Sarah Lalonde

Clinical Prep
Mr. Brian Dormer
March 8, 2018

Interprofessional Assignment
Area of Focus Your Profession (state it)
The Profession’s
Massage Therapy Act, 1991, S.O.
Specific Legal
Act 1991, c. 27
Other Acts:
 Regulated Health Professions
Act, 1991 (RHPA);
 Regulations under the
Massage Therapy Act;
 Health Care Consent
Act, 1996 (HCCA); and
 Personal Health Information
Protection Act, 2004 (PHIPA);
 In some situations
the Personal Information
Protection and Electronic
Documents Act, 2000
(PIPEDA) may also apply.
 17 Technique Standards of
Practice
(CMTO, 2014).
Legal Title Registers Massage Therapist
The Scope of The practice of massage therapy is
Practice (brief primarily the hands-on assessment
description not and manipulation of the soft tissue
Other Profession
Naturopathy Act, 2007
Other Acts:
 Regulated Health Professions
Act, 1991
 Canadian Charter of Rights and
Freedoms
 Drug and Pharmacies
Regulation Act
 Health Care Consent Act
 Laboratory and Specimen
Collection Centre Licensing Act
 Ontario Human Rights Code
 Official Languages Act
 Occupational Health and Safety
Act
 Personal Health Information
Protection Act
(College of Naturopaths, 2018)
Naturopathic Doctor
“Naturopathic Doctors provide
primary and adjunctive health care
to people of all ages, focusing on
Other Profession
Chiropractic Act, 1991, S.O.
1991, c. 21
Other Acts:
 Regulated Health
Professions Act, 1991
 Chiropractic Act, 1991
 Health Care Consent Act,
1996
 Statutory Powers
Procedure Act, 1990
 Personal Health
Information Protection
Act, 2004
 Healing Arts Radiation
Protection Act, 1990
(CCO, 2018)
Chiropractor
“The practice of chiropractic is
the assessment of conditions
related to the spine, nervous
Other Profession
Chiropody Act, 1991
Other Acts:
 Regulated Health
Professions Act, 1991 and
the Health Professions
Procedural Code
 Health Care Consent Act,
1996
 Freedom of Information
and Protection of Privacy
Act
 Municipal Freedom of
Information and
Protection of Privacy Act
 Personal Health
Information Protection
Act, 2004
 Personal Information
Protection and Electronic
Documents Act
 Public Hospitals Act
(COCOO, 2018)
Chiropodist
As per the Federation of
Health Regulatory Colleges of
Ontario,
each part) and joints (muscles, ligaments,
tendons, connective tissue) of the
body and the treatment and
prevention of physical dysfunction
and pain to develop, maintain,
rehabilitate or augment physical
function, or relieve pain. The goal
is to optimize health and wellbeing
(Federation of Health Regulatory
Colleges of Ontario, 2012).
Authorized  “Performing a prescribed
Controlled Acts procedure on tissue below the
& dermis (partial: acupuncture
Conditions/Rest exemption)”
rictions (Federation of Health
Regulatory Colleges of Ontario,
2014).
the use of natural therapies to
support and stimulate healing
processes. Naturopathic doctors
promote health and prevent
illness, and diagnose and treat
disease in a manner consistent
with the body of knowledge and
standards of practice for the
profession” (Federation of Health
Regulatory Colleges of Ontario,
2012).
As per the College of
Naturopaths of Ontario:
 Putting an instrument, hand
or finger beyond the labia
majora but not beyond the
cervix.
 Putting an instrument, hand
or finger beyond the anal
verge but not beyond the
rectal-sigmoidal junction.
 Administering, by injection or
inhalation, a prescribed
substance.
 Performing prescribed
procedures involving moving
the joints of the spine beyond
the individual’s usual
physiological range of motion
using a fast, low amplitude
thrust.
 Communicating a
naturopathic diagnosis
system and joints and the
diagnosis, prevention and
treatment, primarily by
adjustment, of,
(a) Dysfunctions or disorders
arising from the structures or
functions of the spine and the
effects of those dysfunctions
or disorders on the nervous
system; and
(b) dysfunctions or disorders
arising from the structures or
functions of the joints”
(Federation of Health
Regulatory Colleges of
Ontario, 2012).
 Communicating a
diagnosis identifying, as
the cause of a person’s
symptoms,
i. a disorder arising from the
structures or functions of the
spine and their effects on the
nervous system, or
ii. a disorder arising from the
structures or functions of the
joints of the extremities.
 Moving the joints of the
spine beyond a person’s
usual physiological range
of motion using a fast,
low amplitude thrust.
 Putting a finger beyond
the anal verge for the
purpose of manipulating
the tailbone. 1991, c. 21,
s. 4.
(FRHCO, 2015).
“The practice of chiropody is
the assessment of the foot and
the treatment and prevention
of diseases, disorders or
dysfunctions of the foot by
therapeutic, orthotic or
palliative means
(FHRCO, 2015).
Society of Chiropodists
website:
 Cutting into the
subcutaneous tissues of
the foot.
 Administering, by injection
into feet, a substance
designated in the
regulations.
 Prescribing drugs
designated in the
regulations.
 Administering, by
inhalation, a substance
designated in the
regulations.
As per the Federation of
Regulatory Health Colleges of
Ontario website, the
Controlled Acts are as follows:
 Administering a substance

