2 (2).
Definitions in Code
Definitions in Code
(3) Definitions in the Health Professions Procedural Code apply with necessary modifications to terms in this Act.
2006, c. 27, s. 2 (3).
(3) Definitions in the Health Professions Procedural Code apply with necessary modifications to terms in this Act.
2006, c. 27, s. 2 (3).
Scope of practice
Scope of practice
3. The practice of traditional Chinese medicine is the assessment of body system disorders through traditional
Chinese medicine techniques and treatment using traditional Chinese medicine therapies to promote, maintain or
restore health. 2006, c. 27, s. 3.
3. The practice of traditional Chinese medicine is the assessment of body system disorders through traditional
Chinese medicine techniques and treatment using traditional Chinese medicine therapies to promote, maintain or
restore health. 2006, c. 27, s. 3.
Authorized acts
Authorized acts
4. In the course of engaging in the practice of traditional Chinese medicine, a member is authorized, subject to the
terms, conditions and limitations imposed on his or her certificate of registration, to perform the following:
4. In the course of engaging in the practice of traditional Chinese medicine, a member is authorized, subject to the
terms, conditions and limitations imposed on his or her certificate of registration, to perform the following:
1. Performing a procedure on tissue below the dermis and below the surface of a mucous membrane for the
purpose of performing acupuncture.
1. Performing a procedure on tissue below the dermis and below the surface of a mucous membrane for the
purpose of performing acupuncture.
2. Communicating a traditional Chinese medicine diagnosis identifying a body system disorder as the cause of a
persons symptoms using traditional Chinese medicine techniques. 2006, c. 27, s. 4.
2. Communicating a traditional Chinese medicine diagnosis identifying a body system disorder as the cause of a
persons symptoms using traditional Chinese medicine techniques. 2006, c. 27, s. 4.
College established
College established
5. The College is established under the name College of Traditional Chinese Medicine Practitioners and
Acupuncturists of Ontario in English and Ordre des praticiens en mdecine traditionnelle chinoise et des acupuncteurs
de lOntario in French. 2006, c. 27, s. 5.
5. The College is established under the name College of Traditional Chinese Medicine Practitioners and
Acupuncturists of Ontario in English and Ordre des praticiens en mdecine traditionnelle chinoise et des acupuncteurs
de lOntario in French. 2006, c. 27, s. 5.
Council
Council
6. (1) The Council shall be composed of,
6. (1) The Council shall be composed of,
(a) at least six and no more than nine persons who are members elected in accordance with the by-laws;
(a) at least six and no more than nine persons who are members elected in accordance with the by-laws;
(b) at least five and no more than eight persons appointed by the Lieutenant Governor in Council who are not,
(b) at least five and no more than eight persons appointed by the Lieutenant Governor in Council who are not,
(i) members,
(i) members,
(ii) members of a College as defined in the Regulated Health Professions Act, 1991, or
(ii) members of a College as defined in the Regulated Health Professions Act, 1991, or
(iii) members of a Council as defined in the Regulated Health Professions Act, 1991. 2006, c. 27, s. 6 (1).
(iii) members of a Council as defined in the Regulated Health Professions Act, 1991. 2006, c. 27, s. 6 (1).
Who can vote in elections
Who can vote in elections
(2) Subject to the by-laws, every member who practises or resides in Ontario and who is not in default of payment of
the annual membership fee is entitled to vote in an election of members of the Council. 2006, c. 27, s. 6 (2).
(2) Subject to the by-laws, every member who practises or resides in Ontario and who is not in default of payment of
the annual membership fee is entitled to vote in an election of members of the Council. 2006, c. 27, s. 6 (2).
President and Vice-President
President and Vice-President
7. The Council shall have a President and Vice-President who shall be elected annually by the Council from among
the Councils members. 2006, c. 27, s. 7.
7. The Council shall have a President and Vice-President who shall be elected annually by the Council from among
the Councils members. 2006, c. 27, s. 7.
Restricted titles
Restricted titles
8. (1) No person other than a member shall use the titles traditional Chinese medicine practitioner or
acupuncturist, a variation or abbreviation or an equivalent in another language. 2006, c. 27, s. 8 (1).
8. (1) No person other than a member shall use the titles traditional Chinese medicine practitioner or
acupuncturist, a variation or abbreviation or an equivalent in another language. 2006, c. 27, s. 8 (1).
Representations of qualification, etc.
Representations of qualification, etc.
(2) No person other than a member shall hold himself or herself out as a person who is qualified to practise in
Ontario as a traditional Chinese medicine practitioner or acupuncturist or in a specialty of traditional Chinese medicine.
2006, c. 27, s. 8 (2).
(2) No person other than a member shall hold himself or herself out as a person who is qualified to practise in
Ontario as a traditional Chinese medicine practitioner or acupuncturist or in a specialty of traditional Chinese medicine.
2006, c. 27, s. 8 (2).
Definition
Definition
(3) In this section,
(3) In this section,
abbreviation includes an abbreviation of a variation. 2006, c. 27, s. 8 (3).
abbreviation includes an abbreviation of a variation. 2006, c. 27, s. 8 (3).
Notice if suggestions referred to Advisory Council
Notice if suggestions referred to Advisory Council
9. (1) The Registrar shall give a notice to each member if the Minister refers to the Advisory Council, as defined in
the Regulated Health Professions Act, 1991, a suggested,
9. (1) The Registrar shall give a notice to each member if the Minister refers to the Advisory Council, as defined in
the Regulated Health Professions Act, 1991, a suggested,
(a) amendment to this Act;
(a) amendment to this Act;
(b) amendment to a regulation made by the Council; or
(b) amendment to a regulation made by the Council; or
(c) regulation to be made by the Council. 2006, c. 27, s. 9 (1).
(c) regulation to be made by the Council. 2006, c. 27, s. 9 (1).
Requirements re notice
Requirements re notice
(2) A notice mentioned in subsection (1) shall set out the suggestion referred to the Advisory Council and the notice
shall be given within 30 days after the Council of the College receives the Ministers notice of the suggestion. 2006,
c. 27, s. 9 (2).
(2) A notice mentioned in subsection (1) shall set out the suggestion referred to the Advisory Council and the notice
shall be given within 30 days after the Council of the College receives the Ministers notice of the suggestion. 2006,
c. 27, s. 9 (2).
Offence
Offence
10. Every person who contravenes subsection 8 (1) or (2) is guilty of an offence and on conviction is liable to a fine of
not more than $5,000 for a first offence and not more than $10,000 for a subsequent offence. 2006, c. 27, s. 10.
not more than $5,000 for a first offence and not more than $10,000 for a subsequent offence. 2006, c. 27, s. 10.
Note: On the day the Statutes of Ontario, 2007, chapter 10, Schedule B, subsection 23 (3) comes into force, section 10 is repealed and the
following substituted: (See: 2007, c. 10, Sched. B, ss. 23 (3), 24 (2))
Note: On the day the Statutes of Ontario, 2007, chapter 10, Schedule B, subsection 23 (3) comes into force, section 10 is repealed and the
following substituted: (See: 2007, c. 10, Sched. B, ss. 23 (3), 24 (2))
Offence
Offence
not more than $25,000 for a first offence and not more than $50,000 for a second or subsequent offence. 2007, c. 10,
Sched. B, s. 23 (3).
not more than $25,000 for a first offence and not more than $50,000 for a second or subsequent offence. 2007, c. 10,
Sched. B, s. 23 (3).
Regulations
Regulations
11. Subject to the approval of the Lieutenant Governor in Council and with prior review by the Minister, the Council
may make regulations,
(a) prescribing standards of practice respecting the circumstances in which traditional Chinese medicine
practitioners shall make referrals to members of other regulated health professions;
(a) prescribing standards of practice respecting the circumstances in which traditional Chinese medicine
practitioners shall make referrals to members of other regulated health professions;
(b) prescribing therapies involving the practice of traditional Chinese medicine, governing the use of prescribed
therapies and prohibiting the use of therapies other than the prescribed therapies in the course of the practice
of traditional Chinese medicine. 2006, c. 27, s. 11.
(b) prescribing therapies involving the practice of traditional Chinese medicine, governing the use of prescribed
therapies and prohibiting the use of therapies other than the prescribed therapies in the course of the practice
of traditional Chinese medicine. 2006, c. 27, s. 11.
Doctor title
Doctor title
(a) regulating or prohibiting the use of the title doctor, a variation or abbreviation or an equivalent in another
language by members in respect of their practice;
(a) regulating or prohibiting the use of the title doctor, a variation or abbreviation or an equivalent in another
language by members in respect of their practice;
(b) prescribing a class of certificates of registration for members who use the title doctor and imposing terms,
conditions and limitations on certificates of registration of this class;
(b) prescribing a class of certificates of registration for members who use the title doctor and imposing terms,
conditions and limitations on certificates of registration of this class;
(c) prescribing standards and qualifications for the issue of these certificates and providing for the suspension,
revocation and expiration of certificates relating to those members;
(c) prescribing standards and qualifications for the issue of these certificates and providing for the suspension,
revocation and expiration of certificates relating to those members;
(d) prescribing certain registration requirements as non-exemptible requirements for these certificates for the
purposes of subsections 18 (3) and 22 (8) of the Health Professions Procedural Code;
(d) prescribing certain registration requirements as non-exemptible requirements for these certificates for the
purposes of subsections 18 (3) and 22 (8) of the Health Professions Procedural Code;
(e) requiring, for purposes associated with the registration of those members, the successful completion of
examinations as set, from time to time, by the College, other persons or associations of persons and providing
for an appeal of the results of the examinations. 2006, c. 27, s. 12.
(e) requiring, for purposes associated with the registration of those members, the successful completion of
examinations as set, from time to time, by the College, other persons or associations of persons and providing
for an appeal of the results of the examinations. 2006, c. 27, s. 12.
Transition before certain provisions in force
13. (1) The Lieutenant Governor in Council may appoint a transitional Council. 2006, c. 27, s. 13 (1).
Transition before certain provisions in force
13. (1) The Lieutenant Governor in Council may appoint a transitional Council. 2006, c. 27, s. 13 (1).
Registrar
Registrar
(2) The Lieutenant Governor in Council may appoint a Registrar who may do anything that the Registrar may do
under the Regulated Health Professions Act, 1991. 2006, c. 27, s. 13 (2).
(2) The Lieutenant Governor in Council may appoint a Registrar who may do anything that the Registrar may do
under the Regulated Health Professions Act, 1991. 2006, c. 27, s. 13 (2).
Powers of transitional Council and Registrar
Powers of transitional Council and Registrar
(3) Before section 6 comes into force, the Registrar, the transitional Council and its employees and committees may
do anything that is necessary or advisable for the implementation of this Act and anything that the Registrar, the
Council, and its employees and committees could do under this Act. 2006, c. 27, s. 13 (3).
(3) Before section 6 comes into force, the Registrar, the transitional Council and its employees and committees may
do anything that is necessary or advisable for the implementation of this Act and anything that the Registrar, the
Council, and its employees and committees could do under this Act. 2006, c. 27, s. 13 (3).
Same
Same
(4) Without limiting the generality of subsection (3), the transitional Council and the Registrar and the Councils
committees may accept and process applications for the issuance of certificates of registration, charge application fees
and issue certificates of registration. 2006, c. 27, s. 13 (4).
(4) Without limiting the generality of subsection (3), the transitional Council and the Registrar and the Councils
committees may accept and process applications for the issuance of certificates of registration, charge application fees
and issue certificates of registration. 2006, c. 27, s. 13 (4).
Powers of the Minister
Powers of the Minister
(5) The Minister may,
(5) The Minister may,
(a) review the transitional Councils activities and require the transitional Council to provide reports and
information;
(b) require the transitional Council to make, amend or revoke a regulation under this Act;
(c) require the transitional Council to do anything that, in the opinion of the Minister, is necessary or advisable to
carry out the intent of this Act and the Regulated Health Professions Act, 1991. 2006, c. 27, s. 13 (5).
(a) review the transitional Councils activities and require the transitional Council to provide reports and
information;
(b) require the transitional Council to make, amend or revoke a regulation under this Act;
(c) require the transitional Council to do anything that, in the opinion of the Minister, is necessary or advisable to
carry out the intent of this Act and the Regulated Health Professions Act, 1991. 2006, c. 27, s. 13 (5).
Transitional Council to comply with Ministers request
Transitional Council to comply with Ministers request
(6) If the Minister requires the transitional Council to do anything under subsection (5), the transitional Council shall,
within the time and in the manner specified by the Minister, comply with the requirement and submit a report. 2006,
c. 27, s. 13 (6).
(6) If the Minister requires the transitional Council to do anything under subsection (5), the transitional Council shall,
within the time and in the manner specified by the Minister, comply with the requirement and submit a report. 2006,
c. 27, s. 13 (6).
Regulations
Regulations
(7) If the Minister requires the transitional Council to make, amend or revoke a regulation under clause (5) (b) and
the transitional Council does not do so within 60 days, the Lieutenant Governor in Council may make, amend or revoke
the regulation. 2006, c. 27, s. 13 (7).
(7) If the Minister requires the transitional Council to make, amend or revoke a regulation under clause (5) (b) and
the transitional Council does not do so within 60 days, the Lieutenant Governor in Council may make, amend or revoke
the regulation. 2006, c. 27, s. 13 (7).
Same
Same
(8) Subsection (7) does not give the Lieutenant Governor in Council authority to do anything that the transitional
Council does not have authority to do. 2006, c. 27, s. 13 (8).
(8) Subsection (7) does not give the Lieutenant Governor in Council authority to do anything that the transitional
Council does not have authority to do. 2006, c. 27, s. 13 (8).
Expenses
Expenses
(9) The Minister may pay the transitional Council for expenses incurred in complying with a requirement under
subsection (5). 2006, c. 27, s. 13 (9).
(9) The Minister may pay the transitional Council for expenses incurred in complying with a requirement under
subsection (5). 2006, c. 27, s. 13 (9).
Transition after certain provisions in force
Transition after certain provisions in force
14. (1) After section 6 comes into force, the transitional Council shall be the Council of the College if it is constituted
in accordance with subsection 6 (1) or, if it is not, it shall be deemed to be the Council of the College until a new Council
is constituted in accordance with subsection 6 (1). 2006, c. 27, s. 14 (1).
14. (1) After section 6 comes into force, the transitional Council shall be the Council of the College if it is constituted
in accordance with subsection 6 (1) or, if it is not, it shall be deemed to be the Council of the College until a new Council
is constituted in accordance with subsection 6 (1). 2006, c. 27, s. 14 (1).
Registrar
Registrar
(2) After section 6 comes into force, the Registrar appointed by the Lieutenant Governor in Council shall be deemed
to be the Registrar until a new Registrar is appointed by the Council constituted under subsection 6 (1). 2006, c. 27,
s. 14 (2).
(2) After section 6 comes into force, the Registrar appointed by the Lieutenant Governor in Council shall be deemed
to be the Registrar until a new Registrar is appointed by the Council constituted under subsection 6 (1). 2006, c. 27,
s. 14 (2).
15.-19. OMITTED (AMENDS OR REPEALS OTHER ACTS). 2006, c. 27, ss. 15-19.
15.-19. OMITTED (AMENDS OR REPEALS OTHER ACTS). 2006, c. 27, ss. 15-19.
20. OMITTED (PROVIDES FOR COMING INTO FORCE OF PROVISIONS OF THIS ACT). 2006, c. 27, s. 20.
20. OMITTED (PROVIDES FOR COMING INTO FORCE OF PROVISIONS OF THIS ACT). 2006, c. 27, s. 20.
21. OMITTED (ENACTS SHORT TITLE OF THIS ACT). 2006, c. 27, s. 21.
21. OMITTED (ENACTS SHORT TITLE OF THIS ACT). 2006, c. 27, s. 21.
ONTARIO REGULATION 27/13
REGISTRATION
REGISTRATION
Last Amendment: O. Reg. 27/13.
Last Amendment: O. Reg. 27/13.

CONTENTS
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
CONTENTS
Definition
Classes of certificates
Application for certificate of registration
Requirements for issuance of certificate of registration, any class
Terms, conditions and limitations of every certificate
Registration requirements, Grandparented class
Terms, etc., Grandparented class
Labour mobility, Grandparented class
Registration requirements, General class
Terms, etc., General certificate
Labour mobility, General class
Registration requirements, Student class
Terms, etc., Student class
Labour mobility, Student class
Registration requirements, Inactive class
Additional terms, etc., Inactive class
Issuing other certificate to Inactive holder
Registration requirements, Temporary class
Additional terms, etc., Temporary class
Labour mobility, Temporary class
Suspensions, revocations and reinstatements
Registrar to give notice
Definition
1. In this Regulation,
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
Definition
Definition
full-time education means a program of study that annually consists of at least 480 hours of classroom theoretical
instruction or at least 620 hours of practical instruction or some combination of the two where, for every hour of
classroom theoretical instruction that is less than 480 hours there must be a corresponding increase of 1.3 hours in
the number of hours of practical instruction. O. Reg. 27/13, s. 1.
full-time education means a program of study that annually consists of at least 480 hours of classroom theoretical
instruction or at least 620 hours of practical instruction or some combination of the two where, for every hour of
classroom theoretical instruction that is less than 480 hours there must be a corresponding increase of 1.3 hours in
the number of hours of practical instruction. O. Reg. 27/13, s. 1.
2. The following are prescribed as classes of certificates of registration:
2. The following are prescribed as classes of certificates of registration:
1. General.
1. General.
2. Grandparented.
2. Grandparented.
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, paragraph 2 is revoked. (See: O. Reg.
27/13, ss. 24 (1), 25 (3))
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, paragraph 2 is revoked. (See: O. Reg.
27/13, ss. 24 (1), 25 (3))
3. Student.
3. Student.
4. Temporary.
4. Temporary.
5. Inactive. O. Reg. 27/13, s. 2.
5. Inactive. O. Reg. 27/13, s. 2.
3. (1) A person may apply for a certificate of registration by submitting a completed application in the form
provided by the Registrar, together with any applicable fees required under the by-laws and any supporting
documentation requested by the Registrar. O. Reg. 27/13, s. 3 (1).
3. (1) A person may apply for a certificate of registration by submitting a completed application in the form
provided by the Registrar, together with any applicable fees required under the by-laws and any supporting
documentation requested by the Registrar. O. Reg. 27/13, s. 3 (1).
(2) An applicant shall be deemed not to have satisfied the registration requirements for a certificate of registration if
the applicant makes a false or misleading statement or representation on or in connection with his or her application,
and any certificate of registration issued to such an applicant may be revoked by the Registrar. O. Reg. 27/13, s. 3 (2).
(2) An applicant shall be deemed not to have satisfied the registration requirements for a certificate of registration if
the applicant makes a false or misleading statement or representation on or in connection with his or her application,
and any certificate of registration issued to such an applicant may be revoked by the Registrar. O. Reg. 27/13, s. 3 (2).
4. (1) An applicant must satisfy the following requirements for the issuance of a certificate of registration of any
class:
4. (1) An applicant must satisfy the following requirements for the issuance of a certificate of registration of any
class:
1. The applicant must, at the time of application, provide written details about any of the following that relate to
the applicant, and where any of the following change with respect to the applicant after submitting the
application but before the issuance of a certificate, the applicant must immediately provide written details with
respect to the change:
1. The applicant must, at the time of application, provide written details about any of the following that relate to
the applicant, and where any of the following change with respect to the applicant after submitting the
application but before the issuance of a certificate, the applicant must immediately provide written details with
respect to the change:
i. A finding of guilt for any of the following:
i. A finding of guilt for any of the following:
A. A criminal offence.
A. A criminal offence.
B. An offence resulting in either a fine greater than $1,000.00 or any form of custody or detention.
B. An offence resulting in either a fine greater than $1,000.00 or any form of custody or detention.
ii. A finding of professional misconduct, incompetence or incapacity, or any similar finding, in relation to
another regulated profession in Ontario or to any regulated profession in another jurisdiction.
ii. A finding of professional misconduct, incompetence or incapacity, or any similar finding, in relation to
iii. A current proceeding for professional misconduct, incompetence or incapacity, or any similar proceeding,
in relation to another regulated profession in Ontario or to any regulated profession in another jurisdiction.
iii. A current proceeding for professional misconduct, incompetence or incapacity, or any similar proceeding,
iv. A finding of professional negligence or malpractice in any jurisdiction.
iv. A finding of professional negligence or malpractice in any jurisdiction.
v. A refusal by any body responsible for the regulation of a profession in any jurisdiction to register or license
the applicant.
v. A refusal by any body responsible for the regulation of a profession in any jurisdiction to register or license
the applicant.
vi. An attempt to pass a registration examination required for the purposes of being licensed or certified to
practise any regulated health profession, whether in Ontario or another jurisdiction, that has not resulted
in a passing grade.
vi. An attempt to pass a registration examination required for the purposes of being licensed or certified to
in a passing grade.
vii. Whether the applicant was in good standing at the time he or she ceased being registered, whether in
Ontario or another jurisdiction, with a body responsible for the regulation of a profession.
vii. Whether the applicant was in good standing at the time he or she ceased being registered, whether in
Ontario or another jurisdiction, with a body responsible for the regulation of a profession.
viii. Where the applicant is a member of another regulated profession in Ontario or any regulated profession in
another jurisdiction, any failure by the applicant to comply with any obligation to pay fees or provide
information to the body responsible for the regulation of such professions, the initiation of any
investigations by such bodies in respect of the applicant or the imposition of sanctions on the applicant by
such bodies.
viii. Where the applicant is a member of another regulated profession in Ontario or any regulated profession in
another jurisdiction, any failure by the applicant to comply with any obligation to pay fees or provide
investigations by such bodies in respect of the applicant or the imposition of sanctions on the applicant by
such bodies.
ix. Any other event that would provide reasonable grounds for the belief that the applicant will not practise
traditional Chinese medicine in a safe and professional manner.
ix. Any other event that would provide reasonable grounds for the belief that the applicant will not practise
2. The applicant must, at the time of application, provide the Registrar with the results of a criminal background
check.
2. The applicant must, at the time of application, provide the Registrar with the results of a criminal background
check.
3. The applicants previous conduct must afford reasonable grounds for the belief that he or she will practise the
profession in a safe and professional manner.
3. The applicants previous conduct must afford reasonable grounds for the belief that he or she will practise the
profession in a safe and professional manner.
4. The applicant must be able to speak, read and write either English or French with reasonable fluency.
4. The applicant must be able to speak, read and write either English or French with reasonable fluency.
5. The applicant must not have a physical or mental condition or disorder that would make it desirable in the
interest of the public that he or she not be issued a certificate of registration unless, should the applicant be
given a certificate of registration, the imposition of a term, limit or condition on that certificate is sufficient to
address such concerns.
5. The applicant must not have a physical or mental condition or disorder that would make it desirable in the
interest of the public that he or she not be issued a certificate of registration unless, should the applicant be
given a certificate of registration, the imposition of a term, limit or condition on that certificate is sufficient to
address such concerns.
6. If the applicant is registered by any body responsible for the regulation of any other profession in Ontario or of
any profession in any other jurisdiction, the applicants registration must be in good standing and must continue
to be in good standing until such time as the applicant is issued a certificate of registration.
6. If the applicant is registered by any body responsible for the regulation of any other profession in Ontario or of
any profession in any other jurisdiction, the applicants registration must be in good standing and must continue
to be in good standing until such time as the applicant is issued a certificate of registration.
7. If the applicant ceased being registered with any body responsible for the regulation of a profession in Ontario
or in any other jurisdiction, the applicant must have been in good standing at the time he or she ceased being
registered.
7. If the applicant ceased being registered with any body responsible for the regulation of a profession in Ontario
or in any other jurisdiction, the applicant must have been in good standing at the time he or she ceased being
registered.
8. The applicant must provide evidence satisfactory to the Registrar that the applicant will have professional
liability insurance in the amount and in the form required under the by-laws as of the anticipated date for the
issuance of his or her certificate of registration. O. Reg. 27/13, s. 4 (1).
8. The applicant must provide evidence satisfactory to the Registrar that the applicant will have professional
liability insurance in the amount and in the form required under the by-laws as of the anticipated date for the
issuance of his or her certificate of registration. O. Reg. 27/13, s. 4 (1).
(2) An applicant for a Grandparented certificate of registration does not have to meet the requirement in paragraph
4 of subsection (1). O. Reg. 27/13, s. 4 (2).
(2) An applicant for a Grandparented certificate of registration does not have to meet the requirement in paragraph
4 of subsection (1). O. Reg. 27/13, s. 4 (2).
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, subsection (2) is revoked. (See:
O. Reg. 27/13, ss. 24 (1), 25 (3))
O. Reg. 27/13, ss. 24 (1), 25 (3))
5. (1) Every certificate of registration is subject to the following terms, conditions and limitations:
5. (1) Every certificate of registration is subject to the following terms, conditions and limitations:
1. The member shall provide the College with written details about any of the following that relate to the member
no later than 30 days after the event occurs:
1. The member shall provide the College with written details about any of the following that relate to the member
no later than 30 days after the event occurs:
i. A finding of professional misconduct, incompetence or incapacity, or any similar finding, in relation to

