Category Archives: Uncategorized

Call for Competence Committee Members

The College is seeking four regulated members to volunteer on the Competence Committee. The term of office is three years, beginning September 1, 2017.

This Committee is responsible to:

  • monitor that individual registered members comply with the requirements of the Continuing Competence Program
  • monitor the components of the Continuing Competence Program in order to accurately reflect current needs to enhance the provision of professional services

Member qualifications:

  • you must be a regulated member of the College
  • you must be able to travel to Edmonton for meetings held on work days up to two times a year

If you are interested in this opportunity, or have further questions, please contact:
Dacia Richmond, Director of Education

drichmond@acmdtt.com

Please respond by August 15, 2017.

 

Internal Matters – March 2017

Presidents Message

Happy Spring Members!

I look forward to getting the chance to meet some of you at the annual ACMDTT Conference taking place April 7 & 8 in Calgary! I think this will be a fantastic conference with a variety of excellent speakers and opportunities to network with our peers! There will be a special session set aside to ask questions of our new CEO, Karen Stone as well as with staff and Council members, and learn a little about self-regulation.

Congratulations to all Electroneurophysiology Technologists (ENPs) as we celebrate ENP week April 17-21 2017. It is an honour to work with you in Alberta, and the College believes that public awareness of ENPs and the valuable services they provide is essential and important.   This celebratory week is our chance to shine the spotlight on our ENP professionals.

Also happening in April is the CAMRT national conference in Ottawa April 28-30, which CAMRT is holding jointly with OAMRS. What a unique opportunity to enjoy our nation’s capital for the 150th anniversary of Canada. I will be attending this conference, as well as representing Alberta at the National Network meetings. I encourage any members to email me at ksampson@acmdtt.com should you have any feedback you may wish for me to share at the table.

The College staff are also doing presentations for the Diagnostic Medical Sonographers (DMS) community throughout Alberta as we prepare and engage them for the impending inclusion of self-regulation through the College.

MRTs, ENPs and DMSs are amazing groups of individuals and I would encourage you to engage with one another, not only in the workplace, but at a provincial and national level as well. I was recently on a family vacation in Mexico, and I ran into the past CEO of the SAMRT, Chelsea Wilker. This just goes to show you how small the MRT world really is- as well as those who regulate it.

Lastly, I would like to take a moment to recognize a staff member from the ACMDTT who has served over 10 years with us and has recently left the College to pursue her own professional development, Pam Armitage. Pam has been an extraordinary gift to the ACMDTT, who although quiet, makes up for it through her work effort, passion and dedication to the ACMDTT. Pam will be truly missed by me as well as anyone who has had the privilege of working with her. I wish her only the best and am very proud of her to be stepping outside her comfort zone to pursue her dreams.

Looking forward to seeing you in April!

Kelly Sampson, MRT(T) Council President

2017 ACMDTT Annual General Conference

  • April 7-8, 2017; Deerfoot Inn and Casino, Calgary AB
  •  Make a positive impact for you and your employer!
  • Register now!   Space is filling up fast!

 Learn more!

  • You can earn up to 50% of your CCP Requirements in only 2 days

 All-Inclusive:  Full Conference Registrations include:

  • Acclaimed speakers and facilitators!
  • Engaging sessions!
  • Great networking!
  • Breakfasts, lunches, snacks!
  • Wine and cheese event!
  • Convenient phone app!

Register online – click here.

Find out more about our speakers – click here.

For more information  – click here.

ACMDTT 2017 Annual General Meeting (AGM)

The 2017 ACMDTT AGM is held in conjunction with the 2017 ACMDTT Annual Conference in Calgary.  You do not have to register for the Conference to attend the AGM.

  • Saturday, April 8, 2017 at 8:00 a.m.
  • Deerfoot Inn & Casino, Calgary AB

The following are documents for the ACMDTT 2017 Annual General Meeting

Celebrating Alberta’s Electroneurophysiology Technologists

The Alberta College of Medical Diagnostic and Therapeutic Technologists (ACMDTT), is very pleased to announce that ENP Week 2017 will take place from April 17-21, 2017.  The College believes that public awareness of ENPs and the valuable services they provide is essential and important.  Posters and signage will be provided to our members to share at their place of work.

To have a better understanding of who ENPs are, we reached out to our partners in the Canadian Association of Electroneurophysiology Technologists (CAET) and the Canadian Board of Registration of Electroencephalograph Technologists, Inc. (CBRET) for an overview.

CAET is a non-profit organization whose purpose is to advance and promote the science, knowledge, technology and technical standards of electroneurophysiology in Canada.   Joanne Nikkel is the President of CAET and has served on the CAET Board for 4 years.  She has over 25 years of ENP Technologist experience in EEG, Epilepsy Monitoring and EMG/Nerve conduction studies. She has been a CSCN EEG Board Examiner (for Physicians) for approximately 10 years.

CBRET is a volunteer board made up of 10 Registered EEG Technologists (RET’s) or physicians who are diplomates of the Canadian Society of Clinical Neurophysiologists (CSCN) from all across Canada. Their mandate is to set and administer the national exam for EEG technologists entering the profession with the assistance of volunteer examiners across the country. They also establish the standards for educational programs in EEG, review the programs, and maintain a register of RET’s within Canada.  Susan McGregor is the Registrar of CBRET.

  1. What is an ENP?

CAET/Joanne:  Electro-Neuro-Physiology Technologists are a highly specialized group of trained and then certified Technologists who study the electrophysiology of brains, nerves and muscles and the pathways that connect them.

CBRET/Susan:  An ENP, or Electroneurophysiology technologist is someone who prepares the person for and then records the electrical signals of their nervous system. This can take the form of EEG- the electrical activity of the brain, both recorded from the scalp but also directly from the brain during surgery, or even in a longer term situation where we record from electrodes which have been temporarily placed in someone’s brain by a neurosurgeon.  Another area of ENP practice includes Evoked Potentials, where a stimulus is applied somewhere on the body and the response is tracked along the nerves to the brain, both in a clinic situation and operating room where it is known as Intra-Operative Monitoring (IOM).

  1. What kind of person is attracted to this profession?

CAET/Joanne:  Someone who loves people and is enthusiastic about how the nervous systems work. ENP techs are generally excited about seeing seizures on a recording or unusual waveforms in the nerve or intraoperative studies but must always keep in mind that those abnormal results belong to a real person suffering the consequences of the result.

CBRET/Susan:  It takes an empathetic person with an eye for minute detail, and the ability to respond quickly to changes in the person being examined while adapting to a variety of physical presentations and surroundings. We work with people who walk in for an hour long appointment and people who have been so severely ill or injured that they will spend months in the hospital.

  1. What are the elements of professionalism that you believe every ENP should embody?

CAET/Joanne:  Tact, compassion and patience are the first things I think of. We encounter patients and patients’ families, as well as other members of the medical teams in so many situations, some of which are scary and emotional (patients) and highly stressful (working with surgeons in OR). The ENP technologist must be able to interact with all situations no matter how urgent, emotional, or highly stressful. They must be able to perform their job tasks efficiently and competently while maintaining appropriate communication with whoever they are working with.

CBRET/Susan:  Our ENPs demonstrate teamwork, dedication, flexibility, forward thinking, empathy, and the ability to communicate with people of all ages, backgrounds, and situations

  1. How would you rate your experience in working with ACMDTT as a regulatory body for ENP’s in Alberta?

CAET/Joanne:  It has been a pleasure and an education for which I am very thankful. The opportunities to work closely with this group and gain experience about regulation of our profession has been very valuable. Working with the Tri-Party ACMDTT/CBRET/CAET group for the betterment of all provinces is something I am so happy to be a part of and I remind our Canadian Technologists to be grateful as often as I can.

CBRET/Susan:  The ACMDTT is the only regulatory body for ENP’s in Canada, and it has been tremendously supportive in ensuring that all the residents of Alberta, as well as many others who travel to Alberta for their health care, get the best qualified technologists.

  1. Anything else that you want to share with MRTs and ENPs as they celebrate ENP week?

CAET/Joanne:  Those of us not working in a regulated Province have watched and listened now for over a decade as the ENP group has become part of this regulated body. It has been a transition for which I believe most ENP techs I speak to now value compared to the initial trepidation at the beginning. I envy Alberta having this wonderful College and hope that all members of ACMDTT recognize it importance and value. I believe as this group comes together at the annual conference it should only make all members see its value and appreciate what you in your province have.

CBRET/Susan:  Our best wished for a deeply satisfying career to all the ENP’s out there, and our thanks to the ACMDTT for setting an example of teamwork, support and professionalism across Canada.

Did you know?

As a regulated member, you are accountable to ensure you are practicing in accordance with the Regulations, the College’s Standards of Practice and Code of Ethics. It is your responsibility to ensure that you have a valid practice permit and authorization (if applicable) prior to practicing it. You can view your profile by reading your practice permit, searching your registration through the online Member Register or by contacting the College.

Deciding Factor

Bill is a magnetic resonance technologist who has the venipuncture additional authorization on his practice permit. In October, Bill went online and completed his registration renewal for 2017.  He would like to claim his registration fees and so, in November, he logged into his profile to print his receipt but there is no receipt online.

Questions to be asked:

  • Why is there no receipt?

It is possible that Bill had not yet renewed his venipuncture authorization.  Without this part of the renewal being completed, the registration renewal is not complete and no receipt would yet be available.

  • What must Bill do to complete his registration?

Additional and enhanced practice authorizations (i.e., venipuncture, medication administration) must be renewed separately, in addition to the online renewal. This is because manager/supervisor validation is required.   Bill must complete the form for renewal of additional and enhanced practice authorizations (available on the ACMDTT website or through the online renewal process). He must ensure that this is signed by his manager/supervisor and submit it to the College. This should be done by the renewal deadline of December 1.

  • What Standards of Practice apply to this scenario?

Here are a few indicators which apply to this situation from a regulatory perspective:

  • Indicator 2.1c – perform restricted activities only as authorized according to the regulations of the College
  • Indicator 2.1g – adhere to legal obligations required by the College

New Scenario

Sally is a new ENP member with the College. She became a full ACMDTT member on February 22, 2017.  She is keen to ensure that she meets her regulatory obligations; however, is confused with what she must complete for the Continuing Competence Program.

Question to be asked:

  • What must Sally do to be compliant with the CCP?
  • What determines what these obligations are?
  • Why must Sally do this?
  • What Standards of Practice apply to this scenario?

Branch News

Peace Country Branch

Branch Chair:     Tunde Bodi, MRT(R) (PeaceCountryMRTb@outlook.com)

Next meeting:   TBA

The Branch would like to put out a call for volunteers for those interested in participating with the Branch Executive.  Member participation is essential to ensure that educational and networking opportunities are available to those in the Branch.  These volunteers can be from anywhere in the Peace Country Branch area!


Edmonton Branch

Branch Chair:     Kathy Dudycz, MRT(R) (kdudycz@hotmail.com)

Education Day:  October 21, 2017


Parkland Branch

Branch Chair:     Jeff Christenson, MRT(R) (Jeff.Christenson@albertahealthservices.ca)

Next Meeting:  TBA


Calgary Branch

Branch Chair:     Gina McRae, MRT(R) (gina.mcrae@albertahealthservices.ca)

Next Meeting:  TBA


Southern Alberta Branch

Branch Chair:     Carmen Lowry, MRT(R) (carmen.lowry@gmail.com)

Next Meeting:  TBA


ENP Branch

Branch Chair:     Angie Sarnelli, ENP (angie.sarnelli@albertahealthservices.ca)

Next Meeting:  April 4, 2017


Anatomy of CCP Notice

In 2014 the Competence Committee of the Alberta College of Medical Diagnostic and Therapeutic Technologists (ACMDTT) made the decision, within their prevue, that all full members of the ACMDTT must complete their Continuing Competence Program (CCP) record keeping online through the My CCP platform. This was effective for the CCP cycle starting September 1, 2015. Compliance with the CCP, including the online participation on the My CCP platform is a requirement for registration with the College.

Following this, during registration renewal each year, members must declare compliance with the CCP.  If a member does not declare compliance, they are contacted directly by the College to investigate this issue.  Unless indicated through a condition on their practice permit, all members currently holding full membership with the College, who underwent renewal in 2016, declared compliance with the CCP.  Compliance implies completion of the three components of the CCP (self-assessment, learning plan and the required learning activities) with full participation on the My CCP platform.