Regulatory College of Massage Therapists of
College Ontario (CMTO)— www.cmto.com
(include
website)
Mandate/Missi As per CMTO.com, “The College of
on of Massage Therapists of Ontario
Regulatory (referred to as the College or
College CMTO) is dedicated to excellence
in protecting the public’s
interest, guiding its registrants and
promoting the highest possible
quality of the practice of Massage
Therapy”
CMTO Stucture:
Council
 Nine Registered Massage
Therapists (RMTs) elected by
their peers on a geographical
or academic basis; and
identifying, as the cause of an
individual’s symptoms, a
disease, disorder or
dysfunction that may be
identified through an
assessment that uses
naturopathic techniques.
 Taking blood samples from
veins or by skin pricking for
the purpose of prescribed
naturopathic examinations on
the samples. 2007, c. 10,
Sched. P, s. 4 (1).
 Prescribing, dispensing,
compounding or selling a drug
designated in the regulations.
 College of Naturopaths of
Ontario
 www.collegeofnaturopaths.on.
ca
As per the college’s website:
As a College, CONO has a legal
mandate. This statement captures
the essence of that legal mandate
for the purpose of communicating
it clearly and succinctly to
stakeholders.
"To regulate the practise of
naturopathy according to
the Regulated Health Professions
Act, 1991, and the Naturopathy
Act, 2007."
Futhermore, “The College’s
mandate is to protect the public
The College of Chiropractors
of Ontario
www.cco.on.ca
The College of Chiropractors
of Ontario regulates the
profession in the public
interest to assure ethical and
competent chiropractic care.
 Build public trust and
confidence and promote
understanding of the role
of CCO amongst all
stakeholders.
 Ensure the practice of
members is safe, ethical,
and patient-centered.
by injection or inhalation
(Complete)
 Prescribing dispensing,
selling or compounding a
drug (Partially)
(FRHCO, 2015).
College of Chiropodists of
Ontario
www.cocco.on.ca
The College has the following
objects:
 To regulate the practice of
the profession and to
govern the members in
accordance with the
health profession Act, this
Code and the
Regulated Health
Professions Act, 1991 and
the regulations and by-
laws.
 To develop, establish and
maintain standards of
qualification for persons to
be issued certificates of
registration.
 Up to eight public (non RMT)
members appointed by the
provincial government
Committees
 Executive Committee
 Client Relations Committee
 Discipline Committee
 Fitness to Practise Committee
 Inquiries, Complaints and
Reports Committee
 Quality Assurance Committee
 Registration Committee
and to ensure safe, ethical and
competent naturopathic care for
the people of Ontario” (College of
Naturopaths, 2018).
CONO Structure:
Council - 8 cross-province
professionals and public members
appointed by the Lieutenant
Governor in Council.
Discipline Committee
Executive Committee
Fitness to Practice Committee
Inquiry, Complaints and Reports
Committee
Patient Relations Committee
Quality Assurance Committee
Registration Committee.
 Ensure standards and core
competencies promote
excellence of care while
responding to emerging
developments.
 Optimize the use of
technology to facilitate
regulatory functions and
communications.
 Continue to meet CCO’s
statutory mandate and
resource priorities in a
fiscally responsible
manner.
CCO Structure:
Council:
9 Elected professional
members
7 appointed members
 Executive
 Inquiries, Complaints and
Reports
 Discipline
 Fitness to Practise
 Patient Relations
 To develop, establish and
maintain programs and
standards of practice to
assure the quality of the
practice of the profession.
 To develop, establish and
maintain standards of
knowledge and skill and
programs to promote
continuing evaluation,
competence and
improvement among the
members.
 To develop, in
collaboration and
consultation with other
Colleges, standards of
knowledge, skill and
judgment relating to the
performance of controlled
acts common among
health professions to
enhance inter-professional
collaboration, while
respecting the unique
character of individual
health professions and
their members.
 To develop, establish and
maintain standards of
professional ethics for the
members.
 To develop, establish and
maintain programs to
assist individuals to
exercise their rights under
this Code and
the Regulated Health
 Professions Act, 1991.
 Quality Assurance  To administer the health
profession Act,
 Registration this Code and
the Regulated Health
Professions Act, 1991 as it
CCO has one non-statutory
relates to the profession
committee.
and to perform the other
duties and exercise the
 Advertising other powers that are
imposed or conferred on
Vision the College.
 To promote and enhance
Committed to Regulatory relations between the
Excellence in the Public College and its members,
Interest in a Diverse other health profession
Environment. colleges, key stakeholders,
and the public.
Values  To promote inter-
 Integrity professional collaboration
 Respect with other health
 Collaborative profession colleges.
 Innovative  To develop, establish, and
 Transparent maintain standards and
 Responsive programs to promote the
ability of members to
respond to changes in
practice environments,
advances in technology
and other emerging
issues.
 Any other objects relating
to human health care that
the Council considers
desirable. 1991, c. 18,
Sched. 2, s. 3 (1); 2007, c.
10, Sched. M, s. 18; 2009,
c. 26, s. 24 (11).