i. A finding of professional misconduct, incompetence or incapacity, or any similar finding, in relation to

ii. A current proceeding for professional misconduct, incompetence or incapacity, or any similar proceeding,
ii. A current proceeding for professional misconduct, incompetence or incapacity, or any similar proceeding,
iii. A finding of professional negligence or malpractice in any jurisdiction.
iii. A finding of professional negligence or malpractice in any jurisdiction.
iv. A refusal by any body responsible for the regulation of a profession in any jurisdiction to register or license
the member.
iv. A refusal by any body responsible for the regulation of a profession in any jurisdiction to register or license
the member.
v. An attempt to pass a registration examination required for the purposes of being licensed or certified to
in a passing grade.
v. An attempt to pass a registration examination required for the purposes of being licensed or certified to
in a passing grade.
vi. Whether the member was in good standing at the time he or she ceased being registered with a body
responsible for the regulation of a profession in Ontario or any other jurisdiction.
vi. Whether the member was in good standing at the time he or she ceased being registered with a body
responsible for the regulation of a profession in Ontario or any other jurisdiction.
vii. Where the member is a member of another regulated profession in Ontario or any regulated profession in
another jurisdiction, any failure by the member to comply with any obligation to pay fees or provide
investigations by such bodies in respect of the member or the imposition of sanctions on the member by
such bodies.
vii. Where the member is a member of another regulated profession in Ontario or any regulated profession in
another jurisdiction, any failure by the member to comply with any obligation to pay fees or provide
investigations by such bodies in respect of the member or the imposition of sanctions on the member by
such bodies.
viii. Any other event that would provide reasonable grounds for the belief that the member will not practise
viii. Any other event that would provide reasonable grounds for the belief that the member will not practise
2. The member shall provide the College with written details about any finding of guilt relating to any offence as
soon as possible after receiving notice of the finding, but not later than 30 days after receiving the notice.
2. The member shall provide the College with written details about any finding of guilt relating to any offence as
soon as possible after receiving notice of the finding, but not later than 30 days after receiving the notice.
3. The member shall maintain professional liability insurance in the amount and in the form required under the bylaws, and the member shall provide the College, within two days, with written notice if the member no longer
maintains such insurance.
3. The member shall maintain professional liability insurance in the amount and in the form required under the bylaws, and the member shall provide the College, within two days, with written notice if the member no longer
maintains such insurance.
4. The member shall not practise the profession if the member does not have professional liability insurance in the
amount and in the form required under the by-laws.
4. The member shall not practise the profession if the member does not have professional liability insurance in the
amount and in the form required under the by-laws.
5. The member shall,
5. The member shall,
i. where the member is issued a certificate of registration by the College, prominently display his or her
certificate of registration at any location at which he or she practises the profession, and
i. where the member is issued a certificate of registration by the College, prominently display his or her
certificate of registration at any location at which he or she practises the profession, and
ii. where the member is issued a badge by the College, at all times while practising the profession,
prominently display the badge on the outside of his or her clothing.
ii. where the member is issued a badge by the College, at all times while practising the profession,
prominently display the badge on the outside of his or her clothing.
6. Immediately prior to the members resignation, or to the suspension, revocation or expiry of the members
certificate of registration, the member shall return his or her certificate of registration and, if he or she has one,
his or her related badge, to the Registrar.
6. Immediately prior to the members resignation, or to the suspension, revocation or expiry of the members
certificate of registration, the member shall return his or her certificate of registration and, if he or she has one,
his or her related badge, to the Registrar.
7. Subject to subsection (2), a member who holds a certificate of registration listed in Column 1 of the Table to this
subsection,
7. Subject to subsection (2), a member who holds a certificate of registration listed in Column 1 of the Table to this
subsection,
i. shall only use a title listed in Column 2 opposite the certificate of registration, and
i. shall only use a title listed in Column 2 opposite the certificate of registration, and
ii. shall only use the designation listed in Column 3 opposite the certificate of registration.
ii. shall only use the designation listed in Column 3 opposite the certificate of registration.
8. The member shall only practise in the areas of traditional Chinese medicine in which the member is educated
and experienced.
8. The member shall only practise in the areas of traditional Chinese medicine in which the member is educated
and experienced.
TABLE
Item Column 1
Certificate of Registration
1.
Grandparented
2.
General
3.
Student
4.
Inactive
5.
Temporary
Column 2
Title
Traditional Chinese Medicine Practitioner
Acupuncturist
Provisional Traditional Chinese Medicine Practitioner
Provisional Acupuncturist
Student Traditional Chinese Medicine Practitioner
Student Acupuncturist
Traditional Chinese Medicine Practitioner (Inactive)
Acupuncturist (Inactive)
Traditional Chinese Medicine Practitioner (Temp.)
Acupuncturist (Temp.)
TABLE
Column 3
Designation
R. TCMP
R. Ac
R. TCMP (Provisional)
R. Ac (Provisional)
R. TCMP (Inactive)
R. Ac (Inactive)
R. TCMP (Temp.)
R. Ac (Temp.)
Item Column 1
1.
Grandparented
2.
General
3.
Student
4.
Inactive
5.
Temporary
Column 2
Title
Acupuncturist
Provisional Traditional Chinese Medicine Practitioner
Provisional Acupuncturist
Column 3
Designation
R. TCMP
R. Ac
R. TCMP (Provisional)
R. Ac (Provisional)
R. TCMP (Inactive)
R. Ac (Inactive)
R. TCMP (Temp.)
R. Ac (Temp.)
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, the Table is revoked and the following
substituted: (See: O. Reg. 27/13, ss. 23 (1), 25 (2))
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, the Table is revoked and the following
substituted: (See: O. Reg. 27/13, ss. 23 (1), 25 (2))
TABLE
TABLE
Item Column 1
1.
Grandparented
2.
General
3.
Student
4.
Inactive
5.
Temporary
Column 2
Title
Acupuncturist
Acupuncturist
Column 3
Designation
R. TCMP
R. Ac
R. TCMP
R. Ac
R. TCMP (Inactive)
R. Ac (Inactive)
R. TCMP (Temp.)
R. Ac (Temp.)
Item Column 1
1.
Grandparented
2.
General
3.
Student
4.
Inactive
5.
Temporary
Column 2
Title
Acupuncturist
Acupuncturist
Column 3
Designation
R. TCMP
R. Ac
R. TCMP
R. Ac
R. TCMP (Inactive)
R. Ac (Inactive)
R. TCMP (Temp.)
R. Ac (Temp.)
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, Item 1 is revoked. (See: O. Reg.
27/13, ss. 24 (1), 25 (3))
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, Item 1 is revoked. (See: O. Reg.
27/13, ss. 24 (1), 25 (3))
O. Reg. 27/13, s. 5 (1).
O. Reg. 27/13, s. 5 (1).
(2) A member who was issued a General certificate of registration pursuant to subsection 9 (3) or section 11 shall
only use the titles Traditional Chinese Medicine Practitioner or Acupuncturist and the designations R. TCMP or
R. Ac. O. Reg. 27/13, s. 5 (2).
(2) A member who was issued a General certificate of registration pursuant to subsection 9 (3) or section 11 shall
only use the titles Traditional Chinese Medicine Practitioner or Acupuncturist and the designations R. TCMP or
R. Ac. O. Reg. 27/13, s. 5 (2).
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, subsection (2) is revoked and the
following substituted: (See: O. Reg. 27/13, ss. 23 (2), 25 (2))
(2) A member who is subject to the term, condition and limitation specified in paragraph 2 of subsection 10 (1) and
who has not successfully completed the registration examinations shall only use the titles Provisional Traditional
Chinese Medicine Practitioner or Provisional Acupuncturist and the designations R. TCMP (Provisional) and R. Ac
(Provisional). O. Reg. 27/13, s. 23 (2).
(2) A member who is subject to the term, condition and limitation specified in paragraph 2 of subsection 10 (1) and
who has not successfully completed the registration examinations shall only use the titles Provisional Traditional
Chinese Medicine Practitioner or Provisional Acupuncturist and the designations R. TCMP (Provisional) and R. Ac
(Provisional). O. Reg. 27/13, s. 23 (2).
6. (1) The following are non-exemptible registration requirements for a Grandparented certificate of registration:
6. (1) The following are non-exemptible registration requirements for a Grandparented certificate of registration:
1. The applicant must have completed a minimum of 2,000 traditional Chinese medicine patient visits in Canada,
which may include traditional Chinese acupuncture patient visits, within the five-year period immediately before
this paragraph came into force.
1. The applicant must have completed a minimum of 2,000 traditional Chinese medicine patient visits in Canada,
which may include traditional Chinese acupuncture patient visits, within the five-year period immediately before
this paragraph came into force.
2. The applicant must have submitted the completed application to the Registrar on or before the first anniversary
of the day this paragraph came into force.
2. The applicant must have submitted the completed application to the Registrar on or before the first anniversary
of the day this paragraph came into force.
3. The applicant must have successfully completed the Safety Program that was set or approved by the Council or
by a body that is approved by the Council for that purpose.
4. The applicant must have successfully completed the jurisprudence course set or approved by the Registration
Committee. O. Reg. 27/13, s. 6 (1).
Committee. O. Reg. 27/13, s. 6 (1).
(2) The requirements in paragraphs 3 and 4 of subsection (1) are not considered to have been met unless the
applicant satisfies those requirements either within the three-year period immediately before the date of that
applicants application or at some point following the submission of his or her application but before the certificate of
registration is issued. O. Reg. 27/13, s. 6 (2).
applicants application or at some point following the submission of his or her application but before the certificate of
registration is issued. O. Reg. 27/13, s. 6 (2).
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, section 6 is revoked. (See: O. Reg.
27/13, ss. 24 (1), 25 (3))
27/13, ss. 24 (1), 25 (3))
7. (1) The following are terms, conditions and limitations on every Grandparented certificate of registration:
7. (1) The following are terms, conditions and limitations on every Grandparented certificate of registration:
1. The member shall only practise within the area or areas of practice that have been approved by a panel of the
Registration Committee.
1. The member shall only practise within the area or areas of practice that have been approved by a panel of the
Registration Committee.
2. The member shall:
2. The member shall:
i. conduct, during each three-year period, a minimum of 500 traditional Chinese medicine patient visits,
which may include traditional Chinese acupuncture patient visits, with the first three-year period beginning
on the day that the member is issued a Grandparented certificate of registration, and each subsequent
three-year period beginning on the first anniversary of the commencement of the previous period, or
i. conduct, during each three-year period, a minimum of 500 traditional Chinese medicine patient visits,
which may include traditional Chinese acupuncture patient visits, with the first three-year period beginning
on the day that the member is issued a Grandparented certificate of registration, and each subsequent
three-year period beginning on the first anniversary of the commencement of the previous period, or
ii. within the 12 months prior to the expiry of each three-year period referred to in subparagraph i in which
the member does not meet the requirements of that subparagraph, successfully complete a refresher
program approved by the Registration Committee.
ii. within the 12 months prior to the expiry of each three-year period referred to in subparagraph i in which
the member does not meet the requirements of that subparagraph, successfully complete a refresher
program approved by the Registration Committee.
3. The members certificate of registration expires on the fifth anniversary of the day this paragraph came into
force.
3. The members certificate of registration expires on the fifth anniversary of the day this paragraph came into
force.
4. A member who is unable to speak, read and write either English or French with reasonable fluency must practise
the profession in accordance with a written plan submitted by the member that has been approved by a panel of
the Registration Committee as being one that effectively deals with inter-professional and continuity of care
issues arising from the members lack of language fluency in English and French. O. Reg. 27/13, s. 7 (1).
4. A member who is unable to speak, read and write either English or French with reasonable fluency must practise
the profession in accordance with a written plan submitted by the member that has been approved by a panel of
the Registration Committee as being one that effectively deals with inter-professional and continuity of care
issues arising from the members lack of language fluency in English and French. O. Reg. 27/13, s. 7 (1).
(2) If a member fails to meet the term, condition and limitation described in paragraph 2 of subsection (1), the
Registrar shall refer the member to the Quality Assurance Committee for a peer and practice review. O. Reg. 27/13, s. 7
(2).
Registrar shall refer the member to the Quality Assurance Committee for a peer and practice review. O. Reg. 27/13, s. 7
(2).
27/13, ss. 24 (1), 25 (3))
27/13, ss. 24 (1), 25 (3))
8. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Grandparented
certificate of registration, the applicant is deemed to have met the requirements set out in paragraphs 1, 2 and 3 of
subsection 6 (1) of this Regulation. O. Reg. 27/13, s. 8 (1).
8. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Grandparented
certificate of registration, the applicant is deemed to have met the requirements set out in paragraphs 1, 2 and 3 of
subsection 6 (1) of this Regulation. O. Reg. 27/13, s. 8 (1).
(2) It is a non-exemptible registration requirement that an applicant referred to in subsection (1) provide one or
more certificates or letters or other evidence satisfactory to the Registrar or a panel of the Registration Committee
confirming that the applicant is in good standing as a practitioner of traditional Chinese medicine in every jurisdiction
where the applicant holds an out-of-province certificate. O. Reg. 27/13, s. 8 (2).
(3) If an applicant to whom subsection (1) applies is unable to satisfy the Registrar or a panel of the Registration
Committee that the applicant practised the profession of traditional Chinese medicine to the extent that would be
permitted by a Grandparented certificate of registration at any time in the three years immediately before the date of
that applicants application, it is a non-exemptible requirement that the applicant must meet any further requirement
to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be
specified by a panel of the Registration Committee. O. Reg. 27/13, s. 8 (3).
permitted by a Grandparented certificate of registration at any time in the three years immediately before the date of
that applicants application, it is a non-exemptible requirement that the applicant must meet any further requirement
to undertake, obtain or undergo material additional training, experience, examinations or assessments that may be
(4) An applicant referred to in subsection (1) is deemed to have met the requirement of paragraph 4 of subsection 4
(1) if the requirements for the issuance of the out-of-province certificate included language proficiency requirements
equivalent to those required by that paragraph. O. Reg. 27/13, s. 8 (4).
(5) Despite subsection (1), an applicant is not deemed to have met a requirement if that requirement is described in
subsection 22.18 (3) of the Health Professions Procedural Code. O. Reg. 27/13, s. 8 (5).
27/13, ss. 24 (1), 25 (3))
27/13, ss. 24 (1), 25 (3))
9. (1) Subject to subsection (3), the following are non-exemptible registration requirements for a General certificate
of registration:
9. (1) Subject to subsection (3), the following are non-exemptible registration requirements for a General certificate
of registration:
1. The applicant must have successfully completed a post-secondary program in traditional Chinese medicine that,
1. The applicant must have successfully completed a post-secondary program in traditional Chinese medicine that,
i. in the case of a full traditional Chinese medicine program, consists of at least four years of full-time
education, or education that is of equivalent duration, and
i. in the case of a full traditional Chinese medicine program, consists of at least four years of full-time
education, or education that is of equivalent duration, and
ii. in the case of a traditional Chinese medicine acupuncture program, consists of at least three years of fulltime education, or education that is of equivalent duration.
ii. in the case of a traditional Chinese medicine acupuncture program, consists of at least three years of fulltime education, or education that is of equivalent duration.
2. The applicant must have successfully completed a program of clinical experience in the profession that is
structured, comprehensive, supervised and evaluated and which consists of at least 45 weeks of clinical
experience involving at least 500 hours of direct patient contact.
2. The applicant must have successfully completed a program of clinical experience in the profession that is
structured, comprehensive, supervised and evaluated and which consists of at least 45 weeks of clinical
experience involving at least 500 hours of direct patient contact.
Committee.
Committee.
5. The applicant must have successfully passed an assessment conducted by a panel of the Registration Committee,
or by another body that is approved by the Council for that purpose, that demonstrates that the applicant has
the necessary competency to safely practise the profession as the holder of a General certificate of registration.
O. Reg. 27/13, s. 9 (1).
5. The applicant must have successfully passed an assessment conducted by a panel of the Registration Committee,
or by another body that is approved by the Council for that purpose, that demonstrates that the applicant has
the necessary competency to safely practise the profession as the holder of a General certificate of registration.
O. Reg. 27/13, s. 9 (1).
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, subsection (1) is amended by adding the
following paragraph: (See: O. Reg. 27/13, ss. 23 (3), 25 (2))
6. The applicant must have successfully completed the registration examinations that are set or approved by the
Council.
6. The applicant must have successfully completed the registration examinations that are set or approved by the
Council.
(2) If the applicant has not satisfied the requirements set out in paragraph 1 of subsection (1) either within one year
immediately before the date that the applicant submitted his or her application or at some point following the
submission of his or her application, the applicant must,
(2) If the applicant has not satisfied the requirements set out in paragraph 1 of subsection (1) either within one year
immediately before the date that the applicant submitted his or her application or at some point following the
submission of his or her application, the applicant must,
(a) have practised the profession during the three-year period of time that immediately preceded the date that the
applicant submitted his or her application, which practice included conducting a minimum of 500 traditional
Chinese medicine patient visits, which may include traditional Chinese acupuncture patient visits; or
(b) have, within the 12-month period that immediately preceded the date that the applicant submitted his or her
application, successfully completed a refresher program approved by the Registration Committee. O. Reg. 27/13,
s. 9 (2).
s. 9 (2).
(3) An applicant who either holds or is eligible to hold a Grandparented certificate of registration shall be issued a
General certificate of registration if,
(3) An applicant who either holds or is eligible to hold a Grandparented certificate of registration shall be issued a
General certificate of registration if,
(a) the applicant has at least three years of clinical experience in the profession consisting of at least 1,200
traditional Chinese medicine patient visits, which may include traditional Chinese acupuncture patient visits, in
addition to those required by paragraph 1 of subsection 6 (1);
(a) the applicant has at least three years of clinical experience in the profession consisting of at least 1,200
traditional Chinese medicine patient visits, which may include traditional Chinese acupuncture patient visits, in
addition to those required by paragraph 1 of subsection 6 (1);
(b) the applicant has successfully completed both of the following Prior Learning Assessment processes, the results
of which, when taken together, demonstrate, to the satisfaction of a panel of the Registration Committee, that
he or she is competent to practise the profession,
(b) the applicant has successfully completed both of the following Prior Learning Assessment processes, the results
of which, when taken together, demonstrate, to the satisfaction of a panel of the Registration Committee, that
he or she is competent to practise the profession,
(i) a portfolio review process that is approved by the Registration Committee,
(i) a portfolio review process that is approved by the Registration Committee,
(ii) a challenge assessment process that is approved by the Registration Committee;
(ii) a challenge assessment process that is approved by the Registration Committee;
(c) the applicant has paid any fees owed to the College; and
(c) the applicant has paid any fees owed to the College; and
(d) the applicant has provided the College with any information that it has required of the applicant. O. Reg. 27/13,
s. 9 (3).
(d) the applicant has provided the College with any information that it has required of the applicant. O. Reg. 27/13,
s. 9 (3).
O. Reg. 27/13, ss. 24 (1), 25 (3))
O. Reg. 27/13, ss. 24 (1), 25 (3))
(4) An applicant referred to in subsection (3) does not need to complete both of the Prior Learning Assessment
processes described in clause (3) (b) if, based on the results of one of the processes, the panel is satisfied that the
applicant is competent to practise the profession. O. Reg. 27/13, s. 9 (4).
(4) An applicant referred to in subsection (3) does not need to complete both of the Prior Learning Assessment
processes described in clause (3) (b) if, based on the results of one of the processes, the panel is satisfied that the
applicant is competent to practise the profession. O. Reg. 27/13, s. 9 (4).
O. Reg. 27/13, ss. 24 (1), 25 (3))
O. Reg. 27/13, ss. 24 (1), 25 (3))
(5) The requirement in paragraph 2 of subsection (1) is not considered to have been met if the program referred to
in that paragraph commenced prior to the commencement of the program in traditional Chinese medicine referred to
in paragraph 1 of subsection (1). O. Reg. 27/13, s. 9 (5).
(5) The requirement in paragraph 2 of subsection (1) is not considered to have been met if the program referred to
in that paragraph commenced prior to the commencement of the program in traditional Chinese medicine referred to
in paragraph 1 of subsection (1). O. Reg. 27/13, s. 9 (5).
applicants application or at some point following the submission of his or her application. O. Reg. 27/13, s. 9 (6).
applicants application or at some point following the submission of his or her application. O. Reg. 27/13, s. 9 (6).
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, section 9 is amended by adding the
following subsections: (See: O. Reg. 27/13, ss. 23 (4), 25 (2))
(7) Subject to subsections (8) and (9), the requirements in paragraph 6 of subsection (1) are not considered to have
been met unless the applicant successfully completed the examinations,
(7) Subject to subsections (8) and (9), the requirements in paragraph 6 of subsection (1) are not considered to have
been met unless the applicant successfully completed the examinations,
(a) after the date on which he or she met the requirements in paragraph 5 of subsection (1); or
(a) after the date on which he or she met the requirements in paragraph 5 of subsection (1); or
(b) within three attempts. O. Reg. 27/13, s. 23 (4).
(b) within three attempts. O. Reg. 27/13, s. 23 (4).
(8) In the case of an applicant who does not successfully complete the examinations within three attempts, the
requirements in paragraph 6 of subsection (1) will be considered to have been met if the applicant successfully
completed the examinations on the applicants fourth attempt after having first successfully completed the further
education or training or combination of education and training, if any, required by a panel of the Registration
Committee. O. Reg. 27/13, s. 23 (4).
(8) In the case of an applicant who does not successfully complete the examinations within three attempts, the
requirements in paragraph 6 of subsection (1) will be considered to have been met if the applicant successfully
completed the examinations on the applicants fourth attempt after having first successfully completed the further
education or training or combination of education and training, if any, required by a panel of the Registration
Committee. O. Reg. 27/13, s. 23 (4).
(9) Where, by virtue of clause (b) of subsection (7) and subsection (8), an applicant is not considered to have met the
requirements in paragraph 6 of subsection (1), the successful completion of the examinations on any further attempt
will not be considered as satisfying the requirements in paragraph 6 of subsection (1) unless, prior to sitting the
examinations, the applicant completes another program mentioned in paragraph 1 of subsection (1). O. Reg. 27/13,
s. 23 (4).
(9) Where, by virtue of clause (b) of subsection (7) and subsection (8), an applicant is not considered to have met the
requirements in paragraph 6 of subsection (1), the successful completion of the examinations on any further attempt
will not be considered as satisfying the requirements in paragraph 6 of subsection (1) unless, prior to sitting the
examinations, the applicant completes another program mentioned in paragraph 1 of subsection (1). O. Reg. 27/13,
s. 23 (4).
(10) Where, by virtue of clause (a) of subsection (7), an applicant is not considered to have met the requirements in
paragraph 6 of subsection (1), the attempt or attempts to sit the examinations that led to the meeting of those
requirements will not be considered for the purposes of clause (7) (b) and subsection (8). O. Reg. 27/13, s. 23 (4).
(10) Where, by virtue of clause (a) of subsection (7), an applicant is not considered to have met the requirements in
paragraph 6 of subsection (1), the attempt or attempts to sit the examinations that led to the meeting of those
requirements will not be considered for the purposes of clause (7) (b) and subsection (8). O. Reg. 27/13, s. 23 (4).
10. (1) The following are terms, conditions and limitations on every General certificate of registration:
1. The member must either,
10. (1) The following are terms, conditions and limitations on every General certificate of registration:
1. The member must either,
i. conduct a minimum of 500 traditional Chinese medicine patient visits, which may include traditional
Chinese acupuncture patient visits, during every three-year period where the first three-year period begins
on the day that the member is issued a General certificate of registration and each subsequent three-year
period begins on the first anniversary of the commencement of the previous period, or
i. conduct a minimum of 500 traditional Chinese medicine patient visits, which may include traditional
Chinese acupuncture patient visits, during every three-year period where the first three-year period begins
on the day that the member is issued a General certificate of registration and each subsequent three-year
period begins on the first anniversary of the commencement of the previous period, or
ii. within the 12 months prior to the expiry of each period referred to in subparagraph i in which the member
does not meet the requirements of that subparagraph, successfully complete a refresher program
approved by the Registration Committee. O. Reg. 27/13, s. 10 (1).
ii. within the 12 months prior to the expiry of each period referred to in subparagraph i in which the member
does not meet the requirements of that subparagraph, successfully complete a refresher program
approved by the Registration Committee. O. Reg. 27/13, s. 10 (1).
2. Subject to subsection (4), a member who was issued a General certificate of registration before the coming into
force of this paragraph must successfully complete the registration examinations referred to in paragraph 6 of
subsection 9 (1).
2. Subject to subsection (4), a member who was issued a General certificate of registration before the coming into
force of this paragraph must successfully complete the registration examinations referred to in paragraph 6 of
subsection 9 (1).
Registrar shall refer the member to the Quality Assurance Committee for a peer and practice review. O. Reg. 27/13,
s. 10 (2).
Registrar shall refer the member to the Quality Assurance Committee for a peer and practice review. O. Reg. 27/13,
s. 10 (2).
(3) A member referred to in paragraph 2 of subsection (1) must successfully complete the examinations referred to
in that paragraph within two attempts and must attempt every set of those examinations that is offered until such time
as the examinations are successfully completed or he or she fails the examinations for a second time, whichever comes
first. O. Reg. 27/13, s. 23 (6).
(3) A member referred to in paragraph 2 of subsection (1) must successfully complete the examinations referred to
in that paragraph within two attempts and must attempt every set of those examinations that is offered until such time
as the examinations are successfully completed or he or she fails the examinations for a second time, whichever comes
first. O. Reg. 27/13, s. 23 (6).
(4) A member who is issued a General certificate of registration pursuant to subsection 9 (3) or section 11 is not
required to meet the term, condition and limitation described in paragraph 2 of subsection (1). O. Reg. 27/13, s. 23 (6).
(4) A member who is issued a General certificate of registration pursuant to subsection 9 (3) or section 11 is not
required to meet the term, condition and limitation described in paragraph 2 of subsection (1). O. Reg. 27/13, s. 23 (6).
11. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a General
certificate of registration, the applicant is deemed to have met the requirements set out in paragraphs 1, 2, 3 and 5 of
subsection 9 (1) and in subsection 9 (2) of this Regulation. O. Reg. 27/13, s. 11 (1).
11. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a General
certificate of registration, the applicant is deemed to have met the requirements set out in paragraphs 1, 2, 3 and 5 of
(1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a General certificate
of registration, the applicant is deemed to have met the requirements set out in paragraphs 1, 2, 3, 5 and 6 of
(1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a General certificate
of registration, the applicant is deemed to have met the requirements set out in paragraphs 1, 2, 3, 5 and 6 of
permitted by a General certificate of registration at any time in the three years immediately before the date of that
applicants application, it is a non-exemptible requirement that the applicant must meet any further requirement to
undertake, obtain or undergo material additional training, experience, examinations or assessments that may be
permitted by a General certificate of registration at any time in the three years immediately before the date of that
12. (1) The following are registration requirements for a Student certificate of registration:
1. The applicant must,
12. (1) The following are registration requirements for a Student certificate of registration:
1. The applicant must,
i. be enrolled in a post-secondary program in traditional Chinese medicine referred to in paragraph 1 of