The nature of the legislation surrounding the CCP is that each member’s CCP is completely confidential and the College is not privy to the contents of a member’s CCP unless it is requested through an audit of the member’s reflective practice review. In spite of this, the College has jurisdiction to ensure that all members are utilizing the online system as they have attested to.  As such, the College, in collaboration with Skilsure, the platform vendor, developed a usage report that is specific to each CCP cycle.  In each report, it elucidates if each member logged into the system, when they logged in, and if they have provided data for each of the self-assessment, learning plan and learning activities.  It does not give an overview of content of these areas.

On March 13, 2017, the ACMDTT initiated an audit of online usage of the My CCP platform.  Via email, 997 regulated members received an email pertaining to the parameters outlined above.

Email sent because member had not accessed the My CCP platform ever 522
Email sent because member had not completed entry for the 2015-16 CCP cycle on the My CCP platform 475
TOTAL EMAILS SENT 997

 

CCP compliance is mandatory under the Health Professions Act (HPA).  Furthermore within the HPA, intentionally providing false or misleading information within the CCP process requires a referral to the Complaints Director.  If compliance is not attained after this intervention, the members who have not complied could be referred to Conduct, as this is a serious issue affecting their regulatory status.

College office closed for Conference & Easter weekend

The College office will be closed on Thursday, April 6 and Friday April 7 during the 2017 ACMDTT Conference.  The office will also be closed on Good Friday April 14 and Monday April 17.

Internal Matters – December 2016

President’s Message

I had the pleasure of going to Ottawa in November to attend the CAMRT National Network meeting. During the round table discussions it appeared to be a common theme that all the provinces were struggling with policy governance in one way or another. The recent change in leadership at the ACMDTT with the hiring of our new CEO, Karen Stone, sparked Council to begin making some much needed changes to the policy governance style that we were using.

Since inception, the ACMDTT operated under the Carver model of Governance. This is a wonderful model of Governance, but it is very rigid. There were many challenges that we faced with this this model, and I will list some of the specific problems we ran into:

  1. Council did not feel sufficiently informed to make decisions. Under the Carver model the Council did not have a role in approving the College budget and the model limited us to the questions we could ask about the budget.
  2. We were not involved in the formation of a strategic plan. This is seen as a staff role within the Carver model.
  3. We spent 80% of our face to face Council meetings monitoring policies, changing wording and adding punctuation. We were not engaged as a board in generative dialogue and forward thinking and planning, and as a result had many talented people leave the board because they were not utilized for their skills.

In a fairly short period of time we have made some wonderful changes within Council and are already seeing the rewards. The changes we have made thus far have been fairly minor, but have allowed for major opportunities within the board. The Carver policies we have in place are good, solid policies. So, we were not starting over from scratch. We are simply modifying the necessary policies to allow for more latitude in respect of Council involvement, while maintaining a policy governance approach. Our CEO is guided by Executive Limitations, and we as Council don’t get into the operational detail, we understand our role as governors and enable the CEO to make our strategic directions happen.

We now label ourselves as a Complimentary Governance board, meaning the Council and the CEO work together collaboratively in a complimentary fashion. We have formed two new workgroups within Council: a finance and audit workgroup – to take a closer look at the finances, to ask the necessary questions and to present back to Council, rather than us all looking at a spreadsheet with glazed over eyes. Council members with special interest or skills in finance sit on this workgroup. The second workgroup is the governance workgroup. This workgroup is responsible for reviewing and monitoring policies and bylaws and presenting suggested changes back to Council for approval.

Since making these changes Council has become much more engaged and empowered. Council members feel like they are actually contributing to make the College better, which in essence is better for the membership and for the protection of the public.

Governance is constantly evolving and changing. We are not experts at it and ensure there is governance education provided at each face to face Council meeting. We have replaced the hours of time in our Council meetings once used to review policies on rich discussions and generative dialogue. I highly recommend all members consider applying for a Council position and becoming involved in the future of the College!

As we head into the holiday season and embrace a new year I would like to thank all of the members for your professionalism, your commitment and dedication to ensuring Albertans are receiving excellent care.

Kelly Sampson, MRT(T) Council President

Registrar In Session

The end of the year is quickly approaching, and for many this is a time for reflection and new beginnings. We all make some form of resolution as the New Year approaches (although if any of you are like me, the more the resolution involves exercise and fitness, the harder it is for me to commit to! Somehow if I commit to less chocolate intake, that is far more palatable).

So in the spirit of new thinking and new ways of doing things, I turn my mind to the one aspect of regulation that is most difficult for all of us – the complaints process (follow this link for more information about the ACMDTT complaints process http://acmdtt.com/about-us/complaints/). Unfortunately, since my arrival at ACMDTT, we have received a number of complaints. Unlike the processes of Registration and Continuing Competence, where the College can walk beside you in the resolution of aspects of your understanding, this is one time that we have to assume a different role, and as regulator, distance ourselves, as we explore the complaint, to determine if there are any issues of public safety that have merit and need to be addressed within the specific details of the complaint. We have to stand apart as we establish our role in the process of determining whether your complaint warrants moving to a Complaints Resolution Process, or is dismissible as it may be frivolous or vexatious, or out of mandate. This process is integral to self-regulation as you are assured that if an issue arises from any person who is delivering services to the public, that there is a fair and equitable mechanism for resolution, or addressing public safety issues. The reason that the College exists is to ensure that the public receives safe, competent and ethical diagnostic and therapeutic care by a properly regulated and constantly advancing profession.

None of us like to have anyone tell us that we have done something wrong. It is ingrained within most of us that we prefer to feel confident and secure in our performance of our work tasks, and we have to work hard to accept constructive criticism positively. But hearing how we can improve on what we do is something that we should encourage broadly. If there are ways that we can become better practitioners, then we should celebrate and embrace those ideas. Furthermore, if there are practitioners that are not meeting standards and are compromising public safety, then these issues must be addressed.

However, when you receive a letter form the College indicating that a complaint has been made, this is presumably one of the most intensively stressful times of your career. There are huge issues at stake-

As a practitioner:

  • Your right to practice
  • Your confidence in yourself
  • Implications for your employment

As a member of the public:

  • Patient safety
  • Respect
  • Your legal and ethical rights

As a practitioner, a complaint can be truly traumatic. Please make sure that you take care of yourself through this process. Speak to someone (a friend/colleague; an Employee Assistance Program counsellor; a union representative; your professional association; or your supervisor). Make sure that you remain calm. The process isn’t designed to seek out people and find fault. If you have done your job well, to the best of your ability, and you have followed the standards of practice, then you should have nothing to worry about. If you have made a mistake, owning that, and making sure that you learn from it is an important part of the process. The College needs to assure that public that we are providing a safe, competent and ethical environment of medical diagnostic and therapeutic care. Your colleagues want to know that their profession is safeguarded from unsafe practices, and poorly trained people who could bring disrepute to the profession. Stay calm, and participate towards resolving the issue that is raised.

Please remember that the College is always fair. We investigate if the complaint has merit, and we always hear both sides. We always provide an opportunity for everyone to be heard, and we try and find a way that will ensure public safety while respecting all parties involved.

The most common issue that arises in complaints is that of communication (or lack thereof) between the patient and the practitioner. Always remember that a small effort goes a long way when you spend a few moments explaining to the patient what is going to happen to them. They may be your twelfth patient of the day, but for them, you are the first practitioner of the day, and how you approach them can mean so much to how they experience the procedure. Communicate clearly and respectfully, and this will go a long way towards enhancing the patient’s satisfaction with your professionalism.

While the complaints process is stressful, it is one of the most important pillars of self-regulation. You are judged by your peers against standards designed and developed by you as members for your profession. It is a wonderful privilege, to be able to operate in an environment where your professionalism will be recognized and celebrated.

Unfortunately, some complaints are serious, and the implications are far reaching. Please understand that this is important too, because as a regulated profession we want to ensure that the public is protected in every possible way.

As the New Year approaches, we will be focusing on developing the professionalism within our membership. The Competence Committee is focused on trying to demonstrate to you the benefits of continuous and diverse learning opportunities that prepare you as diligent professionals for changes within your profession. (See their article in our current December Newsletter). The Registration Committee has been hard at work ensuring that all credentials obtained outside of Canada match yours sufficiently to warrant the issuance of an entry to practice registration with the College. You folks deliver an amazing and important part of the Health Care system. Celebrate your place in it, and protect your right to self-regulation fiercely.

Thank you for all that you do. Have a restful Holiday Season, and may 2017 bring you many happy and memorable moments!

Karen Stone
CEO/Registrar

ACMDTT/AHS 2017 Annual General Conference
April 7-8, 2017 Deerfoot Inn & Casino, Calgary AB  

  • Meet 50% of your College CCP requirement
    Claim one CCP hour per each attended session

 

  • Choose from over 35 talks on trends, technologies and best practices
  • Sonography sessions
    Let your sonography colleagues know that sonographers can attend at a single day conference rate on Saturday, April 8, 2017. Accreditation from Sonography Canada will be requested for all conference presentations.
  • Network with over 250 peers
    Fabulous breakfasts, lunches and snacks and a wine & cheese event

 

Stay tuned – Conference Registration and Website will open in early January!

Awards Nominations Open

Award Nominations are Now Open!

We have all thought about it, but this year, take some time to nominate a co-worker, educator or student for an award. Many people are deserving of professional recognition in an area in which they excel ranging from patient care to continuing education.

Please take a look at the list below of some of the Awards given each year by the College and start thinking about a deserving recipient. If you have any questions regarding these awards, please contact Dacia Richmond, Director of Education at 780.487.6130 ext. 226; 1.800.282.2165 or via email drichmond@acmdtt.com.

Click on the award name for the nomination form.

Some of the Awards are…

Excellence in Professional Collaboration: in recognition of the increasing multidisciplinary nature of our professions, this award was created to honour a healthcare team consisting of at least one full member in good standing with the College.  The honoured team will embody the concept of professional collaboration, either solely within the specialties of the College or with those of other professionals within the healthcare environment. This team will have contributed to a common goal related to professional practice either technically or with humanity which has had a positive impact on the profession.

Professional Excellence in Leadership: for those who demonstrate professional excellence in leadership; provide guidance and mentorship to colleagues; lead by example demonstrating respect, integrity and professionalism; foster a positive working environment and promote effective relationships within the healthcare environment.

Professional Excellence in Patient Care: for those who demonstrate professional excellence in direct patient care; demonstrate outstanding abilities in the delivery of diagnostic and therapeutic services; foster a healthy culture of respect and integrity within healthcare; advocate for quality patient care and facilitates a safe working environment and inspire confidence and trust in patients.

George C. Hall Invitational Address: this honouree is chosen to speak at the College’s annual awards luncheon. This award, now through a nomination process, is bestowed to someone who has influenced the growth of the profession in clinical practice, education, research and/or administration.

Herbert M. Welch Memorial Award: for dedication and service and for those who have made a significant contribution to the outstanding growth of the profession.

Joan Graham Award: for those who impart shared learning in the form of continuing education and encourages continuing competence

Carol Van Velzer Memorial Award: for an electroneurophysiology technologist (ENP) who presents an exhibit or platform presentation of excellence related to the field of electroneurophysiology at an ENP Branch Meeting. Please contact Branch Chair, Angie Sarnelli, ENP (angie.sarnelli@albertahealthservices.ca) to arrange a presentation.

ACMDTT Honorary Life Membership: to honour an individual whose professional activities have promoted the profession provincially and/or nationally and whose leadership serves to motivate others to become involved in professional activities.

Student Leadership Awards: for senior year students, in each specialty, who showcase leadership skills, professionalism and involvement in the profession in the early stages of their careers. Students are required to apply for this award, so encourage them today!

CCP Audit

On October 13-14, 2016, the Competence Committee held the annual Continuing Competence Program (CCP) audit. In June, a random audit sample was computer-generated based on the input criteria that 10% of the membership would be audited in this cycle. ACMDTT can select members for audit to add to the sample, but this year, no members were selected aside from the random audit sample. The number of 10% is not an arbitrary decision, but is based on a number of statistical and logistical factors. These factors include the percentage of members over the previous three years who are non-compliant out of the sample audited and the capacity of the committee to complete the audit within the time they are in session in Edmonton. The 10% audit sample, for the September 1, 2015 – August 31, 2016 CCP cycle, equated to 231 regulated members receiving notification of CCP audit.

