MILESTONES Resource for Dental Hygienists in Ontario NOVEMBER 2008 w w w. c d h o . o r g College of Dental Hygienists of Ontario • L’Ordre des hygiénistes dentaires de l’Ontario President’s Message 3 Cover Story 6 Quality Assurance 12 Registrants Status 14 Council’s Corner 19 2009 REGISTRATION RENEWAL DEADLINE: JANUARY 1ST Renew on-line at www.cdho.org Publications Mail Agreement No. 40026784 Return undeliverable Canadian addresses to THE COLLEGE OF DENTAL HYGIENISTS OF ONTARIO, 69 Bloor St. East, Suite 300, Toronto, ON M4W 1A9, e-mail; [email protected] MISSION STATEMENT ÉNONCÉ DE MISSION The mission of the College of Dental Hygienists of Ontario is to regulate the practice of dental hygiene in the interest of the overall health and safety of the public of Ontario. La mission de l'Ordre des hygiénistes dentaires de l'Ontario consiste à réglementer l'exercice de la profession d'hygiène dentaire de sorte à favoriser l'état de santé global et la sécurité du public ontarien. CONTACT US In the Toronto area call: 416-961-6234 Toll-free long distance: 1-800-268-2346 w w w. c d h o . o r g Registrar/Chief Administrative Officer Fran Richardson Ext. 229, [email protected] Deputy Registrar Evelyn Waters Ext. 228, [email protected] Practice Advisor/Quality Assurance Administrator Lisa Taylor Ext. 239, [email protected] Practice Advisor/Patient Relations Elaine S. Powell Ext. 237, [email protected] Director, Administrative Services Margaret Stevenson Ext. 235, [email protected] Director of Finance Mimi Pichelli Ext. 227, [email protected] Executive Assistant Jane Cain Ext. 226, [email protected] Administrative Assistant, Quality Assurance Denise Lalande Ext. 230, [email protected] Administrative Assistant, Registration Heather Boucher Ext. 240, [email protected] Administrative Assistant, Registration Heather Stevenson Ext. 231, [email protected] Receptionist Vivian Ford Ext. 0 or 221, [email protected] WE ARE PLEASED TO WELCOME Elaine Powell to our staff in the position of Practice Advisor/Patient Relations. Elaine graduated as a dental hygienist from Confederation College in 1999 and worked full time in a periodontal and implant practice in Thunder Bay. Elaine has been involved with the College of Dental Hygienists of Ontario over the last four years in a number of positions: Quality Assurance Assessor, CDHO representative on the Accreditation Team for the Commission on Dental Accreditation of Canada, and as a non-council member on the Complaints and Patient Relations Committee. Prior to becoming a dental hygienist, Elaine graduated from New Cross Hospital in London UK as a dental therapist. In 1976, she came to Canada to work with National Health and Welfare Manitoba providing preventive and restorative care to isolated communities in the north. She has taught in both the Dental Hygiene and Dental Assisting program at Confederation College and spent a year at Royal London Hospital in London UK in 2002, instructing in the Professions Complimentary to Dentistry Programs. During this time she provided clinical care to clients with profound brain damage at the Royal Hospital for Neuro-disability Putney UK. Elaine has been involved with the data collection for the University of Toronto Fluoride varnish study in Northern Ontario and has had experience in all clinical environments including orthodontics. Elaine began the position at CDHO in September and can be reached for Practice Advice at [email protected], by phone at 1-800-268-2346 or 416-961-6234, ext. 237. PRESIDENT’S MESSAGE Cathie Mazal-Kuula sure the public is receiving the best care this profession can deliver. Editor’s Note: The following is an edited version of the opening remarks spoken by the President at the Council Meeting on October 17, 2008. Welcome all to the third and final Council Meeting of the College of Dental Hygienists of Ontario for the year 2008. This will be my last opportunity to Chair Council as I have held this honour for three years. I mean that in all sincerity as it has been a great privilege to work with such a dedicated group of people as I have seen here and in committee meetings. Being on a Council is not something that is done without a great deal of commitment. Yes, we are provided with a per diem and expenses but that is only monetary—it in no way covers the price in personal commitment that I have seen from all involved. We have worked through some big changes and have helped secure more accessible dental hygiene services for the people of our province. This is what we as a Council do. We safeguard the public’s best interest. There is no Council without involvement and this Council is very dedicated to the College’s Mission Statement. “The mission of the College of Dental Hygienists of Ontario is to regulate the practice of dental hygiene in the interest of the overall health and safety of the public of Ontario”. We all know it is not the per diem that keeps us involved, it is our commitment to the public. The professional members of Council are elected from across the province and bring a wide range of expertise with them. Their knowledge of what happens in the day-to-day real world of the dental hygiene is valued and respected. They are here because of a deep commitment to their profession and to be The academic members are all registered dental hygienists who are entrusted with the job of preparing the dental hygienists of the future. These dental hygienists will become registrants of this College and need to be prepared to work with the CDHO Standards of Practice, Code of Ethics and to maintain their professional portfolios as per the CDHO Quality Assurance Program. The academic members keep us aware of new and ever increasing knowledge required to practise dental hygiene in this day and age. Public Council Members come to us through an appointment by the provincial government. I have been very impressed with the level of knowledge our public members have of the profession of dental hygiene. They bring with them their commitment to serve the Council in the best interest of the public. This College does not have any restrictions against public members standing for election for President of the Council, as do some other colleges. In the past we have had two Presidents who were publicly appointed Council members, Wayne Beaton and Barbara Smith; both gave this Council many years of service and we benefited greatly from their involvement. Non-Council members are registered dental hygienists who are chosen to sit on specific committees. These are people who have answered our call in Milestones for these positions when they become available. This College has been blessed with an outstanding group of professionals in our administrative staff. Our staff are recognized by their peers across the province, the country, and internationally. This is not a nine-to-five job and anyone who thinks so only needs to spend some time seeing what actually happens at a day in the office to know this level of commitment can’t be faked. Administration works every day to see that our mission statement really means what it says. Where possible, and when requested, members of Administration provide assistance to other jurisdictions. As a regulated health College under the RHPA, 1991, the CDHO has a duty to protect the public. This College has been entrusted with this duty by the province of Ontario; to regulate the profession of dental hygiene in the best interest of the public—that means registering and regulating over 10,000 dental hygienists. With