Can RMTs provide Acupuncture in the context of Massage Therapy treatment?
CMTO supports the use of acupuncture as a modality if registrants are authorized by CMTO to perform acupuncture, and this modality is performed within the Massage Therapy Scope of Practice and in accordance with Acupuncture Standard of Practice.
All registrants authorized to perform acupuncture are listed on CMTO’s Acupuncture Roster, accessible through the existing public register.
All registrants practising acupuncture must meet CMTO’s Acupuncture Standard of Practice. As part of this, registrants must first complete an acupuncture program that provides them with the entry-level acupuncture practice competencies as set out in CMTO’s Acupuncture Practice Competencies and Performance Indicators (APC/PIs). The APC/PIs state the learning outcomes that must be provided by acupuncture education programs to enable their inclusion by CMTO in the list of “Confirmed Acupuncture Education Programs.”
Once the registrant has successfully completed the Confirmed Acupuncture Education Program, they must then arrange for the program to submit documentation directly to CMTO confirming their successful completion of the program. In addition, the registrant must complete the online application and declaration process, attesting that they:
- Will practise acupuncture within the Scope of Practice of Massage Therapy;
- Have read, understood and will practise in accordance with Standards of Practice, Standard of Practice for Acupuncture, APCs/PIs and all regulations;
- Have the knowledge, skill and judgment to safely perform acupuncture; and
- Possess the professional liability insurance required to perform acupuncture.
How do I find out if using a particular technique, modality or tool is within the Scope of Practice of Massage Therapy?
RMTs can incorporate modalities, techniques or tools into their practice as long as the reason for doing so is suitable to the Scope of Practice for Massage Therapy; and, as long as the modality, technique or tool can be applied in a manner that is compliant with CMTO’s Standards of Practice.
For reference, please find the Scope of Practice statement and Standards of Practice here.
The Scope of Practice for Massage Therapy establishes a description of what Massage Therapy treatment ‘is’ and what it ‘does’. While the Standards of Practice establish how Massage Therapy treatment should be ‘applied’.
When considering the use of a new technique, modality or tool, RMTs must consider whether the application of the new technique, modality or tool:
- Is appropriate to apply according to the ethical principles established by CMTO’s Code of Ethics;
- Supports the assessment and treatment of the soft tissues and joints of the body;
- Promotes the prevention of physical dysfunction of the soft tissue and joints;
- Helps to develop, maintain, rehabilitate or augment physical function, or relieve pain; and
- Can be applied in a manner that is full compliant with the Standards of Practice for Massage Therapy.
In cases where the use of a technique, modality or tool is not suitable to the Scope of Practice for Massage Therapy; or, where the application of the technique, modality or tool cannot be applied in a manner that is compliant with Standards of Practice, RMTs must refrain from integrating it into a Massage Therapy treatment.
RMTs are also not permitted to incorporate modalities, techniques or tools that include engaging in Controlled Acts as established by Section 27 (2) A of the Regulated Health Professions Act, 1991 without authorization from CMTO.