 

This year was the first year that members were notified of their selection by email. This is a general practice among regulators in Alberta as members are legally required to provide the College with an active email address that is accessed often. This decreases the costs that have been incurred through the increasing cost of registered mail in Canada.  All audited members contacted the Director of Education to acknowledge their receipt of the email and this constituted a trail that ensured that there was timely notification and confirmation of member receipt of this notification.

On September 1, audited members were able to submit their CCP documentation electronically through the My CCP platform. This is done simply by clicking on the “submit button” that is populated into the left banner of those members who were selected for audit.  Once submitted, the audited CCP cycle was now visible to the administration account.  All submitted documentation was reviewed by the Director of Education for completeness and to provide feedback to the member to give them the best chance of success on the audit. The College is not seeking to find fault, but to assist members in achieving the highest standards of professionalism and professional development. This CCP process is merely an indicator of that professional integrity (and of course, the ACMDTT is mandated to perform the competence assessment of its members). The feedback provided by the Director of Education aligns with:

  • Competence Committee policy
  • CCP requirements within the legislation
  • Decisions of the Competence Committee in previous audits (precedent and consistency)

We interrupt this article to bring you the opportunity to win a gift card. If you are reading this, and interested in winning free stuff, please email info@acmdtt.com with the subject line “self-regulation” and your name by January 13, 2017 to be entered into a draw for a $50 gift card (one entry per member).  Thank you for reading the newsletter and supporting the self-regulation of your profession.

Members are then given the opportunity to amend their records. It is completely the member’s decision to take the advice, or not.  If they choose to, the processes with the Director of Education is iterative and augments the member’s record so that the Competence Committee may review it efficiently. The records of those who do not take the advice are put through to audit unaltered for complete assessment by the Competence Committee.

At the conclusion of the audit, the results were:

Number drawn for audit 231
Number cancelled audits (members retired prior to August 31) 2
Number audited by Competence Committee 229
Members with satisfactory audit result 192
Members with satisfactory with exemptions audit result 21
Members with unsatisfactory audit result requiring remediation 16
Members remediated by registration renewal deadline 16
Members referred to Complaints Director for non-compliance 0

As per s. 13 of the regulations, compliance with the CCP is a requirement for registration renewal. Use of the online My CCP platform is a required component of the CCP; therefore, all members must be recording their CCP through the platform to be compliant. Non-compliance elevates the matter to the Complaints Director and the member will be investigated.

The audit is merely a process that confirms a members’ diligence in self-development and facilitates currency within their profession. We encourage members to develop as a professional in as broad a scope as possible. Attending conferences and educations sessions are valuable activities; but, we also encourage members to read resources and journals that compel professional practice and scientific advancements to new levels of delivery in service to patients. The College wants you to be the best that you can be as a practitioner within a self-regulated environment. Continuous learning, reflection and application of this learning is one way to achieve this.

If any member has any questions about the CCP or the audit process, please contact Dacia Richmond, Director of Education, at drichmond@acmdtt.com or via phone 780.487.6130 ext. 226.

Nominating Committee

BECOME AN ACMDTT COUNCIL MEMBER!

Are you passionate about your profession? Do you want to enhance the professionalism of practitioners within your profession? Do you have enthusiasm and commitment? Are you willing to contribute your thoughts and strategic thinking in the board room? If you said yes to any of these, consider joining the ACMDTT Council.

The Nominating Committee is seeking members to let their name stand for the ACMDTT Council. Benefits to you include: governance education; meeting with members from other specialties; participation in strategic generative discussion on trends affecting the profession; a complimentary registration to the ACMDTT Annual Conference; and an honorarium while being a part of the decisions that will shape our future.

Meetings typically are four times per year, held on weekends to avoid interfering with regular work hours. All expenses are covered.

If interested, please submit an application including a resume and short biography (to be published), to the Nominating Committee c/o ACMDTT office by February 10, 2017.

Wendy Read MRT(T) (Chair), Alefiyah Gulamhusein, MRT(NM), Darren Oczkowski, MRT(MR)

TO CT or not to CT?

When is it appropriate for a nuclear medicine technologist to perform CT and in what capacity?

The landscape of nuclear medicine has changed considerably over the last decade as has the entire field of medical radiation technology. As you are all aware, one of the major catalysts to this change is the introduction of hybrid scanners: SPECT/CT, PET/CT, PET/MR…where does it end?

 

What I would like to explore here is a facet of professional regulation that is often misunderstood; that is authorized practice. We are going to delve into the concepts of restricted activities, authorization and enhanced practice.  I hope that this gives you insight into the regulatory environment and the rationale behind some of the requirements of being a regulated professional in Alberta.

 

The current practice of nuclear medicine technologists in Alberta is governed by the Medical Diagnostic and Therapeutic Technologists Profession Regulation. The document was last amended by government in 2009 – a time when we were starting to hear about SPECT/CT and thinking “we’ll never get one, so why do I have to worry about it?”  Well, fast-forward seven years and you are hard-pressed to buy a gamma camera without a CT, of some sort, attached.  Working with a CT of some sort within a nuclear medicine department has become the norm in 2016 but we must step back, reflect on our practice and ask if we are authorized by the College to do this. Can I perform this restricted activity?

 

In response to these changes in practice the College addressed the question of authorization within the framework of practice by releasing a position statement CT in the Nuclear Medicine Environment.  What it says is that if a nuclear medicine technologist is performing CT with the intention of no more than attenuation correction and/or anatomical mapping, it is considered within the scope of any nuclear medicine technologist’s practice. It is important to focus on the intent of the actions and not the camera which you are operating.  Should the CT images that you are producing be used/interpreted separately from the nuclear medicine images, or if you are preparing and/or administering diagnostic imaging contrast media, it is required that you have the CT and Contrast Media enhanced practice authorization on your practice permit.

For some systems, the intent is obvious as the camera does not have the physical capability to produce diagnostic CT images; but, with some hybrid systems, this question is quite muddy. It is important for you to be aware of what the images that you are producing are being used for. Only attenuation correction (AC) or is the radiologist or resident “reading” the scan and commenting on what they see rather than  the former where the radiological images are purely augmenting the bone scan, MIBI or whatever nuclear medicine procedure you are performing?  The answer to this question will tell you whether you require the CT and Contrast Media enhanced practice authorization to perform these scans or not.

So moving back to the concept of restricted activities, some of you may not have heard the term. In Alberta’s Government Organization Act, government has published a finite list of health acts that may cause possible harm to the public.  This doesn’t suggest that these activities will cause harm, but there is the possibility for it.  Examples include application of ionizing radiation; application of non-ionizing radiation; preparation and administration of contrast media; and venipuncture.  Other examples include such health services as the prescription of contact lenses and surgical procedures.  It is a comprehensive list applicable to all regulated health professionals in Alberta.  When a College’s regulations are created, a subset of these restricted activities is incorporated by the College and government to give different groups of members’ different restricted activities and therefore different authorizations.

This is why CT and contrast media is such a big deal currently for nuclear medicine technologists. Having registration with the College does not authorize you, because the restricted activity isn’t in the nuclear medicine register list, to apply ionizing radiation in medical radiography (read CT) nor to prepare or administer contrast media.  The College wants to evolve practice and keep up with the times and we are very fortunate that some foresight was put into the regulation to allow for enhanced practice authorizations by “borrowing” restricted activities from other registers or other specialties of the College.  As a result, if it is a requirement that a nuclear medicine technologist perform CT over and above what is required for attenuation correction and anatomical mapping AND/OR is preparing and/or administering contrast media, they can complete a program of study and apply for the authorization as they must have the CT and Contrast Media enhanced practice authorization to be legally permitted to perform these additional restricted activities.

The College cannot police, nor does it want to, all registered practitioners to ensure that they are performing only those activities for which they are authorized. It therefore falls back to the regulated professional to ensure that they are performing within their authorizations in a safe and effective manner. As a regulated professional, this is your responsibility. In a worst case scenario, in any situation, something may go awry and a complaint may be brought upon a member of the College by the public.  If you are performing duties that you are authorized to perform, your professional liability insurance (PLI) policy will be valid for the occurrence as it is within your scope.  If you are performing something that you are not authorized for, something goes awry and a complaint results, your PLI will not be valid and you will be left with the personal consequences; both financial and professional.

Hopefully this explains the rationale and process for enhanced practice. Should you have any questions or concerns, please feel free to contact the College.  It’s imperative that we move practice forward together and communication is the best starting point.  We look forward to hearing from you.

Deciding Factor

Mark is a relatively new graduate who is working at the clinic with a temporary practice permit. Mark wrote the CAMRT exam in September but found out in October that he was not successful.

Question to be asked:

What does Mark do now?

Mark is required to contact the College to inform the Registration Assistant that he was unsuccessful. She will work with Mark to ensure that he renews his permit appropriately.

What type of practice permit does he need now and for renewal?

As he has not yet been unsuccessful on the exam, Mark must continue to practice on a Temporary Practice Permit (TPP). This means that he must continue to practice under supervision.  Mark will renew his TPP through the online registration system.

What does he do once he passes the exam (hopefully in January)?

Once Mark passes the CAMRT exam, he must notify the College and apply for a full practice permit. To apply for the full permit, he must provide to the College:

  • A completed Membership Status Change form
  • Proof of successful exam completion. This may be his certificate or a copy of his online CAMRT transcript

What Standards of Practice apply to this scenario?

Here are a few indicators which apply to this situation:

Indicator 2.1a – assume personal responsibility for the quality and effectiveness of the regulated member’s practice

Indicator 2.1c – perform restricted activities only as authorized according to the regulations of the College

Indicator 2.1g – adhere to legal obligations required by the College

Indicator 2.2b – practice within the limits of the regulated member’s competence

Indicator 2.3a – perform only those restricted activities for which he or she has the required competence and current authorization

Indicator 2.4a – adhere to the Code of Ethics of the College

New Scenario

Bill is a magnetic resonance technologist who has the venipuncture additional authorization on his practice permit. In October, Bill went online and completed his registration renewal for 2017. He would like to claim his registration fees and so, in November, he logged into his profile to print his receipt but there is no receipt online.

Questions to be asked:

  • Why is there no receipt?
  • What must Bill do to complete his registration?
  • What Standards of Practice apply to this scenario?

Regulation 101 

Declaration of CCP Compliance – a legal and binding issue

During registration renewal, all regulated members must self-declare compliance or non-compliance with the CCP for the previous cycle. This self-declaration is a legal and binding clause to which members must attest honestly.  Compliance with the CCP includes:

  • completion of a self-assessment
  • development and implementation of a learning plan
  • completion of a certain number of hours of reflective learning

This must all be done online via the mandatory My CCP platform.

The College must ensure due diligence in assessing member professionalism and honesty through this self-declaration. The College is able to access information as to whether you have accessed and updated all components of the CCP through the online platform in each CCP cycle, or not. The contents of your CCP still remain confidential.  As compliance with the CCP mandates use of the online platform, those members who have not accessed or updated their CCP records online will be contacted by the College in follow up.

It is imperative that members declare in accordance with their activities throughout the cycle. If members have any questions, or must declare CCP non-compliance, please contact the College and we will seek to assist you.

Notice of AGM

The 2017 Alberta College of Medical Diagnostic and Therapeutic Technologists’ Annual General Meeting will take place Saturday, April 8, 2017 from 8:00 a.m. – 9:00 a.m. at the Deerfoot Inn & Casino in Calgary AB. The meeting shall include reporting of the Audited Financial Statements, the 2017-2018 budget, the President’s Report and the Chief Executive Officer’s Report. Materials including the agenda and the rules of procedure will available on the College website 21 days in advance of the meeting. Anyone is welcome to attend, but only regulated members will be entitled to vote.

Branch News

Peace Country Branch

Branch Chair:   Tunde Bodi, MRT(R) (PeaceCountryMRTb@outlook.com)

The Branch would like to put out a call for volunteers for those interested in participating with the Branch Executive. Member participation is essential to ensure that educational and networking opportunities are available to those in the Branch.  These volunteers can be from anywhere in the Peace Country Branch area!