all that entails, it is an aweinspiring task and everyone who is on the Council is part of that commitment. We have achieved much and there will always be more to do. Early childhood caries (ECC) are on the rise world wide and Canada is no exception. This has been noted in Europe, in Asia and Australia. I was invited to a symposium held by the Ontario Dental Association in the summer and it is obvious that this is something that will indeed need to be addressed by all of the dental health care community. ECC affects our most vulnerable, our children. Left alone, dental disease has a life-long effect and it is our responsibility to care for those who cannot care for themselves. The literature indicates that oral cancer rates are on the rise and may be linked to the rise in the increase of the human papillomavirus. Oral cancer was most commonly found in the over forty demographic, smokers and alcohol users. This may no longer be the case. We need to be more diligent with cancer screenings in our office and to refer any suspicious lesions. Information is our most valuable tool. The planned Knowledge Network will be accessible to dental hygienists via the Internet, providing real answers geared to dental hygiene applications. This is very exciting and I think a valuable tool for treating our clients to the best of our ability. Councils are a collection of people all equal in a common voice to make decisions in the best interest of many. This Council does its job well and it is doing it with the involvement of each and every person on Council. This Council will always require members to serve. When elections are run in your district, ask yourself, “Am I as a professional doing all I can to be sure the public is protected?” As a professional you can make a difference in more than one aspect of your career. Please consider becoming either a Council member or a NonCouncil member when the call arises; you may just find that renewed interest in your profession that sometimes we all need. MILESTONES NOVEMBER 2008 3 MESSAGE FROM THE REGISTRAR Fran Richardson ONE YEAR (PLUS A BIT) AND COUNTING! On September 1, 2007 dental hygienists, and indeed, the public of Ontario entered a new reality. Finally, after years of discussion and innumerable setbacks, an amendment to the Dental Hygiene Act (DHA) permitting dental hygienists to self-initiate their authorized act of “scaling teeth and root planing including curetting surrounding tissue” was finally law. The resources expended, on both sides of the issue, would have been better spent in ensuring that the underserved members of the public received basic preventive oral health care services, but the democratic process dictated the route that we were forced to take. Now that the amendment to the DHA has been passed, and the angst behind us, it is time to look at what has been achieved in the public interest. Dental hygienists have risen to the challenge and established both stand-alone and mobile practices throughout the province. Some of these practices are administered out of the dental hygienist’s home; some are in hospital or community health settings and some are in creative arrangements with members of the dental profession. But the primary goal of reaching out to those not 4 MILESTONES NOVEMBER 2008 served by others in the oral health community is slowly being realized. True, some of these practices are struggling as any new business does in the initial stages; and others are thriving! To date, close to 2000 dental hygienists have been authorized for self-initiation. Contrary to some of those who feared that there would be a mass exodus from dental offices, most dental hygienists have elected to remain practising within the confines of a dental practice. Many have chosen to redefine the practice relationship, and in many cases the other health care providers with whom they practise have been most supportive. Of course, there have been the negative comments and even some ill-advised television interviews and editorials where the detractors didn’t have their facts straight! These situations could have been avoided by calling the College in advance, but then the truth doesn’t always make a good news story. In one case, several dental hygienists have chosen to work with a group who has provided the physical infrastructure while the dental hygienists practise as they choose without the influence of another health care practitioner telling them how to treat their clients. As long as the dental hygienists are practising to CDHO standards and regulations, the CDHO will not interfere in their employment relationships. However, should any dental hygienist believe that his/her employer is putting the employer’s interest ahead of the clients’ interests, the CDHO recommends that the dental hygienist discuss possible options with one of the CDHO’s Practice Advisors. On the CDHO website, under Find a Dental Hygienist/Independent Practices, there are now listed over 60 independent businesses operated by dental hygienists. As predicted by the CDHO, not all registrants have changed their places of employment; but the dental hygienists who wanted to set their own agendas and run their own businesses are either realizing that dream or still in the research phase. Now, if a member of the public is searching for a dental hygienist who is willing and able to attend to a person who is unable to access a traditional dental office, that person can check the CDHO website list to contact someone near them. As the regulatory authority, the College is concerned that all dental hygienists adhere to the CDHO Standards of Practice regardless of their location or employment situation. Within the next year the CDHO Council will consider adopting the 2008 National Competencies that were developed in conjunction with the Commission on Dental Accreditation of Canada (CDAC), National Dental Hygiene Certification Board (NDHCB), Federation of Dental Hygiene Regulatory Authorities (FDHRA), Dental Hygiene Educators of Canada (DHEC) and the Canadian Dental Hygienists Association (CDHA). The purpose of the National Competencies is to level the practice of dental hygiene across Canada, and to facilitate the teaching of a core or basic curriculum that will reflect the reality of the evolutionary practice of the profession. They will also guide the evolution of the various Continuing Education and Quality Assurance Programs across the country. Attaining both self-initiation and self-regulation is of no value unless the public benefits from the increased access and quality to preventive oral health care. Health professional regulation in Ontario will become even more transparent with the implementation of the Health System Improvements Act, 2007 (HSIA) in June 2009, when all professions governed by the Regulated Health Professions Act, 1991 (RHPA) will be mandated to provide their register on their website for public access. This also means that even more information about RHPA registrants will be placed on the website. As the profession matures, so does the regulatory environment with its accompanying emphasis on accountability. Not everyone is happy about the changes, but then regulation is not there to induce happiness but to protect the public from incompetent and unqualified individuals. The CDHO will have completed 15 years of the regulation of dental hygiene in Ontario on December 31, 2008. Many milestones have been accomplished in that time frame, not the least is of providing choice in when, where and