Commitment to “The CMTO is established by the
the Public Ontario government to protect the
right of the Ontario public to safe,
effective and ethical care” (CMTO,
2014).
CMTO Principles and Values:
 Honesty
 Integrity
 Respect for others
 Transparency and openness
 Accountability
 Fiscal diligence and sound
financial planning
 Governance, organizational
development and
effectiveness;
 Continuously developing
appropriate partnerships;
 Professional ethics
 Excellence in Massage Therapy
education, research and
practice
As per the CNO website:
 Regulating the practice of
naturopathy in accordance
with relevant legislation and
regulations;
 Developing and enforcing
naturopathic standards of
practice, policies, guidelines
and the code of ethics;
 Ensuring only those applicants
who have met the registration
requirements are authorized
to practice in Ontario;
 Promoting continuing
competency among
naturopaths through a Quality
Assurance Program;
 Investigating and managing
the complaints process;
 Imposing sanctions on
members who have been
found guilty of professional
As per the CCO.on.ca website:
 Conduct of practice
 Respectful, honest and
clear communication in all
aspects of care
 Relevant, safe and
supportive patient-
centered care
 Accurate and
comprehensive records
 An awareness of current
health and well-being
issues
 Information about what
chiropractic offers
 Timely and necessary
communication and/or
referral to other health
professionals
 Timely transfer of records,
when appropriate
 Compliance with the
COCCO Structure
Council:
 Executive;
 Discipline;
 Fitness to Practise (FTP);
 Inquiries, Complaints and
Reports (ICRC);
 Patient Relations (PRC);
 Quality Assurance (QA);
and
 Registration.
As per Cocoo.on.ca:
It is the duty of the College to
work in consultation with the
Minister to ensure, as a matter
of public interest, that the
people of Ontario have access
to adequate numbers of
qualified, skilled and
competent regulated health
professionals. 2008, c. 18, s. 1.
The College protects patients’
rights to safe, competent and
ethical foot care by supporting
chiropodists and podiatrists in
maintaining the standards of
practice of the profession and
also by holding them
accountable for their conduct
and practice. The role of the
members is not only to provide
safe, quality care but also to
accept accountability for doing
  Dedication to public service
and safety
 Valuing staff through fair,
equitable and competitive
employment practices
 Continuous commitment to
quality assurance;
 Meeting and exceeding
statutory obligations
 The highest level of excellence
in Massage Therapy practice
(CMTO, 2018).
See above for Mission of
regulatory College
Part A:
misconduct or incompetence;
 Maintaining a public register
that includes specific
information about members
and their practices;
 Conducting routine
inspections of clinics that
perform Intravenous Infusion
Therapy injections to ensure
compliance with established
standard and to support
continuous quality
improvement
(College of Naturopaths of
Ontario, 2018)
College of Chiropractors of
Ontario’s (CCO)
regulations, standards of
practice, policies and
guidelines
 Privacy and confidentiality
 Behaviour and clarity
regarding dignified
professional boundaries
 Disclosure of real or
perceived conflicts of
interest
 a process for declining
treatment and withdrawal
of consent at any time
 Full disclosure of policies,
procedures and fees
(College of Chiropractors of
Ontario, 2018)
so. Continued public trust in
the profession and in the
principle of self-regulation is
dependent on the
commitment of the College
and each individual member to
maintain personal high
standards of ethical conduct.
The College is highly
committed to sharing
information with registrants,
the public and other
stakeholders, where
applicable, to maintain public
trust (COCOO, 2018)
/28
Name: Sarah Lalonde
Part B: Discuss how a collaborative relationship between your chosen profession and the other professionals would benefit clients and you as a professional.
(No more than one paragraph per discussion = 6 paragraphs, so keep it concise). 12 marks