Next meeting:           TBA

Edmonton Branch

Branch Chair:  Kathy Dudycz, MRT(R) (kdudycz@hotmail.com)

Our last meeting was the 6th Annual Education Day which was held on October 22, 2016 and was attended by 136 members (not including executive members). The next membership meeting will take place in the spring 2017; details are to be determined.

The executive members met on November 15 to plan for spring meeting as well as to discuss preliminary plans for Education Day 2017 which will take place on October 28, 2017.

On behalf of Edmonton Branch we wish all MRTs a safe, relaxed Christmas and prosperous New 2017 Year!

Next Meeting:  March 21, 2017

Parkland Branch

Branch Chair:  Jeff Christenson, MRT(R) (Jeff.Christenson@albertahealthservices.ca)

Next Meeting:   TBA

Calgary Branch

Branch Chair:  Gina McRae, MRT(R) (gina.mcrae@albertahealthservices.ca

Next Meeting:  March 22, 2017

Southern Alberta Branch

Branch Chair: Carmen Lowry, MRT(R) (carmen.lowry@gmail.com

Next Meeting:   TBA

ENP Branch

Branch Chair:  Angie Sarnelli, ENP (angie.sarnelli@albertahealthservices.ca)

Next Meeting:  April 4, 2017

Did you Know?

-The College office will be closed between December 28-30, 2016 and will re-open on January 3, 2017!

Internal Matters – September 2016

President’s Message

Wow! I can’t believe it is already September, did the summer ever fly by! Council has been extremely busy. As you know, we bid farewell to our outgoing CEO/Registrar, Kathy Hilsenteger at the end of June. Council had hired the HR firm, Pekarsky & Co. back in April which really helped get Council on the right track to undertake the huge task of finding a new CEO/Registrar. The extensive search took 21 weeks and we had 100 applicants. I am happy to report that after many hours of interviews a candidate emerged from that group, whom the Council CEO selection workgroup agreed on unanimously. ACMDTT would like to extend a warm welcome to Karen Stone, BA, LLB, LLM as new CEO/Registrar. We truly believe that Karen’s expertise in government relations and her background in non-profit organizations will continue the College’s legacy of professionalism and leadership. I would also like to recognize Pree Tyagi, Deputy Registrar, who really stepped up to fill in the role of Interim CEO/Registrar over the summer. Pree your dedication to the College is so appreciated! Staff member, Pam Armitage, Executive Assistant, achieved a milestone anniversary of 10 years with the College! Thank you Pam for your commitment to regulation!

On a personal note, in addition to the CEO search over the last six months, I was also co-captain of the Central Alberta Cancer Centre’s bike team in the Ride to Conquer Cancer, which happened August 6 and 7, 2016 in Calgary. Our small team of 25 riders raised just shy of $90,000 for the Alberta Cancer Foundation and rode over 220 km in two days. I am so proud of the efforts of our team which consisted of health care providers, members of the public and cancer patients! I encourage you all to consider joining the ride in 2017.

Council will be meeting in mid-September for the first time with Karen at the helm, as well as we have three new Council members who will be joining the board table. Jennifer DiNucci, MRT(MR), Cristene van Schagen, MRT(R), and Krystal Wall, MRT(R)…Welcome! ACMDTT will also continue to work on the details of bringing in our newest friends, diagnostic medical sonographers to the College in 2017. Lots of exciting changes and opportunities in the near future! As always, Council welcomes feedback from members and would encourage all members to consider becoming involved in some capacity with the College. It is a unique opportunity to understand the intricacies of a self regulating professional body and to ensure that the people of Alberta continue to receive safe, ethical and competent care.

Registrar In Session

I would like to express what a great delight and privilege I feel at being selected to serve the ACMDTT and its associated professions as your Chief Executive Officer/Registrar. I respect the work that you do immensely, and I know with great conviction that the privilege of serving a regulatory body such as the ACMDTT doesn’t just emanate from protecting the interests of the public (although this is an extremely important component), but also from enhancing and ensuring the recognition of the professions associated with the College, through upholding exemplary standards and ensuring a responsive, well trained, and competent profession. I take this very seriously, and assure the membership of the College that I am here to serve. As professionals, what you do is essential, and if we can assist in making sure that your work is better supported and recognized, while adhering to our statutory obligations, we will.

The ACMDTT is built on a solid foundation of infrastructure, with an exemplary record of meeting its statutory obligations. I would like to personally recognize Kathy Hilsenteger, the former CEO/Registrar for all the work that she did in establishing the College at its inception, and building it into the position of respect and credibility that it carries today. This could not have been achieved without the strength and diligence of your peers, who represented your interests on the Council, and built the policies that shape the work of the College.

I was eager to become involved with the College because of my enthusiasm for the professions regulated within the scope of the College. The work of the College also represents congruence with my own training and value system. I was a Human Rights Lawyer in South Africa over 20 years ago, and my work in South Africa, which was a country that underwent transformative change at the macro-level shaped the ethos of all that I involve myself in. I pride myself on fairness, integrity and a deep abiding respect for people with whom I come into contact. I have spent the last 13 years in senior leadership positions within the provincial and national contexts within Canada. Within this Canadian context, I have acquired many skills and connections that enhance my formative legal training. Beyond this, I have trained and developed, and worked with Boards of Governors throughout my professional life, so I have a high level of comfort in working with your Council and meeting the desired outcomes of their deliberations. I have worked at creating and establishing provincial and national networks and linkages, and developing policy to achieve improved outcomes. These are all skills and experiences that will serve you well, as I fulfill my obligations as CEO/Registrar.

Through my ageing parents, I believe that I have experienced nearly all of the modalities within the College, as my parents have had to navigate their increasingly complex health issues. I have experienced first hand what it feels like to need to know what diagnosis can drive what treatment regime, and how important this vital information generated by the technologists is, to our general health and wellbeing. I recognize that there is an evolving environment within which many of you work, and your College needs to be alive to those shifts and ensure that you are able to meet those changes with confidence and clarity.

I have no desire to espouse my lengthy resume in this newsletter. Instead I invite you to connect with us. Meet me in person. Talk to us about how you interact with the College beyond the obligations that meet our legal requirements. Share with us ideas on how we might serve you better. Share with us the thoughts and ideas that you might have on your specific modality and how you envisage the future unfolding around that profession. Keep us informed of issues affecting your profession. Help us to ensure that we remain a vital resource, and a strong champion for your work. Assist us on meeting the requirements of the Health Professions Act and serve with us on operational and regulatory committees – we are your College – build a vision of the future with us.

Karen Stone, BA, LLB, LLM
CEO/Registrar

Awards Nominations Open

It’s that time again…Award Nominations Open October 1!

We have all thought about it, but this year, take some time to nominate a co-worker, educator or student for an award. Many people are deserving of professional recognition in an area in which they excel ranging from patient care to continuing education.

Please take a look at the list below of some of the Awards given each year by the College and start thinking about a deserving recipient. If you have any questions regarding these awards, please contact Dacia Richmond, Director of Education at 780.487.6130 ext. 226; 1.800.282.2165 or via email drichmond@acmdtt.com. Nomination forms are available on the website.

Some of the Awards are…

Excellence in Professional Collaboration: in recognition of the increasing multidisciplinary nature of our professions, this award was created to honour a healthcare team consisting of at least one full member in good standing with the College.  The honoured team will embody the concept of professional collaboration, either solely within the specialties of the College or with those of other professionals within the healthcare environment. This team will have contributed to a common goal related to professional practice either technically or with humanity which has had a positive impact on the profession.

Professional Excellence in Leadership: for those who demonstrate professional excellence in leadership; provide guidance and mentorship to colleagues; lead by example demonstrating respect, integrity and professionalism; foster a positive working environment and promote effective relationships within the healthcare environment.

Professional Excellence in Patient Care: for those who demonstrate professional excellence in direct patient care; demonstrate outstanding abilities in the delivery of diagnostic and therapeutic services; foster a healthy culture of respect and integrity within healthcare; advocate for quality patient care and facilitates a safe working environment and inspire confidence and trust in patients.

George C. Hall Invitational Address: this honouree is chosen to speak at the College’s annual awards luncheon. This award, now through a nomination process, is bestowed to someone who has influenced the growth of the profession in clinical practice, education, research and/or administration.

Herbert M. Welch Memorial Award: for dedication and service and for those who have made a significant contribution to the outstanding growth of the profession.

Joan Graham Award: for those who impart shared learning in the form of continuing education and encourages continuing competence

Carol Van Velzer Memorial Award: for an electroneurophysiology technologist (ENP) who presents an exhibit or platform presentation of excellence related to the field of electroneurophysiology at an ENP Branch Meeting. Please contact Branch Chair, Angie Sarnelli, ENP (angie.sarnelli@albertahealthservices.ca) to arrange a presentation.

ACMDTT Honorary Life Membership: to honour an individual whose professional activities have promoted the profession provincially and/or nationally and whose leadership serves to motivate others to become involved in professional activities.

Student Leadership Awards: for senior year students, in each specialty, who showcase leadership skills, professionalism and involvement in the profession in the early stages of their careers. Students are required to apply for this award, so encourage them today!

CCP News

New Continuing Competence Program Cycle started September 1!

The current CCP cycle is from September 1, 2016 to August 31, 2017. Remember, the use of the online platform is mandatory for all members.  If you have trouble accessing the site, please contact the College.

What must I complete?

Full members are required to complete:

  • self-assessment of practice whose framework is based on the College’s Standards of Practice (2014).
  • personal learning plan including identifying possible learning activities through which they may meet the learning objectives that they have set for the current CCP cycle.
  • learning activities – two hours for each month, or part thereof, for which they have held full membership.

I’m new, how do I log in?

Members may access the online platform from the home page of the College’s website through the portal called My CCP.  If you have not yet logged in, your username is your ACMDTT registration number and your password is defaulted to your last name.  Once you are logged in, please change your password so that your CCP remains confidential.  As a reminder, the College has no access to the CCP records kept on this site.

Questions about the CCP and your requirements are inevitable. Please do not hesitate to contact the College.  Dacia Richmond, Director of Education may be reached by phone 780.487.6130 ext. 226; toll free 1.800.282.2165 or via email drichmond@acmdtt.com.=

CCP Audit 2016

The audit of your continuing competence program for the CCP cycle September 1, 2015 to August 31, 2016 is scheduled for October 13-14, 2016. For those of you that are being audited this year, the Competence Committee will be hard at work evaluating your submitted documents for these two full days. You will receive notification of your audit result soon after.

Nominating Committee Volunteer

The Nominating Committee requires one volunteer.

ACMDTT Council is looking for one regulated member to join the Nominating Committee for a two year term, starting this fall.

This committee is responsible for creating a slate of regulated member nominees for Council positions.

Submit your name c/o the Nominating Committee to info@acmdtt.com by Friday, October 14, 2016

Renewal Information

It’s annual registration renewal time again

You can renew your registration online from October 1, 2016. Go to the College website www.acmdtt.com – choose ‘My Profile’ – enter your user ID and password to renew your permit in five easy steps!

Before you enter the online part of the renewal process, please have the following ready:  

  • If you practiced in 2016, you will need to know the number of hours you practiced in 2016 so you can feed this into the renewal system.
  • If you want to hold a full practice permit in 2017, the system will ask you to declare that you hold the required professional liability insurance (PLI). Ensure you have PLI through your employer or renewed your CAMRT membership so you say “yes” to this declaration.

After you have completed the online part of renewal process

  • If you have an enhanced practice or additional authorization, remember to renew it separately by sending your completed form to the College (it has to be signed by your supervisor) by December 1, 2016.
  • College staff will review the data you have provided online, and email you to confirm that you have completed your 2017 renewal or let you know what is needed to do so.
  • Upon receiving the College email, you can login to your profile and access your new practice permit and tax receipt.

The registration fee in 2017 for a full practice permit is $450 and associate status is $100. Remember to save your 2017 practice permit on your smart device or print a hard copy for display as needed at all times.

The deadline for completing the annual registration renewal and submitting all applicable fees is December 1, 2016. Renewal information received after this date is subject to a $50 administrative fee. If the registrant has not completed the renewal process and paid the fees by December 31, 2016, their 2017 registration with the College will be suspended without further notice. The College will notify the registrant’s employer of this cancellation.