from whom the public of Ontario may receive preventive oral health care. September 1, 2008 came and went without much fanfare. That is the way it should be! A NOTE FROM THE REGISTRAR In accordance with Section 32 of the Regulated Health Professions Act, 1991 the “repair or alteration of a dental prosthetic” device is only authorized to a member of the following Colleges: Dentistry, Denturism or Dental Technology. Unless a dental hygienist is also a registered member of the aforementioned Colleges or the technical aspects of the work is supervised by a dentist or dental technologist, s/he may not adjust or repair a client's denture. If the dental hygienist is of the opinion that the client's denture requires adjustment or repair, s/he must refer the client to the appropriate oral health care provider. MILESTONES NOVEMBER 2008 5 COVER STORY 2009 RENEWAL • Renewal forms will be mailed out during the week of November 15, 2008. • Deadline for renewing your certificate of registration is January 1, 2009. • If you do not renew on time, your certificate of registration will be suspended. You may not practise dental hygiene once your certificate has been suspended. Your Responsibility as a Registered Dental Hygienist in Ontario • As per Bylaw No 3 Section 16.8(3), all registrants are responsible for renewing their certificate of registration by January 1st of each year, even if the Registrar fails to mail a notice, or the member fails to receive such a notice. If you have not received your renewal form by the beginning of December, you should contact the CDHO or go to www.cdho.org to access On-Line Renewal or to print a blank renewal form. • As per Bylaw No 3 Section 16.8(4), all registrants must notify the College within seven days of any change of name, residential address and telephone, or business address and telephone. • You must practise and correspond with the College in the same name as the one you are registered with. Name changes require supporting documentation. How to Avoid the Late Payment Fee 1. Make sure the College has your correct address. > Check the Public Register on the website to verify your address. > Deadline for address changes to be reflected on the renewal form is November 5, 2008. 2. Send your renewal form in early. > Do not wait until the last minute to mail your renewal form. You can post-date the cheque up to January 1st. All renewals received post-marked after January 1, 2009 are subject to the $100.00 late payment fee. 3. Renewal forms not properly completed will be returned for correction and could result in a late payment fee. 6 MILESTONES NOVEMBER 2008 Common mistakes include: > Renewal form is incomplete or not signed > Renewal form is not signed with the same name as the one you are registered with > Payment sent in without the renewal form > Payment not enclosed with renewal form For mail-in renewal forms, only cheques or money orders in Canadian funds are accepted. Please write your registration number on the back of the cheque or money order. For on-line renewals only Visa or MasterCard is accepted. > Cheques are not filled out properly. 4. NSF / Returned Cheques > All returned cheques are subject to a $25.00 administration fee. The replacement payment must be made with a money order. If the CDHO has not received the replacement payment by January 1st, the late payment fee of $100.00 will also apply. 5. Are you renewed? > Your 2009 Certificate of Registration card is proof you are renewed for the year. If you have not received it by the first week of January, or earlier, it is your responsibility to contact the CDHO to ensure your renewal form has been received. Business Address A business address is mandatory. > This is the address that will be placed on CDHO’s public register on CDHO’s website. Failing to include a separate business address means that the residential address and phone number will be considered the business address and phone number, and therefore becomes public knowledge. On-Line Renewal Changing Certificate of Registration Status On-Line Renewal will be available to all registrants as of November 19, 2008. From General/Specialty to Inactive Certificate of Registration: > To renew on-line, you need a User ID (your registration number), password (printed on the renewal form that will be sent out in November) and a credit card – Visa or MasterCard only. > Registrants must change their password after they initially sign on. All passwords are case-sensitive. > If you did not receive your password, or if you have forgotten it, please e-mail [email protected]. Provide your full name, registration number, and birth date. A password will be e-mailed back to you. No passwords will be given out over the phone. > If your personal information is incorrect, you cannot renew on-line until it has been corrected. Please go to www.cdho.org/Registration and change your address on-line. If you do not have access to the Internet, you can call or fax CDHO with your information. > For registrants who are registered with a general or specialty certificate of registration in 2008 and plan to renew with an inactive certificate of registration for 2009, tick the “inactive” status and submit the appropriate registration fee. > Registrants can renew on-line if they are changing their status from general or specialty certificate of registration to an inactive certificate. From Inactive to General/Specialty Certificate of Registration: > You cannot change your certificate of registration status from inactive to a general or specialty certificate of registration through on-line renewal. You must renew by mailing in your renewal form and any supporting documents if required. Resigning/Not Renewing: > If you are not planning to renew your certificate of registration, you must advise CDHO in writing by either signing on the appropriate place on the renewal form and returning it to CDHO or by sending a letter or email. > Failure to notify CDHO that you are not planning to renew will lead to your certificate of registration being suspended and ultimately revoked. MILESTONES NOVEMBER 2008 7 LABOUR MOBILITY ON THE PROVINCIAL AND NATIONAL AGENDA All of the professions in Canada are expected to work with their provincial counterparts to work out a way to enable qualified workers to move from one jurisdiction to another. In 2000 all of the dental hygiene regulatory authorities except Quebec, New Brunswick and Nunavut, signed a Mutual Recognition Agreement (MRA) that facilitated the movement of practitioners who were registered/licensed in one jurisdiction to move unimpeded to another province or territory that was a signatory to the MRA. The Federal government has now decreed that all professions that are not compliant, i.e. don’t have all provinces and territories as part of the MRA, must find a way to include mobility for those practitioners from those areas. On the surface this sounds easy. It is not. One major stumbling block for many professions that require a national examination as entry-to-practice is that the Quebec government refuses to acknowledge that there is validity in a national exam and states that their graduates do not require any more testing. But this does not hold true for all professions, because several of the traditional or long-standing professions who required exams prior to the Quebec government decree were permitted to retain that requirement. In addition, all practitioners moving to Quebec must pass a French language proficiency examination. Therefore, labour