CMTBC definitions, scope of practice, code of ethics Flashcards

1
Q

act

A

“Act” means the Health Professions Act;

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2
Q

appointed board member

A

“Appointed Board Member” means a person appointed to the Board under section 17 (3) (b) of the Act;

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3
Q

board

A

“Board” means the board for the College;

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4
Q

board election

A

“Board Election” means an election under section 17 (3) (a) of the Act;

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5
Q

board member

A

“Board Member” means an Elected Board Member or an Appointed Board Member;

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6
Q

chair

A

“Chair” means the chair of the Board elected under section 10;

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7
Q

code of ethics

A

“Code of Ethics” means the Code of Ethics established by the Board under section 19 (1) (l) of the Act;

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8
Q

college

A

“College” means the College of Massage Therapists of British Columbia;

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9
Q

deputy registrar

A

“Deputy Registrar” means a deputy registrar for the College;

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10
Q

elected board member

A

“Elected Board Member” means a Registrant elected to the Board under section 17 (3) (a) of the Act or appointed to the Board under section 8;

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11
Q

examiner

A

“Examiner” means a Registrant or other person designated by the Registration Committee to conduct or oversee a Registration Examination;

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12
Q

good standing

A

“Good Standing”, in respect of a Registrant, means

the Registrant’s registration as a member of the College is not suspended under the Act, and
no limits or conditions are imposed on the Registrant’s practice under section 20, 32.2, 32.3, 33, 35, 36, 37.1, 38 or 39 of the Act;

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13
Q

licensed practitioner

A

“Licensed Practitioner” means a health care practitioner who is registered or licensed to practice in BC pursuant to the Act or another health care profession statute, and includes but is not limited to another Registrant, a medical practitioner, a naturopathic doctor, a chiropractor, a physical therapist or an acupuncturist;

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14
Q

another Registrant, a medical practitioner, a naturopathic doctor, a chiropractor, a physical therapist or an acupuncturist;

A

licensed practitioner

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15
Q

massage therapy

A

“massage therapy” has the meaning prescribed under section 1 of the Regulation;

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16
Q

non-practising registrant

A

“Non-practising Registrant” means a Registrant who is registered under section 48 and who

is not currently authorized to practice as a registered massage therapist, and

has made a solemn declaration that he or she will not practice massage therapy in British Columbia;

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17
Q

personal information

A

“Personal Information” means “personal information” as defined in section 1 of the Personal Information Protection Act;

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18
Q

practising registrant

A

“Practising Registrant” means a Registrant who is registered under section 47.1 and who is currently authorized to practice as a registered massage therapist;

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19
Q

prior learning assessment

A

“Prior Learning Assessment” means a process of credential assessment and written and practical examinations that is conducted by or on behalf of the College to assess and evaluate whether a person’s knowledge, skills and abilities are substantially equivalent to those obtained through graduation from a Recognized Education Program;

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20
Q

public representative

A

“Public Representative” means a person who

is not a Registrant or former Registrant, and
has no close family or business relationship with a Registrant or former Registrant,

and includes an Appointed Board Member;

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21
Q

recognized Canadian jurisdiction

A

“Recognized Canadian Jurisdiction” means

New Brunswick,
Newfoundland and Labrador,
Ontario, or
Prince Edward Island;

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22
Q

regulated in which provinces? not regulated in which?

A

BC, Ontario
NFL, PEI, New Brunswick

NOT REGULATED:
NOVA SCOTIA, MB, SK, AB
(but regulation being pursued)

not regulated:
Qc, Yukon, Nunavut, NWT

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23
Q

recognized education program

A

“Recognized Education Program” means a massage therapy education program that has been recognized by the Board as meeting the College’s entry-to-practice requirements and is listed in Schedule “A”;

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24
Q

registrant

A

“Registrant” means a person who is granted registration as a member of the College;

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25
Q

registrar

A

“Registrar” means the registrar for the College;

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26
Q

registration examination

A

“Registration Examination” means an examination or portion thereof required under section 47.1 (1), 54 (3) or 54 (4);

27
Q

regulation

A

“Regulation” means the Massage Therapists Regulation, B.C. Reg. 280/2008;

28
Q

respondent

A

“Respondent” means a Registrant or former Registrant named in a citation under section 37 of the Act;

29
Q

special resolution

A

“Special Resolution” means a resolution which requires a ¾ vote of those persons in attendance and eligible to vote at a meeting;

30
Q

vice chair

A

“Vice-Chair” means the vice-chair of the Board elected under section 11.

31
Q

SCOPE OF PRACTICE

A

.