Any questions or concerns?

Contact the renewal hotline at 780.487.6130 or info@acmdtt.com.

Deciding Factor

Scenario from June 2016

Jennifer is a nuclear medicine technologist who works in a busy department in one of Alberta’s trauma centres. She has received a requisition to perform a bone scan on a 14 year old girl in follow up to osteomyelitis.  A bone scan was performed just last week in a department across town.  Jennifer is wondering if this is an appropriate scan to perform.

Questions to be asked:

What is Jennifer’s professional responsibility in this case?

Jennifer should take a full clinical history, including any events in the past two weeks, and present it to the supervising radiologist/nuclear medicine physician with the information, and possible images/report, from the most recent scan and preceding ones, if applicable.

Should Jennifer perform the repeat bone scan?

It is not Jennifer’s responsibility to decide if the scan should be performed or not, but Jennifer should discuss this with the physician and understand why the decision was made either way.

What Standards of Practice apply to this scenario?

Here are a few indicators which apply to this situation from a regulatory perspective:

Indicator 1.2b – obtain relevant patient history

Indicator 1.2k – identify and communicate with the appropriate health care provider any procedural concerns

Indicator 2.5d – utilize information and archival systems as authorized, and only as required, for the provision of services specific to the regulated member’s patients

Indicator 3.1b – consult with other professionals, as required, to facilitate timely, appropriate and effective practice

Indicator 4.2g – seek clarification of orders where a patient safety issue has been identified

Indicator 4.2j – apply the principles of as low as reasonably achievable (ALARA)

New Scenario

Mark is a relatively new graduate who is working at the clinic with a temporary practice permit. Mark wrote the CAMRT exam in September but found out in October that he was not successful.

Question to be asked:

  • What does Mark do now?
  • What type of practice permit does he need now and for renewal?
  • What does he do once he passes the exam (hopefully in January)?
  • What Standards of Practice apply to this scenario?  

Regulation 101

Members who are working on a temporary practice permit (TPP) have passed an entry-to-practice program of study but have not yet passed the certification exam (i.e., CAMRT or CBRET). As they have not yet completed all aspects of what is required to have a full practice permit, they must work under some regulated conditions. These are related directly to their supervision while performing the restricted activities listed in the Government Organization Act.  As per the regulation, these TPP members must:

  • practice under the supervision of a regulated College member who is registered in the same area of practice (i.e., radiological technology; nuclear medicine technology); AND
  • the supervising regulated College member must be physically present to assist in the performance of the restricted activities if the TPP member needs assistance.

Once the TPP member passes the certification exam, they must apply for a full practice permit. Once they hold a full permit, the condition of supervision is lifted and they may practice autonomously while adhering to the responsibilities of a regulated member of the College.

Weeks of Celebration

Mark Your Calendars!

MRT Week – November 6-12, 2016

The annual MRT Week celebration provides an opportunity for medical radiation technologists (MRTs) in Canada to demonstrate pride in their profession and to convey important messages about the role that MRTs play in the healthcare system. Remember, MRTs include radiological, nuclear medicine and magnetic resonance technologists as well as radiation therapists. Effectively presented, these messages will resonate with colleagues, patients and the general public long after MRT Week is over. MRT Week offers occasions for both celebration and recognition of professional accomplishment as well as education for the public and healthcare colleagues about the profession of medical radiation technology and the important role that MRTs play in medical imaging and therapeutic treatment.

The College will again be teaming up with CAMRT to effectively engage MRT practitioners, other healthcare disciplines and the general population in recognizing who we are and what we do! Take an active role in promoting your profession. Introduce yourself as an MRT to your patients and tell them about the specialized expertise you bring to their healthcare!

Think about planning activities that motivate your staff and educate other members of the healthcare team about your role – for example host a guest speaker over a brown bag lunch or coffee break or give out instant awards recognizing innovation in programs or services in your workplace. Brighten the day by creating a colourful visual display with MRT Week posters and giveaways to educate your peers and patients in the workplace about what you do. Make a presentation to students about the rewards of a career in medical radiation technology.

WHAT YOU NEED TO KNOW:

  • The College will be sending out MRT Week posters to all facilities for display during MRT Week. This poster showcases the four specialties of medical radiation technology, and is a great way to draw attention to the celebration of the MRT profession. The posters create a great focal point in waiting rooms, offices, educational institutions and displays.
  • Other promotional tools are available for members to order, free of charge from the CAMRT website. While most of these tools are aimed at highlighting MRT Week, they can be used year-round to promote dialogue with patients and the public, create awareness and foster pride in the profession. Check the CAMRT website for more great ideas on how to promote MRT Week and beyond!

MRT Week is your chance to be in the limelight! The College encourages all members to start planning their activities to further support and advance the field of medical radiation technology.

Nuclear Medicine and Molecular Imaging Week – October 2-8, 2016

This year’s theme: Half-Lives…Making Lives Whole

The Society of Nuclear Medicine and Molecular Imaging (SNMMI) and SNMMI-Technologist Section join forces with the nuclear medicine and molecular imaging community to gain recognition and support for the field. Nuclear Medicine Week encourages community members to take pride in their profession – recognizing their colleagues for their hard work and promoting nuclear medicine to the entire medical community as well as to the public.

Nuclear Medicine Week allows physicians, technologists, scientists and others involved in nuclear medicine and molecular imaging to take a proactive role in the advancement of the field. From advances in cancer diagnosis and treatment to recent breakthroughs in Alzheimer’s and dementia research, nuclear medicine is improving lives—and it is up to us to educate others on these major healthcare innovations.

The theme for Nuclear Medicine and Molecular Imaging Week varies from year to year, but the goal is always the same: pride in what nuclear medicine and molecular imaging have brought to the healthcare environment over the years.

 

Sonography Week – October 3-9, 2016

We are pleased to welcome our diagnostic medical sonographer colleagues under our regulatory umbrella. More information coming soon!

Branch News

Peace Country Branch

Branch Chair:    Tunde Bodi, MRT(R) (PeaceCountryMRTb@outlook.com)

The Branch would like to put out a call for volunteers for those interested in participating with the Branch Executive. Member participation is essential to ensure that educational and networking opportunities are available to those in the Branch.  These volunteers can be from anywhere in the Peace Country Branch area!

Education Day:  TBA

Edmonton Branch

Branch Chair:    Kathy Dudycz, MRT(R) (kdudycz@hotmail.com)

Education Day:  October 22, 2016, Robbins Learning Centre (RAH)

Further information, including registration, will be provided to Branch members via email. Watch your inbox!

Parkland Branch

Branch Chair:    Jeff Christenson, MRT(R) (Jeff.Christenson@albertahealthservices.ca)
Next Meeting:    TBA

Calgary Branch

Branch Chair:    Gina McRae, MRT(R) (gina.mcrae@albertahealthservices.ca)

Education Day:  November 5, 2016, Foothills Medical Centre

Southern Alberta Branch

Branch Chair:    Carmen Lowry, MRT(R) (carmen.lowry@gmail.com)

Education Day:  TBA

ENP Branch

Branch Chair:    Angie Sarnelli, ENP (angie.sarnelli@albertahealthservices.ca)

Education Day:  October 1, 2016, Red Deer Regional Hospital Centre

Did you Know?

-That it is now mandatory for all registrants to provide an email address to the College. Confidential and sensitive information is sent by email, so please ensure that you provide an email address that is secure and checked frequently.

-That registration renewal opens October 1st and must be completed by December 1st

-Felix Bloch and Edward Purcell independently discovered the magnetic resonance phenomena and were later awarded the Nobel Prize in 1952.

President’s Message – September 2016

Wow! I can’t believe it is already September, did the summer ever fly by! Council has been extremely busy. As you know, we bid farewell to our outgoing CEO/Registrar, Kathy Hilsenteger at the end of June. Council had hired the HR firm, Pekarsky & Co. back in April which really helped get Council on the right track to undertake the huge task of finding a new CEO/Registrar. The extensive search took 21 weeks and we had 100 applicants. I am happy to report that after many hours of interviews a candidate emerged from that group, whom the Council CEO selection workgroup agreed on unanimously. ACMDTT would like to extend a warm welcome to Karen Stone, BA, LLB, LLM as new CEO/Registrar. We truly believe that Karen’s expertise in government relations and her background in non-profit organizations will continue the College’s legacy of professionalism and leadership. I would also like to recognize Pree Tyagi, Deputy Registrar, who really stepped up to fill in the role of Interim CEO/Registrar over the summer. Pree your dedication to the College is so appreciated! Staff member, Pam Armitage, Executive Assistant, achieved a milestone anniversary of 10 years with the College! Thank you Pam for your commitment to regulation!

On a personal note, in addition to the CEO search over the last six months, I was also co-captain of the Central Alberta Cancer Centre’s bike team in the Ride to Conquer Cancer, which happened August 6 and 7, 2016 in Calgary. Our small team of 25 riders raised just shy of $90,000 for the Alberta Cancer Foundation and rode over 220 km in two days. I am so proud of the efforts of our team which consisted of health care providers, members of the public and cancer patients! I encourage you all to consider joining the ride in 2017.

kellybikepictureKelly at the  Ride to Conquer Cancer

Council will be meeting in mid-September for the first time with Karen at the helm, as well as we have three new Council members who will be joining the board table. Jennifer DiNucci, MRT(MR), Cristene van Schagen, MRT(R), and Krystal Wall, MRT(R)…Welcome! ACMDTT will also continue to work on the details of bringing in our newest friends, diagnostic medical sonographers to the College in 2017. Lots of exciting changes and opportunities in the near future! As always, Council welcomes feedback from members and would encourage all members to consider becoming involved in some capacity with the College. It is a unique opportunity to understand the intricacies of a self regulating professional body and to ensure that the people of Alberta continue to receive safe, ethical and competent care.

Kelly Sampson, MRT(T)
Council President

Internal Matters – June 2016

President’s Message

The ACMDTT/AHS Annual Conference was held on April 8 & 9, 2016 at the Edmonton Marriott at River Cree Resort in Edmonton AB. The conference hosted 407 delegates at an event that saw speakers, volunteers, sponsors and delegates come together to share knowledge, exchange ideas, reconnect with old colleagues and meet new ones. Complementing the two keynote speakers were over 37 sessions offering attendees a wide range of content corresponding to the theme “moving forward together – leaders in diagnostic and therapeutic healthcare”. Runell Viray, MRT(R), was selected to deliver this year’s George C. Hall Address. His presentation on “Leadership” was a great contribution to our conference. In addition, the accomplishments of 19 students and members were honored though the presentation of awards at the annual award luncheon.

The ACMDTT is pleased to announce that the Health Professions Act has been amended to include diagnostic medical sonographers under the college umbrella. Regulation of DMS/mandatory registration can take place only after Alberta Health has updated the Medical Diagnostic and Therapeutic Technologists Profession Regulation. These are exciting and important changes reflective of the significant role we play in Alberta’s health system.

Kathy Hilsenteger, will be retiring on June 30, 2016. This event marks a successful career of almost 40 years in medical radiation technology; during the last 13 years she has fulfilled the duties of CEO/Registrar and Complaints Director of the Alberta College of Medical Diagnostic and Therapeutic Technologists. The College extends its sincere appreciation to Kathy for her contributions and dedication to the College and to the medical radiation technology professions. We wish her well in her new stage of life.

Council has been extremely busy following and implementing the CEO Succession Plan, as outlined in our governance process and Bylaws, in preparing to hire a new CEO/Registrar. Council retained the services of the HR firm, Pekarsky & Co in April to conduct the search. More details about the position can be found on their website: http://pekarskyco.com/jobs/ceoregistrar-wr-253/

Lastly, I would like to recognize Cindy Humphries, MRT(R) and Nancy Belley, MRT(MR) for their contributions during their terms on Council. We will miss their enthusiasm, experience and energy. Moving forward, we would like to welcome our newest Council members Krystal Wall, MRT(R); Christine van Schagen, MRT(R); and Jennifer DiNucci, MRT(MR). We will gather in September for our first face-to-face meeting of the year.

Lots of new and exciting changes in the near future!