mobility may not necessarily be a two-way street. To complicate matters further, the Premiers of Quebec and Ontario have agreed to complete mobility between their two provinces for all workers and they want the deals finalized by December 31, 2008. Having noted the issues above with respect to Quebec, where they will not recognize the need for the NDHCB, the stated deadline may be difficult to meet. The CDHO believes that it is imperative for dental hygienists from Quebec to successfully complete the National Dental Hygiene Certification Examination (NDHCE) as new registrants to Ontario are required to do. In addition, the current legislation in Quebec requires that dental hygienists work under the direct control and supervision of a dentist in a dental office. As dental hygienists in Ontario know only too well, neither supervision nor dentist control is required for practice in any setting chosen by the dental hygienist and has not been a requirement since 1994. The CDHO sees this as a definite impediment to the movement of dental hygienists between the two provinces. Dental hygienists in Quebec have been trying for some time to amend their legislation to permit direct client access to preventive oral health care via a dental hygienist who is not confined to the four walls of a dental office. As in most other jurisdictions, the opposition to this change, which would be in the public interest is coming from organized dentistry, which continues to bring out the tired and untrue argument of patient safety when there is sufficient evidence to show that the dental hygiene regulatory authorities are quite capable of regulating their profession without the interference of another profession. Therefore the dental hygiene Acts and regulations 8 MILESTONES NOVEMBER 2008 in Quebec must be amended before there can be true mobility between our two provinces. Another issue that affects the achievement of mobility agreements is the continued regulation of dental hygienists by dental boards. While the situations in PEI and NL are amicable and moving towards a natural change, the situation in New Brunswick has not kept pace with the rest of the country. When the MRA was signed in 2000, NB refused to sign because Quebec did not, stating that they were in need of dental hygienists from Quebec due to a shortage in NB. There is now a dental hygiene school in NB and the Dental Society of New Brunswick (DSNB) which is the regulatory authority continues to change its bylaws to accommodate the province’s needs. NB does not require dental hygienists to successfully complete the NDHCB exam, therefore someone who is unsuccessful on the examination could then obtain a licence to practise in that province and then under the new federally imposed initiative, be granted a licence in a jurisdiction that does require a NDHCB certificate. Currently, NB dental hygienists are not provided with an opportunity to develop as independent thinkers as they too must be under the direct supervision and control of a dentist. However, in the more enlightened jurisdictions where the public can access direct dental hygiene care, the dental hygienist is expected to demonstrate critical thinking skills via successful completion of the NDHCB examination. As the regulatory authority responsible for the practice of dental hygiene in Ontario, the CDHO has some serious concerns about the imposed march to mobility that does not include a leveling of legislation, nor of the respect that has gone into devising the requirements required for registration in the interest of the public of Ontario. However, we need to keep in mind that the other parts of the country regard Ontario with some skepticism. Ontario has an abundance of non-accredited dental hygiene programs, several of which are producing graduates that are unable to pass the NDHCB examination, or when they do, unable to pass the clinical evaluation administered by the CDHO. The College is in constant contact with the Ministry of Training, Colleges and Universities (MTCU) regarding the poor success rates exhibited by the graduates of these nonaccredited programs. Several of these programs have been unsuccessful in the first stage of the accreditation process and may choose to forego application for accreditation in the future. Without the ability to insist on the need for the NDHCB certificate these unsuccessful graduates could choose to practise in Quebec or NB for a short period of time then apply to the CDHO for registration. This is not effective regulation in the public interest. Whatever transpires, the CDHO will guarantee that we will work in the public interest and ensure a fair and transparent registration process. Stay tuned!! TRANSPARENCY AND PRIVACY: WHAT THE WORLD WILL KNOW ABOUT YOU By Richard Steinecke “Where secrecy or mystery begins, vice or roguery is not far off” Samuel Johnson One of the major features of the upcoming amendments to the Regulated Health Professions Act, 1991 is the increased information about dental hygienists that will be available in the public register. In making these amendments, the government expressed the desire that the public have access to more information about health care practitioners, so that the public could make informed choices. Obviously, Samuel Johnson’s observation, above, is being taken to heart. While there is an increased emphasis on transparency and accountability of practitioners, there still remain some privacy protections. For example, the fact that a complaint has been made against a registrant, (or even that a lot of complaints have been made against a registrant) will not be posted on the public register. The register is the public record of information about individual dental hygienists. As of June 4, 2009, the entire register will be publicly available. The legislation requires that the information be easily accessible. All of the register information will be on the College’s website. In addition, it will be available at the College’s offices during regular business hours. A hard copy of the information will be provided upon request. When people inquire about a specific dental hygienist, the College is required to advise the inquirer of all of the categories of information recorded on the register; the inquirer does not have to “know what to ask for”. The list of publicly available information is too long to set out in this article.1 However, the more significant items are as follows: 1. A registrant’s name. 2. A registrant’s business contact information. 3. Any terms, conditions and limitations on a registrant’s certificate of registration. 4. Any suspensions or revocations of a registrant’s certificate of registration including for non-payment of fees. 5. Information about discipline and incapacity proceedings against a registrant. 6. Any finding of professional negligence or malpractice made by a court against a registrant. 