32
Q

The following activities are not within the scope of practice for RMTs:

A

Shockwave therapy
Induction of labour
Internal pelvic floor work
Group classes (including fitness, yoga, and Pilates)
One on one personal training, yoga, and Pilates sessions
Forms of light therapy, including low level laser therapy or low intensity laser therapy
Psychological counselling or talk therapy or life coaching
Reiki
Energy-based modalities
Cupping, of any kind
Ashiatsu, Thai-Mashiatsu/Mashing, Ki-Hara, and other techniques or modalities that involve the use of the practitioner’s feet to apply pressure to a patient’s body
Treatment of animals
Use of cannabis, cannabis oil, and CBD in treatment
Aromatherapy
Acupuncture and dry needling
Use of an “activator”
Nutritional advice (including supplements)
Essential oils

33
Q

again – NOT allowed

A

Essential oils

Nutritional advice (including supplements)

Aromatherapy

Treatment of animals

Cupping, of any kind

Psychological counselling or talk therapy or life coaching

Forms of light therapy, including low level laser therapy or low intensity laser therapy

One on one personal training, yoga, and Pilates sessions

Shockwave therapy

Internal pelvic floor work

34
Q

RMTs also may NOT

A

prescribe or administer drugs or anaesthetics,

treat a recent fracture of a bone,

apply any form of medical electricity, or

move a joint of the spine beyond the limits the body can voluntarily achieve using a high velocity, low amplitude thrust.

35
Q

massage therapy … services of …

A

a. assessment of soft tissue and joints of the body, and

b. treatment and prevention of physical dysfunction, injury, pain and disorders of soft tissue and joints of the body by manipulation, mobilization and other manual methods.

36
Q

Scope of Practice (Standards of Practice)

Purpose

A

Practice standards define the minimum level of expected performance for registered massage therapists, and therefore define what constitutes safe, ethical, and competent delivery of care by RMTs.

RMTs are responsible for exercising their professional judgment to apply the standards to the situations that they face in practice.

37
Q

Scope of practice define

A

“Scope of practice” means the activities that registered massage therapists (RMTs) are educated and authorized to perform, this definition being established through the legislated definition of “massage therapy” in section 1 of the Massage Therapists Regulation (the “Regulation”).

38
Q

Requirements (Scope of Practice) (1-3)

A

“Scope of practice” means the activities that registered massage therapists (RMTs) are educated and authorized to perform, this definition being established through the legislated definition of “massage therapy” in section 1 of the Massage Therapists Regulation (the “Regulation”).

An RMT practices within the scope of practice for RMTs in BC, as defined by the Regulation (including the limits and conditions set out in the Regulation) and as interpreted by CMTBC in Notices to the Profession (see Application to Practice section of this standard).

When considering whether to incorporate a massage therapy service within their massage therapy practice, an RMT must:
take all reasonable steps to determine that the massage therapy service is within the scope of practice for RMTs in BC; and
ensure they have sufficient training and knowledge to perform the massage therapy service safely and effectively.

39
Q

Requirements (Scope of Practice) (4-6)

A

An RMT may provide non-manual therapy services only when done so as an adjunct to care.

An RMT does not, in performing massage therapy services, put a finger, hand, or instrument beyond a patient’s anal verge or labia majora.

An RMT who is also a licensed health care professional with another college which regulates a profession other than massage therapy (a “dual-registered RMT”) ensures that there is a clear separation between the health professions the dual-registered RMT practices, including by:
clearly communicating to the patient when the dual-registered RMT is or is not providing massage therapy services;
practicing within the scope of practice for an RMT in BC when providing massage therapy services, including with respect to intake, assessment, treatment and recommendation of home care; and.
keeping separate health care records for each of the health professions.

40
Q

Requirements (Scope of Practice) (7)

A

An RMT who is also trained to provide a service that falls outside the scope of practice for an RMT in BC ensures that there is a clear separation between the RMT’s massage therapy services and the non-massage therapy service, including by:
ensuring that the non-massage therapy service is not linked to or associated with the RMT’s massage therapy practice or status as a registrant of CMTBC;
practicing within the scope of practice for an RMT in BC when providing massage therapy services, including with respect to intake, assessment, treatment and recommendation of home care;
refraining from discussing the non-massage therapy service when providing massage therapy services;
refraining from discussing massage therapy services when providing the non-massage therapy service; and
keeping separate health care records for the massage therapy services provided from the non-massage therapy service provided.

41
Q

Requirements (Scope of Practice) (8)

A

An RMT issues invoices and receipts for massage therapy which:
include the RMT’s CMTBC registration number;
identify the RMT by only those professional titles reserved to registrants of CMTBC under the Act and Regulation, and no other occupational titles or designations (see Application to Practice section of this standard); and
describe the service provided only as “massage therapy”.

42
Q

appendix (scope of practise)

A

.

43
Q

medical electricity

A

Medical electricity: any device that introduces electricity into the human body, whether directly or indirectly through the dermis or other external surface, and includes ultrasound, forms of light therapy, including low level laser therapy or low intensity laser therapy, and TENS devices.

44
Q

licensed health care professional

A

Licensed health care professional: a health care practitioner who is registered or licensed to practice in BC pursuant to the Act or another health care profession statute, and includes but is not limited to another Registrant, a medical practitioner, a naturopathic doctor, a chiropractor, a physical therapist or an acupuncturist.

45
Q

massage therapy services

A

Massage therapy services: includes but is not limited to assessment, patient education, manual therapy techniques including manipulation, mobilization and other manual methods, and non-manual therapy services when done as an adjunct to care.