subsection 9 (1), or
i. be enrolled in a post-secondary program in traditional Chinese medicine referred to in paragraph 1 of

subsection 9 (1), or
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, subparagraph i is amended by striking
out or at the end. (See: O. Reg. 27/13, ss. 23 (8), 25 (2))
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, subparagraph i is amended by striking
out or at the end. (See: O. Reg. 27/13, ss. 23 (8), 25 (2))
ii. be enrolled in a program referred to in paragraph 2 of subsection 9 (1).
ii. be enrolled in a program referred to in paragraph 2 of subsection 9 (1).
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, paragraph 1 is amended by adding or
at the end of subparagraph ii and by adding the following subparagraph: (See: O. Reg. 27/13, ss. 23 (8), 25 (2))
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, paragraph 1 is amended by adding or
at the end of subparagraph ii and by adding the following subparagraph: (See: O. Reg. 27/13, ss. 23 (8), 25 (2))
iii. have applied to take the registration examinations referred to in paragraph 6 of subsection 9 (1), but have
not yet taken the examinations.
iii. have applied to take the registration examinations referred to in paragraph 6 of subsection 9 (1), but have
not yet taken the examinations.
2. The applicant must not have previously held a Student certificate of registration and been unsuccessful in an
attempt to meet the requirements of paragraph 1 or 2 of subsection 9 (1) unless the Registrar is of the opinion
that there are exceptional circumstances that likely contributed to the applicants failure to meet those
requirements. O. Reg. 27/13, s. 12 (1).
attempt to meet the requirements of paragraph 1 or 2 of subsection 9 (1) unless the Registrar is of the opinion
requirements. O. Reg. 27/13, s. 12 (1).
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, paragraph 2 is revoked and the
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, paragraph 2 is revoked and the
attempt to meet the requirements of paragraph 1, 2 or 6 of subsection 9 (1) unless the Registrar is of the opinion
requirements.
attempt to meet the requirements of paragraph 1, 2 or 6 of subsection 9 (1) unless the Registrar is of the opinion
requirements.
(2) The requirements of paragraph 1 of subsection (1) are non-exemptible. O. Reg. 27/13, s. 12 (2).
13. The following are terms, conditions and limitations on every Student certificate of registration:
(2) The requirements of paragraph 1 of subsection (1) are non-exemptible. O. Reg. 27/13, s. 12 (2).
13. The following are terms, conditions and limitations on every Student certificate of registration:
1. The member shall only practise the profession while under the supervision of a member who holds a
Grandparented or General certificate of registration who can communicate with the member in the members
language and who has been approved by the Registrar.
1. The member shall only practise the profession while under the supervision of a member who holds a
Grandparented or General certificate of registration who can communicate with the member in the members
language and who has been approved by the Registrar.
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, paragraph 1 is amended by striking
out Grandparented or. (See: O. Reg. 27/13, ss. 24 (2), 25 (3))
2. The members certificate of registration expires on the earliest of,

i. the date the holder is no longer actively engaged in pursuing the post-secondary educational program or
program of clinical experience referred to in paragraph 1 of subsection 12 (1) unless the Registrar permits
the holder, in writing, to interrupt the pursuit of those requirements,
2. The members certificate of registration expires on the earliest of,

i. the date the holder is no longer actively engaged in pursuing the post-secondary educational program or
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, subparagraph i is revoked and the
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, subparagraph i is revoked and the
i. the date the holder is no longer actively engaged in pursuing the educational program, examinations or
i. the date the holder is no longer actively engaged in pursuing the educational program, examinations or
ii. the date that is seven years following the date on which the Student certificate of registration was issued
unless a panel of the Registration Committee determines that exceptional circumstances exist which
warrant an extension of the holders certificate of registration, and
ii. the date that is seven years following the date on which the Student certificate of registration was issued
unless a panel of the Registration Committee determines that exceptional circumstances exist which
warrant an extension of the holders certificate of registration, and
iii. the date the holder is issued a certificate of registration of another class.
iii. the date the holder is issued a certificate of registration of another class.
3. Where a certificate of registration is extended by a panel of the Registration Committee under subparagraph 2 ii,
the extension is subject to any terms, conditions and limitations as determined by that panel of the Registration
Committee. O. Reg. 27/13, s. 13.
3. Where a certificate of registration is extended by a panel of the Registration Committee under subparagraph 2 ii,
the extension is subject to any terms, conditions and limitations as determined by that panel of the Registration
Committee. O. Reg. 27/13, s. 13.
14. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Student
certificate of registration, the applicant is deemed to have met the requirements set out in paragraph 1 of subsection
12 (1). O. Reg. 27/13, s. 14 (1).
14. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Student
12 (1). O. Reg. 27/13, s. 14 (1).
permitted by a Student certificate of registration at any time in the three years immediately before the date of that
permitted by a Student certificate of registration at any time in the three years immediately before the date of that
15. (1) The following are registration requirements for an Inactive certificate of registration:
1. The applicant must be a member holding a Grandparented or General certificate of registration.
15. (1) The following are registration requirements for an Inactive certificate of registration:
1. The applicant must be a member holding a Grandparented or General certificate of registration.
2. The applicant must not be in default of any fee, penalty or other amount owing to the College.
2. The applicant must not be in default of any fee, penalty or other amount owing to the College.
3. The applicant must have provided the College with any information that it has required of the applicant.
3. The applicant must have provided the College with any information that it has required of the applicant.
4. The applicant must have provided the College with an undertaking, in a form acceptable to the Registrar, that he
or she will not practise the profession while holding an Inactive certificate of registration.
4. The applicant must have provided the College with an undertaking, in a form acceptable to the Registrar, that he
or she will not practise the profession while holding an Inactive certificate of registration.
5. The applicant must not have held an Inactive certificate of registration within the five-year period immediately
before the date on which he or she submitted the application unless the Registrar is of the opinion that
exceptional circumstances justify exempting the applicant from this requirement. O. Reg. 27/13, s. 15 (1).
5. The applicant must not have held an Inactive certificate of registration within the five-year period immediately
before the date on which he or she submitted the application unless the Registrar is of the opinion that
exceptional circumstances justify exempting the applicant from this requirement. O. Reg. 27/13, s. 15 (1).
(2) The requirements of paragraphs 1 to 4 of subsection (1) are non-exemptible. O. Reg. 27/13, s. 15 (2).
16. The following are additional terms, conditions and limitations on every Inactive certificate of registration:
16. The following are additional terms, conditions and limitations on every Inactive certificate of registration:
1. The member shall not engage in the practice of traditional Chinese medicine.
1. The member shall not engage in the practice of traditional Chinese medicine.
2. The member shall not supervise the practice of the profession.
2. The member shall not supervise the practice of the profession.
3. The member shall not make any claim to or representation of having any competence in the profession. O. Reg.
27/13, s. 16.
3. The member shall not make any claim to or representation of having any competence in the profession. O. Reg.
27/13, s. 16.
17. (1) The Registrar may issue to the holder of an Inactive certificate of registration the Grandparented or General
certificate of registration that he or she previously held if the member,
17. (1) The Registrar may issue to the holder of an Inactive certificate of registration the Grandparented or General
certificate of registration that he or she previously held if the member,
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, subsection (1) is amended by striking
out Grandparented or in the portion before clause (a). (See: O. Reg. 27/13, ss. 24 (2), 25 (3))
Note: On April 1, 2019, the day that is the sixth anniversary of the day section 5 of the Act comes into force, subsection (1) is amended by striking
out Grandparented or in the portion before clause (a). (See: O. Reg. 27/13, ss. 24 (2), 25 (3))
(a) makes an application to the Registrar;
(a) makes an application to the Registrar;
(b) pays any penalty or other amount owed to the College;
(b) pays any penalty or other amount owed to the College;
(c) pays any fees required under the Colleges by-laws;
(c) pays any fees required under the Colleges by-laws;
(d) provides the College with any information that it has required of the member;
(d) provides the College with any information that it has required of the member;
(e) satisfies the Registrar that he or she will be in compliance with all of the terms, conditions and limitations of the
certificate that is being applied for as of the anticipated date on which the certificate will be issued; and
(e) satisfies the Registrar that he or she will be in compliance with all of the terms, conditions and limitations of the
certificate that is being applied for as of the anticipated date on which the certificate will be issued; and
(f) satisfies a panel of the Registration Committee that he or she possesses the current knowledge, skill and
judgment relating to the practice of the profession that would be expected of a member holding the type of
certificate which is being applied for. O. Reg. 27/13, s. 17 (1).
(f) satisfies a panel of the Registration Committee that he or she possesses the current knowledge, skill and
judgment relating to the practice of the profession that would be expected of a member holding the type of
certificate which is being applied for. O. Reg. 27/13, s. 17 (1).
(2) Despite subsection (1), the Registrar shall not reissue a Grandparented certificate of registration after the fifth
anniversary of the day this section came into force. O. Reg. 27/13, s. 17 (2).
(2) Despite subsection (1), the Registrar shall not reissue a Grandparented certificate of registration after the fifth
anniversary of the day this section came into force. O. Reg. 27/13, s. 17 (2).
18. (1) The following are registration requirements for a Temporary certificate of registration:
18. (1) The following are registration requirements for a Temporary certificate of registration:
1. The applicant must be registered or licensed to practise traditional Chinese medicine in another jurisdiction in
which the requirements for registration or licensure are similar to those in paragraphs 1 and 2 of subsection 9
(1).
1. The applicant must be registered or licensed to practise traditional Chinese medicine in another jurisdiction in
which the requirements for registration or licensure are similar to those in paragraphs 1 and 2 of subsection 9
(1).
2. The applicant must have an offer of employment or appointment that relates to the practice or teaching of the
profession and which does not exceed six months.
2. The applicant must have an offer of employment or appointment that relates to the practice or teaching of the
profession and which does not exceed six months.
3. A holder of a Grandparented or General certificate of registration who is approved by the Registrar must have
agreed to supervise the applicant and to be responsible for ensuring that the applicant provides appropriate and
continuing care to patients.
3. A holder of a Grandparented or General certificate of registration who is approved by the Registrar must have
agreed to supervise the applicant and to be responsible for ensuring that the applicant provides appropriate and
continuing care to patients.
4. The applicant must not have held a Temporary certificate of registration in the 12-month period immediately
before the date on which he or she made the application unless the Registrar is of the opinion, based on
exceptional circumstances, that this requirement should not apply.
4. The applicant must not have held a Temporary certificate of registration in the 12-month period immediately
before the date on which he or she made the application unless the Registrar is of the opinion, based on
exceptional circumstances, that this requirement should not apply.
Committee. O. Reg. 27/13, s. 18 (1).
Committee. O. Reg. 27/13, s. 18 (1).
(3) The requirement in paragraph 5 of subsection (1) is not considered to have been met unless the applicant
satisfies the requirement within the three-year period immediately before the date of the applicants application.
O. Reg. 27/13, s. 18 (3).
(3) The requirement in paragraph 5 of subsection (1) is not considered to have been met unless the applicant
satisfies the requirement within the three-year period immediately before the date of the applicants application.
O. Reg. 27/13, s. 18 (3).
(4) If the applicant completed the education that was part of the requirements for the registration or licensure
referred to in paragraph 1 of subsection (1) more than one year immediately before the date that the applicant
submitted his or her application for a Temporary certificate of registration, the applicant must,
(4) If the applicant completed the education that was part of the requirements for the registration or licensure
referred to in paragraph 1 of subsection (1) more than one year immediately before the date that the applicant
submitted his or her application for a Temporary certificate of registration, the applicant must,
s. 18 (4).
s. 18 (4).
19. The following are additional terms, conditions and limitations on every Temporary certificate of registration:
1. The member may only practise traditional Chinese medicine under the supervision of the Grandparented or
General member referred to in paragraph 3 of subsection 18 (1).
19. The following are additional terms, conditions and limitations on every Temporary certificate of registration:
1. The member may only practise traditional Chinese medicine under the supervision of the Grandparented or
General member referred to in paragraph 3 of subsection 18 (1).
2. Upon the request of the Registrar, the member shall provide evidence satisfactory to the Registrar of the
members compliance with the terms, conditions and limitations set out in paragraph 1 and shall provide such
evidence within the time period set by the Registrar.
2. Upon the request of the Registrar, the member shall provide evidence satisfactory to the Registrar of the
members compliance with the terms, conditions and limitations set out in paragraph 1 and shall provide such
evidence within the time period set by the Registrar.
3. The members certificate of registration expires on the earlier of the expiry date noted on his or her certificate of
registration and the day that is six months after the date on which the certificate was issued. O. Reg. 27/13,
s. 19.
3. The members certificate of registration expires on the earlier of the expiry date noted on his or her certificate of
registration and the day that is six months after the date on which the certificate was issued. O. Reg. 27/13,
s. 19.
20. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Temporary
18 (1). O. Reg. 27/13, s. 20 (1).
20. (1) Where section 22.18 of the Health Professions Procedural Code applies to an applicant for a Temporary
18 (1). O. Reg. 27/13, s. 20 (1).
permitted by a Temporary certificate of registration at any time in the three years immediately before the date of that
permitted by a Temporary certificate of registration at any time in the three years immediately before the date of that
21. (1) If a member fails to provide the College with information about the member as required under the by-laws,
21. (1) If a member fails to provide the College with information about the member as required under the by-laws,
(a) the Registrar may give the member notice of intention to suspend the members certificate of registration; and
(a) the Registrar may give the member notice of intention to suspend the members certificate of registration; and
(b) the Registrar may suspend the members certificate of registration if the member fails to provide the
information within 30 days after the notice is given. O. Reg. 27/13, s. 21 (1).
(b) the Registrar may suspend the members certificate of registration if the member fails to provide the
information within 30 days after the notice is given. O. Reg. 27/13, s. 21 (1).
(2) If the Registrar suspends a members certificate of registration under subsection (1), the Registrar shall lift the
suspension upon being satisfied that,
(2) If the Registrar suspends a members certificate of registration under subsection (1), the Registrar shall lift the
suspension upon being satisfied that,
(a) the former member has given the required information to the College;
(a) the former member has given the required information to the College;
(b) the former member has paid any fees required under the by-laws for lifting the suspension;
(b) the former member has paid any fees required under the by-laws for lifting the suspension;
(c) the former member has paid any other outstanding fees required under the by-laws; and
(c) the former member has paid any other outstanding fees required under the by-laws; and
(d) in the case of a former member whose certificate of registration was suspended under subsection (1) more than
three years prior to the date on which he or she made his or her application for reinstatement, he or she
possesses the current knowledge, skill and judgment relating to the practice of the profession that would be
expected of a member holding the type of certificate that is being applied for. O. Reg. 27/13, s. 21 (2).
(d) in the case of a former member whose certificate of registration was suspended under subsection (1) more than
three years prior to the date on which he or she made his or her application for reinstatement, he or she
possesses the current knowledge, skill and judgment relating to the practice of the profession that would be
expected of a member holding the type of certificate that is being applied for. O. Reg. 27/13, s. 21 (2).
(3) Despite subsection (2), after the fifth anniversary of the day this subsection comes into force, the Registrar shall
not lift the suspension of a Grandparented certificate of registration. O. Reg. 27/13, s. 21 (3).
(3) Despite subsection (2), after the fifth anniversary of the day this subsection comes into force, the Registrar shall
not lift the suspension of a Grandparented certificate of registration. O. Reg. 27/13, s. 21 (3).
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, section 22 comes into force. (See:
O. Reg. 27/13, s. 25 (2))
Note: On the later of April 1, 2013, the day section 5 of the Act comes into force, and December 31, 2013, section 22 comes into force. (See:
O. Reg. 27/13, s. 25 (2))
22. The Registrar shall provide notice to a member where the member fails to meet the term, condition and
limitation described in paragraph 2 of subsection 10 (1) within the timeframe provided for in subsection 10 (3) and the
members General certificate of registration shall be revoked 30 days following the date on which the notice is
provided. O. Reg. 27/13, s. 22.
23. OMITTED (PROVIDES FOR AMENDMENTS TO THIS REGULATION). O. Reg. 27/13, s. 23.
25. OMITTED (PROVIDES FOR COMING INTO FORCE OF PROVISIONS OF THIS REGULATION). O. Reg. 27/13, s. 25.
22. The Registrar shall provide notice to a member where the member fails to meet the term, condition and
limitation described in paragraph 2 of subsection 10 (1) within the timeframe provided for in subsection 10 (3) and the
members General certificate of registration shall be revoked 30 days following the date on which the notice is
provided. O. Reg. 27/13, s. 22.
PROFESSIONAL MISCONDUCT
PROFESSIONAL MISCONDUCT
No amendments.
No amendments.
Acts of professional misconduct
Acts of professional misconduct
1. The following are acts of professional misconduct for the purposes of clause 51 (1) (c) of the Health Professions
Procedural Code:
1. The following are acts of professional misconduct for the purposes of clause 51 (1) (c) of the Health Professions
Procedural Code:
1. Contravening, by act or omission, a standard of practice of the profession or failing to maintain the standard of
practice of the profession.
1. Contravening, by act or omission, a standard of practice of the profession or failing to maintain the standard of
practice of the profession.
2. Abusing a patient or a patients representative verbally, physically, psychologically or emotionally.
2. Abusing a patient or a patients representative verbally, physically, psychologically or emotionally.
3. Doing anything to a patient for a therapeutic, preventative, palliative, diagnostic, cosmetic or other healthrelated purpose except,
3. Doing anything to a patient for a therapeutic, preventative, palliative, diagnostic, cosmetic or other healthrelated purpose except,
i. with the informed consent of the patient or the patients authorized representative, or
i. with the informed consent of the patient or the patients authorized representative, or
ii. as required or authorized by law.
ii. as required or authorized by law.
4. Failing to reply appropriately to a reasonable request by a patient or a patients authorized representative for
information respecting a service or product provided or recommended by the member.
4. Failing to reply appropriately to a reasonable request by a patient or a patients authorized representative for
information respecting a service or product provided or recommended by the member.
5. Giving information about a patient to a person other than the patient or the patients authorized representative
except with the consent of the patient or the authorized representative or as required or authorized by law.
5. Giving information about a patient to a person other than the patient or the patients authorized representative
except with the consent of the patient or the authorized representative or as required or authorized by law.
6. Discontinuing professional services that are needed unless the discontinuation would reasonably be regarded by
members as appropriate having regard to,
6. Discontinuing professional services that are needed unless the discontinuation would reasonably be regarded by
members as appropriate having regard to,
i. the members reasons for discontinuing the services,
i. the members reasons for discontinuing the services,
ii. the condition of the patient,
ii. the condition of the patient,
iii. the availability of alternate services, and
iii. the availability of alternate services, and
iv. the opportunity given to the patient to arrange alternate services before the discontinuation.
iv. the opportunity given to the patient to arrange alternate services before the discontinuation.
7. Recommending or providing unnecessary treatment when the member knows or ought to know that the
recommendation or the provision of treatment is unnecessary.
7. Recommending or providing unnecessary treatment when the member knows or ought to know that the
recommendation or the provision of treatment is unnecessary.
8. Treating or attempting to treat a condition that the member knows or ought to know he or she does not have
the knowledge, skills or judgment to treat.
8. Treating or attempting to treat a condition that the member knows or ought to know he or she does not have
the knowledge, skills or judgment to treat.
9. Failing to advise a patient or the patients authorized representative to consult another member of a health
profession within the meaning of the Regulated Health Professions Act, 1991, where the member knows or
ought to know that the patient requires a service that the member does not have the knowledge, skills or
judgment to offer or is beyond his or her scope of practice.
9. Failing to advise a patient or the patients authorized representative to consult another member of a health
profession within the meaning of the Regulated Health Professions Act, 1991, where the member knows or
ought to know that the patient requires a service that the member does not have the knowledge, skills or
judgment to offer or is beyond his or her scope of practice.
10. Performing a controlled act that the member is not authorized to perform.
10. Performing a controlled act that the member is not authorized to perform.
11. Delegating a controlled act to a delegatee unless the member appropriately supervises him or her, the
delegation is appropriate in all of the circumstances and the member takes reasonable measures to ensure that
the delegatee has the knowledge, skills and judgment to perform the procedure.
11. Delegating a controlled act to a delegatee unless the member appropriately supervises him or her, the
delegation is appropriate in all of the circumstances and the member takes reasonable measures to ensure that
the delegatee has the knowledge, skills and judgment to perform the procedure.
12. Where the member has delegated a controlled act, failing to document in the members own records, at or
before the time of delegating the controlled act, information about the delegatees knowledge, skill and
judgment concerning the performance of the delegated act.
12. Where the member has delegated a controlled act, failing to document in the members own records, at or
before the time of delegating the controlled act, information about the delegatees knowledge, skill and
judgment concerning the performance of the delegated act.
13. Failing to document the delegation of a controlled act in the patients health record at the time of the delegation
or within a reasonable time thereafter, with the following information:
13. Failing to document the delegation of a controlled act in the patients health record at the time of the delegation
or within a reasonable time thereafter, with the following information:
i. The date.
i. The date.
ii. The name of the delegatee.
ii. The name of the delegatee.
iii. The controlled act that was delegated.
iii. The controlled act that was delegated.
iv. The conditions, if any, relating to the delegation.
iv. The conditions, if any, relating to the delegation.
14. Failing to appropriately supervise a person to whom the member has assigned a task related to the practice of
the profession.
14. Failing to appropriately supervise a person to whom the member has assigned a task related to the practice of
the profession.
15. Permitting, counselling or assisting a person who is not a member to represent himself or herself as a member or
to perform a controlled act that the person is not authorized to perform under a health profession Act.
15. Permitting, counselling or assisting a person who is not a member to represent himself or herself as a member or
to perform a controlled act that the person is not authorized to perform under a health profession Act.
16. Failing to advise a patient, a patients authorized representative or a member of the public, when requested, of
his or her right to file a complaint with the College.
16. Failing to advise a patient, a patients authorized representative or a member of the public, when requested, of
his or her right to file a complaint with the College.
17. Failing to provide a patient, a patients authorized representative or a member of the public, when requested,
with the address and telephone number of the College.
17. Failing to provide a patient, a patients authorized representative or a member of the public, when requested,
with the address and telephone number of the College.
18. Acting in a professional capacity while in a conflict of interest.
18. Acting in a professional capacity while in a conflict of interest.
19. Submitting an account or charge for services that the member knows or ought to know is false or misleading.
19. Submitting an account or charge for services that the member knows or ought to know is false or misleading.
20. Charging a fee that would be regarded by members as excessive in relation to the service provided.
20. Charging a fee that would be regarded by members as excessive in relation to the service provided.
21. Failing to advise a patient or a patients authorized representative, prior to providing a service, of the fee to be
charged for the service or of any penalties that will be charged for late payment of the fee.
21. Failing to advise a patient or a patients authorized representative, prior to providing a service, of the fee to be
charged for the service or of any penalties that will be charged for late payment of the fee.
22. Failing to itemize an account for professional products or services while practising the profession.
22. Failing to itemize an account for professional products or services while practising the profession.
23. Offering or giving a reduction for prompt payment of an account.
23. Offering or giving a reduction for prompt payment of an account.
24. Breaching, without reasonable cause, an agreement with a patient or a patients authorized representative
relating to professional services for the patient or fees for such services.
24. Breaching, without reasonable cause, an agreement with a patient or a patients authorized representative
relating to professional services for the patient or fees for such services.
25. Failing to keep records in accordance with the standards of the profession.
25. Failing to keep records in accordance with the standards of the profession.
26. Signing or issuing, in his or her professional capacity, a document that the member knows or ought to know
contains a false or misleading statement.
26. Signing or issuing, in his or her professional capacity, a document that the member knows or ought to know
contains a false or misleading statement.
27. Falsifying a record relating to the members practice.
27. Falsifying a record relating to the members practice.
28. Making a claim about a remedy, treatment, device or procedure other than a claim that can be supported as
reasonable professional opinion.
28. Making a claim about a remedy, treatment, device or procedure other than a claim that can be supported as
reasonable professional opinion.
29. Permitting the advertising of the member or his or her practice in a manner that is false or misleading or that
includes statements that are not factual and verifiable.
29. Permitting the advertising of the member or his or her practice in a manner that is false or misleading or that
includes statements that are not factual and verifiable.
30. Using or permitting the use of a testimonial from a patient, former patient or other person in respect of the
members practice.
30. Using or permitting the use of a testimonial from a patient, former patient or other person in respect of the
members practice.
31. Soliciting or permitting the solicitation of an individual in person, by telephone, electronic communications or
other means unless,
31. Soliciting or permitting the solicitation of an individual in person, by telephone, electronic communications or
other means unless,
i. the person who is the subject of the solicitation is advised, at the earliest possible time during the
solicitation, that,
i. the person who is the subject of the solicitation is advised, at the earliest possible time during the
solicitation, that,
A. the purpose of the communication is to solicit use of the members professional services, and
A. the purpose of the communication is to solicit use of the members professional services, and
B. the person may elect to end the solicitation immediately or at any time during the solicitation if he or
she wishes to do so, and
B. the person may elect to end the solicitation immediately or at any time during the solicitation if he or
she wishes to do so, and
ii. the communication ends immediately if the person who is the subject of the solicitation so elects.
ii. the communication ends immediately if the person who is the subject of the solicitation so elects.
32. Using a term, title or designation in respect of the members practice that is not authorized by the College.
32. Using a term, title or designation in respect of the members practice that is not authorized by the College.
33. Using a term, title or designation indicating or implying a specialization in an area or areas of practice of the
profession where the use of the term, title or specialty designation is not authorized by the College.
33. Using a term, title or designation indicating or implying a specialization in an area or areas of practice of the
profession where the use of the term, title or specialty designation is not authorized by the College.
34. Practising the profession or offering to provide services using a name other than the members name as set out
in the register.
34. Practising the profession or offering to provide services using a name other than the members name as set out
in the register.
35. Failing, without reasonable cause, to provide a report or certificate relating to a traditional Chinese medicine
diagnosis or to a treatment performed by the member, within a reasonable time, to a patient or the patients
authorized representative after the patient or authorized representative has requested such a report or
certificate.
35. Failing, without reasonable cause, to provide a report or certificate relating to a traditional Chinese medicine
diagnosis or to a treatment performed by the member, within a reasonable time, to a patient or the patients
authorized representative after the patient or authorized representative has requested such a report or
certificate.
36. If the member intends to close his or her practice, failing to take reasonable steps before the practice is closed,
to give appropriate notice of the intended closure to each patient for whom the member has primary
responsibility and failing to,
36. If the member intends to close his or her practice, failing to take reasonable steps before the practice is closed,
to give appropriate notice of the intended closure to each patient for whom the member has primary
responsibility and failing to,
i. ensure that each patients records are transferred to the members successor or to another member, if the
patient so requests, or
i. ensure that each patients records are transferred to the members successor or to another member, if the
patient so requests, or
ii. ensure that each patients records are retained or disposed of in a secure manner.
ii. ensure that each patients records are retained or disposed of in a secure manner.
37. Failing to promptly report to the College an incident of unsafe practice by another member.
37. Failing to promptly report to the College an incident of unsafe practice by another member.
38. Practising the profession while the members ability to do so is impaired or adversely affected by any condition
or dysfunction which the member knows or ought to know impairs or adversely affects his or her ability to
practice.
38. Practising the profession while the members ability to do so is impaired or adversely affected by any condition
or dysfunction which the member knows or ought to know impairs or adversely affects his or her ability to
practice.
39. Contravening, by act or omission, a provision of the Act, the Regulated Health Professions Act, 1991 or the
regulations under either of those Acts.
39. Contravening, by act or omission, a provision of the Act, the Regulated Health Professions Act, 1991 or the
regulations under either of those Acts.
40. Contravening, by act or omission, a law if,
40. Contravening, by act or omission, a law if,
i. the purpose of the law is to protect or promote public health, or
i. the purpose of the law is to protect or promote public health, or
ii. the contravention is relevant to the members suitability to practise.
ii. the contravention is relevant to the members suitability to practise.
41. Contravening, by act or omission, a term, condition or limitation on the members certificate of registration.
41. Contravening, by act or omission, a term, condition or limitation on the members certificate of registration.
42. Practising the profession while the members certificate of registration has been suspended.
42. Practising the profession while the members certificate of registration has been suspended.
43. Directly or indirectly benefiting from the practice of the profession while the members certificate of registration
is suspended unless full disclosure is made by the member to the College of the nature of the benefit to be
obtained and prior approval is obtained from the Executive Committee.
43. Directly or indirectly benefiting from the practice of the profession while the members certificate of registration
is suspended unless full disclosure is made by the member to the College of the nature of the benefit to be
obtained and prior approval is obtained from the Executive Committee.
44. Failing to comply with an order of a panel of a Committee of the College.
44. Failing to comply with an order of a panel of a Committee of the College.
45. Failing to appear before a panel of the Inquiries, Complaints and Reports Committee to be cautioned.
45. Failing to appear before a panel of the Inquiries, Complaints and Reports Committee to be cautioned.
46. Failing to carry out or abide by an undertaking given to the College or breaching an agreement with the College.
46. Failing to carry out or abide by an undertaking given to the College or breaching an agreement with the College.
47. Failing to reply appropriately and within a reasonable time to a written inquiry or request from the College.
47. Failing to reply appropriately and within a reasonable time to a written inquiry or request from the College.
48. Engaging in conduct or performing an act relevant to the practice of the profession that, having regard to all the
circumstances, would reasonably be regarded by the profession as disgraceful, dishonourable or unprofessional.
48. Engaging in conduct or performing an act relevant to the practice of the profession that, having regard to all the
circumstances, would reasonably be regarded by the profession as disgraceful, dishonourable or unprofessional.
49. Engaging in conduct that would reasonably be regarded by the profession as conduct unbecoming a practitioner
of traditional Chinese medicine or acupuncture. O. Reg. 318/12, s. 1.
49. Engaging in conduct that would reasonably be regarded by the profession as conduct unbecoming a practitioner
of traditional Chinese medicine or acupuncture. O. Reg. 318/12, s. 1.
2. OMITTED (PROVIDES FOR COMING INTO FORCE OF PROVISIONS OF THIS REGULATION. O. Reg. 318/12, s. 2.
2. OMITTED (PROVIDES FOR COMING INTO FORCE OF PROVISIONS OF THIS REGULATION. O. Reg. 318/12, s. 2.
QUALITY ASSURANCE PROGRAM
QUALITY ASSURANCE PROGRAM
No amendments.
No amendments.
Definitions
Definitions
assessor means a person appointed under section 81 of the Health Professions Procedural Code; (valuateur)
assessor means a person appointed under section 81 of the Health Professions Procedural Code; (valuateur)
Committee means the Quality Assurance Committee and includes a panel of the Committee; (comit)
Committee means the Quality Assurance Committee and includes a panel of the Committee; (comit)
program means the quality assurance program required by section 80 of the Health Professions Procedural Code;
(programme)
program means the quality assurance program required by section 80 of the Health Professions Procedural Code;
(programme)
stratified random sampling means a sampling where groups of members are,
stratified random sampling means a sampling where groups of members are,
(a) removed from the pool of members to be sampled, or
(a) removed from the pool of members to be sampled, or
(b) weighted to increase or decrease the likelihood of their being selected. (chantillonnage alatoire stratifi) O.
Reg. 28/13, s. 1.
(b) weighted to increase or decrease the likelihood of their being selected. (chantillonnage alatoire stratifi) O.
Reg. 28/13, s. 1.
Program
Program
2. (1) The program shall include the following components:

1. Continuing education or professional development designed to,
2. (1) The program shall include the following components:

1. Continuing education or professional development designed to,
i. promote continuing competence and continuing quality improvement among the members,
i. promote continuing competence and continuing quality improvement among the members,
ii. promote interprofessional collaboration,
ii. promote interprofessional collaboration,
iii. address changes in practice environments, and
iii. address changes in practice environments, and
iv. incorporate standards of practice, advances in technology, changes made to entry to practice competencies
and other relevant issues in the discretion of the Council.
iv. incorporate standards of practice, advances in technology, changes made to entry to practice competencies
and other relevant issues in the discretion of the Council.
2. Self, peer and practice assessments.
2. Self, peer and practice assessments.
3. A mechanism for the College to monitor members participation in, and compliance with, the program. O. Reg.
28/13, s. 2 (1).
3. A mechanism for the College to monitor members participation in, and compliance with, the program. O. Reg.
28/13, s. 2 (1).
(2) The Committee shall administer the program. O. Reg. 28/13, s. 2 (2).
(2) The Committee shall administer the program. O. Reg. 28/13, s. 2 (2).
Panels
Panels
3. (1) A panel of the Committee shall be composed of at least three persons, at least one of whom shall be a
member of the Council appointed by the Lieutenant Governor in Council. O. Reg. 28/13, s. 3 (1).
3. (1) A panel of the Committee shall be composed of at least three persons, at least one of whom shall be a
member of the Council appointed by the Lieutenant Governor in Council. O. Reg. 28/13, s. 3 (1).
(2) Two members of a panel of the Committee constitute a quorum if at least one of the members is a member of
the Council appointed by the Lieutenant Governor in Council. O. Reg. 28/13, s. 3 (2).
(2) Two members of a panel of the Committee constitute a quorum if at least one of the members is a member of
the Council appointed by the Lieutenant Governor in Council. O. Reg. 28/13, s. 3 (2).
Members must participate
Members must participate
4. Every member shall participate in the program. O. Reg. 28/13, s. 4.
4. Every member shall participate in the program. O. Reg. 28/13, s. 4.
Self-assessment, continuing education and professional development
Self-assessment, continuing education and professional development
5. Every member shall participate in annual self-assessment, continuing education and professional development
activities in order to maintain the knowledge, skill and judgment required to practise the profession in accordance with
the standards of practice and ethics set by the College. O. Reg. 28/13, s. 5.
5. Every member shall participate in annual self-assessment, continuing education and professional development
activities in order to maintain the knowledge, skill and judgment required to practise the profession in accordance with
the standards of practice and ethics set by the College. O. Reg. 28/13, s. 5.
Records and information
Records and information
6. (1) Every member shall keep records of his or her participation in self-assessment, continuing education and
professional development, in the form and manner approved by the Committee and for the period of time specified by
the Committee. O. Reg. 28/13, s. 6 (1).
6. (1) Every member shall keep records of his or her participation in self-assessment, continuing education and
professional development, in the form and manner approved by the Committee and for the period of time specified by
(2) At the request of the Committee, an assessor or an employee of the College, a member shall provide to the
Committee,
(2) At the request of the Committee, an assessor or an employee of the College, a member shall provide to the
Committee,
(a) accurate information about his or her self-assessment, continuing education or professional development
activities; and
(a) accurate information about his or her self-assessment, continuing education or professional development
activities; and
(b) his or her records described in subsection (1). O. Reg. 28/13, s. 6 (2).
(b) his or her records described in subsection (1). O. Reg. 28/13, s. 6 (2).
Peer and practice assessment remediation
Peer and practice assessment remediation
7. (1) Each year, the Committee shall select members to undergo peer and practice assessments in order to assess
the members knowledge, skill and judgment. O. Reg. 28/13, s. 7 (1).
7. (1) Each year, the Committee shall select members to undergo peer and practice assessments in order to assess
the members knowledge, skill and judgment. O. Reg. 28/13, s. 7 (1).
(2) A member shall undergo a peer and practice assessment if,
(2) A member shall undergo a peer and practice assessment if,
(a) his or her name is selected at random, including by stratified random sampling;
(a) his or her name is selected at random, including by stratified random sampling;
(b) a request is made under subsection 6 (2), and either,
(b) a request is made under subsection 6 (2), and either,
(i) insufficient information is provided by the member, or
(i) insufficient information is provided by the member, or
(ii) the members records do not demonstrate that the member has engaged in adequate self-assessment,
continuing education or professional development activities;
(ii) the members records do not demonstrate that the member has engaged in adequate self-assessment,
continuing education or professional development activities;
(c) the member is selected on the basis of other criteria specified by the Committee and published on the Colleges
website at least three months before the member is selected on the basis of those criteria; or
(c) the member is selected on the basis of other criteria specified by the Committee and published on the Colleges
website at least three months before the member is selected on the basis of those criteria; or
(d) the member is referred for a peer and practice assessment under subsection 7 (2) or 10 (2) of Ontario Regulation
27/13 (Registration) made under the Act. O. Reg. 28/13, s. 7 (2).
(d) the member is referred for a peer and practice assessment under subsection 7 (2) or 10 (2) of Ontario Regulation
27/13 (Registration) made under the Act. O. Reg. 28/13, s. 7 (2).
(3) An assessor shall carry out the peer and practice assessment. O. Reg. 28/13, s. 7 (3).
(3) An assessor shall carry out the peer and practice assessment. O. Reg. 28/13, s. 7 (3).
(4) The assessor shall assess a members knowledge, skill and judgment by way of the peer and practice assessment
and may, as part of the assessment review the members records required by subsection 6 (1). O. Reg. 28/13, s. 7 (4).
(4) The assessor shall assess a members knowledge, skill and judgment by way of the peer and practice assessment
and may, as part of the assessment review the members records required by subsection 6 (1). O. Reg. 28/13, s. 7 (4).
(5) The assessor shall prepare a written report on the members peer and practice assessment and shall provide it to
(5) The assessor shall prepare a written report on the members peer and practice assessment and shall provide it to
(6) The Committee shall provide a copy of the results of the assessment to the member. O. Reg. 28/13, s. 7 (6).
(6) The Committee shall provide a copy of the results of the assessment to the member. O. Reg. 28/13, s. 7 (6).
(7) If, after considering the assessors report and any other information relevant to the assessment, the Committee
is of the opinion that the members knowledge, skill or judgment is not satisfactory, the Committee shall provide notice
to the member of its opinion, and the member shall have 14 days to make written submissions to the Committee. O.
Reg. 28/13, s. 7 (7).
(7) If, after considering the assessors report and any other information relevant to the assessment, the Committee
is of the opinion that the members knowledge, skill or judgment is not satisfactory, the Committee shall provide notice
to the member of its opinion, and the member shall have 14 days to make written submissions to the Committee. O.
Reg. 28/13, s. 7 (7).
(8) If, after considering any written submissions made by the member, the Committee is still of the opinion that the
members knowledge, skill or judgment is not satisfactory, the Committee may exercise any of the powers under
section 80.2 of the Health Professions Procedural Code. O. Reg. 28/13, s. 7 (8).
(8) If, after considering any written submissions made by the member, the Committee is still of the opinion that the
members knowledge, skill or judgment is not satisfactory, the Committee may exercise any of the powers under
section 80.2 of the Health Professions Procedural Code. O. Reg. 28/13, s. 7 (8).
SSTANDARD
DSOFFPRA
ACTIC
CE
ApprovedbytheTransition
nalCouncilonJanuary14January15,20
013
Standards of Practice
Contents
Introduction..................................................................................................................................................2
Legislation,StandardsandEthics..................................................................................................................6
DiagnosisandTreatment..............................................................................................................................7
SafePractice..................................................................................................................................................9
Communication...........................................................................................................................................10
RecordKeeping...........................................................................................................................................11
College of Traditional Chinese Medicine Practitioners and Acupuncturists of Ontario
Page 1
Introduction
TheStandardsofPracticehavebeendevelopedbytheCollegeofTraditionalChineseMedicine
PractitionersandAcupuncturistsofOntario(CTCMPAO)todeterminewhetheraregisteredTraditional
ChineseMedicinePractitioner(R.TCMP)andAcupuncturist(R.Ac)canperformatanacceptablelevel.
TheStandardsofPracticereflecttheknowledge,skillsandjudgementR.TCMPsandR.Acsneedinorder
toperformtheservicesandproceduresthatfallwithinthescopeofpracticeoftheprofession.
TheRegulatedHealthProfessionsActandthecompanionhealthprofessionsActsgovernthepracticeof
regulatedhealthprofessionsinOntario.
The Regulated Health Professions Act (RHPA)

TheRHPAconsistsofdifferentparts:aMainPartandaProceduralCodethatincludestheadministering
bodies,thecontrolledactsandrequirementsforalltheColleges.ThesepartsconstitutetheRHPA
properandapplyto,oraredeemedtoapplyto,alltheregulatedhealthprofessions.Thehealth
professionActslistprofessionspecificprovisions,suchastheprofessionsscopeofpracticestatement
andauthorizedacts.ThehealthprofessionActforR.TCMPsandR.AcsistheTraditionalChinese
MedicineAct.
TheprimarybodyresponsibleforadministeringtheRHPA,andthecompanionhealthprofessionActs,
suchastheTraditionalChineseMedicineAct,istheregulatoryCollegeofprofession.ForR.TCMPsand
R.Acs,thisistheCollegeofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntario
(CTCMPAO).
Scope of practice / controlled acts model