Kelly Sampson, MRT(T) Council President

A Farewell from Kathy Hilsenteger

Kathy’s Reflections

Many years ago, the Council and volunteers envisioned a regulatory College for all diagnostic and therapeutic professionals. And here we are, in 2016, having reached that vision with the recent addition of our DMS colleagues under our regulatory umbrella along with our other five diagnostic and therapeutic modalities.

I am so very proud of the many accomplishments of our organization in our mandate to ensure the public is assured of receiving safe, competent and ethical care by our regulated and continually advancing professions. We can all be proud of our College’s respected presence on the provincial and national forums and our ability to demonstrate regulatory expertise in the management of a complex multi-modality framework.

On a personal note, I feel very privileged to have had a hand in the growth and maturation of the ACMDTT. After 25 years practicing as a radiation therapist, taking on the role as Registrar back in 2003 as we began the journey to self-regulation was a daunting challenge! I have been so fortunate to have worked with many talented people who were part of this journey – Council, volunteers, educators, employers and government. Each and every day the College is accountable to achieve our legal obligations to regulate the profession.  Staff make this happen through ongoing work of reviewing applications, investigating complaints, determining entry-to-practice competency through exam, educational  institutions and enhanced program approvals  for five modalities; by responding to phone calls and emails from members; by offering practice support and  the provision of  a multi-modality conference to meet the needs of all practice areas.  I wish to express my sincere appreciation for our hard working staff- their dedication and passion for their work has supported me each and every day and has contributed to all our success!

As I leave my role here at the College at the end of the month, it will be with a great sense of pride of our organization as it stands today, and tinged with sadness in saying my goodbyes to so many colleagues, members, and of course the wonderful staff. I will miss you all.

Sincerely, Kathy

 

Message to Kathy from the College Staff…

We will miss you beyond words – you have been so much to us – a leader, manager, mentor and friend.

At a time like this, we turn to you to express our thanks for converting our mistakes into lessons, skills into strengths, for inspiring us to dig deeper, for making time to connect with each one of us… Kathy, you have forged bonds that will continue well beyond June 2016.

We wish you happiness as you move into retirement from the profession you have been a proud member of for the last 40 years. Enjoy your family, grandchildren, music and golf and we look forward to hearing about your latest trip next we meet.

All the best,
Pree, Dacia, Pam and Ranjit

2016 Award Winners

Dr. Marshall Mallett Scholastic Award in Radiological Technology Lesley Poirier, RTR
Scholastic Award in Nuclear Medicine Technology Chelsey Innes, RTNM
Scholastic Award in Magnetic Resonance Technology Chloe Ruey, RTMR
Scholastic Award in Radiation Therapy Marie Scheifele, RTT
Student Leadership Award in Radiological Technology Natasha Konjolka
Student Leadership Award in Magnetic Resonance Technology Rachel Benson
Student Leadership Award in Radiation Therapy Stanley Woo
CAMRT Leadership Development Institute Award Natasha Konjolka
Student Research Award – “Sleeping Away Breast Cancer” Melissa Allan, Kris Dean, Randy Nguyen and Michelle Muller
Herbert M Welch Memorial Award David Buehler, MRT(T)
Professional Excellence in Leadership Award Nancy Lublinkhof, MRT(NM)
Professional Excellence in Patient Care Award Jean-Francois Helie, ENP
Joan Graham Award Joanne Locke, RTR
George C. Hall Invitational Address Runell Viray, MRT(R)
Excellence in Professional Collaboration Award Electroneurophysiology and Nuclear Medicine Departments at Alberta Children’s Hospital

 

ENP Department – Silvia Kozlik, ENP; Angie Sarnelli, ENP; Leanne Alfaro, ENP; Ashley Faris, ENP; Beth Young, RET

 

NM Department – JoAnn Cusack, MRT(NM); Kiran Johal-Brar, MRT(NM); Caileigh Campbell, MRT(NM); Amy Howard, MRT(NM)

Past-President’s Award Julie Ritchie, MRT(NM)
Tokens of Appreciation Nancy Belley, MRT(MR), Council Member
Cindy Humphries, MRT(R) Council Member/Nominating Committee Chair
Julie Ritchie, MRT(NM), Council Member
   

 

Conference 2016

The 2016 ACMDTT/AHS Annual Conference was held on April 8 & 9, 2016 at the Edmonton Marriott at River Cree Resort in Edmonton and was a resounding success! The event hosted 407 delegates that saw speakers, volunteers, sponsors and delegates come together to share knowledge, exchange ideas, reconnect with old colleagues and meet new ones. The conference was kicked off on Friday morning with remarks made by Mauro Chies of Alberta Health Services. This was followed by a presentation by Dr. Thomas Jeerakathil on the topic of “Bringing the Hospital to the Patient: Canada’s First Stroke Ambulance”. Jody Urquhart closed the conference on Saturday afternoon with a fun session on “The Nerve to Serve, Say Hello to Humor & Goodbye to Burnout!”. Complementing the keynotes were over 37 sessions offering delegates a wide range of content on the theme “moving forward together – leaders in diagnostic and therapeutic healthcare”. These workshops allowed attendees to learn new information in various aspects of diagnostic and therapeutic technologies. Another highlight of this year’s event was the wine and cheese reception. This reception took place on Friday immediately following the final session and was well attended. The ACMDTT Awards Luncheon was held on the second day of the conference and provided the recipients of the various awards with the opportunity to be recognized among their peers.

The conference has received overwhelming positive feedback and support from its speakers and attendees. Delegates were asked to rate the overall quality of the ACMDTT/AHS Annual Conference, 97.3% said that the ACMDTT/AHS Annual Conference was “Excellent” or “Good”.

Thank you to our 2016 sponsors: Medical Imaging Consultants, Radiology Consultants Associated, Bayer, Central Alberta Medical Imaging Services, Canada Diagnostic Centres, NAIT, Insight Medical Imaging, Bracco, Mallinckrodt, Toshiba, Ontario Association of Medical Radiation Sciences, Philips and Blair, Gripp, Stubbs and Associates Radiology Inc., the Canadian Association of Medical Radiation Technologists, Collins Barrow Edmonton LLP – auditor for the College and Fit Essentials.

See you in 2017!

George C. Hall Address

This year’s George C Hall Address was delivered by Runell Viray, MRT(R). Runell is the Alberta Health Services Executive Director for Diagnostic Imaging in the Edmonton Zone.

Thank you for the great introduction. Before beginning, I’d like to thank Kathy Hilsenteger, CEO & Registrar; Kelly Sampson, President; the Council Members, the Awards Selection Committee and honored guests.

It is truly a privilege to be recognized this year, by the College to present the George C. Hall Address. But I have to be honest here, after the initial excitement in accepting the opportunity to present this year’s address, the anxiety of “what am I going to talk about?” became very daunting. And then those doubting questions started to enter my mind. Why me? What have I done? How do I compare to George C. Hall? After all, the man dedicated his life to the betterment of the profession.

When I read up on all the things George C. Hall was involved with; it’s quite amazing. To me, he represented change and evolution in both his personal life and in his professional life. As an example, he started his career off as a psychiatric nurse; then followed his interests into the x-ray field; eventually becoming an MRT. During his time, he also changed the landscape of the profession by serving in many capacities at the local, provincial and national levels.

So, here I was, thinking how the heck do I compare to this leader? What personal insights and thoughts do I have about life, career or the profession that would be relevant and worthy to share with you today? I didn’t know how and if I could answer these questions. Do I look at my career and all the different roles, positions and environments I’ve been so lucky and fortunate to be part of and to experience? Do I compare myself to him through my accomplishments? Do I earn the right and honour to give this address because of awards, certifications, degrees and other achievements I’ve gained? As I started to go down this road of reflection I started to feel really awkward. In order to identify myself as a leader, would I have to own a level of arrogance and self-assuredness maybe I was not comfortable with?

So, I’d like to ask all of you here today to help me out by participating in this quick survey:

  1. Raise your hands if you identify yourself as being a leader – in any capacity?
  2. How many of you are completely comfortable calling yourself a leader?

So, I want you to hold that thought, until a little later on.

I’d like to get back to George C. Hall. In one of the background bios I read on him, it says he became involved with the goal of making things a little better. So as we look back at his career, hindsight being 20/20; we can see the changes he was a part of were for the better. But at that time, his time, the changes were just that – changes and possibilities. I’m not sure he knew then that the changes he would be involved with would be his legacy. He strikes me as a guy who took control and accountability for change, both in his life and in his profession. And he believed he had purpose. Those are very strong components of leadership; especially as a leader of change and growth. He didn’t just wake up one morning saying to himself… “You know what? … I’m going to be a leader and I’m going to change the world.” Of course, he didn’t. What he strived to do was to show up every day and lead – lead himself and lead the people around him. He exemplified the everyday leader by leading every day. And he led in many ways – as a teacher, as a mentor, as a coach and just as important – as a follower.

So my message to you today is to consider being that everyday leader. We can all be that. We do not need titles and formal positions to be leaders.

One of my mentors has a motto, “take care of the little things, and the big things will take care of themselves”. Another way to put it and I’m sure George C. Hall would agree – take care of the everyday great and the legacy takes care of itself. Don’t start with the intention to be the leader who changes the world. Just show up and be the everyday leader.

So how do we do this and what does it look like?

First, you’re going to need to love what you do. The only way to be satisfied is to do what you believe is great – this is true for life and for work. Your work fills a large part of your life, so enjoy it. The sure-fire way to be an everyday leader is to do what you believe is great – and that could be as simple as just doing great work; or having a great attitude; or being a great change agent; or developing great processes and workflows; or giving great mentor-like and coach-like feedback. And definitely in our profession it should always be about providing great patient care. And beyond great patient care, it’s also about providing great patient service and a great patient experience. Many of us here already love what we do – that’s why we do what we do. Others of us may not be satisfied at this time. Find the everyday something that helps to ignite the passion. It is hard to inspire and lead others if you do not have that everyday something that inspires you.

The next piece to moving towards the everyday leader is to be able to shift our view of the world; not as what’s wrong with it, but what’s possible with it. I know this is so cliché – but the fundamental truth is our perception of the world, how we view it, becomes our reality. For many of us, the rate of change in our society is mind-boggling – so much change, so quickly. Technology is changing, government is changing, economy is in flux, work flows are being adjusted, work expectations are different and the norm is changing. What if we viewed changes as possibilities and we find ways to be everyday leaders of possibility? We begin to move away from the motto of “I won’t believe it until I see it” to the new adage “I believe it; therefore, I see it” – I believe in the possibilities therefore I see the opportunities. If we believe change is a possibility, then this period of phenomenal change is a lot of potential. Shifting our perception from change to possibility is what takes you from being the best IN the workplace, IN the profession and IN your life to being the best FOR the workplace, FOR the profession and FOR your life.

Another insight about being the everyday leader is that relationships are key. Invest your energy into building relationships and networks. You can do this by finding moments every day – to teach and to learn, to give advice and to seek it, to coach and be coached, to lead by example and identify great examples and follow it. Find the everyday moments to do this – make it part of the journey to be that little bit better – even greater. When you are that teacher, mentor, coach and follower, you are investing in your relationships. A leader is not a leader on their own and they cannot lead in a silo. A leader is a leader because of the people around them, the people that support them, believe in them and follow them. Get to know those around you – all of them, as many as you can and appreciate them. Go beyond the superficial and take the time to see your colleagues, coworkers and formal leaders – see them for their strengths, their talents and their values but also get to understand how their personality, excuses and insecurities get in the way of them performing at their best. If you can see the real person besides you at work and you truly care about them, you will not accept anything less than their potential – their possibility. Imagine if you could be that person for someone else. If you focus on that as you begin each day – then you become an everyday leader.

The final piece of being an everyday leader is action. As Nike puts it – Just Do It. Do something. Act. Go past just talking about it and do it. Get involved. Be a part of the possibility. Talking about goals and objectives, discussing solutions, evaluating options, negotiating direction, debating decisions, planning, strategizing – these are all well and good, but change and possibility doesn’t happen unless someone does something. Remember, just start doing it, do little by little, do the little things and the big things take care of themselves.