7. Information as stated in Section 15 of Bylaw No. 4 The rules about discipline proceedings are complex. Once allegations have been referred to the Discipline Committee for a hearing, they will be shown on the register along with information about the time and location of the discipline hearing. If a finding is made against the registrant, a synopsis of the finding will be put on the register. This synopsis is different from the more detailed summary of the reasons for decision that is normally posted on the discipline portion of the College’s website. The two pages will probably be linked to each other. In most cases, the penalty ordered by the Discipline Committee will also be shown. The Discipline Committee can also direct that additional information be placed on the register if it feels that the information is important for the public to know (e.g., the registrant’s location or type of practice). If the decision of the Discipline Committee is appealed, the fact of the appeal will be entered, but the rest of the information will remain on the register during the appeal. Obviously, if the court quashes the decision of the Discipline Committee on the appeal, then all of the information will come off the register. Under the new rules, discipline information will generally remain on the register permanently. Where the finding was relatively minor (e.g., only a fine or a reprimand was imposed and it does not involve sexual abuse), a registrant can ask for the information to be removed after six years. However, the registrant must then satisfy the Discipline Committee that the information is no longer relevant to the registrant’s suitability to practise the profession and that there is no overbalancing public interest for keeping the information on the register. So, what are the safeguards for protecting the privacy of registrants? As mentioned above, one consideration is the information that is not recorded in the register. Generally information about registration matters, complaints and quality assurance concerns are not posted For a complete list see section 23 of the Health Professions Procedural Code found under the heading “Regulated Health Professions Act” at www.e-laws.gov.on.ca. See also the register provision in the by-laws on the College’s website at www.cdo.on.ca. 1 MILESTONES NOVEMBER 2008 9 on the register. Neither is the registrant’s home contact information (unless the registrant provides no business contact information, because the public has the right to know where to contact a registrant for clarification of past services or to address concerns). Similarly, even though registrants have to report to the College when they have been found guilty of an offence, that information is not placed on the register unless discipline proceedings result. A key safeguard is for registrants whose personal safety is at risk. In such cases, the Registrar has the ability to withhold all contact information to protect the registrant. However, the Registrar has to be advised of the safety risk. Any registrant feeling at risk for their personal safety if contact information is made publicly available should write to the Registrar with the request. The request should contain particulars of the safety risk and documentation confirming it (e.g., terms of release or restraining orders; witness attestations, etc.). Another safeguard is that personal health information about registrants will only be posted on the register if it is reasonably necessary to do so. Generally, this will occur only where the registrant has an 10 MILESTONES NOVEMBER 2008 illness that affects his or her ability to practise safely (e.g., an addiction or certain severe and chronic mental illnesses). Even then, only the minimum amount of information necessary to protect the public and ensure accountability to the College will be posted. For example, in the case of an incapacity finding by the Fitness to Practise Committee, the register might indicate that the registrant has a term, condition and limitation on his or her certificate of registration that s/he is incapacitated and must continue to participate in medical treatment for it. Public access to certain professional information about registrants is part of the price of being a self-regulated professional. Registrants should be aware of the types of information that are available about them, what information will not be found on the register and the safeguards they can employ, particularly where their personal safety is at risk. Richard Steinecke is legal counsel for the College of Dental Hygienists of Ontario. RADIOGRAPHS IN DENTAL HYGIENE PRACTICE Currently dental hygienists require a prescription before exposing radiographs and are not permitted to serve as radiation protection officers. These requirements make it difficult for dental hygienists practising outside a traditional dental office to utilize radiographs as part of a complete dental hygiene assessment. The CDHO has made a submission to the HARP Commission requesting that the Healing Art Radiation Protection Act be opened and amended to: The College believes that permitting dental hygienists to initiate radiographs within the dental hygiene scope of practice will increase the effectiveness of dental hygiene practice without placing the public at increased risk of harm. It is hoped that the HARP Commission will view the CDHO request favourably. (1) permit dental hygienists registered with the College of Dental Hygienists of Ontario to initiate the operation of an X-ray machine for the exposure of oral radiographs within the dental hygiene scope of practice; and (2) permit a registrant of the College of Dental Hygienists of Ontario to be designated as radiation protection officer. The College feels that it is in the best interest of the public of Ontario to pursue this matter for the following reasons: • Ontario legislation has been recently amended to enable the public access to dental hygiene services outside the traditional dentist-owned practice acknowledging that this is a safe and effective model for dental hygiene care. • Dental hygienists use radiographs within the dental hygiene process of care as part of their comprehensive periodontal assessment. • Early recognition of abnormal conditions within alveolar bone and periodontal structures can have important consequences to patient/client care and treatment. In addition, radiographs can play an important role in patient/client education. • Dental hygienists develop a high skill level in radiographic interpretation of conditions that may require a referral to a dentist (as one example) and would enable a dental hygienist to alert a client who has not seen a dentist in some time of a potentially urgent need. Radiographs taken by the dental hygienist can be forwarded with the referral to the dentist, dental specialist, denturist, or other health care practitioner. • In the provinces of Manitoba, Saskatchewan and Alberta, dental hygienists are permitted to initiate the exposure of radiographs. This practice has proven safe and effective for Canadians living in those provinces. • Radiation hygiene and safety is adequately covered in the dental hygiene radiography program to permit a dental hygienist to become a radiation protection officer. • The College’s Quality Assurance Program monitors radiography within the dental hygiene practice through on-site practice assessments. MILESTONES NOVEMBER 2008 11 QUALITY ASSURANCE SELECTING CQI ACTIVITIES In the last issue of Milestones, the definition of and the selection of appropriate learning goals were discussed. As you will recall, learning goals have learning as the central task and concern your development as oral health care providers. The aim of a learning goal is to increase competence or ability. As the year comes to an end, this is the time to assess the progress you made on last years’ goals. Will you be able to establish your increased competency in your professional portfolio? Were the activities you selected to address your learning goals sufficient? The answer, if you have planned well, will be yes. How Do You Plan Learning