Thismodelenhancespublicprotectionandchoicebyspecificallyidentifyingandcontrollingthe
performanceofthoseprocedurethatposeriskofharm(the14controlledacts),withoutgivingany
professionanexclusiveorlicensedareaofpractice.Instead,eachprofessionhasascopeofpractice
statement,whichdescribesingeneraltermswhattheprofessiondoes.Thecontrolledactprocedures
areauthorizedforspecifichealthprofessions.Proceduresthatarenotcontrolledactsareinthepublic
domainandmaybeperformedbyregulatedhealthprofessionsorbyunregulatedindividuals.Inthis
model,therefore,controlledactproceduresmaybelikenedtolicensedprocedures,becauseonly
personsauthorizedundertheRHPAmayperformthem.Thescopeofpracticestatements,however,are
notlicensed,andelementsofthescopestatementsmayoverlapbetweenprofessions.Theregulated
healthprofessions,therefore,areregistered,notlicensed.
Theintentofthismodelistoprovidethepublicwithprotectionandchoiceamongstregulatedhealth
careprofessionswhomayprovidearangeofhealthcareservices,subjecttoscope,standardsand
competence.
Page 2
Elementsofthemodel
Thismodelconsistsofanumberofelements,themainonesbeing:
ScopeofPracticeStatement:
Thescopeofpracticestatementcorrespondstowhatmembersoftheprofessionlearnintheirprograms
ofpreparationandsetsouttheareasofexpectedcompetence.Itestablishesthefoundationforthe
practiceoftheprofessionandservesasaframeofreferenceforsuchthingsasentrytopractice
requirements,theperformanceofauthorizedacts,andthestandardsofpracticeoftheprofession.The
scopeofpracticestatementsdonotestablishalicensedareaofpractice(i.e.,theareaofpracticeisnot
restrictedtoaparticularprofession),andelementsofthestatementsofthedifferenthealthprofessions
overlap,sothatvariousprofessionsmayprovidesimilarhealthcareservices.
ControlledActs:
Thereare14procedures,listedinSection27oftheRHPA,thataredeemedtoposeriskofphysicalharm
ifperformedbyunqualifiedpersons.UndertheprofessionspecifichealthprofessionAct,the
professionsareauthorizedtoperform,eitherinfullorinpart,thecontrolledacts,dependingonthe
professionsscopeofpracticeandexpectedcompetencies.Inadditiontopermittingperformanceof
controlledactprocedures,theRHPAalsogivestheoptiontodelegateortransfertheauthorityto
performthecontrolledactsfromthoseauthorizedtoperformthemundertheirhealthprofessionActto
otherswhoarenot.Therefore,professionshavetheoptiontodelegateprocedureswithintheir
authorizedactstoothersandtoacceptdelegationfromotherhealthcareprofessionalsofcontrolledact
procedures,eitherthroughlegislationordelegation.
AuthorizedActs:
Anauthorizedactisacontrolledact,orportionofacontrolledact,thatisauthorizedforaspecific
professiontoperformunderitshealthprofessionAct.Eachregulatedhealthprofessionisauthorizedto
performfrom0to13ofthe14controlledacts,eitherinfullorinpart,dependingonthescopeof
practiceandcompetenciesoftheprofession.Asanexample,inrelationtoControlledAct2,performing
aprocedureontissuebelowthedermis,belowthesurfaceofamucousmembrane,cornea,surfaceof
theteeth,includingscaling:physiciansareauthorizedtoperformallofthiscontrolledactexceptfor
scaling.
PriortothepassingoftheTraditionalChineseMedicineActinDecemberof2006,acupuncturewas
entirelyexemptfromthecontrolledactofperformingaprocedurebelowthedermisandanyonewas
abletoperformthisactivity.However,withthepassingoftheTraditionalChineseMedicineAct,
acupunctureisnolongerentirelyexemptfromthiscontrolledact.
Page 3
Thefollowinghealthcareprofessionsareexemptfromtheprohibitionagainstperformingthecontrolled
actofacupuncture,underanexemptionforcontrolledactscontainedinaregulationmadeunderthe
authorityoftheRHPA(OntarioRegulation107/96,Controlledacts).
Inthetablebelow,Column1liststheCollegesandColumn2liststheprofessionswhocannowperform
acupunctureproceduresontissuebelowthedermis.However,acupunctureperformedbymembersof
theCollegeslistedinColumn1mustdosoinaccordancewiththestandardsofpracticeestablishedby
theCollegesandwithinthescopeofpracticeoftheprofessions.
TABLE
1.
2.
3.
4.
5.
6.
7.
Column1(Colleges)
CollegeofChiropodistsofOntario
CollegeofChiropractorsofOntario
CollegeofMassageTherapistsofOntario
CollegeofNursesofOntario
CollegeofOccupationalTherapistsofOntario
CollegeofPhysiotherapistsofOntario
RoyalCollegeofDentalSurgeonsofOntario
Column2(Professions)
Chiropody
Chiropractic
MassageTherapy
Nursing
OccupationalTherapy
Physiotherapy
Dentistry
Forexample,thescopeofpracticeofoccupationaltherapyfromtheOccupationalTherapyAct(1991)
reads:
Thepracticeofoccupationaltherapyistheassessmentoffunctionandadaptivebehaviourandthe
treatmentandpreventionofdisorderswhichaffectfunctionoradaptivebehaviourtodevelop,
maintain,rehabilitateoraugmentfunctionoradaptivebehaviourintheareasofselfcare,
productivityandleisure.
TheCollegeofOccupationalTherapistsofOntariohasdevelopedacupuncturestandardsofpracticefor
OccupationalTherapists.MembersoftheCollegeofOccupationalTherapistsofOntariocanonlyapply
acupunctureasitrelatestotheirscopeofpracticeandtheproceduremustbeincompliancewiththe
standardsforacupunctureasestablishedbytheCollege.
TheTraditionalChineseMedicineAct,2006setsoutthescopeofpracticestatementasfollows:
ThepracticeoftraditionalChinesemedicineistheassessmentofbodysystemdisordersthrough
traditionalChinesemedicinetechniquesandtreatmentusingtraditionalChinesemedicinetherapies
topromote,maintainorrestorehealth.
TheTraditionalChineseMedicineActalsosetsoutwhichofthe14controlledactsassetoutinthe
RegulatedHealthProfessionsActR.TCMPsandR.Acsareauthorizedtoperform.Theseareknownas
authorizedacts.TheTraditionalChineseMedicineActstates:
Page 4
1. Performingaprocedureontissuebelowthedermisandbelowthesurfaceofamucous
membraneforthepurposeofperformingacupuncture.
2. CommunicatingatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorderas
thecauseofapersonssymptomsusingtraditionalChinesemedicinetechniques.
TheStandardsofPracticeforR.TCMPsandR.Acsareintendedtobegeneric.Theindicatorsfollowing
eachPracticeStandardareexamplesoftheapplicationofthatStandardofPracticeinaspecific
dimensionofpractice.TheStandardsofPracticearereferencedtothefollowingdocuments:
EntryLevelOccupationalCompetenciesforthePracticeofTraditionalChineseMedicinein
Canada,CanadianAllianceofRegulatoryBodiesofTCMPractitionersandAcupuncturists.
RecommendedtotheProvincialRegulatoryAuthoritiesOctober17,2009.
Canada(October2009),PerformanceIndicators,SubmittedbyPLACED,TheG.RaymondChang
SchoolofContinuingEducationRyersonUniversitytotheTransitionalCouncil/Collegeof
TraditionalChineseMedicinePractitionersandAcupuncturistsofOntario(TC/CTCMPAO)in
completionoftheMemorandumofUnderstandingbetweenPLACEDandTC/CTCMPAO,
ApprovedbytheTransitionalCouncilJanuary25,2010.
Canada,CanadianAllianceofRegulatoryBodiesofTCMPractitionersandAcupuncturists,May
2010.
CanadianAllianceofRegulatoryBodiesofTraditionalChineseMedicinePractitionersand
Acupuncturists(CARBACOR),PanCanadianStandardsforTraditionalChineseMedicine
PractitionersandAcupuncturists:PerformanceIndicatorsandAssessmentBlueprintsforthe
EntryLevelOccupationalCompetencies,RecommendedtotheProvincialRegulatory
Authorities,October24,2010.
SafetyProgramforTraditionalChineseMedicinePractitionersandAcupuncturists,British
ColumbiaandOntario,June2012.
JurisprudenceCourseHandbookImportantLegalPrinciplesPractitionersNeedtoKnow,College
ofTraditionalChineseMedicinePractitionersandAcupuncturistsofOntario,August2012.
IntheStandardsofPracticethetermlegislationreferstobothstatutesandregulations.Inthe
StandardsofPracticethereisreferencetotheCodeofEthics.Thisreferstothecodeofethicsfor
CTCMPAOmembers(CodeofEthicsforMembers).ItisintendedthattheCodeofEthicsbeusedin
conjunctionwiththeStandardsofPractice.Together,thesedocumentsprovideamodelforensuring
safe,effectiveandethicalprofessionalperformancetoensuresafe,effectiveandethicaloutcomesfor
patients.
UndertheCollegesStandardsofPracticeR.TCMPsandR.Acsareexpectedtobe:
Competent:meaningtohavethenecessaryknowledge,skillsandjudgementtoensuresafe,effective
andethicaloutcomesforthepatient.ThismeansthatR.TCMPsandR.Acsmustmaintaincompetence
Page 5
intheirpractice,mustrefrainfromactingifnotcompetent,andmusttakeappropriateactiontoaddress
thesituation.
Accountable:meaningtotakeresponsibilityfordecisionsandactions.ThismeansthatR.TCMPsandR.
Acsmustaccepttheconsequencesoftheirdecisionsandactionsandactonthebasisofwhattheyin
theirclinicaljudgement,believeisinthebestinterestsofthepatient.
Collaborative:meaningtoworkwithothermembersofthehealthcareteamtoachievethebest
possibleoutcomesforthepatient.ThismeansthatthatR.TCMPsandR.Acsareresponsiblefor
communicatingwithothermembersofthehealthcareteam,andtakingappropriateactiontoaddress
gapsanddifferencesinjudgementaboutcareprovision.
1.
Legislation,StandardsandEthics
Description
R.TCMPsandR.AcsaremembersoftheCollegeofTraditionalChineseMedicinePractitionersand
AcupuncturistsofOntario.Thisensuresthattheyhavemettheprofessionaleducationrequirementsof
theCollegeandthattheycontinuetoeducatethemselvesaboutpractical,legal,ethicalandother
matterspertainingtotheprofession.
Standard of Practice (1) Legislation, Standards and Ethics

R.TCMPsandR.Acsmustunderstand,andadhereto,thelegislationgoverningthepracticeofthe
profession,theStandardsofPracticesetbytheCollege,theCodeofEthicssetbytheCollegeandtheBy
laws.
PerformanceIndicators
R.TCMPsandR.Acsmust:
a) maintaintheknowledge,skillsandjudgementtoperformproceduresundertakeninthecourseof
practicingtheprofession;
b) adheretoallrelevantprovincialandfederallegislationandmunicipallawandguidelinesgoverning
thepracticeoftheprofession;
c) adheretotheStandardsofPracticesetbytheCollege;
d) adheretotheCodeofethics;
e) adheretoallregulationsmadeundertheTraditionalChineseMedicineActincluding:
I.
II.
professionalmisconduct;
registration;and
Page 6
III.
2.
qualityassurance.
DiagnosisandTreatment
Description
R.TCMPsandR.Acsarehealthcareprofessionalswhopossessafundamentalbodyofknowledge,skills
andjudgmentfollowingtraditionalChinesemedicineprincipleswhicharedirectedtoeffectivepatient
careinthediagnosisandtreatmentofpatients.R.TCMPsandR.Acsusetheessentialprinciplesof
traditionalChinesemedicinetoassesspatientsandpromotetheirhealth,andpreventandtreat
commondisease.Theircareischaracterizedbyethicalandsafeclinicalpracticeaswellaswitheffective
communicationinpartnershipwithpatientsandotherhealthcareproviders.
R.TCMPsandR.Acsareauthorizedtoperformtwocontrolledacts,whichtheyhavebeenauthorizedto
performwithintheirscopeofpracticeundertheTraditionalChineseMedicineAct.Thetwocontrolled
actsthatR.TCMPsandR.Acsareauthorizedtoperformare:
Performingaprocedureontissuebelowthedermisandbelowthesurfaceofamucous
CommunicatingatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorderas
thecauseofapersonssymptomsusingtraditionalChinesemedicinetechniques.
UndertheRegulatedHealthProfessionsAct,R.TCMPsandR.Acsmaydelegatethetwocontrolledacts
authorizedtoR.TCMPsandR.AcsundertheundertheTraditionalChineseMedicineActprovidedthey
complywiththeRegulatedHealthProfessionsAct,andtheprofessionalmisconductregulationmade
undertheTraditionalChineseMedicineAct.
Standard of Practice (2) Diagnosis and Treatment

R.TCMPsandR.Acsmustbeabletoaccuratelyassessbodysystemdisordersthroughtraditional
Chinesemedicinetechniques.R.TCMPsandR.Acsmustbeproficientinprovidingtreatmentusing
traditionalChinesemedicinetherapiestopromote,maintainorrestorehealth.R.TCMPsandR.Acs
mustbeskilledintheapplicationofacupunctureandmustadheretotheWorldHealthOrganization
(WHO)standardforthelocationofacupuncturepoints.R.TCMPsmustbeabletoaccuratelyselectand
recommendherbalmedicinesbasedontheTraditionalChineseMedicinediagnosisandtreatmentplan
andmakemodificationsbasedonthepatientsphysical,medicalandhealthhistoryasnecessary.
R.TCMPsandR.AcsmustbeabletoperformthetwocontrolledactsauthorizedtoR.TCMPsandR.Acs
asrequiredinthecourseofengaginginthepracticeoftheprofession.Theymustnotperformthe
authorizedacts,oranyexemptedcontrolledacts,unlesstheconditionsundertheRegulatedHealth
ProfessionsAct,theTraditionalChineseMedicineActandtheirrespectiveregulationshavebeenmet.
Page 7
a) performonlythosecontrolledactsthathavebeenauthorized,underthelegislation;
b) notperformanyprocedurewhichmayresultinseriousphysicalharm,unlessthatprocedureis
withinthescopeofpracticeoftheprofessionortheR.TCMPandR.Acisauthorizedorpermitted
todosobylegislation;
c) carryoutassessmentandtreatmentonlywiththeinformedconsentofthepatient,orthepatients
substitutedecisionmaker;
d) useappropriateaseptictechniquesandinfectioncontrolproceduresinthecourseofexaminations
andtreatment;
e) instructthepatienttoremoveonlytheclothinganditemsthatwouldinterferewiththe
examinationortreatmentprocedures;
f) provideuseofappropriatedrapingmaterialstocoverareaswhereclothingwasremoved;
g) explaintothepatientwhenandwheretheR.TCMPandR.Acmighttouchthepatientandwhy;
h) touchthepatientinonlythoseareasneededtofacilitatethecarryingouttheprocedure;
i) effectivelyperformaphysicalassessmentofthepatientforthepurposeofhealthpromotion,
diagnosisand/ormanagementthatisrelevantandaccurate.
j) effectivelyanalysetheinformationtodetermineadiagnosisandestablishaneffectivetreatment
plan;
k) adheretotheWorldHealthOrganization(WHO)standardforthelocationofacupuncturepoints;
l) applysafeandaccurateproceduresandprocessesinimplementingthetreatmentplan;
m) accountforeveryneedlethatisinserted,removed,anddisposedofduringtreatment;
n) initiateemergencyresponseproceduresasrequiredifapatientsuffersanyadversereactiontoa
treatment;
o) communicateatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorderasthe
causeofapersonssymptoms;
p) assessthepatientsconditionduringthecourseofthetreatmentorproceduresandrespond
accordingly;
InadditionR.TCMPsmust:
q) takeintoaccountallprecautionsandcontradictionsoftheherbsandformulasrecommendedtothe
patient;
r) select,recommendandcombineherbalmedicinesbasedontheTraditionalChineseMedicine
diagnosisandtreatmentplanandmakemodificationsbasedonthepatientsphysical,medicaland
healthhistoryasnecessary;and
s) advisepatientsabouttheuseofherbaltreatmentincludingthedosagerouteofadministration,and
scheduleforadministration.
Page 8
3.
SafePractice
Description
R.TCMPsandR.AcsassessbodysystemdisordersthroughtraditionalChineseMedicinetechniques
andtreatmentusingtraditionalChinesemedicinetherapiestopromote,maintainorrestorehealth.
Toensureprotectiontopatients,thegeneralpublic,membersofthehealthcaresystem,aswellas
practitionersR.TCMPsandR.Acsendeavortoreducetheriskofharmbyengaginginsafepractices,
andcontinuingtomaintainandupgradetheirsafepracticeskillsbyreferencingagenciessuchasthe
CTCMPAOandfederalandprovincialgovernmenthealthministries.
Standard of Practice (3) Safe Practice

R.TCMPsandR.Acsmusthavetheknowledge,skillsandjudgementtopractisesafelybyadheringtothe
relevantprovincialandfederallegislationandguidelinesandmanufacturersdirectionspertainingto
healthandsafety.Intheeventofanyunexpectedproblemsoremergencies,R.TCMPsandR.Acsmust
becompetentandpreparedtohandlethemanagementofthesituation.
a) observeallrelevantmunicipal,provincialandfederallegislationandguidelinespertainingtohealth
andsafety,suchasthe:
i.
ii.
iii.
iv.
v.
RegulatedHealthProfessionsActanditsregulations;
TraditionalChineseMedicineActanditsregulations;
OccupationalHealthandSafetyActanditsregulations
WorldHealthOrganization(WHO)standardforthelocationofacupuncturepoints;
WorkplaceHazardousMaterialsInformationSystem;
b) determinerisksandcontraindicationsforacupuncturetreatment;
c) determinerisksandcontraindicationsformoxibustiontreatment;
d) takeintoaccountthepatientsphysicalandemotionallimitations,andensurethatthepatientwill
notbeexpectedtoperformanytaskormovementthatwouldcausephysicalharm;
e) usesterileneedletechniquetoreducetheriskofinfections,diseasesandtransmissionssuchas
HepatitisBinperformingtheprocedureofacupunctureincompliancewiththeCTCMPAOguidelines
pertainingtoacupuncture;
f) useappropriateaseptictechniquesandinfectioncontrolproceduresinthecourseofexaminations
ortreatment;
Page 9
g) protectthemselves,theircolleagues,staff,othermembersofthehealthcareteam,anyother
individualswhomaybepresent,aswellasanypatient,fromanycommunicableandinfectious
diseases;
h) conductappropriatemaintenanceproceduresforallequipmentandsubstancestobeusedinan
examinationortreatment;
i) takecorrectiveactionifthemaintenanceprocedureresultsarenotwithinacceptablelimits;
j) initiateemergencyresponseproceduresifapatientsuffersanyadversereactiontoatreatmentora
substanceadministeredorally;
k) initiateemergencyresponseproceduresintheeventthatapatientexhibitsabusiveorviolent
behaviour;
l) disposeofexpiredorcontaminatedsubstancesormaterialsIaccordancewithlegislationandall
CTCMPAOguidelinespertainingtowastemanagement;
m) determinerisks,contraindicationsandriskofanadversereactionfortreatmentwithherbals.
4.
Communication
Description
R.TCMPsandR.Acseffectivelycommunicatewiththeirpatients,families,caregivers,other
professionalsandotherimportantindividuals.R.TCMPsandR.Acsrecognizethatgoodcommunication
skillsareessentialforestablishingrapportandtrustwiththepatient,formulatinganassessment,
deliveringinformation,strivingformutualunderstanding,andfacilitatingasharedplanofcare.
Standard of Practice (4) Communication

R.TCMPsandR.Acsmustbeabletodevelopatrustingandtherapeuticrelationshipswithpatients.They
musthavegoodcommunicationskillstoelicitandcombinerelevantinformationtoassessthepatient
anddevelopandimplementatreatmentplan.R.TCMPsandR.Acsmustbeabletoaccuratelyconvey
relevantinformationandexplanationstopatients,families,colleaguesandotherprofessionals.
a) provideclearandunderstandableinformationtothepatient,orthepatientssubstitutedecision
maker,priorto,duringandaftertreatment,usinganinterpreterifnecessary;
b) givethepatient,orthepatientssubstitutedecisionmaker,anopportunitytoaskquestions;
Page 10
c) carryoutexaminationsortreatmentonlywiththeinformedconsentofthepatient,orthepatients
d) keepallpatientinformationconfidential,exceptwhennecessarytofacilitateanassessmentor
treatmentofthepatientorwhenlegallyobligedorallowedtodisclosesuchinformation;
e) observeallrelevantlegislation,suchastheHealthCareConsentAct,andallCTCMPAOguidelines
pertainingtoconsent;
f) observetheRegulatedHealthProfessionsActandallguidelinesoftheCTCMPAOpertainingto
boundariesandthepreventionofsexualabuse;
g) usearangeofcommunicationskillstodevelopandmaintaineffectiveprofessionalrelationships;
h) collaboratewithothermembersofthehealthcareteamtopromotethebestpossibleoutcomesfor
thepatient;
i) usearangeofrelationshipskillstoaddressprofessionaldifferencesthatmayleadtoconflict;
j) providecaretopatientsregardlessoftheirrace,ancestry,placeoforigin,colour,ethnicorigin,
citizenship,creed,sex,sexualorientation,age,maritalstatus,familystatus,ordisability.
5.
RecordKeeping
Description
Creatingandmaintainingrecordsandreportsareessentialcomponentsoftheprofessionalpracticeof
allR.TCMPsandR.Acsasrecordsandreportsprovideinformationtootherhealthcareprofessionals
aboutrelevantaspectsofpatientcare,treatmentandassessment.
Standard of Practice (5) Record Keeping