I’d like to give a very recent and real life example of everyday leaders in action. On October 15 of last year, the Royal Alexandra Hospital participated in a hand hygiene relay on site. Now fast forward to February 18 of this year, when it was officially announced and confirmed by the Guinness Book of World Records that the RAH site broke the world record for the longest hand hygiene relay with a total of 815 participants, taking the relay more than three hours to complete. What an amazing accomplishment and it started with a small handful of people having the vision and belief in the possibility. The original premise of the event that took place in October was to promote hand hygiene at the hospital by merely hosting a hand hygiene relay on site. It all started with one person who stepped forward to say “you know what…let’s do it… And if we’re going to do it, let’s break the world record in the attempt”. And this first person knew they couldn’t do it alone and went to one of their colleagues and convinced them this was a great idea to be involved with – and the one person became two and then two became five, and then a dozen and so on. I’m very proud to say the two people who started the rally for this event are here today. I’m not going to embarrass them by asking them to stand up but many of you know them and know who they are. What’s even more amazing about this achievement was the decision about whether or not to take on this hand hygiene relay event literally happened only two weeks before the actual day. In the two weeks leading up to the event day, the idea became contagious. Everyday more and more people wanted to be involved, more and more people wanted to be part of this possibility and more and more people began to believe RAH could break the world record. In only two weeks, the entire hospital site began to believe. As I observed these everyday leaders in action over these two weeks, I could tell they really loved being part of this working group. They loved what they were doing and they were challenged by it. They truly believed they and the site could make this happen. And they led everyone else to believe in it. They were living the mantra of “I believe it, therefore I see it – I believe in the possibility; therefore, I seize the opportunity”. I witnessed them building relationships with people they would not normally have done so, from all areas of the hospital at all levels of the hospital. With a degree of honesty, they held each other and those on the committee accountable to reach their potential. And last but not least, they took action. They went ahead and just did it. This is just one example of every day leaders in action. There is hardly a day where I don’t see examples like of everyday leaders in action – because I believe in it, therefore I see it.

For most of my life and my career, I’ve shied away from being called a leader. It was uncomfortable and I felt undeserving. If this moment was five or so years back and I was sitting in the audience, where you’re sitting now and someone at this podium asked me if I identified myself as a leader and if I was comfortable calling myself a leader – you would not have seen my hand go up. Somewhere in my psyche, I made leadership into something huge and beyond me. I made it about changing the world. I looked at the notion of leader as something that one day I am going to deserve. Don’t make this same mistake. It’s taken me way too long to embrace the fact that I am a leader. I welcome the opportunities to lead; and when I witness the brilliance of everyday leaders before my eyes, I recognize it and celebrate it. Give yourself permission to take pride in being that everyday leader.

For those of you, who, earlier on, identified yourself as a leader and/or were comfortable calling yourself a leader by raising your hands – thank you for doing so. I see it. I recognize it and I celebrate it. For those of you who were sitting on the fence thinking should I or should I not, put my hand up, I’m sure there are many of us here who can relate with your uncertainty. For those of you who didn’t consider themselves as leaders – I’m hoping this has inspired you to recognize the leader potential you have or probably already are and want to be better so that the next time someone asks you – are you a leader and are you comfortable being one, you’ll have no hesitation to be counted for. With the vision of being the everyday leader – leadership is attainable. Gone are the excuses. It is now very okay to expect and believe in leadership, from each other, every day.

I did not have the pleasure of knowing George C. Hall while he was alive. He passed away the year I entered the medical radiography program at BCIT. But looking back at the leader I imagined George C. Hall to be, I think he would agree with these last few words:

Find the everyday leader within you – embrace it, celebrate it and live to it.

Registrar In Session

The Mechanics of Self-Regulation
Recently, the College has had interactions with various members who have expressed interest in finding out how the College operates, and ‘how’ decisions are made. We hope that this article will help you understand how a self-regulated profession actually accomplishes its work.
Health Professions Act

It all begins with the hierarchy of authority within which we function. At the highest level, our College must operate within the provincial legislation known as the Health Professions Act (HPA). This legislation governs all of the allied medical professions and clearly spells out College authority and responsibility for regulating the practice of our respective professions. The primary purpose of this provincial legislation is public protection. There are 28 Colleges named in this legislation, a complete listing is available at: http://www.health.alberta.ca/professionals/regulatory-colleges.html. The HPA requires all these Colleges to have a public register of its members; manage entry-to-practice for the profession; maintain standards of practice and a code of ethics to which its members are accountable; and manage complaints against members who have not provided care in a competent and professional manner.

In May 2016, the HPA has been amended to provide that diagnostic medical sonographers (DMS) be regulated through the College.

Regulations

The next level of authority is defined in our specific regulations for the five specialties currently regulated by the College. The Medical Diagnostic and Therapeutic Technologists Regulations (Regulations) provide the specific details on registration requirements, restricted activity authorization, complaint resolution and continuing competency for our specialties.

The College is working with the provincial government to amend our Regulations to expand these regulatory processes to include DMS, regulation of DMS and mandatory registration can take place only after this has been completed. While it is difficult to anticipate how long this might take, it has taken approximately two years for other professions in the past.

Bylaws

Next we have our organizational bylaws which describe our operating framework. Here the organization has outlined such things as membership categories, a Councillor’s terms of reference, nomination and election of officers, voting and membership meetings, setting of membership fees, dues and special assessments.

Council

Now we get down to the fundamental structure that members may be wondering about! The Council is the group of individuals elected by you, the membership, to govern the affairs of the College on behalf of the members. In addition to eight elected members, there are three public members appointed by the Minister of Health to ensure the public perspective. The Council defines the policies of the College within the bounds of the provincial legislation. Governance is the Council’s job: this means determining the mission, vision and goals taking into account the views of their stakeholders, the members and public accountability. The Council’s role is to make the macro decisions as to the directions of the organization and to monitor its organizational performance.

CEO

The CEO participates in the process of policy decision making by researching options for Council to consider, providing administrative consequences of options being considered and developing and implementing operational plans that support the College’s strategic plan. Council makes policy and the CEO delivers it.

College Staff

The College staff plays a huge role in the provision of the operational components designed to support the Council’s strategic plan. In a nutshell, Council decides the “what” and the staff delivers the “how”. All administrative policies and procedures must align with the above authorities. Staff responds to the needs of all the stakeholders, employers, government, the public and most importantly the members within the context of Council policy.

The College website is a wonderful resource for information. You may want to explore more on this topic and encourage others around you to do the same, please go to www.acmdtt.com.


Call for Volunteers

Call for Awards Committee Member

The College is looking for one member to sit on the Awards Committee beginning September 1, 2016.

This Committee is responsible to:

  • Review submitted award nomination forms and evaluate based on set criteria and questions
  • Undergo discussion with the committee members, when applicable, regarding award delegationIf you are interested in this opportunity please forward your information to:

Dacia Richmond, Director of Education, drichmond@acmdtt.com

Please respond by August 15, 2016

Call for Competence Committee Members

The College is seeking three full members to volunteer on the Competence Committee. The term of office is three years, beginning September 1, 2016.

This Committee is responsible to:

  • monitor that individual registered members comply with the requirements of the Continuing Competence Program
  • monitor the components of the Continuing Competence Program in order to accurately reflect current needs to enhance the provision of professional services

Member qualifications:

  • you must be a regulated member of the College
  • you must be able to travel to Edmonton for meetings held on work days up to two times a year

If you are interested in this opportunity, or have further questions, please contact:

Dacia Richmond, Director of Education, drichmond@acmdtt.com

Please respond by August 15, 2016.

Notice from Competence Committee

The Competence Committee is the group of members who have volunteered with the College to oversee the Continuing Competence Program (CCP).

My CCP

The committee would like to remind you that all members are required to complete their CCP online through the My CCP link. All documents online mimic the previous paper versions so filling them in should be fairly straightforward.  All information that you enter online is kept secure on servers in Canada and will be kept from year to year.

Remember to login, members may access this from the home page of the College’s website through the portal called My CCP.  Your username is your ACMDTT registration number and your password is defaulted to your last name.  Once you are logged in, please change your password so that your CCP remains confidential.  As a reminder, the College has no access to the CCP records kept on this site.

CCP Audit

There will be a CCP audit this fall. This audit is for the September 1, 2015 – August 31, 2016 CCP cycle.  In the audit, the Competence Committee will look at the following documentation:

  • Self-assessment of Practice
  • Personal Learning Plan
  • Records of CCP Activities
  • Summary of Activities

College staff has distributed the notification letters by email to those members who were randomly selected for this audit.

Should you have any questions about the CCP, please contact Dacia Richmond, Director of Education at drichmond@acmdtt.com or via phone: 1.800.282.2165 ext. 226.

Deciding Factor

Sam is a radiological technologist working in a CT suite where contrast media is being administered on a daily basis as part of the exam protocols. In case of a patient’s anaphylactic reaction to the contrast, the department has supplied epi-pens for administration.

Questions to be asked:

  • Is it within Sam’s scope of practice to administer the epinephrine in an emergency?

 

The administration of medications, including epinephrine, is considered a restricted activity according to the Alberta Government Organization Act.  Regulated health professionals in Alberta must be authorized by their College to perform these restricted activities. If Sam is working as a radiological technologist and is required to administer any type of medication, he must have the medication administration authorization on his practice permit.  If Sam does not have this authorization, it is not within his scope to administer it.

  • What must Sam do to be able to administer this antidote?

 

Sam must complete a program of studies, approved by the College Council, which will give him the knowledge, skills and judgements in order to perform this restricted activity safely, competently and ethically. Once the approved program is completed, Sam must apply to the College for this authorization.  Once his application has been approved by the Registrar, and it is listed on his practice permit, he may administer this medication independently as part of his practice.

  • What Standards of Practice apply to this scenario?
    Here are a few indicators which apply to this situation from a regulatory perspective:

 

  • Indicator 1.2g – monitor the patient during the procedure and take appropriate action when required
  • Indicator 2.1c – perform restricted activities only as authorized according to the regulations of the College
  • Indicator 2.3a – perform only those restricted activities for which he or she has the required competence and current authorization
  • Indicator 2.3d – understand the risks associated with performing the restricted activity and ensure that measures are in place to manage any critical or unexpected events associated with performing it

New Scenario – June 2016

Jennifer is a nuclear medicine technologist who works in a busy department in one of Alberta’s trauma centres. She has received a requisition to perform a bone scan on a 14 year old girl in follow up to osteomyelitis.  A bone scan was performed just last week in a department across town.  Jennifer is wondering if this is an appropriate scan to perform.

Questions to be asked:

  • What is Jennifer’s professional responsibility in this case?
  • Should Jennifer perform the repeat bone scan?
  • What Standards of Practice apply to this scenario?

HPA Amendments

Effective May 27, 2016 the Health Professions Act (HPA) has been amended with two key changes impacting the ACMDTT:

  1. Diagnostic Medical Sonographers (DMS) will be regulated through the ACMDTT.

We are very pleased to broaden the ACMDTT umbrella to include our diagnostic imaging colleagues. ACMDTT is a natural fit for regulating DMS based on the consistencies and parallels already present with our MRT and ENP specialties. Regulation of DMS and mandatory registration can take place only after Alberta Health has amended the Medical Diagnostic and Therapeutic Technologists Profession Regulation. While it is difficult to anticipate how long this might take, it has taken approximately two years for other professions in the past.

  1. The Practice Statement embodying what MRTs and ENPs do in their practice has been updated.

Previously the practice statement was focused on the technical aspects of the practice (sufficiency of images and restricted activities) but did not reflect the clinical judgement that is fundamental in providing safe and competent diagnostic and therapeutic care for patients. The practice statement now recognizes the assessment of the patient that is integral to the practice of the profession.

Changes are provided in red font in the gray box below. These changes are not expected to have any significant impact on your current practice, please contact the College at info@acmdtt.com with any questions or concerns.

 HEALTH PROFESSIONS ACT

Schedule 12 Chapter H-7

(Changes are presented in red)

3 (1) In their practice, medical diagnostic and therapeutic technologists do one or more of the following:

(a)   apply ionizing radiation, non-ionizing radiation and other forms of energy to produce diagnostic images,

(b)   evaluate the technical sufficiency of the images

(c) use ionizing radiation, non-ionizing radiation and other forms of energy for treatment purposes,

(d) teach, manage and conduct research in the science, techniques and practice of medical diagnostic and therapeutic  technology, and

(e) assess the medical condition and needs of patients before, during and after the procedure, and

(f) provide restricted activities authorized by the regulations.