RMT & Chiropractor

I believe a chiropractor and an RMT would benefit from working together because the RMT can focus on the ligaments, tendons, and connective
tissues and conduct assessments, however their findings might indicate issues regarding the vertebra. This is when the RMT might refer a patient to
a Chiropractor to manipulate the spine if the Chiropractor believes it is indicated. If there is nothing more the RMT can do to alleviate pain and
dysfunction it would be beneficial to the patient. The client’s well being can perhaps feel more considered when a professional decides they need
more care in a different way from an alternative source. It lets the patient know they are being taken care of appropriately.

It would benefit me as a professional to develop a professional relationship with a Chiropractor as they might also refer a patient to an RMT as spinal
adjustments might not completely alleviate pain or dysfunction in their patient. Perhaps soft tissue manipulation would be beneficial. Thus it would
mean more clients for my business.

RMT & Naturopathic Doctor

Stress, anxiety and depression, body image issues (weight loss clients), alternative medicines to the pharmaceutical industry seem to be common
pathologies and concerns of clients of Naturopathic Doctor’s. I believe an RMT can aid in a holistic approach that a Naturopath patient would
appreciate. RMT might alleviate some of the issues of pain, which normally medications are prescribed by reducing their perception of pain through
Therapeutic Massage. Massage is proven to lower cortisol levels (C. Andrade, 2014) and can be indicated for someone with anxiety and depression
as well as body image issues. The client would benefit from this combined care because it would be a more in-depth treatment from multiple angles
to achieve the best results.

It would benefit me as a professional to learn a more in depth look at my client so that I can really hone in on specific issues in my plan of care so
that I can secure a client and experience their journey to more well-rounded healing.
RMT & Chiropodry

A lot of back issues begin with posture and feet are a large component of posture. If something is wrong with the feet the body will make postural
changes to adapt to the dysfunction or pain in the feet. The whole body can become misaligned, which can put new and different strains on
connective and soft tissues. I believe I could secure a client base from working with a Chiropodist and the Chiropodist might benefit from my
referrals as well. The client would subsequently benefit from a better-rounded plan of care including Impairment Massage to treat not only the feet,
but any pain or dysfunction from postural changes attributed to the feet.

Your Profession & Profession A - /2 marks for discussion on benefits to clients;

Your Profession & Profession B -
Your Profession & Profession C -
/2 marks for discussion on benefits to you as a professional
/2 marks for discussion on benefits to clients;
/2 marks for discussion on benefits to you as a professional
/2 marks for discussion on benefits to clients;
/2 marks for discussion on benefits to you as a professional

Student name ____Sarah Lalonde___ Total marks /40

References

College of Naturopaths of Ontario. (n.d.). Retrieved March 08, 2018, from https://www.collegeofnaturopaths.on.ca/

College of Chiropractors of Ontario. (n.d.). Retrieved March 8, 2018, from https://www.cco.on.ca/

College of Massage Therapists of Ontario. (n.d.). Retrieved March 05, 2018, from http://www.cmto.com/

Controlled Acts Chart (Including Authorized Acts by Profession) [PDF]. (2015, June 02). Federation of Health Regulatory Colleges of Ontario .

Federation of Health Regulatory Colleges of Ontario . (2014). Retrieved March 08, 2018, from http://ipc.fhrco.org/
Ontario Society of Chiropodists. (n.d.). Retrieved March 08, 2018, from https://public.ontariochiropodist.com/

Scopes of Practice Chart [PDF]. (2012, November 04). Federation of Health Regulatory Colleges of Ontario .