R.TCMPsandR.Acsmusthavetheknowledge,skillsandjudgmenttocreateandmaintainadaily
appointmentlog,patientfilesandbillingrecordsandotherrecordsthatattesttothetreatmentofthe
patient.R.TCMPsandR.Acsmustbeproficientinmaintainingrecordsthatdescribeworkplaceand
safetyproceduresthathavebeencarriedout.R.TCMPsandR.Acsmustbeskillfulinproducingrecords
andreportsthatarealwaysaccurate,complete,legibleandtimely.
a) maintainawrittenorelectronicdailyappointmentlogthatoutlinesthedate,name,andthetimeof
theappointmentforeachrespectivepatient;
b) createandmaintainacomprehensivefileforeachpatientinaccordancewiththerecordkeeping
guidelinesestablishedbytheCTCMPAO;
c) arrangeandorganizeallmaterialinpatientrecordsinamannerthatallowsforeasyandprompt
retrievalandensuressecurityandconfidentiality;
Page 11
d) complywithallrelevantlegislationsuchastheHealthCareConsentActandallCTCMPAOguidelines
e) complywithanyprivacylegislationsuchasthePersonalHealthInformationProtectionActandall
CTCMPAOguidelinespertainingtoprivacy;
f) maintaincompleteandaccuraterecordsrelatedtobillingorpaymentforgoodsorservicesprovided
bythepractitionertothepatientinaccordancewiththerecordkeepingguidelinesestablishedby
theCTCMPAO;
g) maintainequipmentandsupplyrecordstomakedeterminationsastotheequipmentquality,
serviceabilityandoperabilityandtakeanycorrectiveactionsrequiredtomeetstandardssetby
legislation,manufacturesguidelinesandallCTCMPAOguidelinespertainingtoequipment;
h) ensurethatallelectronicandwrittenrecordsaremanagedaccordingtotheprinciplesand
i) implementrecordretentionanddestructionprocessesincompliancewiththeRHPAandall
CTCMPAOguidelinespertainingtorecordretentionanddestructions;
j)
k)
l)
m)
n)
o)
maintainanaccurateinventoryofherbstorecordpurchases,supplyandprescriptions(TCM)to
patients;
ensuresafestorage,labellingandhandlingofherbstoguaranteethattheherbswillbekeptfree
fromcontaminationandthattheherbqualityismaintainedincompliancewithalegislationsuchas
theNaturalHealthProductsDirectorateandtheCTCMPAOpoliciesandguidelinesrelatedtothe
safemanagementofherbalproducts;
conductappropriatequalitycontroltestsforallsubstancestoberecommendedinatreatmentplan;
takecorrectiveactionifthequalitycontroltestsarenotwithinacceptablelimits;
onlyuseherbsbeforetheirexpirytimeordate;
ensurethatallherbalprescriptions(TCM)arelegible,andcontainallofthenecessaryinformationto
allowtheprescription(TCM)tobeaccuratelyandsafelydispensed(TCM),usedandtracked.
Acknowledgements
ThankstotheCollegeofMedicalRadiationTechnologistsofOntarioforitssupportandfortheuse
ofitsmaterials.
Page 12
Quality A
Assurance
e Program
m
A
Approved by
y the transitiional Counciil on January
y 14 & 15, 20
013
Framew
work for a Q
Quality Assu
urance Program for th
he College o
of Tradition
nal Chinese Medicine
Practitione
ers and Acu
upuncturistss of Ontario
o (CTCMPAO
O)
Introdu
uction
TheQualityAssurancce(QA)Progrramisanimp
portantaspeectoftheColllegesmandate.AllColleegesunder
heRegulated
dHealthProfe
fessionsAct,1
1991(RHPA)must:
theHealthProcedureesCode,Schedule2ofth
develop,estaablishandm
d
maintainprogramsandstaandardsofprracticetoasssurethequalityof
p
practiceofth
heprofession
n:and
d
develop,esta
ablishandm
maintainstand
dardsofknow
wledgeandsskillandproggramstopro
omote
c
continuingev
valuation,co
ompetenceandimprovem
mentsamonggthemembeers.
TheQAP
ProgramforallCollegesm
mustincludee:
a) ccontinuingeducationorp
professionaldevelopmen
ntdesignedtto:
motecontinu
uingcompeteencyandcon
ntinuingqualityimprovem
mentamongthe
I.
prom
mem
mbers;
II.
prom
moteinterpro
ofessionalco
ollaboration;
III.
addrresschangesinpracticeeenvironment;;and
IV.
incorrporatestandardsofpracctice,advanccesintechno
ology,changeesmadetoentryto
practticecompeteenciesandottherrelevanttissuesinthediscretionoftheCounccil;
b) self,peerand
s
dpracticeasssessment;
c) amechanism
a
mfortheColllegetomonittormemberssparticipatio
onin,andco
ompliancewiiththe
q
qualityassur
ranceprogram.
ThegoalloftheCTCM
MPAOQualittyAssuranceeProgramistoprotectth
hepublicbyworkingin
partnersshipwithR.TTCMPsandR
R.Acstosup
pportandpro
ovidethemw
withtoolsto
odemonstrattetheir
ongoingcompetencee.
PArequiresahealthprofeessionalColleegetoestablishaQualityyAssuranceC
Committeeandto
TheRHP
makereggulationspreescribingaQ
QAprogram.IItauthorizesaQACommitteetoappo
ointassessorrsforthe
purposeoftheQAprrogram.Allm
membersofttheCollegeaarerequiredttoparticipateintheQAp
program
ooperatewitththeassesssorsandtheQ
QualityAssuranceComm
mittee.
andtoco
R.TCMPsandR.AcsarememberrsoftheCTCMPAO.Regisstrationensu
uresthattheyyhavemettthe
professio
onalrequirem
mentsoftheeCollegeandarecompetenttopractice.TheQAp
programensu
uresthat
R.TCMPsandR.Acsinitialcompeetenciesacquiredtopraccticeasmem
mbersoftheC
Collegearem
maintained
ngaginginprofessionaldeevelopmentandcontinuiingeducationactivitiesth
hatrelate
throughmembersen
totheprracticeoftheeprofession.
Page 1
Framework for a Quality Assurance Program for CTCMPAO
AssumptionsunderlyingthedevelopmentoftheQualityAssuranceProgram
AlthoughovertheyearsR.TCMPsandR.Acshaveproventheircommitmenttoprofessionalismand
qualitypatientcarethroughongoingselfdevelopment,sucheffortshavenotbeenformally
documentedandrecognizedinmanycases.
TheCollegehasdevelopedtheQAprogrambasedonimportantassumptionsabouttheprofessionand
thepracticeofR.TCMPsandR.Acs.Theseinclude:
R.TCMPsandR.AcsaremembersoftheCollegeofTraditionalChineseMedicine
PractitionersandAcupuncturistsofOntario(CTCMPAO).Thisensuresthattheyhavemet
theprofessionalrequirementsoftheCollegeandarepracticingcompetently;
TheQAprogramisintendedtobeeducativenotpunitive.(Thereareotherprocessesunder
theRHPAthatenableCollegestodealwithcomplaintsaboutamemberspractice);
TheQAprogramisbasedontheStandardsofPracticethathavebeendevelopedtoassure
thequalityofpracticeoftheprofession.TheStandardsofpracticearetheunderpinningsof
theQAprogram;
MembersunderstandtheStandardsofPractice;
Memberspracticeinavarietyofsettings;
Membershaveuniquelearningneeds;
Accesstolearningresourcesmaybelimitedduetogeographicalorfinancialconstraint;
Memberscanidentifytheirownlearningneeds,theywillengageinactivitiestomeettheir
learningneedsandtheywilldocumentthelearningactivitiesandthelearningoutcomeif
theyaregiventherighttools.(BasedonthePrinciplesofAdultEducation)
Theprogramisbasedonhelpingmemberstoenhancetheirpractice.
WhoAdministerstheQAProgram?
TheQualityAssuranceCommittee(QACommittee)isresponsibleforadministeringandmonitoringthe
QAprogram.TheQACommitteeisoneofthestatutorycommitteesoftheCollege.TheQACommitteeis
separatefromtheotherstatutorycommitteesoftheCollegeincludingtheExecutiveCommittee,the
RegistrationCommittee,theInquiries,ComplaintsandReportsCommittee,thePatientRelations
CommitteeandtheDisciplineCommittee.
SelfAssessment,ContinuingEducationandProfessionalDevelopment
Membersmustparticipateinselfassessment,continuingeducationandprofessionaldevelopment
activitiesonanannualbasis.Membersmustcomplete15hoursofprofessionaldevelopmentactivities
eachcalendaryear.TheCollegehasdevelopedtoolsthatwillmakeuptheQArecordstoassistmembers
inperformingtheseactivitiesinathoughtfulandorganizedfashion.
PeerandPracticeAssessment
Apeerassessmentiswhereanothermemberoftheprofessionreviewsamemberspracticewiththe
membertoidentifyareasofstrengthandareasthatmaybenefitfromenhancement.
TheComponentsoftheQAProgram
TheQAprogramincludesaSelfAssessment,aProfessionalDevelopmentPlan,andevaluationbytheQA
CommitteeofthemembersSelfAssessmentandProfessionalDevelopmentPlan,apracticeassessment
ofmembersandparticipationbymembersinanycorrectiveactivity.
TheQAprogramrequiresthateachmemberoftheCollegedothefollowingeachyear:
CompletetheSelfAssessmentmadeupofpartsAandB.TheSelfAssessmenthasbeen
designedtoassistmembersinidentifyingwhatareasrelatedtotheStandardsofPracticethey
wouldliketolearnmoreaboutandtoidentifytheircontinuingeducationorprofessional
developmentlearningactivitiesfortheupcomingyear.
PartAoftheSelfAssessmentfocusesonthememberspracticeandwhatareasofresponsibility
areincludedinhisorherpracticeaswellasaddressinganyexpectedchangesinhisorher
practiceenvironment.PartAalsoaddressesanyadvancesintechnologyandany
interprofessionalcollaborationthatisanticipatedinthememberspractice.
PartBoftheSelfAssessmentisbasedontheStandardsofPracticeoftheprofessionand
describestheknowledge,skillsandjudgementrelevanttothememberspractice.PartBofthe
SelfAssessmentwillassistmembersinidentifyingprofessionaldevelopmentactivities(i.e.what
theywouldliketolearnmoreaboutandlearningactivitiestheywouldliketoundertake)to
promotecontinuingcompetencyandcontinuingqualityimprovementintheirpracticeandhow
theseselectedareaswillhelpthememberinhisorhercurrentand/oranticipatedpractice.
CompletetheProfessionalDevelopmentPlan.TheProfessionalDevelopmentPlanisatoolthat
hasbeendesignedformemberstodocumenthisorherprofessionaldevelopmentactivities.The
ProfessionalDevelopmentPlanprovidesasectionforthemembertodocumenthisorhertop
priorityareasthatheorsheisinterestedinlearningmoreabout,adescriptionoftheactivities,
thedatetheactivityiscompleted,thelengthoftheactivityinhoursandthetypeofactivities
undertaken.Whenthelearningactivityiscompletedthememberwilldocumenthowthe
learningactivityhelpedthememberinhisorherpractice.ThisisakeycomponentoftheQA
programasitprovidesevidenceofthememberscontinuingcompetencyandcontinuingquality
improvement.
CompletetheQualityAssuranceDeclarationannually.ThisdeclarationprovidestheCollegewith
confirmationofeachmemberscontinuedcompetenceandparticipationintheQAprogram.Itis
completedandsenttotheCTCMPAOwiththemembersannualregistration.
MaintainhisorherownselfassessmentbasedontheannualSelfAssessmentforms,hisorher
ownProfessionalDevelopmentPlanandrelatedQArecordsfor3years.
Page 3
TheProcessthattheQACommitteewillundertaketomonitortheQArecords
EachyeartheQACommitteewillrequireapercentageofmemberstosubmithisorherSelfAssessment
formsandhisorherProfessionalDevelopmentPlanandrelatedQArecordsorportionsofthemtothe
QualityAssuranceCommitteeforreview.
WhenandhowMemberswillbeadvisedthattheyhavebeenrandomlyselectedtosubmittheirQA
recordstotheQualityAssuranceCommitteeforreview
ThememberswhoarerequiredtosubmittheirQArecordswillbeadvisedinwritingatleastsixmonths
priortothedatethattheQArecordsmustbereceivedbytheCollege.Forexamplememberscouldbe
advisedinApril2013thattheyarerequiredtosubmittheirSelfAssessmentformsandProfessional
DevelopmentPlanandrelatedQArecordsorportionsofthemtotheQualityAssuranceCommitteefor
evaluationbytheQACommitteenolaterthanJanuary20,2014.Thisallowsmemberstimetodiscuss
anyquestionsthattheymayhaveregardingtheQAprogramwiththeCollegestaffandprepare
adequatelyfortheevaluationoftheirQArecords.
TrainingtheAssessors
TheQACommitteewillbetrainedtoassesseachmembersSelfAssessmentPartsAandBandthe
ProfessionalDevelopmentPlanandrelatedQArecordsorportionsofthemusinganobjective,
consistent,fairandtransparentevaluationprocess.TheQACommitteewilllookforthenumberofhours
ofactivitiestobeassuredthatthememberhascompleted15hoursofprofessionaldevelopment
activitiesinthecalendaryear,theywillreviewthedescriptionandtypeofactivitiesundertakenbythe
membertoensurethattheactivitiesarerelatedtothepracticeoftheprofessionandfinallytheywill
reviewhowtheactivityhelpedthememberinhisorherpractice.
TheEvaluationProcess
TheQACommitteewillevaluateeachmembersSelfAssessmentformsandhisorherProfessional
DevelopmentPlanandrelatedQArecordsorportionsofthem.TheCommitteewillreviewtheSelf
AssessmentPartsAandBtoevaluatethattheyarecompleteandthatthememberhasnotedany
changesinhisorherpracticeenvironment,advancesintechnologyandinterprofessionalcollaboration
thatisanticipatedinhisorhepractice.TheCommitteewillreviewtheSelfAssessmenttodeterminethe
areasforprofessionaldevelopmentorlearningactivitiesthatthememberhasidentifiedasanareathat
heorshewouldliketoundertaketopromotecontinuingcompetencyandcontinuingquality
improvementinhisorherpractice.
TheQACommitteewillrevieweachmembersProfessionalDevelopmentPlantoassessthatthe
memberhasdocumentedhisorhertoppriorityareasthatheorsheisinterestedinlearningmore
about,thedescriptionoftheactivitiespresentedbythemembertobesurethattheprofessional
developmentactivitiesarerelatedtothepracticeoftheprofession,thedatetheactivityiscompleted,
thelengthoftheactivityinhoursandthetypeofactivitiesundertaken.TheQACommitteewilllookfor
thenumberofhoursofprofessionaldevelopmentactivitiestobeassuredthatthememberhas
completed15hoursofprofessionaldevelopmentactivitiesinthecalendaryear.TheQACommittee
willreviewthesectionrespectinghowthelearningactivityhelpedthememberinhisorherpractice.
ThisisakeycomponentoftheQAprogramasitprovidesevidenceofthememberscontinuing
competencyandcontinuingqualityimprovement.
TheDecision
AfterreviewingtherecordsiftheQACommitteeissatisfiedthattherecordsarecompleteandmeetthe
requirementsoftheQAprogramthememberwillreceiveawrittenreportthatwilladvisethemember
thattheQACommitteeissatisfiedthatthemembersSelfAssessmentPartsAandBandProfessional
DevelopmentPlanarecompleteandmeettherequirementsoftheQualityAssuranceProgram.
IftheQACommitteeisnotsatisfiedwithanyofthematerialsubmittedbythemember,theQA
Committeewillconsiderthefollowingoptions:
requirethemembertocompletetheQArecords;
requirethemembertoparticipateintheQAprogram;
requirethemembertoconferwiththeCommittee.
ThememberwillreceiveawrittenreportoutliningthedecisionoftheQACommitteebasedonanyone
oftheaboveoptions.Thememberwillhaveatleast14daystomakeawrittensubmissiontotheQA
Committee.Giventhecomplexitiesofmailandmembersbusyschedules,thememberwillhave30days
plus10daystoaccommodateSection39(2)oftheRHPAtomakeawrittensubmissiontotheQA
Committee.
TheQACommitteewillreviewandconsiderawrittensubmission(thesubmissionmaybeadditionalor
correctedQArecords)submittedbyamemberandwillmakeadecisionofwhethertheQACommitteeis
satisfiedthatthemembersrecordsarecompleteandmeettherequirementsoftheprogram.The
memberwillreceiveawrittenreportoutliningthedecisionoftheQACommittee.
IfseriousconcernsareraisedbytheQACommitteewhilemonitoringtheprofessionaldevelopment,
andselfassessmentcomponentsofthequalityassuranceprogramthemembermayberequiredto
undergoapracticeassessment.
Subjecttocertainlimitedexceptions,theQACommitteeandanyassessorappointedbyitcannot
disclosetoanyothercommitteeoftheCollegeinformationthatwasgiventoitbythememberorthat
relatestothememberandwasacquiredthroughanassessmentorevaluation.
PeerandPracticeAssessment
Apracticeassessmentconductedbypeersprovidesapictureofaspecificindividualsperformancein
thepracticesetting.Thepracticeassessmentprocessprovidesameanstoassesshowmembersofthe
professionactuallyperforminpractice.Theassessmentprocessisintendedtobea
formative/developmentevaluationwhereanothermemberoftheprofessionreviewsamembers
practicewiththemembertoidentifyareasofstrengthandareasthatmaybenefitfromenhancement.
Page 5
EachyeartheQACommitteewillrequireapercentageofmemberstoundergoapeerandpractice
assessmenttoassessthemembersknowledgeskillsandjudgement.Membersmayalsobeselectedif
concernsareraisedwhilemonitoringtheSelfAssessmentforms,theProfessionalDevelopmentPlan
andrelatedQArecords.
MembersmaybeselectedonthebasisofothercriteriaspecifiedbytheCommitteeandthecriteriawill
bepublishedontheCollegeswebsitethreemonthsbeforethememberisselectedonthebasisof
thosecriteria.QualityAssuranceRegulation,Section7(c).Inthefirstyearofthepeerandpractice
assessmentwillinvolverecruitingvolunteerstoagreetobeassessedandvolunteerstobeassessors.
CriteriatobeanassessorortobeamemberwhowillbeassessedthroughtheQAprogramwhichhas
beenestablishedbytheQACommitteeandislistednext.
Thevolunteermust:
beamemberoftheCTCMPAO;
havebeeninpracticeforatleast5yearsinOntario;
beabletocommunicateinEnglisheffectively;
bewillingtoprovidethetimetotrainasanassessor;
bewillingtoprovidetimeforhisorherpracticetobeassessed;
bewillingtoworkwiththeCollegetoevaluateandrefinethePeerandPracticeAssessment
tool;
haveanunderstandingoftheQualityAssuranceProgramandtheQualityAssuranceRegulation;
haveaclearunderstandingofthepowersandtheroleoftheassessorandtheroleandthe
powersoftheQACommittee;
bewillingandabletoclearlydraftawrittenreportinEnglishoftheassessmenttobesubmitted
totheQACommittee;
bewillingtoaparticipateinanevaluationoftheprocesstoprovidefeedbacktotheCollegewith
respecttoanychangesthatneedtobeimplementedinthepracticeassessmentformsand
assessmentprocess;
signaconfidentialityagreementbasedonSection36(1)oftheRHPA.
TheassessorswillbeappointedbytheQACommitteebasedonthecriteria.
TrainingtheAssessors
Theassessorswillbetrainedtoassesseachmemberspracticeusinganobjective,consistent,fairand
transparentevaluationprocessbasedonthemembersperformanceinmeetingtheStandardsof
Practice.Inadditiontheassessorswillreceivetrainingonhowtodraftabriefobjectivereportthatwill
serveasasummaryofthepracticeassessment.Thecompletedchecklistandthesummarywillbe
providedtotheQACommitteeandwillbeusedbytheQACommitteeinmakingadetermination
respectingthepracticeassessment.
ThePracticeAssessmentTool
Thetooltobeusedbytheassessorstoassessthemembersknowledge,skillsandjudgementisbased
ontheCTCMPAOStandardsofPractice.Thefocusoftheassessmenttoolrelatestosafepracticeand
recordkeeping.Itisintheformofachecklistandtheassessorwillberequiredtoratethemembers
practiceusingasixpointscale.Therewillbeasectionfortheassessortodraftabriefwrittenreportthat
isobjectiveandprovidesasummaryoftheassessment.Thecompletedchecklistandthesummarywill
beprovidedtotheQACommitteeandwillbeusedbytheQACommitteeinmakingadeterminationas
towhetherornotthememberispracticingtotheexpectedstandard,therebyensuringeffectiveand
safepractice
HowthePracticeAssessmentoftheMembersKnowledge,SkillsandJudgementwillbeconducted
Thefollowingstepswillmakeupthepracticeassessmentprocess:
the
memberwillbegivennoticebytheQACommitteethatheorshehasbeenselectedtoundergo
apeerandpracticeassessmenttoassessthemembersknowledge,skillsandjudgementonthe
premiseswherethememberpractices;
memberwillreceiveacopyoftheassessmenttoolwiththenotice,thenameoftheproposed
assessorandaproposeddateatleastthreemonthsinthefutureofwhentheassessmentwill
takeplace;
QACommitteewiththememberwilldetermineamutuallyagreedupondatewhenthe
assessmentwillbeconducted;
membermustconfirminwritingtheagreeduponnewdate;
Committeewillappointtwoassessorstoconducttheassessment;
assessorswillundertakeatrainingprogramtoensurethattheassessmentisconductedusingan
objective,consistent,fairandtransparentevaluationprocess.Inadditiontheassessorswill
receivetrainingonhowtodraftabriefobjectivereportthatwillserveasasummaryofthe
practiceassessment;
QACommitteewillprovideacopyoftheresultsoftheassessmenttothemember.Thismay
taketheformofasummaryofthereport,particularlywheretheresultsaresatisfactory.Orit
maytaketheformofacopyoftheentirereport,particularlywhereitisunsatisfactory;
QACommitteewillreviewtheassessorsreport.Afterconsideringthisinformation,the
Committeewillmakeapreliminarydeterminationofwhetherthemembersknowledge,skillsor
judgmentissatisfactory;
QAcommitteeissatisfiedthatthemembersknowledge,skillsorjudgmentissatisfactoryand
thatthemembermeetstherequirementsoftheQAprogramthememberwillreceiveawritten
reportoutliningthedecisionoftheQACommittee;
QACommitteewillprovidethememberwithatleast14daystomakeawrittensubmissionto
theQACommittee.Giventhecomplexitiesofmailandmembersbusyschedules,themember
willhave30daysplus10daystoaccommodateSection39(2)oftheRHPAtomakeawritten
submissiontotheoftheQACommittee;
Page 7
QACommitteemaydeterminethatoneormoreofthemembersknowledge,skillsorjudgment
isnotsatisfactory;
QACommitteewilladvisethememberofthedecisioninawrittenreportandwillprovidethe
memberwithatleast14daysfromthedateofreceivingthenoticetomakeawritten
submissiontotheCommittee.Giventhecomplexitiesofmailandmembersbusyschedules,the
memberwillhave30daysplus10daystoaccommodateSection39(2)oftheRHPAtomakea
writtensubmissiontotheQACommittee;
QAcommitteewillreviewandconsiderawrittensubmissionsubmittedbyamember.Ifthe
Committeeisoftheopinionthatthemembersknowledge,skillsorjudgementisstillnot
satisfactory,theQACommitteemayrequirethemembertoparticipateinremedialactivity
includingspecifiededucation,refresherorcontinuingeducationprograms,coursesorinitiatives.
IMPORTANTPOINTSABOUTTHEQAPROGRAM
EachmemberoftheCTCMPAO:
isrequiredtocompleteaminimumof15hoursofprofessionaldevelopmentactivitiesinorder
toshowcommitmenttotheCollegesQAprogram;
willmaintainhisorherownSelfAssessmentPartsAandBandProfessionalDevelopmentPlan
thatdocumentshisorherprofessionaldevelopmentactivitiesbasedontheannualSelf
Assessment;
willundertakeanddocumentonlyprofessionaldevelopmentactivitiesthatarerelatedtothe
practiceoftheprofessionofTraditionalChineseMedicine;
willretainacopyoftheSelfAssessmentPartsAandB,ProfessionalDevelopmentplanandthe
QualityAssuranceDeclarationforthreeyears;
mustsubmittheQualityAssuranceDeclarationeachyearwithhisorherannualregistration
isrequiredtocooperatewiththeQualityAssuranceCommitteeandwithanyassessorit
appointstoconductaPeerandPracticeAssessment.
Acknowledgements
ThankstotheCollegeofMedicalRadiationTechnologistsofOntarioforitssupportandfortheuseofits
materials.
SelfAssessmentt and
Proffession
nal Dev
velopm
ment T
Tools
SelfAssessmen
nt Introd
duction