   (2) In their professional practice, electroneurophysiology technologists do one or more of the following:

(a) use sensitive electronic equipment to record and evaluate the electrical activity of patients’ central and peripheral nervous systems to assist physicians, surgeons and other health professionals in diagnosing diseases, injuries and abnormalities;

(b) evaluate the technical sufficiency of the recordings

(c) teach, manage and conduct research in the science, techniques and practice of electroneurophysiology;

(d) assess the medical condition and needs of patients before, during and after the procedure, and

(e) provide restricted activities authorized by the regulations.


CONSIDERATION FOR ABOVE CHANGES

Change Rationale for change
Adding “non-ionizing radiation”. Both ultrasound imaging and magnetic resonance imaging utilize non-ionizing radiation.
Adding “assess the medical condition and needs of patients before, during and after the procedure”.

 

We interpret the word “assess” as the act of making a judgment about someone or something. The practice statement was focused on the technical aspects of the practice (sufficiency of images and restricted activities) but did not reflect the assessment of the patient that is integral to the practice of the profession.

We believe that the addition of this language is appropriate for all of the modalities that will be included within Schedule 12.

Members are educationally prepared to provide assessment before, during and after a procedure as a principle of expectation of practice through the competency profiles.

The Standards of Practice represent the expected minimum level of performance for members and reflect delivery of high quality, effective, safe and ethical care to patients. These Standards are mandatory for all members of the College across all contexts of professional practice. Standards of Practice Area 1.0 Provision of Patient Care/Services clearly provide an expectation of assessment.

Adding (ENP only) ‘evaluate the technical sufficiency of the recordings’ This is reflective of current ENP practice, similar to those of MRT as provided in the practice statement.

Congratulations to each and every one in our medical diagnostic and therapeutic community! These are exciting and powerful changes reflective of the significant role we play in Alberta’s health system.

Regulation 101

Why do we have a Continuing Competence Program and Audit?

The Health Professions Act states that the Council of a College must establish a Continuing Competence Program (CCP) that provides for regulated members to maintain competence and enhances the provision of professional services. The details of the CCP are described within the Medical Diagnostic and Therapeutic Technologists Profession Regulation and further delineated within Council policy.

As per the regulations, a regulated member must complete a CCP in a form satisfactory to the Competence Committee. The Competence Committee is a group of regulated members who have volunteered to sit on the committee and oversee both the maintenance and monitoring of the CCP.

Council has further mandated, in policy, that the Competence Committee will select up to 20% of the general membership for evaluation of their CCP on an annual basis. This year’s audit selected 10% of the membership for a total of 231 regulated members being selected.  The audit will be completed by the Competence Committee in a face-to-face meeting taking place in mid-October.

Profile Review…have you done yours?

Creating the national picture of our profession begins with you …….

  • Please, by July 31, 2016, review your member profile to ensure it is current and accurate. To access your member profile, go to www.acmdtt.com and click on ‘my profile’. Log in using your user ID or ACMDTT registration number and password.

 

  • Regulations require that your contact information, address and current employer information is up-to-date. Please edit these areas as required and if you have any difficulties making changes, please contact the office by email or phone (toll-free 1.800.282.2165 in AB) for assistance.
  • If you have earned a specialty certificate in your practice, please email or fax a copy of it to the College. Specialty certificates may include bone mineral densitometry, dosimetry, breast imaging, CT or another area of practice. Technologists in Alberta holding specialty certificates are not being accurately represented in national statistics. We want to ensure that this is reflected accurately for our members.

Participation in Canada-wide data collection

The College, along with all the other provincial organizations in Canada, supports a database that assists health human resources planning that supports an integrated healthcare delivery system. The only way to do that is to have a full understanding of the scope of diagnostic imaging services. This work is achieved through the Canadian Institute for Health Information (CIHI).

CIHI was created in 1994 as an independent, not-for-profit organization to provide data and analysis on Canada’s health system and the health of Canadians.

As encapsulated in CIHI vision statement, we are working towards – Better data. Better decisions. Healthier Canadians.

Where does the data come from?

It was realized that there was very little standardized national data on health professionals in Canada, except for physicians and regulated nursing professions. In 2005, CIHI received funding from Health Canada to expand its work to five more professions to address this gap, thereby enabling CIHI to create a medical radiation technologist database (MRTDB).

At this time, CIHI gathers and reports supply-based information for 27 groups of health professionals in Canada. Information on counts, practice settings, regulatory environments and trends in supply, demographics and education are collected.

What is the data used for?

The data is used by healthcare planners, decision makers, policy makers and researchers. It helps determine what’s driving healthcare costs, allocating resources, redesigning services and dealing with progressively complex care needs such as preparing for the impact of an aging population and taking policy level decisions about the healthcare system.

Some examples from CIHI’s analysis of the pan-Canadian data collected in 2011 are:

Supply and Demographics

  • Canada had 17,674 registered MRTs in the workforce
  • There were 53 MRTs per 100,000 population (for all provinces combined except BC)
  • The majority of MRTs were female, representing approximately 80% of the registered workforce
  • The average age of the MRT workforce was 42; approximately 32% of MRTs were younger than 35 and approximately 16% were older than 55

Education and Certification

  • The percentage of recently graduated MRTs was 7.2% overall
  • Most MRTs obtained their initial certification in radiological technology (74.9%), while a smaller proportion obtained radiation therapy (11.6%) or nuclear medicine (10.2%) initial certifications

Primary Employment

  • Most MRTs (80.7%) were staff technologists. The remaining MRTs were managers (2.5%), supervisors (2.5%), charge technologists/team leaders (6.1%), radiation safety officers (0.2%), educators (2.5%) or held other positions (3.3%)
  • More than three-quarters (76.4%) of MRTs worked in a hospital setting, ranging from 55.2% in Alberta to 96.0% in New Brunswick, reflecting different organizational structures and unique ways of delivering medical imaging services across the jurisdictions. More than one-tenth (13.4%) of MRTs worked in a free-standing imaging facility/clinic, while 3.9% worked in a cancer care centre.

How am I a part of this bigger data pool of MRTs?

You provide this data through the membership renewal process. In addition to mandatory questions, you are asked some voluntary questions such as:

  • What is your current position (e.g., staff technologist, manager, sales)?
  • What additional certifications have you received after graduating as an MRT (e.g., specialty certificates, diagnostic medical sonography)?
  • Have you completed additional formal education (e.g., health administration, business management, education or marketing)?
  • Are you currently employed as an MRT and is this a part-time or a full-time position?
  • In which areas of medical radiation technology do you practice (e.g., bone mineral densitometry, SPECT/CT, breast imaging, brachytherapy)?On August 31 of each year, responses to these questions are provided to CIHI in a de-identified format to form a databank; this means that you are not identified when the information is submitted. Although information provided by ENP members is essential to provincial level data, it is not used by CIHI at this time.  

Branch News

Peace Country Branch

Branch Chairs: Tunde Bodi, MRT(R), PeaceCountryMRTb@outlook.com

As you may have noticed, the Branch is now being represented by one Chair – Tunde Bodi who works at the Northern Lights Regional Health Centre in Fort McMurray. The Branch Vice Chair, Nancy Babineau, is centred in Grande Prairie which will help the Branch offer more accessible events in both centres.

The Branch is in need of volunteers! Anyone who would like to help out with the Branch, we would love to hear from you. Please email us at the email address above.

Next Meeting: June 22 @ 4:15 pm, QE II Hospital – DI Conference Room

Edmonton Branch

Branch Chair: Kathy Dudycz, MRT(R) (kdudycz@hotmail.com)

Edmonton Branch executive met on May 27 to conduct year end business and to commence planning for Education Day. The Ed Day is scheduled for October 22, 2016 at Robbins Pavilion located at Royal Alexandra Hospital.

We have had a change on the executive and the Branch would like to take this opportunity to thank Colleen McHugh, MRT(R) for her work and dedication as Education Chair for the last two years. Colleen did an excellent job by collaborating with the department of Radiology at UAH to secure speakers for our spring and fall memberships meetings.

As of July 2016, Krystal Wall will assume the role of Education Chair and we all look forward to working with her.

Have a wonderful and safe summer everyone!

Education Day: October 22, 2016, Royal Alexandra Hospital – Robbins Pavilion

Parkland Branch

Branch Chair: Jeff Christenson, MRT(R) (Jeff.Christenson@albertahealthservices.ca)

Next Meeting: TBA

Calgary Branch

Branch Chair: Chantal McGeough, MRT(MR) (chantal.mcgeough@albertahealthservices.ca)

The Branch would like to thank Chantal for the effort and dedication that she has given as Branch Chair over the past few years. Effective July 1, 2016, Gina McRae, MRT(R) will begin her second term as your Branch Chair.

Next Meeting: TBA

Southern Alberta Branch

Branch Chair: Kaitlyn Svistovski, MRT(T) (kaitlyn.svistovski@albertahealthservices.ca)

Next Meeting: TBA

ENP Branch

Branch Chair: Angie Sarnelli, ENP (sarnelli@ualberta.ca)

Next Meeting: TBA

Did you Know?

  • Congratulations to Wendy Read, MRT(T) who was presented CAMRT Fellowship at the 2016 CAMRT conference in Halifax. Wendy’s fellowship project centred on aspects of patient care within in the Alberta Ocular Brachytherapy Program using the outcomes to improve the patient’s experience in the future.
  • CCP Audit notifications were sent by email only this year. Please check your inbox and junk folder to see if you were randomly selected for an audit of your CCP for the cycle September 1, 2015 – August 31, 2016.
  • Medical Imaging began with radiography after the discovery of x-rays in 1895 by Wilhelm Röentgen, a German professor of physics.
  • College Regulations stipulate that all applicants applying for registration as a regulated member must provide evidence of having the professional liability insurance (PLI) required by the Council.
  • PLI provides protection against claims made alleging liability resulting from the rendering or failure to render professional services.

President’s Message – June 2016

The ACMDTT/AHS Annual Conference was held on April 8 & 9, 2016 at the Edmonton Marriott at River Cree Resort in Edmonton AB. The conference hosted 407 delegates at an event that saw speakers, volunteers, sponsors and delegates come together to share knowledge, exchange ideas, reconnect with old colleagues and meet new ones. Complementing the two keynote speakers were over 37 sessions offering attendees a wide range of content corresponding to the theme “moving forward together – leaders in diagnostic and therapeutic healthcare”. Runell Viray, MRT(R), was selected to deliver this year’s George C. Hall Address. His presentation on “Leadership” was a great contribution to our conference. In addition, the accomplishments of 19 students and members were honored though the presentation of awards at the annual award luncheon.

The ACMDTT is pleased to announce that the Health Professions Act has been amended to include diagnostic medical sonographers under the college umbrella. Regulation of DMS/mandatory registration can take place only after Alberta Health has updated the Medical Diagnostic and Therapeutic Technologists Profession Regulation. These are exciting and important changes reflective of the significant role we play in Alberta’s health system.

Kathy Hilsenteger, will be retiring on June 30, 2016. This event marks a successful career of almost 40 years in medical radiation technology; during the last 13 years she has fulfilled the duties of CEO/Registrar and Complaints Director of the Alberta College of Medical Diagnostic and Therapeutic Technologists. The College extends its sincere appreciation to Kathy for her contributions and dedication to the College and to the medical radiation technology professions. We wish her well in her new stage of life.

Council has been extremely busy following and implementing the CEO Succession Plan, as outlined in our governance process and Bylaws, in preparing to hire a new CEO/Registrar. Council retained the services of the HR firm, Pekarsky & Co in April to conduct the search. More details about the position can be found on their website: http://pekarskyco.com/jobs/ceoregistrar-wr-253/

Lastly, I would like to recognize Cindy Humphries, MRT(R) and Nancy Belley, MRT(MR) for their contributions during their terms on Council. We will miss their enthusiasm, experience and energy. Moving forward, we would like to welcome our newest Council members Krystal Wall, MRT(R); Christine van Schagen, MRT(R); and Jennifer DiNucci, MRT(MR). We will gather in September for our first face-to-face meeting of the year.

Lots of new and exciting changes in the near future!

Kelly Sampson, MRT(T)
Council President