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.