Memberrsmustparticipateinselffassessmentt,continuingeducationandprofessio
onaldevelopm
ment
activitiessonanannualbasis.Mem
mbersmustcomplete15
5hoursofpro
ofessionaldeevelopmentaactivities
eachcaleendaryear.TTheCollegeh
hasdevelopeedtoolsthatwillmakeup
ptheQAreco
ordstoassisttmembers
inperforrmingtheseaactivitiesinaathoughtfulandorganizeedfashion.
TheSelfAssessmen
nttoolhasbeeendesigned
dtoassistyou
uinidentifyingwhatareaarelatedtotthe
dsofPracticeeyouwouldliketolearnmoreaboutandtoassisttyouinidenttifyingprofessional
Standard
developm
mentactivitiesfortheup
pcomingyearr.
TheSelfAssessmen
nttoolalsoad
ddressthearreaofrespon
nsibilityinclu
udedinyourpracticeasw
wellas
ncesintechn
nologyandanyinterprofeessionalcollaaborationthaatisanticipatedin
addressinganyadvan
yourpractice.
mhasbeendesignedforyyoutoeasilytypeinyourrresponse.
Pleasenotethisform

nt(PD)PlaanIntrodu
uction
ProfessionalDevvelopmen
designedforyoutodocumentyourprofessional
TheProffessionalDevvelopmentPllanisatoold
developm
mentactivities.
Thetoolprovidesassectionforyo
outodocumeentyourtoppriorityareaasthatyouw
wouldliketoenhance
ntPartsAand
dB,adescrip
ptionofthep
nt
identifiedinyourSelfAssessmen
oftheactivityinhours,th
hetypeofacctivities
activitiess,thedateeaachactivityisscompleted,,thelengtho
undertakkenaswellasadescriptio
onofhowth
heactivityheelpedyouinyyourpracticee.
Standard
d(s)ofPractiiceidentified
donSelfAsssessmentforrenhanceme
entaretobeerecordedon
n
Professio
onalDevelop
pment(PD)P
Plan.
Pleasenotethisform
mhasbeendesignedforyyoutoeasilytypeinyourrProfessionalDevelopmeent
activitiess.
Page 9
SELFASSESSMENT
PART A
Thefollowingquestionssummarizepertinentinformationaboutyourcurrentrolesandresponsibilities.
Pleaseanswerthesequestionsyourresponsesshouldprovideyouwithaformalsummaryofyour
strengthsandmayhelpyouidentifysomeopportunitiesforskilland/orknowledgeenhancement.
NAME:
DATE:
ThetypeoffacilityIworkinis:
Myroleasapractitioneris:
Myanticipatedneworchangedrolesrelatedtoanyadvancesintechnologyorinterprofessional
collaborativewillinclude:
AreasIaminterestedinlearningmoreabout:
a.___________________________________________________________________________________
b.___________________________________________________________________________________
c.____________________________________________________________________________________
Howtheseareasapplytomycurrentoranticipatedpractice
a.___________________________________________________________________________________
b.___________________________________________________________________________________
c.____________________________________________________________________________________
SELFASSESSMENT
PART B
Onthefollowingpagesyouwillfindstatementsdescribingknowledge,skillorjudgementrelevantto
yourpracticeasaR.TCMPorR.Ac.Assessyourknowledge/performanceoneachofthefollowing
statementsbymarkingtheappropriatebox(es)nexttothestatement.Youmayfindthatyouwantto
checkmorethanoneboxthinkaboutyourcurrentsituation.AdescriptionoftheSelfAssessment
categoriesisprovidedbelow.
NAME:
DATE:
SELFASSESSMENTCATEGORIES(RATING)
Know&performwell
Know,performwell&
=
=
wouldliketoenhance
Canteachorguide
others
N/A
Iknowandconsistentlyperformwellinthisarea.
Icurrentlyperformwellinthisarea,however,Iwouldliketo
buildon,orenhance,myknowledge,skillorjudgment.
IknowthisareasowellIcan,ordo,provideguidanceand/or
teachothers
NotapplicabletomeinmyparticularroleasaR.TCMPorR.Ac
LEGISLATION, STANDARDS AND ETHICS
Description
R.TCMPsandR.AcsaremembersoftheCollegeofTraditionalChineseMedicinePractitionersand
AcupuncturistsofOntario.Thisensuresthattheyhavemettheprofessionaleducationrequirementsof
theCollegeandthattheycontinuetoeducatethemselvesaboutpractical,legal,ethicalandother
matterspertainingtotheprofession.
StandardofPractice(1)Legislation,StandardsandEthics
R.TCMPsandR.Acsmustunderstand,andadhereto,thelegislationgoverningthepracticeofthe
profession,theStandardsofPracticesetbytheCollege,theCodeofEthicssetbytheCollegeandtheBy
laws.
Page 11
SELFASSESSMENT
AsaR.TCMPorR.Ac,
Know&
perform
well
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
N/A
1. Imaintaintheknowledge,skillsandjudgementto
performproceduresundertakeninthecourseof
practicingtheprofession;
2. Iadheretoallrelevantprovincialandfederal
legislationandmunicipallawandguidelinesgoverning
thepracticeoftheprofession;
3. IadheretotheStandardsofPracticesetbythe
College;
4. IadheretotheCodeofethics;
5. IadheretoallregulationsmadeundertheTraditional
ChineseMedicineActincluding:
I.
II.
III.
professionalmisconduct;
registration;and
qualityassurance.
SummaryofStandardofPractice(1)Legislation,StandardsandEthics
Mystrengths:
AreasIwouldliketoenhanceinclude:
SELFASSESSMENT
DIAGNOSIS AND TREATMENT
Description
R.TCMPsandR.Acsarehealthcareprofessionalswhopossessafundamentalbodyofknowledge,skills
andjudgmentfollowingtraditionalChinesemedicineprincipleswhicharedirectedtoeffectivepatient
careinthediagnosisandtreatmentofpatients.R.TCMPsandR.Acsusetheessentialprinciplesof
traditionalChinesemedicinetoassesspatientsandpromotetheirhealth,andpreventandtreat
commondisease.Theircareischaracterizedbyethicalandsafeclinicalpracticeaswellaswitheffective
communicationinpartnershipwithpatientsandotherhealthcareproviders.
R.TCMPsandR.Acsareauthorizedtoperformtwocontrolledacts,whichtheyhavebeenauthorizedto
performwithintheirscopeofpracticeundertheTraditionalChineseMedicineAct.Thetwocontrolled
actsthatR.TCMPsandR.Acsareauthorizedtoperformare:
Performingaprocedureontissuebelowthedermisandbelowthesurfaceofamucous
CommunicatingatraditionalChinesemedicinediagnosisidentifyingabodysystemdisorder
asthecauseofapersonssymptomsusingtraditionalChinesemedicinetechniques.
UndertheRegulatedHealthProfessionsAct,R.TCMPsandR.Acsmaydelegatethetwocontrolledacts
authorizedtoR.TCMPsandR.AcsundertheundertheTraditionalChineseMedicineActprovidedthey
complywiththeRegulatedHealthProfessionsAct,andtheprofessionalmisconductregulationmade
undertheTraditionalChineseMedicineAct.
StandardofPractice(2)DiagnosisandTreatment
R.TCMPsandR.Acsmustbeabletoaccuratelyassessbodysystemdisordersthroughtraditional
Chinesemedicinetechniques.R.TCMPsandR.Acsmustbeproficientinprovidingtreatmentusing
traditionalChinesemedicinetherapiestopromote,maintainorrestorehealth.R.TCMPsandR.Acs
mustbeskilledintheapplicationofacupunctureandmustadheretotheWorldHealthOrganization
(WHO)standardforthelocationofacupuncturepoints.R.TCMPsmustbeabletoaccuratelyselectand
recommendherbalmedicinesbasedontheTraditionalChineseMedicinediagnosisandtreatmentplan
andmakemodificationsbasedonthepatientsphysical,medicalandhealthhistoryasnecessary.
R.TCMPsandR.AcsmustbeabletoperformthetwocontrolledactsauthorizedtoR.TCMPsandR.Acs
asrequiredinthecourseofengaginginthepracticeoftheprofession.Theymustnotperformthe
authorizedacts,oranyexemptedcontrolledacts,unlesstheconditionsundertheRegulatedHealth
ProfessionsAct,theTraditionalChineseMedicineActandtheirrespectiveregulationshavebeenmet.
Page 13
SELFASSESSMENT
AsaR.TCMPorR.Ac,
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
3. Icarryoutassessmentandtreatmentonlywiththe
informedconsentofthepatient,orthepatients
4. Iuseappropriateaseptictechniquesandinfection
controlproceduresinthecourseofexaminationsand
treatment;
5. Iinstructthepatienttoremoveonlytheclothingand
itemsthatwouldinterferewiththeexaminationor
treatmentprocedures;
6. Iprovideuseofappropriatedrapingmaterialstocover
areaswhereclothingwasremoved;
7. IexplaintothepatientwhenandwheretheR.TCMP
andR.Acmighttouchthepatientandwhy;
8. Itouchthepatientinonlythoseareasneededto
facilitatethecarryingouttheprocedure;
9. Ieffectivelyperformaphysicalassessmentofthe
patientforthepurposeofhealthpromotion,diagnosis
and/ormanagementthatisrelevantandaccurate.
10. Ieffectivelyanalysetheinformationtodeterminea
diagnosisandestablishaneffectivetreatmentplan;
1. Iperformonlythosecontrolledactsthathavebeen
authorized,underthelegislation;
2. Idonotperformanyprocedurewhichmayresultin
seriousphysicalharm,unlessthatprocedureiswithin
thescopeofpracticeoftheprofessionortheR.TCMP
andR.Acisauthorizedorpermittedtodosoby
legislation;
Know&
perform
well
N/A
SELFASSESSMENT
Know&
perform
well
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
N/A
11. IadheretotheWorldHealthOrganization(WHO)
standardforthelocationofacupuncturepoints;
12. Iapplysafeandaccurateproceduresandprocessesin
implementingthetreatmentplan;
13. Iaccountforeveryneedlethatisinserted,removed,
anddisposedofduringtreatment;
14. Iinitiateemergencyresponseproceduresasrequired
ifapatientsuffersanyadversereactiontoa
treatment;
15. IcommunicateatraditionalChinesemedicine
diagnosisidentifyingabodysystemdisorderasthe
causeofapersonssymptoms;
16. Iassessthepatientsconditionduringthecourseof
thetreatmentorproceduresandrespondaccordingly;
Inaddition,asaR.TCMP,
17. Itakeintoaccountallprecautionsandcontradictions
oftheherbsandformulasrecommendedtothe
patient;
18. Iselect,recommendandcombineherbalmedicines
basedontheTraditionalChineseMedicinediagnosis
andtreatmentplanandmakemodificationsbasedon
thepatientsphysical,medicalandhealthhistoryas
necessary;and
19. Iadvisepatientsabouttheuseofherbaltreatment
includingthedosagerouteofadministration,and
scheduleforadministration.
Page 15
SELFASSESSMENT
SummaryofStandardofPractice(2)DiagnosisandTreatment
Mystrengths:
SAFE PRACTICE
Description
R.TCMPsandR.AcsassessbodysystemdisordersthroughtraditionalChineseMedicinetechniquesand
treatmentusingtraditionalChinesemedicinetherapiestopromote,maintainorrestorehealth.To
ensureprotectiontopatients,thegeneralpublic,membersofthehealthcaresystem,aswellas
practitionersR.TCMPsandR.Acsendeavortoreducetheriskofharmbyengaginginsafepractices,and
continuingtomaintainandupgradetheirsafepracticeskillsbyreferencingagenciessuchasthe
CTCMPAOandfederalandprovincialgovernmenthealthministries.
StandardofPractice(3)SafePractice
AsaR.TCMPorR.Ac
SELFASSESSMENT
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
Know&
perform
well
N/A
1. Iobserveallrelevantmunicipal,provincialandfederal
legislationandguidelinespertainingtohealthand
safety,suchasthe:
i.
ii.
iii.
iv.
v.
RegulatedHealthProfessionsActandits
regulations;
TraditionalChineseMedicineActandits
regulations;
OccupationalHealthandSafetyActandits
regulations
WorldHealthOrganization(WHO)standard
forthelocationofacupuncturepoints;
WorkplaceHazardousMaterialsInformation
System;
2. Ideterminerisksandcontraindicationsfor
acupuncturetreatment;
3. Ideterminerisksandcontraindicationsfor
moxibustiontreatment;
4. Itakeintoaccountthepatientsphysicaland
emotionallimitations,andensurethatthepatientwill
notbeexpectedtoperformanytaskormovement
thatwouldcausephysicalharm;
5. Iusesterileneedletechniquetoreducetheriskof
infections,diseasesandtransmissionssuchas
HepatitisBinperformingtheprocedureof
acupunctureincompliancewiththeCTCMPAO
guidelinespertainingtoacupuncture;
6. Iuseappropriateaseptictechniquesandinfection
controlproceduresinthecourseofexaminationsor
treatment;
7. Iprotectmyself,mycolleagues,staff,othermembers
ofthehealthcareteam,anyotherindividualswho
maybepresent,aswellasanypatient,fromany
communicableandinfectiousdiseases;
Page 17
SELFASSESSMENT
Know&
perform
well
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
N/A
8. Iconductappropriatemaintenanceproceduresforall
equipmentandsubstancestobeusedinan
examinationortreatment;
9. Itakecorrectiveactionifthemaintenanceprocedure
resultsarenotwithinacceptablelimits;
10. Iinitiateemergencyresponseproceduresifapatient
suffersanyadversereactiontoatreatmentora
substanceadministeredorally;
11. Iinitiateemergencyresponseproceduresintheevent
thatapatientexhibitsabusiveorviolentbehaviour;
12. Idisposeofexpiredorcontaminatedsubstancesor
materialsIaccordancewithlegislationandall
CTCMPAOguidelinespertainingtowaste
management;
13. Ideterminerisks,contraindicationsandriskofan
adversereactionfortreatmentwithherbals.
SummaryofStandardofPractice(3)SafePractice
Mystrengths:
SELFASSESSMENT
COMMUNICATION
Description
R.TCMPsandR.Acseffectivelycommunicatewiththeirpatients,families,caregivers,other
professionalsandotherimportantindividuals.R.TCMPsandR.Acsrecognizethatgoodcommunication
skillsareessentialforestablishingrapportandtrustwiththepatient,formulatinganassessment,
deliveringinformation,strivingformutualunderstanding,andfacilitatingasharedplanofcare.
StandardofPractice(4)Communication
R.TCMPsandR.Acsmustbeabletodevelopatrustingandtherapeuticrelationshipswithpatients.They
musthavegoodcommunicationskillstoelicitandcombinerelevantinformationtoassessthepatient
anddevelopandimplementatreatmentplan.R.TCMPsandR.Acsmustbeabletoaccuratelyconvey
relevantinformationandexplanationstopatients,families,colleaguesandotherprofessionals.
AsaR.TCMPorR.Ac
1. Iprovideclearandunderstandableinformationtothe
patient,orthepatientssubstitutedecisionmaker,
priorto,duringandaftertreatment,usingan
interpreterifnecessary;
2. Igivethepatient,orthepatientssubstitutedecision
maker,anopportunitytoaskquestions;
3. Icarryoutexaminationsortreatmentonlywiththe
informedconsentofthepatient,orthepatients
4. Ikeepallpatientinformationconfidential,except
whennecessarytofacilitateanassessmentor
treatmentofthepatientorwhenlegallyobligedor
allowedtodisclosesuchinformation;
5. Iobserveallrelevantlegislation,suchastheHealth
CareConsentAct,andallCTCMPAOguidelines
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
Know&
perform
well
N/A
Page 19
SELFASSESSMENT
6. IobservetheRegulatedHealthProfessionsActandall
guidelinesoftheCTCMPAOpertainingtoboundaries
andthepreventionofsexualabuse;
7. Iusearangeofcommunicationskillstodevelopand
maintaineffectiveprofessionalrelationships;
8. Icollaboratewithothermembersofthehealthcare
teamtopromotethebestpossibleoutcomesforthe
patient;
9. Iusearangeofrelationshipskillstoaddress
professionaldifferencesthatmayleadtoconflict;
10. Iprovidecaretopatientsregardlessoftheirrace,
ancestry,placeoforigin,colour,ethnicorigin,
citizenship,creed,sex,sexualorientation,age,marital
status,familystatus,ordisability.
Know&
perform
well
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
N/A
SummaryofStandardofPractice(4)Communication
Mystrengths:
SELFASSESSMENT
RECORD KEEPING
Description
Creatingandmaintainingrecordsandreportsareessentialcomponentsoftheprofessionalpracticeof
allR.TCMPsandR.Acsasrecordsandreportsprovideinformationtootherhealthcareprofessionals
aboutrelevantaspectsofpatientcare,treatmentandassessment.
StandardofPractice(5)RecordKeeping
PerformanceIndicatorsAsaR.TCMPorR.Ac
Know&
perform
well
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
N/A
1. Imaintainawrittenorelectronicdailyappointment
logthatoutlinesthedate,name,andthetimeofthe
appointmentforeachrespectivepatient;
2. Icreateandmaintainacomprehensivefileforeach
patientinaccordancewiththerecordkeeping
3. Iarrangeandorganizeallmaterialinpatientrecordsin
amannerthatallowsforeasyandpromptretrieval
andensuressecurityandconfidentiality;
4. IcomplywithallrelevantlegislationsuchastheHealth
CareConsentActandallCTCMPAOguidelines
5. Icomplywithanyprivacylegislationsuchasthe
PersonalHealthInformationProtectionActandall
CTCMPAOguidelinespertainingtoprivacy;
Page 21
SELFASSESSMENT
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
12. Iconductappropriatequalitycontroltestsforall
substancestoberecommendedinatreatmentplan;
13. Itakecorrectiveactionifthequalitycontroltestsare
notwithinacceptablelimits;
6. Imaintaincompleteandaccuraterecordsrelatedto
billingorpaymentforgoodsorservicesprovidedby
thepractitionertothepatientinaccordancewiththe
recordkeepingguidelinesestablishedbythe
CTCMPAO;
7. Imaintainequipmentandsupplyrecordstomake
determinationsastotheequipmentquality,
serviceabilityandoperabilityandtakeanycorrective
actionsrequiredtomeetstandardssetbylegislation,
manufacturesguidelinesandallCTCMPAOguidelines
pertainingtoequipment;
8. Iensurethatallelectronicandwrittenrecordsare
managedaccordingtotheprinciplesandguidelines
establishedbytheCTCMPAO;
9. Iimplementrecordretentionanddestruction
processesincompliancewiththeRHPAandall
CTCMPAOguidelinespertainingtorecordretention
anddestructions;
10. Imaintainanaccurateinventoryofherbstorecord
purchases,supplyandprescriptions(TCM)topatients;
11. Iensuresafestorage,labellingandhandlingofherbs
toguaranteethattheherbswillbekeptfreefrom
contaminationandthattheherbqualityismaintained
incompliancewithanylegislationsuchastheNatural
HealthProductsDirectorateandtheCTCMPAO
guidelinespertainingtothesafemanagementof
herbalproducts;
Know&
perform
well
N/A
SELFASSESSMENT
14. Ionlyuseherbsbeforetheirexpirytimeordate;
15. Iensurethatallherbalprescriptions(TCM)arelegible,
andcontainallofthenecessaryinformationtoallow
theprescription(TCM)tobeaccuratelyandsafely
dispensed(TCM),usedandtracked.
Know,
perform
well&
wouldlike
toenhance
Canteach
orguide
others
Know&
perform
well
N/A
SummaryofStandardofPractice(5)RecordKeeping
Mystrengths:
Page 23
SELFASSESSMENT
SelfAssessment Summary
Standard(s)ofPracticeidentifiedonSelfAssessmentforenhancementtoberecordedonProfessional
Development(PD)Plan:
StandardofPractice(1)Legislation,StandardsandEthics
StandardofPractice(2)DiagnosisandTreatment
StandardofPractice(3)SafePractice
StandardofPractice(4)Communication
StandardofPractice(5)RecordKeeping
Otherareasidentifiedforenhancement:
Page 25
Length of
activity
in hours
Total hours
Date
PD activity: Name and
activity
Description
List all activities completed to completed
meet this area of enhancement
( e.g., name of an article read,
subject, name of journal or
book)
Standard (s) of
Practice
identified on
Self
Assessment for
enhancement
Seminar
DATE:
Type of activity
ProfessionalReading
Workshop
NAME:
TrainingCourse
How these activities helped me

in my practice
Professional Development (PD) Plan
Other
Sam
mple Se
elfAsse
essment and
d
Proffession
nal Dev
velopm
ment T
Tools
SelfAssessmen
nt Introd
duction

Memberrsmustparticipateinselffassessmentt,continuingeducationandprofessio
onaldevelopm
ment
activitiessonanannualbasis.Mem
mbersmustcomplete15
5hoursofpro
ofessionaldeevelopmentaactivities
eachcaleendaryear.TTheCollegeh
hasdevelopeedtoolsthatwillmakeup
ptheQAreco
ordstoassisttmembers
inperforrmingtheseaactivitiesinaathoughtfulandorganizeedfashion.
TheSelfAssessmen
nttoolhasbeeendesigned
dtoassistyou
uinidentifyingwhatareaarelatedtotthe
dsofPracticeeyouwouldliketolearnmoreaboutandtoassisttyouinidenttifyingprofessional
Standard
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nsibilityinclu
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addressinganyadvan
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uction
ProfessionalDevvelopmen
designedforyoutodocumentyourprofessional
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wouldliketoenhance
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oftheactivityinhours,th
hetypeofacctivities
activitiess,thedateeaachactivityisscompleted,,thelengtho
undertakkenaswellasadescriptio
onofhowth
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entaretobeerecordedon
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Page 27
SAMPLE SELF-ASSESSMENT
PART A
The following questions summarize pertinent information about your current roles and responsibilities.
Please answer these questions your responses should provide you with a formal summary of your
strengths and may help you identify some opportunities for skill and/or knowledge enhancement.
NAME: Sara Lee or Tom Lee
DATE: Jan.14, 2014
The type of facility I work in is:

Private Clinic__________________________________________________________________________
My role as a practitioner is:
TCM, Acupuncture, Educator_____________________________________________________________
My anticipated new or changed roles related to any advances in technology or interprofessional

collaborative will include:
Laser Acupuncture, Tai Chi for patient rehabilitation purposes___________________________________
Areas I am interested in learning more about:

a._Laser_accupuncture__________________________________________________________________
b._Tai Chi for patient rehabilitation ________________________________________________________
c.____________________________________________________________________________________
How these areas apply to my current or anticipated practice
a._I will use laser acupuncture to treat patient with painful conditions ____________________________
b._I will use Tai Chi for health and wellness and to aid in rehabilitation___________________________
c.____________________________________________________________________________________
PART B
On the following pages you will find statements describing knowledge, skill or judgement relevant to
your practice as a R. TCMP or R. Ac. Assess your knowledge/performance on each of the following
statements by marking the appropriate box (es) next to the statement. You may find that you want to
check more than one box think about your current situation. A description of the Self-Assessment
categories is provided below.
NAME: Sara Lee or Tom Lee
DATE: Jan.14, 2014
SELF-ASSESSMENT CATEGORIES (RATING)
Know & perform well

Know, perform well &
=
=
would like to enhance
Can teach or guide
others
N/A
I know and consistently perform well in this area.