46
Q

non-manual therapy services

A

Non-Manual Therapy Services: includes but is not limited to providing one-on-one therapeutic exercise instruction for the purpose of homecare and the use of hydrotherapy.

47
Q

adjunct to care

A

Adjunct to care: non-manual therapy services that are provided in combination with massage therapy services to support the agreed upon treatment plan and increase the efficacy or safety of the massage therapy services.

48
Q

non-massage therapy services

A

Non-Massage Therapy service: a service that falls outside an RMTs scope of practice, including but not limited to psychological counselling or talk therapy, life coaching, energy-based modalities, Reiki, treatment of animals and nutritional advice (including supplements).

49
Q

code of ethics defined

A

The Code of Ethics outlines the expectations for ethical massage therapy practice.

When faced with an ethical dilemma, massage therapists are responsible for exercising their professional judgment in accordance with their duties under this code.

50
Q

definitions in code of ethics

A

.

51
Q

“CMTBC”

A

“CMTBC” means the College of Massage Therapists of British Columbia;

52
Q

conflict of interest

A

“conflict of interest” means a situation in which:

an RMT’s personal interest, or
an interest of any person related to or closely associated with an RMT,
may affect or influence, or reasonably be perceived to affect or influence, an RMT’s clinical treatment of a patient;

53
Q

“RMT”

A

“RMT” means a registrant of CMTBC, whether practising or non-practising;

54
Q

“sexual misconduct”

A

“sexual misconduct” means:

any form of consensual or non-consensual physical contact of a sexual nature between an RMT and a patient, whether or not this occurs in the course of treatment,

touching of a sexual nature, of a patient by an RMT, in the course of providing massage therapy,

behaviour or remarks of a sexual nature by an RMT towards a patient, or

conduct by the RMT that sexualizes the treatment environment.

55
Q

Ethical Duties of RMTs

A

.

56
Q

Ethical duties (general)

A

An RMT must:

General

  1. Act in the best interest of the patient.
  2. Recognize and disclose any conflicts of interest that arise in the therapeutic relationship and resolve them in the patient’s best interest.
  3. Treat the patient with respect and uphold the patient’s dignity.
  4. Refrain from any involvement, direct or indirect, in fraudulent billing activities.
  5. Be aware of and comply with all legal and professional requirements that apply to practice, including CMTBC’s standards of practice.
  6. Be aware of and comply with BC’s Human Rights Code.
57
Q

Ethical duties (treatment)

A

An RMT must:

  1. Recommend or deliver only treatment that can reasonably be expected to provide a benefit to the patient’s health.
  2. Refrain from providing unqualified statements or assurances about the therapeutic benefit that a patient will experience as a result of treatment.
58
Q

ethical duties (competancy)

A
  1. Practice competently and within the limits of the RMT’s knowledge and skills.
  2. Continue to develop competence throughout the RMT’s career in practice.
  3. Recognize one’s own personal and practice limitations.
  4. Request consultation or refer a patient to colleagues or to other health care professionals when such actions are in the best interest of the patient.
59
Q

ethical duties (privacy and confidentiality)

A

an RMT must:

  1. Be aware of and comply with all applicable laws and CMTBC standards regarding the collection, use, disclosure and access to patients’ personal information.
  2. Refrain from health care discussions, including in person, public or virtual conversations, that either directly or indirectly reveal confidential or identifying information about a patient (except with the patient’s express consent) or that are disrespectful to a patient, a patient’s family member, or a patient’s caregiver.
60
Q

ethical duties (sexual misconduct)

A

an RMT must:

  1. Refrain from engaging in sexual misconduct with a patient.
61
Q

ethical duties (terminating the therapeutic relationship)

A

an RMT must:

  1. Continue to treat patients until:

therapy is no longer indicated or wanted,

another health care professional has assumed primary care responsibility, or

written notice of the intended termination has been provided to the patient.

  1. Despite section 16, an RMT may immediately terminate the therapeutic relationship with any patient who:

sexualizes or attempts to sexualize the treatment or environment,

directly or indirectly acts in a discriminatory manner, and/or

harasses, abuses, or threatens the RMT, or otherwise engages in
behaviour that places the RMT at risk of harm.

62
Q

ethical duties (professional)

A

an RMT must:

  1. Recognize that professional regulation is a privilege and that each RMT has a continuing responsibility to uphold the honour, dignity and credibility of the profession.
  2. Respond to any inquiries, requests and directions from the College in a professional, responsive and timely manner.
  3. Conduct oneself in a manner as to merit the respect of society for the profession, RMTs, and other health care professionals.
  4. Collaborate with other health care professionals when appropriate.
  5. Protect and maintain personal and professional integrity.
  6. Be aware of one’s own mental, physical and emotional fitness to practice, and refrain from practicing when that fitness is impaired for any reason.
  7. Seek appropriate assistance for personal problems that may adversely impact one’s ability to fulfill the ethical duties set out in this Code.
63
Q
A