A midwife who wishes to perform diagnostic ultrasound examinations for pregnancy and pelvics must participate in education and training in order to acquire the knowledge and skills necessary to perform them. The College does not specify the education and training programs that midwives must undergo, but requires midwives to be competent. If you are not a member of the College of Physicians and Surgeons of Ontario (CPSO), the College of Nurses of Ontario (CNO), fildena.net or the College of Midwives of Ontario (CMA) and will be practising diagnostic medical ultrasound and sound wave application for diagnostic ultrasound purposes in Ontario as of January 1, 2019, you must be registered with the College of Physicians. Active members of OTMC, OCSO, CNO and College are authorized to detect sound waves for diagnostic ultrasound purposes in accordance with Reg. of Ont. 107/96, regulated laws, in accordance with the Regulated Health Professions Act. The Ontario Ministry of Health and Long-Term Care has made the necessary regulations for the College to regulate diagnostic medical ultrasounds as a fifth specialty. These regulations, which were published under the Medical Radiation Technology Act, came into force on January 1, 2018. As of January 1, 2019, it is mandatory for diagnostic medical sonographers (general, cardiac and vascular) to be registered with the College in the specialty of diagnostic medical ultrasound in order to be legally authorized to practice diagnostic medical ultrasound and apply sound waves for diagnostic ultrasound in Ontario. The College worked closely with the Ministry of Health and Long-Term Care to make amendments to the Controlled Statutes Order under the Regulated Health Professions Act, 1991.

The amendments to the regulations clarify that midwives now have the right to order and apply sound waves for diagnostic pregnancy ultrasound or pelvic diagnostic ultrasound to their clients. On January 1, 2018, the Controlled Statutes Order (Ontario Reg. 107/96: REGULATED ACTS) was revised, allowing midwives to use sound waves for pregnancy ultrasound or pelvic diagnostic ultrasound. This means that midwives can now perform all diagnostic ultrasounds they are allowed to order. Midwives must order an ultrasound as part of routine screening and diagnostic tests performed during midwifery care, but ultrasound requires a number of skills that midwives do not need to have. What training do midwives need to perform ultrasounds? When using ultrasound, all midwives must meet the following requirements: as with any test, a midwife performing a gynecological or obstetrical diagnostic ultrasound is responsible for interpreting the results; Detect abnormal conditions; recommendation and initiation of treatment; Consultation with another health care provider or, if applicable, referral to another health care provider. Midwives are not allowed to prescribe or perform diagnostic ultrasounds on newborns or women who are not pregnant or postpartum. Midwives are not allowed to prescribe or perform diagnostic ultrasound for conditions unrelated to pregnancy, childbirth or postpartum. What is the responsibility of midwives when performing ultrasounds? The protected title for sonographers is “diagnostic medical sonographer” or “DMS”. Only College members who are registered in the specialty of diagnostic medical ultrasound are legally entitled to use the protected title in Ontario. The Medical Irradiation and Imaging Technologies Act is expected to come into force on January 1, 2019. If this happens, the new legislation will repeal and replace the Medical Radiation Technology Act, and the College`s name will be changed to the College of Radiation and Medical Imaging Technologists of Ontario (CMRITO).

If you are on 1. In January 2019 and thereafter as a diagnostic sonographer in Ontario, you must apply for registration with the College in 2018. After December 31, 2018, the Grandparent Program will no longer be available to applicants and all applicants must complete an approved program of study and examination to be eligible for registration. If you work or have worked as a sonographer in another province and think you would like to practise in Ontario at some point in the future, you should apply to the College in accordance with the grandparent provision by the December 31, 2018 deadline. The online application process is available on the College`s website in www.cmrto.org. You should also read the “Application Guide for Applicants for Registration with the College in the specialty of Diagnostic Medical Ultrasound,” which is also available on the CMRTO College website. Visit the College`s website under www.cmrto.org for the latest information on ultrasound regulations, the online application process and YouTube videos. You should also read the “EMS Regulatory Information and FAQs”, which are also available on the OTRTO website. Registration requirements are set out in Regulation 866/93, which is established in accordance with the Medical Radiation Technology Act.

As it can take up to four months to process an application, it is recommended that sonographers submit an application to the College by July 2018. Grandparent Determination allows sonographers who do not meet the registration requirements to pass an approved training program and examination, but who are competent to practise the profession, to register and be authorized to work in the specialty in Ontario. No later than 31. In December 2018, sonographers can apply for registration with the College using one of two methods: grandparent designation OR by completing an approved training program and examination.

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