Activities? The Quality Assurance Program allows registrants to select learning from a number of sources. Dental hygienists are not restricted by a point system that dictates which courses they must attend. Rather, dental hygienists are trusted to make the appropriate decisions around their continuous learning. A trend that has become apparent is an increase in the number of dental hygienists who prefer to use various forms of self-learning such as text books, journal articles, online courses, Internet searches, and study groups. Information is everywhere and it is challenging to know what is valid, useful and accurate. Evaluating the sources of information prior to participating in the learning activity becomes an important first step. Obviously, you cannot rely on everything you read and hear. Information is provided, articles are written and presentations are given for a variety of reasons. People want to convince you to buy their product, agree with their opinions, rely on their data, and accept them as experts. As a consumer in a rapidly expanding knowledge market, it will be up to you to decide what information is credible and worthy of your time and consideration. Books and Textbooks: Books are available on just about every topic. Dental hygiene textbooks are good sources of basic dental hygiene theory but because of the time it takes to publish them, the information may be more dated than that found in academic and professional journals. Academic and Professional Journals: These publications at the time of circulation contain the most up-todate information and research in industry, business and academia. They are most often peer reviewed and many are also available electronically. Examples are: The Canadian Journal of Dental Hygiene; International Journal of Dental Hygiene; Canadian Journal of Public Health; Journal of Dental Education; Journal of Periodontology. You may have to pay to access full articles on-line but will have an opportunity to read the abstract prior to purchase. Government Reports and Legal Documents: The government releases information, statistical data and advisories for public use. Most are available on-line. 12 MILESTONES NOVEMBER 2008 On-line Courses: Most of these courses can be navigated with basic level computer skills. Some specific software applications may be required; however, most courses have links to free downloadable read-only applications. On-line courses are increasing in numbers. The dental hygiene associations are two excellent sources for this type of learning. Websites: Websites vary in content and value. Material that is published exclusively on-line is subject to lower (if any) standards than print publications. Anyone can publish a website or electronic document and authorship and affiliations are difficult to determine. Articles disguised as educational materials can actually be persuasive and/or deceptive. Study Groups: These are meetings with colleagues aimed at group learning and most often involve discussions around current research and best practices. They have specific agendas that provide a discussion forum for members to evaluate current research. Often the group will invite a guest who has specific expertise, for collaborative purpose. Lunch and Learns: These provide industry sales representatives an opportunity to promote their products. This is not considered to be a suitable learning activity for the CDHO Quality Assurance Program. They can however, be used as a starting point for further research. Once you’ve determined the activities that will contribute to your learning goal, you will need to evaluate the material provided by the source. When selecting your learning activity, whether it is on-line, in print or face to face, there are a few things to take into consideration. For example: • Are you the intended audience? It is expected that health professionals learn at a level above that of the general public so if an article has been written for the general public it is not suitable for use in your portfolio. • What does the author or presenter want to accomplish? Is the source offering facts, opinion, or propaganda? Relevant materials have the facts clearly indicated and offer a good mix of primary and secondary sources with a list of references or other citations. The evidence provided should be comprehensive and present alternative viewpoints. Learning goals are best achieved when learning activities are layered. You can think of learning activities as a form of research. Multiple sources of knowledge will be necessary if your research is to be comprehensive. Moreover, evaluating those sources of information will be an important step in your research activity. As health professionals, you are responsible for making decisions that affect the health outcomes of the clients you serve. As a standard of practice, decisions, judgements and interventions planned by dental hygienists are based on current research and theory that is pertinent to their area of practice. Example of Multi-source Learning Activities for a Single Goal* *Taken from the portfolio forms tutorial. To view more samples of forms 6 and 7 contained in the tutorial, go to: www.cdho.org/QualityAssurance/QAPackage_En/PortfolioTutorial.pps MILESTONES NOVEMBER 2008 13 REGISTRANTS New Registrants – June 14, 2008 to October 30, 2008 Name Reg ID Abou-Assaly, Rosemary 012459 Aclan, Jose Diosdado S 012450 Adams, Crystal Joy 010326 Adams, Kristin Rachel 012142 Adhopia, Shaili Meenu 012161 Adkin, Cheryl Elaine 006013 Agnew, Sara Ashley 012021 Ahmed, Mohammed Fawad 012278 Akhbari, Marjan 012582 Akhmadeeva, Kateryna 012096 Alidina, Fahrin 012442 Allen, Meghane Elizabeth 012115 Allensen, Dawn Lynn 006122 Amanali, Nasreen 012454 Ambrose, Linda Teresa 001439 Amin, Farzana 012378 Andrews, Mallory Nicole 012121 Apostol, Marilou 012388 Armstrong, Christine 012422 Arpin, Brittany 012411 Arsenov, Elena 012081 Attia, Christine Marie 012557 Atwy, Nada 012035 Auchana, Kafa 012352 Aujla, Pavan 012525 Awadalla, Nagwa Mahrous 012455 Azish, Baharak 012185 Baker, Adele 012163 Baker, Angela 012188 Baker, Jordan Alexandra 012238 Ballantyne, Anne Elise 012560 Barbe, Melissa Leah 012072 Barnes, Allison M 012509 Barr, Meghan 012068 Barradas, Sarah Frances 012059 Beaudry, Amy 012179 Beaudry, Janice 008706 Bechard, Kristen Marie 012202 Bechard, Lindsay Marie 012412 Bekiri, Lindite 012350 Bell, Jamie 012178 Belles, Cathryn Brooke 012235 Bellisario, Paola 012487 Benbow, Paula 012512 Benedik, Karen 012128 Benson, Andrew 012066 Berberi, Majlinida 012521 Biesma, April Mary-Anne 012419 Blackbird, Kim Marlene 012114 Blakey, Gail Kathleen 012308 Bobic, Radojka 012327 Boisvert, Amanda Mae 012343 Bommarito, Maria Antonella 012577 Botts, Ashley Elizabeth Anne 012215 Boucher, Sonia 012071 Bouma, Carli Christine 012305 Bouranakos, Rosemary Ann 012476 Boyd, Amanda 012383 Branciere, Shannon 012144 Brekkel, Katerina 012145 Brown, Stephanie Anne 012276 Brummel, Sarah Kathleen 012117 Brunet, Valerie 012104 Buchanan, Marla Wynne 012236 Buchner, Rhonda Rose Marie Rachel 012214 Buczolits, Cheryl Grace 003304 Burbeck, Tiffany Iris 010402 Burkholder, Ashley Marie 012391 Burns, Brianne 012519 Burton, Jessica Lee 008625 Bush, Candice 012057 Calnan, Denise Marie 012103 Cambareri, Sophia 012116 Cameron, Amanda Colleen 007920 Cameron, Lyndsey Denise 012220 Campbell, Chantel 012282 Campbell, Danielle Cynthia Sandra 012170 Cana, Mirela 012239 Capaldi, Alissia Magdalena 008351 Carriere, Celine Mireille 012354 14 MILESTONES NOVEMBER 2008 Name