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 29 Colleges named in this legislation, a complete listing is available here. The HPA requires all these Colleges to have a public register of its members; manage entry-to-practice for the profession (s); 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 was amended to provide that diagnostic medical sonographers (DMS) be regulated through the ACMDTT.

Medical Diagnostic and Therapeutic Technologists Profession Regulation 

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 Profession Regulation (Regulations) provide the specific details on registration requirements, restricted activity authorization, complaint resolution and continuing competence for our members.

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.


Next we have our organizational Bylaws which describe our operating framework.

Here the organization has outlined such things as membership categories, Council responsibilities, nomination and election of officers, voting and membership meetings, setting of membership fees, dues and special assessments.


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 direction of the organization and to monitor its organizational performance.

Chief Executive Officer

The Chief Executive Officer (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.

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