Quality Assurance Program Consultation

CMTO has undertaken a number of consultations while developing the new Quality Assurance Program.

    1) Consultation: CMTO Quality Assurance System Feedback
         (Online Survey – October to December 2018)

To monitor registrant participation in, and compliance with, the Quality Assurance Program, CMTO will use a customized online Learning Management System. Designed as a tool to record and submit completion of program requirements, all registrants were invited to provide feedback related to the functionality of the proposed Self-Assessment and the Action-Learning Plan.

Consultation Summary:
Responses were received from approximately 200 registrants. Positive feedback was provided that indicated the Learning Management System will be a helpful tool for registrants. Comments were also shared that suggested additional guidance on the program requirements, an update on the revised components and timelines for submission, are both necessary and important to support registrant success.

    2) Consultation: Changes to Proposed Self-Assessment Tool
         (Online Survey – June 2018)

After considering feedback received from registrants, CMTO made changes to the proposed Self-Assessment. An online survey was circulated to all registrants with a request to provide further comment on revised content.

Consultation Summary
Based on prior feedback, more than 80% of registrants who responded to the survey indicated neutral to high level support for changes made to the Self-Assessment. Comments and suggestions received will be considered during stages of further development.

    3) Consultation: Framework and Essential Competencies
         (Focus Groups – March 2018)

CMTO held eight focus groups (in-person and online sessions) throughout Ontario, engaging a total of 83 participants in a discussion focused on the proposed framework and Essential Competencies for the new Quality Assurance Program.

Consultation Summary
During the sessions, participants demonstrated a clear excitement for change. Comments were also shared that suggested the existing Quality Assurance Program, which requires completion of Continuing Education Units (CEUs), is costly, time consuming, restrictive and limits applicability to the practitioner and/or the practice of Massage Therapy.
Focus group participants also provided support for:

• a performance-based program that includes 15 Essential Competencies with suggestions for changes to proposed phrasing and language;
• learning to continue throughout the career-span, with the nature of learning taking different paths and forms;
• the proposed framework allowing for flexibility and an increased ability for RMTs to select learning activities that are of interest and relevance to clients;
• the Self-Assessment tool being cumulative to ensure ratings from previous years would be available;
• introducing a mentorship model within the peer assessment process that includes a review of the Self-Assessment tool.

Participants did not express a preference for any one of the two proposed rating scales for the new Self-Assessment tool.

    4) Consultation: Framework and Essential Competencies
         (Online Survey – February 2018)

CMTO circulated a short video describing the proposed framework and Essential Competencies (ECs) for the new Quality Assurance Program. Registrants were invited to respond to the survey question “I support this approach to the new Quality Assurance Program” and provide feedback.

Consultation Summary
More than 2100 registrants responded to the survey question and provided additional comments. Overall, almost half of the respondents indicated that they agreed with the proposed approach.

CMTO proposed 14 Essential Competencies. Registrants were asked to score each Essential Competency on a scale of 1 to 100, linking the importance of each behaviour/competency for the practice of Massage Therapy.

Results demonstrated that the proposed 14 Essential Competencies align with important aspects of Massage Therapy practice with eight competencies scoring between 91 and 95, and six competencies scoring between 84 and 89 in “importance”.

Feedback provided also indicated a need for an additional competency to capture applying principles of sensitive practice which include behaviours of maintaining therapeutic boundaries, active observation and response to client’s emotional reactions, transference and counter-transference, and the prevention of sexual abuse. Based on input received, CMTO has added a fifteenth competency to address ‘Applying Principles of Sensitive Practice’.