Reg ID Carroll, Yvonne Marjory 008633 Case, Dawn 012025 Casey, Carly Eleanor Marie 010055 Caswell, Ashley 012436 Cavers, Angela 012271 Chan, Josephine Wan Sheung 012565 Channa, Maninder 012339 Chanthaboury, Rachel 012315 Charette, Claudine 012243 Charron, Stephanie 012328 Chen, Jinghua 012322 Cheng, Amy Wai Hing 012176 Cheung, Ka Yen Irene 012310 Chiasson, Kathy 012548 Chicoyne, Catherine Diana 009107 Choudhry, Nadia 012361 Choy, Ann-Marie 012122 Clark, Brenna 012233 Clarke, Denell Ruth 012222 Clubine, Angela Anne Helen 012109 Clyne, Christine 012394 Cochrane, Kelly 012237 Colledge, Corinne 007832 Collyer, Sara Anne 009312 Condotta, Julie Michelle 012573 Coons, Julie 012363 Cooper, Hadessa Joanne 012274 Corp, Amanda Elizabeth 012418 Corr, Anna 012026 Costa, Sandra Vanessa Gomes 012093 Costantiello, Josie 012064 Cowie, Becky 012141 Cowley, Ashley Catherine 012407 Crompton, Stephanie 012530 Cruz, Patricia 012154 Curtis, Samantha 012300 Curtiss, Jennifer Maureen 012156 Cyr, Stephanie 012369 Da Costa, Nicole Anne 012251 Da Silva, Jennifer 012143 Daher, Marianne 012321 Dahms, Amanda Louise 008235 D'Amelio, Adriana 010817 Danforth, Colleen Marie 003589 Danko, Sviatlana 012020 Daoust, Kim 012479 Darbha, Alpa 012118 Davis, Courtney Rose 012353 Day, Kimberly 012177 De Angelis, Romina 012426 De Gonzague, Stacie Anne 012491 Defaria, Jacqueline 012331 Del Prete, Christine Elizabeth 006444 Demkiw, Shelley Lenore 009150 Deren, Agnieszka 012088 Deschesne, Alison 012198 Di Genova, Jessica 012559 Diamantopoulos,Anne Christine 012273 Dias, Ashley 012195 Dias, Dulce Mariana Pereira 012060 Dickinson, Amy Michele 012506 Domski, Melanie Andrea 012366 Donald, Jennifer Mary Elyse 012580 Donaldson, Amy 012152 D'Orazio, Melanie 012094 Doton-Espinas, Janette 012437 Drakes, Amanda 012125 Draper, Brittany Lorraine 012218 Draper, Elizabeth Rose Devreau 012292 Drouillard, Theresa Jennifer 012209 Dryburgh, Erin Eva 012053 D'Souza, Janice 012402 D'Souza, Melissa 012160 Dubeau, Helen Margaret 006445 Duffenais, Heather Lynn 012262 Dunlap, Cheryl Yvonne 012390 Dunleavy, Tom 012441 Dwarika, Sarahbeth 012027 El Alami El Hlimi, Karima 012334 Elyas, Natalie 012313 Name Reg ID Name Reg ID Emberley, Katie Empey, Candice Rosanne Eves, Jessica Falkiner, Jocelyn Farley, Danielle Nicole Faulkner, Colleen Mary Federchuk, Katherine Fendrikov, Janna Fiaz, Tayyaba Field, Katie Figueiredo, Sandra Fitzgerald, Catherine Anne Flores, Rubirosa Reyes Fluss, Amy Follon, Ingrid Forlippa, Cheri Fratesi, Stephanie Anne Fray, Elizabeth May Fregillana, Julita Friesen, Amy Rebecca Fugard, Kirsten Marie Fusarelli, Melissa Gagnon, Katia Anne Gajadhar, Adina Galbraith, Brooke Olivia Galway, Allison Gandhi, Niyanta Gao, Chun Lei Garant, Stephanie Alison Garratt, Candice Hayley Garratt, Kristen Nicole Gaudet, Stephanie Nicole Ghelichkhani, Maryam Ghesquiere, Deana Lynn Giacos, Mary Gibbons, Christy Gibson, Tricia Gilchrist, Paula Marie Girard, Kristie Lynn Girard, Nicole Glock, Michelle Gnurlantino, Anna Maria Goff, Andrea Marie Goncharova, Tatyana Gorecky, Kayla Gould, Amanda Gowling, Anna Grabiec, Danielle Grandbois, Marie-Anne Grant, Shalane Patricia Marie Graver, Serena Ann Green, Melissa-Lynn Elizabeth Guan, Jing Guerin, Rachel Marie Gupta, Bhumija Gutierrez, Tatiana Hachez, Vanessa Haeck, Terri Lynn Hakr, Linda Halley, Danielle Hamelin, Julie Anne Marie Hamilton, Jennifer Hamilton, Naomi Hammell, Crystal Jean Harker, Amanda Elizabeth Hartoonian, Maro Hauber, Gillian Marie Heather Hayes, Jennifer Lynn Hazell, Fay Heidary, Karima Hewitt, Cheryl Hillen, Katrina Hill-Enns, Katrina Elizabeth Hoffer, Lauren Holmes, Natasha Leigh Holmes, Rachael Hopkins, Laurie Lois Hossaini, Khadija Hudson, Leslie Ann Hunter, Lyndsay Margaret 012340 012054 012133 012151 012245 012578 012483 012316 012387 012326 012234 012089 012044 012563 012460 012302 012150 012502 012478 012157 012065 012149 012538 012515 012420 012341 012571 012443 012510 012517 012516 012507 012495 007888 012097 012524 008676 012056 012032 008683 012532 012365 012462 012332 012164 012036 012051 012165 012367 012047 012037 012049 012336 008987 012540 012552 012385 012119 008790 012395 012073 012227 012468 012106 012463 012518 008219 012587 010869 012539 012588 012583 012393 012206 012107 008508 006281 012405 012085 012208 Hurtubise, Mélanie Huynh, Lin Iftikhar, Haramain Ignjatov, Michelle Ann Ileleji, Stephanie Ioannou, Diane Ionescu, Viorica Ireland, Tracy Lynne Irwin, Amanda Margaret Ismaeili, Katherin Ismail, Diana Iuliano, Whitney Jackson, Briar Jadou, Maha Radhi Jahanzeb, Maleeha Jahn, Krista Lee Ann Jalil, Saad Jayendran, Preshanthi Jeevananthan, Subashini Jehu, Vicky Marie Jenner, Melissa May Jensen, Lena Jesus, Sandra Jin, Minnie Jittou, Lamiaa Jodoin, Aimee Elizabeth Johnson, Sara Junikiewicz, Wojciech Kameka, Nicole Kapralos, Melissa Karnaoukh, Ilona Kasuk, Jenny Katsman, Kamilla Kaur, Diljeet Keffer, Melissa Kellsey, Melissa Susan Keough, Nathalie Kerr, Bessie Kerr, Elizabeth Anne Kesten, Alexandra Victoria Khan, Zalika Khudher, Shahd Kicic, Biserka Kim, Mimi Kim, Soojung Maria Kingsbury, Melanie Kingsbury, Stephanie Knight, Rosslyn Knight, Vanessa Kolahdooz, Bita Kosanyi, Andrea Kovacevic, Sanja Kozak, Joanna Monika Kritiotis, Andria Labelle, Krystal Laframboise, Maggie Christine Lahti, Sheila Anne Lalani, Fahreen Lam Watt, Nadine Enid Lamba, Inderjit Laminski, Tammy Lannigan, Rae-Anne Lanteigne, Sara Lariviere, Ashley Larizza, Lisa Rose Larocque, Guylaine Larose, Laura Latendresse, Megan Lea Lauterpacht, Reena Lauzon, Deborah Ann Lavoie, Jessica Lebert, Jenna Marie Legister, Teka-Anne Lemberskaia, Marina Leon, Yolanda Lesperance, Kaitlin Elizabeth Lewicki, Mariola Lewis, Melissa Susan Li, Kar-Ming Li, Wenjing 012090 012335 012473 012543 012545 012199 012553 005947 010282 012435 012286 012259 012347 012105 012249 012465 012213 012533 012349 012567 007656 012458 012528 012497 012022 012184 012357 012269 012414 012288 012590 012379 012346 012461 012182 012306 006929 007940 004262 012527 010213 012268 012481 012562 012444 012083 012034 012401 012130 012417 012291 012589 012325 012584 012095 012203 012225 012392 012329 012283 012192 012023 012028 012425 012413 012258 012496 012544 012312 006391 012250 012247 012523 012490 012416 012261 012505 012246 012281 012424 STATUS UPDATE New Registrants – June 14, 2008 to October 30, 2008 Name Reg ID Liao, Eve 012052 Lidhar, Manpreet 012284 Ligi, Kristin 012265 Little-Lillico, Heather Suzanne 012287 Litzenberger, Heidi Anne 012429 Liu, Kun 012445 Lively, Sarah E 012399 Lobakova, Tanya 012223 Lompa, Stephanie 012197 Loncar, Senka 012257 Longson, Trish 012123 Lopez, Monica Isabel 007554 Luk, Veronica Sau Wan 012075 Lumley, Corynn 012351 Lupton, Michelle Ann 008822 Luu, Hinh 012210 Ly, Diana 012470 Ma, Xiao Hong 012448 Maber, Jacqueline 012175 MacDonald, Chantel 012348 MacDonald, Laura Jade 012428 MacDonald, Natalie S L 007939 MacDougall, Lana 012092 MacKinnon, Crystal Marie 012293 Mahal, Tejinder 012230 Mahon, Lindsay Lee 012136 Mak, Jennifer 012526 Malhi, Mandeep K. 012477 Malik, Sarah 012129 Maloney, Wendy Joy 001331 Manea, Ecaterina 005106 Manhas, Sumera 012529 Manley, Jennifer 012500 Mantziounis, Soultana 012406 Mao, Sophy 012586 Markusic, Natalie Mercedes 012204 Marleau, Mireille E 012055 Marshall, Susan 001178 Marson, Janice Helen 007661 Martin, Krista 012569 Mazzeo, Andria Donna 012410 Mazzini, Angie 012489 McAuley, Lindsay 012501 McCann, Jenna 012264 McCarron, Kristine 012408 McClure, Shannon Kathleen 012091 McConnell, Sarah 012031 McDonald, Chrystal Melissa Ann 