I currently perform well in this area, however, I would like to
build on, or enhance, my knowledge, skill or judgment.
I know this area so well I can, or do, provide guidance and/or
teach others
Not applicable to me in my particular role as a R. TCMP or R. Ac
LEGISLATION, STANDARDS AND ETHICS
Description
R. TCMPs and R. Acs are members of the College of Traditional Chinese Medicine Practitioners and
Acupuncturists of Ontario. This ensures that they have met the professional education requirements of
the College and that they continue to educate themselves about practical, legal, ethical and other
matters pertaining to the profession.
Standard of Practice (1) - Legislation, Standards and Ethics
R. TCMPs and R. Acs must understand, and adhere to, the legislation governing the practice of the
profession, the Standards of Practice set by the College, the Code of Ethics set by the College and the Bylaws.
Page 29
Performance Indicators
As a R. TCMP or R. Ac,
Know &
perform
well
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
1. I maintain the knowledge, skills and judgement to

perform procedures undertaken in the course of
practicing the profession;
2. I adhere to all relevant provincial and federal

legislation and municipal law and guidelines governing
the practice of the profession;
3. I adhere to the Standards of Practice set by the

College;
4. I adhere to the Code of ethics;
5. I adhere to all regulations made under the Traditional

Chinese Medicine Act including:
I.
II.
III.
professional misconduct;
registration; and
quality assurance.
Summary of Standard of Practice (1) - Legislation, Standards and Ethics

My strengths (EXAMPLES ONLY):
I am competent to practice TCM and Acupuncture_________________________________________

I am very familiar with the Standards of Practice__________________________________________
I understand the basic Principles of the RHPA_____________________________________________
Areas I would like to enhance include (EXAMPLES ONLY):
I would like to enhance my understanding of the Code of Ethics of the CTCMPAO.________________

I would like to better understand the Health Care Consent Act._______________________________
I would like to clearly understand what behaviours of and R. TCMP are professional misconduct.____
DIAGNOSIS AND TREATMENT
Description
R. TCMPs and R. Acs are health care professionals who possess a fundamental body of knowledge, skills
and judgment following traditional Chinese medicine principles which are directed to effective patient
care in the diagnosis and treatment of patients. R. TCMPs and R. Acs use the essential principles of
traditional Chinese medicine to assess patients and promote their health, and prevent and treat
common disease. Their care is characterized by ethical and safe clinical practice as well as with effective
communication in partnership with patients and other health care providers.
R. TCMPs and R. Acs are authorized to perform two controlled acts, which they have been authorized to
perform within their scope of practice under the Traditional Chinese Medicine Act. The two controlled
acts that R. TCMPs and R. Acs are authorized to perform are:
Performing a procedure on tissue below the dermis and below the surface of a mucous
membrane for the purpose of performing acupuncture.
Communicating a traditional Chinese medicine diagnosis identifying a body system disorder

as the cause of a persons symptoms using traditional Chinese medicine techniques.
Under the Regulated Health Professions Act, R. TCMPs and R. Acs may delegate the two controlled acts
authorized to R. TCMPs and R. Acs under the under the Traditional Chinese Medicine Act provided they
comply with the Regulated Health Professions Act, and the professional misconduct regulation made
under the Traditional Chinese Medicine Act.
Standard of Practice (2) - Diagnosis and Treatment
R. TCMPs and R. Acs must be able to accurately assess body system disorders through traditional
Chinese medicine techniques. R. TCMPs and R. Acs must be proficient in providing treatment using
traditional Chinese medicine therapies to promote, maintain or restore health. R. TCMPs and R. Acs
must be skilled in the application of acupuncture and must adhere to the World Health Organization
(WHO) standard for the location of acupuncture points. R. TCMPs must be able to accurately select and
recommend herbal medicines based on the Traditional Chinese Medicine diagnosis and treatment plan
and make modifications based on the patients physical, medical and health history as necessary.
R. TCMPs and R. Acs must be able to perform the two controlled acts authorized to R. TCMPs and R. Acs
as required in the course of engaging in the practice of the profession. They must not perform the
authorized acts, or any exempted controlled acts, unless the conditions under the Regulated Health
Professions Act, the Traditional Chinese Medicine Act and their respective regulations have been met.
As a R. TCMP or R. Ac,
Page 31
Know &
perform
well
1. I perform only those controlled acts that have been

authorized, under the legislation;
2. I do not perform any procedure which may result in
serious physical harm, unless that procedure is within
the scope of practice of the profession or the R. TCMP
and R. Ac is authorized or permitted to do so by
legislation;
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
3. I carry out assessment and treatment only with the

informed consent of the patient, or the patients
substitute decision maker;
4. I use appropriate aseptic techniques and infection

control procedures in the course of examinations and
treatment;
5. I instruct the patient to remove only the clothing and

items that would interfere with the examination or
treatment procedures;
6. I provide use of appropriate draping materials to cover

areas where clothing was removed;
7. I explain to the patient when and where the R. TCMP

and R. Ac might touch the patient and why;
8. I touch the patient in only those areas needed to

facilitate the carrying out the procedure;
9. I effectively perform a physical assessment of the

patient for the purpose of health promotion, diagnosis
and/or management that is relevant and accurate.
10. I effectively analyse the information to determine a

diagnosis and establish an effective treatment plan;
Know &
perform
well
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
11. I adhere to the World Health Organization (WHO)

standard for the location of acupuncture points;
12. I apply safe and accurate procedures and processes in

implementing the treatment plan;
13. I account for every needle that is inserted, removed,

and disposed of during treatment;
14. I initiate emergency response procedures as required

if a patient suffers any adverse reaction to a
treatment;
15. I communicate a traditional Chinese medicine

diagnosis identifying a body system disorder as the
cause of a persons symptoms;
16. I assess the patients condition during the course of

the treatment or procedures and respond accordingly;
In addition, as a R. TCMP,
17. I take into account all precautions and contradictions
of the herbs and formulas recommended to the
patient;
18. I select, recommend and combine herbal medicines
based on the Traditional Chinese Medicine diagnosis
and treatment plan and make modifications based on
the patients physical, medical and health history as
necessary; and
19. I advise patients about the use of herbal treatment
including the dosage route of administration, and
schedule for administration.
Page 33
Summary of Standard of Practice (2) - Diagnosis and Treatment
I know and comply with the 2 controlled acts authorized to R. TCMPS and Acs.__________________
I consistently adhere to correct draping procedures in my practice.__________________________
__________________________________________________________________________________
I would like to enhance my understanding of what controlled acts other health care professions are
authorized to perform.______________________________________________________________
I would like to enhance my understanding of how to obtain informed consent from patients._______
I would like to review the emergency response policies in my practice should a patient have an_____
emergency reaction._________________________________________________________________
SAFE PRACTICE
Description
R. TCMPs and R. Acs assess body system disorders through traditional Chinese Medicine techniques and
treatment using traditional Chinese medicine therapies to promote, maintain or restore health. To
ensure protection to patients, the general public, members of the health care system, as well as
practitioners R. TCMPs and R. Acs endeavor to reduce the risk of harm by engaging in safe practices, and
continuing to maintain and upgrade their safe practice skills by referencing agencies such as the
CTCMPAO and federal and provincial government health ministries.
Standard of Practice (3) - Safe Practice
R. TCMPs and R. Acs must have the knowledge, skills and judgement to practise safely by adhering to the
relevant provincial and federal legislation and guidelines and manufacturers directions pertaining to
health and safety. In the event of any unexpected problems or emergencies, R. TCMPs and R. Acs must
be competent and prepared to handle the management of the situation.
As a R. TCMP or R. Ac
Know &
perform
well
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
1. I observe all relevant municipal, provincial and federal

legislation and guidelines pertaining to health and
safety, such as the:
i.
ii.
iii.
iv.
v.
Regulated Health Professions Act and its

regulations;
Traditional Chinese Medicine Act and its
regulations;
Occupational Health and Safety Act and its
regulations
World Health Organization (WHO) standard
for the location of acupuncture points;
Workplace Hazardous Materials Information
System;
2. I determine risks and contraindications for

acupuncture treatment;
3. I determine risks and contraindications for

moxibustion treatment;
4. I take into account the patients physical and

emotional limitations, and ensure that the patient will
not be expected to perform any task or movement
that would cause physical harm;
5. I use sterile needle technique to reduce the risk of
infections, diseases and transmissions such as
Hepatitis B in performing the procedure of
acupuncture in compliance with the CTCMPAO
guidelines pertaining to acupuncture;
6. I use appropriate aseptic techniques and infection
control procedures in the course of examinations or
treatment;
7. I protect myself, my colleagues, staff, other members
of the health care team, any other individuals who
may be present, as well as any patient, from any
communicable and infectious diseases;
Page 35
Know &
perform
well
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
8. I conduct appropriate maintenance procedures for all

equipment and substances to be used in an
examination or treatment;
9. I take corrective action if the maintenance procedure

results are not within acceptable limits;
10. I initiate emergency response procedures if a patient

suffers any adverse reaction to a treatment or a
substance administered orally;
11. I initiate emergency response procedures in the event

that a patient exhibits abusive or violent behaviour;
12. I dispose of expired or contaminated substances or

materials I accordance with legislation and all
CTCMPAO guidelines pertaining to waste
management;
13. I determine risks, contraindications and risk of an
adverse reaction for treatment with herbals.
Summary of Standard of Practice (3) - Safe Practice

I conduct quality maintenance procedure for all equipment and substances to be used in an________
examination or treatment.____________________________________________________________
I determine risks and contraindications for acupuncture treatment.___________________________
I would like to enhance my understanding of the Workplace Hazardous Materials Information System
(WHMIS) to be sure that my practice in using safe management of hazardous materials.__________
I would like to enhance my understanding of aseptic techniques and infection control procedures.___
I would like to review the World Health Organization (WHO) Standard for the location of__________
acupuncture points.________________________ ________________________________________
COMMUNICATION
Description
R. TCMPs and R. Acs effectively communicate with their patients, families, care givers, other
professionals and other important individuals. R. TCMPs and R. Acs recognize that good communication
skills are essential for establishing rapport and trust with the patient, formulating an assessment ,
delivering information, striving for mutual understanding, and facilitating a shared plan of care.
Standard of Practice (4) - Communication
R. TCMPs and R. Acs must be able to develop a trusting and therapeutic relationships with patients. They
must have good communication skills to elicit and combine relevant information to assess the patient
and develop and implement a treatment plan. R. TCMPs and R. Acs must be able to accurately convey
relevant information and explanations to patients, families, colleagues and other professionals.
As a R. TCMP or R. Ac
Know &
perform
well
1. I provide clear and understandable information to the

patient, or the patients substitute decision maker,
prior to, during and after treatment, using an
interpreter if necessary;
2. I give the patient, or the patients substitute decision
maker, an opportunity to ask questions;
3. I carry out examinations or treatment only with the

informed consent of the patient, or the patients
substitute decision maker;
4. I keep all patient information confidential, except
when necessary to facilitate an assessment or
treatment of the patient or when legally obliged or
allowed to disclose such information;
5. I observe all relevant legislation, such as the Health
Care Consent Act, and all CTCMPAO guidelines
pertaining to consent;
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
Page 37
Know &
perform
well
6. I observe the Regulated Health Professions Act and all

guidelines of the CTCMPAO pertaining to boundaries
and the prevention of sexual abuse;
7. I use a range of communication skills to develop and
maintain effective professional relationships;
8. I collaborate with other members of the health care

team to promote the best possible outcomes for the
patient;
9. I use a range of relationship skills to address
professional differences that may lead to conflict;
10. I provide care to patients regardless of their race,

ancestry, place of origin, colour, ethnic origin,
citizenship, creed, sex, sexual orientation, age, marital
status, family status, or disability.
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
Summary of Standard of Practice (4) - Communication

I keep all patient information confidential._______________________________________________

I provide care to all patient regardless of their race ancestry, place of origin, colour, ethnic origin,___
citizenship, creed, sex, sexual orientation, age, marital status, family status, or disability.__________
I would like to enhance my skill to use effective communication strategies to promote____________

interprofessional relationships._________________________________________________________
I would like to better understand the Health Care Consent Act._______________________________
I would like to enhance my understanding of the College sexual abuse prevention program.________
I would like to enhance my ability to communicate with my patient in English.___________________
RECORD KEEPING
Description
Creating and maintaining records and reports are essential components of the professional practice of
all R. TCMPs and R. Acs as records and reports provide information to other health care professionals
about relevant aspects of patient care, treatment and assessment.
Standard of Practice (5) - Record Keeping
R. TCMPs and R. Acs must have the knowledge, skills and judgment to create and maintain a daily
appointment log, patient files and billing records and other records that attest to the treatment of the
patient. R. TCMPs and R. Acs must be proficient in maintaining records that describe workplace and
safety procedures that have been carried out. R. TCMPs and R. Acs must be skillful in producing records
and reports that are always accurate, complete, legible and timely.
Performance Indicators As a R. TCMP or R. Ac
Know &
perform
well
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
1. I maintain a written or electronic daily appointment

log that outlines the date, name, and the time of the
appointment for each respective patient;
2. I create and maintain a comprehensive file for each

patient in accordance with the record keeping
guidelines established by the CTCMPAO;
3. I arrange and organize all material in patient records in

a manner that allows for easy and prompt retrieval
and ensures security and confidentiality;
4. I comply with all relevant legislation such as the Health

Care Consent Act and all CTCMPAO guidelines
pertaining to consent;
5. I comply with any privacy legislation such as the

Personal Health Information Protection Act and all
CTCMPAO guidelines pertaining to privacy;
Page 39
Know &
perform
well
6. I maintain complete and accurate records related to

billing or payment for goods or services provided by
the practitioner to the patient in accordance with the
record keeping guidelines established by the
CTCMPAO;
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
12. I conduct appropriate quality control tests for all

substances to be recommended in a treatment plan;
13. I take corrective action if the quality control tests are

not within acceptable limits;
7. I maintain equipment and supply records to make

determinations as to the equipment quality,
serviceability and operability and take any corrective
actions required to meet standards set by legislation,
manufactures guidelines and all CTCMPAO guidelines
pertaining to equipment;
8. I ensure that all electronic and written records are
managed according to the principles and guidelines
established by the CTCMPAO;
9. I implement record retention and destruction
processes in compliance with the RHPA and all
CTCMPAO guidelines pertaining to record retention
and destructions;
10. I maintain an accurate inventory of herbs to record
purchases, supply and prescriptions (TCM) to patients;
11. I ensure safe storage, labelling and handling of herbs
to guarantee that the herbs will be kept free from
contamination and that the herb quality is maintained
in compliance with any legislation such as the Natural
Health Products Directorate and the CTCMPAO
guidelines pertaining to the safe management of
herbal products;
Know &
perform
well
14. I only use herbs before their expiry time or date;
15. I ensure that all herbal prescriptions (TCM) are legible,

and contain all of the necessary information to allow
the prescription (TCM) to be accurately and safely
dispensed (TCM), used and tracked.
Know,
perform
well &
would like
to enhance
Can teach
or guide
others
N/A
Summary of Standard of Practice (5) - Record Keeping

I keep a clear concise written daily appointment log._______________________________________

I keep accurate equipment and supply records and take corrective actions required to meet
standards set by legislation, manufactures and all other Colleges guidelines related to the
equipment._____________
I would like to enhance my understanding of Records Management by exploring process to create

and maintain a comprehensive file for each patient._____________________________________
I would like to enhance my understanding of the Personal Health Information Protection Act.____
I would like to improve my process of organizing all of the materials in patients records that allows
for easy and prompt retrieval and ensures security and confidentiality._______________________
Page 41
Self-Assessment Summary
Standard(s) of Practice identified on Self-Assessment for enhancement to be recorded on
Professional Development (PD) Plan:
Standard of Practice (1) - Legislation, Standards and Ethics
Review Code of Ethics in By-law 1 on CTCMPAO website.____________________________________
Standard of Practice (2) - Diagnosis and Treatment
Review Section 27 of the RHPA and go on E-laws and review each Colleges professions specific act to
find out which professions are authorized to perform the various controlled acts.________________
Standard of Practice (3) - Safe Practice
Review the Safety Program for TCM Practitioners and revise the practice policies as necessary to ensure
protection of staff, patients, and the public.________________________________________________
Standard of Practice (4) - Communication
Standard of Practice (5) - Record Keeping
Other areas identified for enhancement:
Laser acupuncture__________________________________________________________________
Tai Chi for patient rehabilitation________________________________________________________
Page 43
ReviewSection27oftheRHPA
andgoonElawsandreview
eachCollegesprofessions
specificacttofindoutwhich
professionsareauthorizedto
performthevariouscontrolled
acts.
ReviewtheSafetyProgramfor
Mar.30,
2013
TCMPractitionersandrevise
thepracticepoliciesas
necessarytoensureprotection
ofstaff,patients,andthepublic
2
Controlled
acts
3
Safety
program
Feb.10,
2013
16.5
0.5
Length of
activity
in hours
Total hours
ReviewCodeofEthicsinBylaw
1onCTCMPAOwebsite.
1
Code of ethics
Jan.10,
2013
Date
PD activity: Name and
activity
Description
List all activities completed to completed
meet this area of enhancement
( e.g., name of an article read,
subject, name of journal or
book)
Standard (s) of
Practice
identified on
Self
Assessment for
enhancement
Seminar
Type of activity
ProfessionalReading
NAME:JohnSmithR.TCMP
Workshop
SAMPLE
TrainingCourse
RevisedandpostedSafety
Policiesinaccordancewith
WHIMISandinfectioncontrol.
Iamabletodescribetomystaff
whatthecontrolledactsinclude
andwhichprofessionsare
authorizedtoperformthe
controlledactsaslistedintheir
specificacts.
IcannowexplaintheColleges
CodeofEthicstopatientsand
howIamresponsibleforpublic
protection.
How these activities helped me

in my practice
DATE:Dec.31,2013
Professional Development (PD) Plan
Other
Peerr and Prractice Assesssment

Introd
duction
owingstatem
mentsdescrib
bethebehavioursofaR.TCMPorR.A
Acandwillseerveastheb
basisfor
Thefollo
ratingth
heR.TCMPsorR.Acspeerformanceinpractice.
Thepraccticeassessm
mentiscondu
uctedbypeerstoprovideemembersw
withapictureeofaspecificc
individuaalsperformaanceinthep
practicesettin
ng.
Theasseessmentproccessisintend
dedtobeadevelopmentevaluationw
whichallowsmembersoffthe
professio
ontoreviewamembersspracticewitththememb
bertoidentifyyareasofstrrengthandareasthat
mayben
nefitfromenhancement.
Page 45
PEER AND PRACTICE ASSESSMENT
DateofAssessment:
R.TCMP R.Ac
NameofMemberBeingAssessed(Print):
NameofAssessors:1.
2.
PeerandPracticeAssessmentCategories(Ratings)
Meets
MeetstheStandardsofPractice
Partiallymeets
PartiallymeetstheStandardsofPractice
Doesnotmeet
DoesnotmeettheStandardsofPractice
N/A
NotapplicabletothememberinhisorherparticularroleasaR.
TCMPorR.Ac
SAFE PRACTICE
A.WorkplaceHazardousMaterialsInformationSystem(WHMIS):
Thepractitionerisresponsibletoensurethatsingleuseacupunctureneedlesandothersharpsare
disposedofsafely.
1. Guidelinesareinplacetoensurethatthepersonusing
thesharpdisposesofthesharp
2. Singleusesharpsaredisposedofinapuncture
resistant,rigidcontainerthatwillnotbepuncturedby
sharpsundernormalconditions
3. Thecontainerisidentifiedwiththebiohazardlabel
4. Guidelinesareinplacetoensurethatstaffmanaging
biomedicalwastewearprotectiveapparelandare
informedofrelevantimmunizations
Summary:Performsandisresponsibleforstaffto
conductwastemanagementsafelyandincompliance
withWorkplaceHazardousMaterialsInformationSystem
WHMIS
YES
NO
Meets
Partially
meets
Doesnot
meet
N/A
B.OccupationalHealthandSafetyAct(OHSA):
Employershaveadutytohavewrittenproceduresrelatedtothehealthandsafetyofemployees
YES
NO
3. Providesguidelinesdescribingaseptictechniqueand
infectioncontrolproceduresinthecourseof
examinationsortreatment
4. Conductsandrecordsmaintenanceproceduresforall
equipmentandsubstancestobeusedinan
examinationortreatment
5. Recordscorrectiveactionifthemaintenance
proceduresforallequipmentarenotwithin
acceptablelimits
6. Providesguidelinesformanagingemergency
procedures
ForR.TCMPsonly:
Meets
Partially
meets
Doesnot
meet
N/A
1. Maintainsqualitydocumentationrelatedto
protectionofself,staff,othermembersofthehealth
careteam,anyindividualswhomaybepresent,as
wellasanypatient,fromanycommunicableand
infectiousdisease
2. Managesandprovidesguidelinesregardingsterile
needletechniqueincarryingouttheprocedureof
acupuncture
Ensureshandwashingbetweenpatients
Employssterilesingleuseneedlesandother
instrumentsthatmaybreaktheskin
Establishesacleanfieldbeforeperforming
acupuncture
Safelyandimmediatelyisolatesusedneedles
andswabs
7. Providesguidelinesandensuressafestorage,labelling
andhandlingofherbstoguaranteethattheherbswill
bekeptfreefromcontaminationandmould
Summary:Maintainsqualitydocumentationregarding
writtenproceduresrelatedtothehealthandsafetyof
employeesincompliancewiththeOccupationalHealth
andSafetyAct(OHSA)
Page 47
RECORD KEEPING
A.AppointmentLog:
1. Describesthedateandtimeoftheappointment
2. Recordsthenameofthepatient
Summary:Maintainsqualitywrittenorelectronicdaily
appointmentlog
YES
NO
Meets
Partially
meets
Doesnot
meet
N/A
YES
NO
N/A
B.PatientRecords:
1. Arrangesandorganizesallmaterialinpatientrecords
inamannerthatallowsforeasyandpromptretrieval
2. Ensuresthatallmaterialinpatientrecordsarekept
secureandconfidential
3. EnsuresthatthePatientrecordsaredocumentedin
English
4. Ensuresthatthepatienthistoryincludes:
Personalhealthandmedicalhistory
Familyhealthhistory
InitialAssessment/DiagnosisTreatment
Allherbalmedicineprescription
Patientconsenttotreatment
Summary:Maintainsapatientfileforeachpatientin
accordancewithCTCMPAOguidelines
Meets
Partially
meets
Doesnot
meet
N/A
YES
NO
N/A
C.Billing:
Patientbillingformcontainsthefollowing:
dateoftheservice
nameofthepatient
professionalfeescharged
itemizedservicesprovided
listofanytypeofproductsbilledtothepatient
itemizedlistofequipmentifprescribed
totalpaymentreceived
nameandregistrationnumberofthemember
performingtheservice/providingtheproduct(s)
other.IfyouhaveansweredYes,pleaseprovide
details:
Summary:Maintainscompleteandaccuraterecords
relatedtobillingorpaymentforgoodsorservices
providedbythepractitionertothepatient
Meets
Partially
meets
Doesnot
meet
N/A
Page 49
SUMMARY OF THE PEER AND PRACTICE ASSESSMENT (To be completed by the

Assessors and the entire report is to be submitted to the QA Committee)
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
SIGNATURE OF ASSESSORS:
1. Name(Print):_______________________Signature:____________________Date:____________
2. Name(Print):_______________________Signature:____________________Date:____________

CTCMPAO Practitioners Handbook-1

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CTCMPAO Practitioners Handbook-1

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RACTITIONER S ANDBOOK

Traditional Chinese Medicine Act, 2006

Traditional Chinese Medicine Act, 2006

S.O. 2006, CHAPTER 27

S.O. 2006, CHAPTER 27

Consolidation Period: From April 1, 2013 to the e-Laws currency date.

Consolidation Period: From April 1, 2013 to the e-Laws currency date.

Last amendment: 2007, c. 10, Sched. B, s. 23.

Last amendment: 2007, c. 10, Sched. B, s. 23.

member means a member of the College; (membre)

member means a member of the College; (membre)

profession means the profession of traditional Chinese medicine; (profession)

profession means the profession of traditional Chinese medicine; (profession)

Health Professions Procedural Code

Health Professions Procedural Code

profession means the profession of traditional Chinese medicine; (profession)

profession means the profession of traditional Chinese medicine; (profession)

6. (1) The Council shall be composed of,

6. (1) The Council shall be composed of,

Who can vote in elections

Who can vote in elections

President and Vice-President

President and Vice-President

Representations of qualification, etc.

Representations of qualification, etc.

(3) In this section,

(3) In this section,

abbreviation includes an abbreviation of a variation. 2006, c. 27, s. 8 (3).

abbreviation includes an abbreviation of a variation. 2006, c. 27, s. 8 (3).

Notice if suggestions referred to Advisory Council

Notice if suggestions referred to Advisory Council

(a) amendment to this Act;

(a) amendment to this Act;

(b) amendment to a regulation made by the Council; or

(b) amendment to a regulation made by the Council; or

(c) regulation to be made by the Council. 2006, c. 27, s. 9 (1).

(c) regulation to be made by the Council. 2006, c. 27, s. 9 (1).

Transition before certain provisions in force

Transition before certain provisions in force

Powers of transitional Council and Registrar

Powers of transitional Council and Registrar

Powers of the Minister

Powers of the Minister

(5) The Minister may,

(5) The Minister may,

Transitional Council to comply with Ministers request

Transitional Council to comply with Ministers request

Transition after certain provisions in force

Transition after certain provisions in force

Traditional Chinese Medicine Act, 2006

Traditional Chinese Medicine Act, 2006

ONTARIO REGULATION 27/13

ONTARIO REGULATION 27/13

Consolidation Period: From April 1, 2013 to the e-Laws currency date.

Consolidation Period: From April 1, 2013 to the e-Laws currency date.

Last Amendment: O. Reg. 27/13.

Last Amendment: O. Reg. 27/13.

2. The following are prescribed as classes of certificates of registration:

2. The following are prescribed as classes of certificates of registration:

5. Inactive. O. Reg. 27/13, s. 2.

5. Inactive. O. Reg. 27/13, s. 2.

Application for certificate of registration

Application for certificate of registration

Requirements for issuance of certificate of registration, any class