012042 McDonald, Kimberley Ann Lauren 012421 McGaghran, Jennifer Anne 012038 McIntyre, Christina 012167 McKay, Jacqueline 010644 McKenzie, Alexandra 012431 McKenzie, Sabrina 012485 McKibbin, Allison 012221 McMurray, Holly 012338 Mees, Tracey-Dawn Colleen 012484 Melchor, Ayza 012126 Melendez, Ingrid Yasmin 012551 Melo, Stacey 012191 Mendonca, Denise 012244 Mercer, Kaila Kristie 012226 Mercier Chartrand, Melanie 012511 Mertol, Ferhat 012374 Metersky, Alexandr 012494 Mihailescu, Laura 012285 Mills, Jacklyn 012228 Mills, Laura Lynn 012303 Mireault, Kristen 012062 Misyura, Iryna 012255 Mohan, Anitra 012520 Mokhtari-Yazdi, Mahin 012452 Molina, Esmeralda 012375 Monger, Erin Elizabeth 012231 Moran, Alana 012430 Morehouse, Kathryn Janet 012451 Morris, Cheryl 000150 Morris, Laura 012272 Mu, Guizhen (Grace) 012446 Mucaj, Brunilda 012212 Name Reg ID Name Reg ID Name Reg ID Mulkern, Heather Elizabeth Mundy, Brenda Louise Munoz, Agnes Munro, Erin Elizabeth Munroe, Chantel Mellisa Murphy, Chelsea Edith Mwanga, Josiane Neill, Megan Neilson, Erin Nelmes, Karen Susan Nevzorov, Serguei Nguyen, Lien Nguyen, Truyen Nicholson,Tabatha Sarah Ann Nicol, Sarah Nielsen, Natalie Nightingale, Stephanie Nikbakht, Elaheh Noguchi, Momoko North, Robin Noelle Nouri, Tanya Diana Nukasha, Reem O'Brien, Aereal Sherrae O'Brien, Fran O'Connell, Laura Ogaick, Casandra Ann Ogle, Crystal Lynn Orlovic, Ivana Osypchuck, Mariah Eileen Paci, Meredith Talarczyk Pangalilingan, Joel Teodoro Parasram, Vashti Pare, Isabelle Parisien-Tremblay, Genevieve Patel, Meghna Patil, Varada Payetta, Karen Pearson, Tessa Penny, Lindsey Marie Perez, Jeanette Perez, Marie Antonette R Perras, Shayla Perry, Monica Lillianne Persaud, Surujnie Kamalwattie Petro, Aferdita Phen, Jessica Pieniazek, Magdalena Pilon, Laura Joyce Pinke, Laura Pintao, Mellissa Platt, Samantha Pogoda, Lisa Marie Polishchuk, Olena Popieniuk, Monica Portman, Heather Poulin, Julie Prata, Ashley Probert, Nicole Prohaska, Sarah Lee Projic, Melanie Provencher, Karine Pruden, Crystal Purslow, Laura Ashley Qasam, Saira Fatima Quenneville, Stacey Quinn, Tiffany Quintal de Andrade, Amanda Rajani, Sarah Rajsic, Mirjana Read, Meaghan Laura Kathleen Rebuquiao, Janna Kathleen Reed, Jacqueline Reyhanian, Zahra Reynolds, Elyse Chantelle Marie Rice, Michelle Richard, Cindy Diane Richards, Deborah Colleen Riseborough, Nicole Rizavas, Maria Roberts, Brittani 012275 012193 012585 012342 009938 012120 011446 012324 012132 008363 012564 012219 012581 012187 012297 012488 012570 012186 012373 008824 012433 012513 012389 012400 012229 012137 012503 012043 006106 012368 012200 011070 012074 012464 012438 012574 005675 012376 012576 012474 012314 012108 009065 012579 012522 012076 012155 012558 012041 012345 012196 012404 012514 012566 012039 012355 012384 012112 012063 012295 012018 012061 012166 012319 012456 012216 012138 012320 012304 012139 012535 012058 012508 012550 012554 012370 001935 012252 012024 012190 Robertshaw, Heather Marie Roch, Jessica Marie Roeder, Christa Roefs, Nicole Marie Rogozinski, Nicole G Rose, Jody Marie Rosenthal, Tali Rosta, Faria Roth, Jill Rowell, Mary Catherine Rozhko, Lyudmyla Rygielski, Kate Sadik, Iriny Sallie, Erin Christine Samra, Satpal Sanchez, Janet Jean Sanchezova, Dayisel Sandhu, Ameet Santos, Leonid Schmidt, Kristina Scholtens, Kelly Amber Schooley, Alexis Rhea Schopf, Kelly Jean Sczepanski, Sarah Ashley Seguin, Kirby Ann Sema, Valbona Semenova, Elena Sennuck, Stephanie Seymour, Donna Shafik, Tara Shams, Rebecca Lynn Shefer, Anna Sheikh, Madeeha Zahid Sheppard, Ada K Shore, Lisa Denise Sidhu, Kuldeep Sidhu, Satwant Kaur Siegfried, Joseph Silva, Janet Marie Silva, Sandy Nunes Simmins, Fiona Simmons, Amantha Jane Simpson, Vicki Singh, Reety Singleton, Katie-Anne Smedley, Krystal Amber Nicole Smith, Heather Smith, Louise Rose Smyth, Sandra Lynn Smyth, Susan Patricia Soucy, Christine Danielle Soveaux, Amanda Spadafora, Saveria Sparavalo, Lepa Sparling, Brittany Spehar, Kristine St. Germain, Jackie Starke, Coby Stepniak, Jill Ann Stevens, Codie Veta Stewart, Renee Cynthia Stewart, Stephanie Lee Stokes, Laura Ann Stonehouse, Valerie Stooshnoff, Tiffany Ritalee Stromme, Elise Michelle Stuart, Kristy Suarez, Samantha Sullivan, Tracy Supleo, Jill Sutherland, Tammy Lee Tabernilla, Lani Tapia, Gabriela Tavares, Tracey Taylor, Brandi Leigh Taylor, Jennifer Lynn Taylor, Leigh Morgan Taylor, Mandi Teodoro, Ivanhoe Tessier, Natalie 012110 012356 012307 012547 012084 008489 012168 012079 012270 012317 012382 012131 012069 012183 012180 012171 012409 012078 012534 012372 012318 012280 012140 012360 012048 012439 012415 012423 012127 012480 012381 012492 012427 012029 012398 012309 012040 012240 012098 012469 012377 012323 012549 012201 012279 012232 012364 004961 006865 003011 008798 012386 012575 012434 012266 012148 012333 012546 009370 012045 012296 012572 012568 012217 012432 012248 012111 012289 012561 012440 012256 012537 012298 012277 009374 012174 012158 012224 012172 012113 Testani, Nicole Marie Da Silva Thaci, Dorina Themelis, Katrina Anne Theoret, Christine Mollie Theoret, Jennifer Thistel, Kristin Marie Thivaharan, Susy Thode, Tia Alicia Thomas, Anja Thompson, Amanda Thompson, Andrea Glenna Thornton, Jill Tian, Fengwen Tiggelaar, Shannon Christine Tombor, Timea Tomini, Justine Tooke, Kimberly M Topping, Shannon Dawn Toth, Katie Tran, Sherry Tran, Tracy Tremblay, Christine Trentalance, Inessa Tripp, Jessica Anne Evelyn Tromboukis, Dorothy Truchon, Nancy Tupaz, Sandy Urszulan, Anita Christine Vachon, Melanie Line Vaillant, Erin Grace Valdron, Stacy-Ann Doddie Valentine Griffith, Althea Van Damme, Mandy Vanamburg, Susan Lori Vandenbogaard, Julie Anne Vanderheyden, Elisha Vasandani, Ruel Jude Velichkova, Vesela Veljovic, Natasa Vescio, Marlee Violette, Stephanie Helene Virani, Nailiz Vollett, Emily Voytsekhovska, Natalya Wagner, Jennifer Anne Walker, Megan Stephanie Walker, Stacey Lee Mazie Wall, Kelsey Rachelle Wallace, Lisa Michelle Walsh, Amber Walter, Courtney Wang, Betty Bei Wani, Samina Warha, Kirandeep Webb, Richelle Weisz, Sandra Diane Westendorp, Mandi Whiffing, Dana Christine Wice, Serena Wiebe, Kortny Marie Williamson, Debbie Elaine Wilson, Allissa Wilson, Kerri Lynn Wong, Carol Ching Ho Wong, Fiona Wong, Sharon Wood, Rebecca Nicole Woods, Lindsay Yang, Xiao Xin Yeung, Ka Lui Karen Yuan, Hui Qian Zaidel, Romy Gabrielle Zeljkovic, Danielle Zeng, Ping Zhang, Shao Ying Zhang, Ying Zhou, Hong Ying Zukowska, Ewa Zylstra, Kristyn Ellen Michelle 012362 012294 012033 012290 012499 012498 012100 012311 012466 012493 009532 012536 012205 012173 012471 012555 012102 012260 012344 012124 012019 012457 012541 012162 012475 012135 012030 012067 012101 012050 012301 012472 012147 007732 012046 012146 012253 012380 012467 012080 012542 012504 012189 012077 006797 012194 006668 012531 012087 012359 012070 012453 012371 012086 012263 012299 012482 012082 012207 012134 012267 012486 012153 012099 012169 012159 012358 012397 012447 012337 012330 012241 012556 012211 012396 012181 012449 012403 012242 MILESTONES NOVEMBER 2008 15 REGISTRANTS Authorized for Self-Initiation – June 14, 2008 to October 30, 2008 Name Reg ID Name Reg ID Name Reg ID Name Reg ID Abreu, Elli-Jean Adiwinata, Suzana Agostinelli, Debbie Agur, Tiina May Alyea, Lucy Anne Anderson, Karen Lynn Arkinson, Pamela-Jane Aube, Michelle Chantal Bafaro, Susan Baganha, Giselle Baird, Carri Lynn Balestra, Fadwa Barron, Diane Lisa Basta, Angela Battisti, Vanessa Baumann, Melissa Beattie, Gail Barbara Beckford-Nickie, Leonie Evadney Bedour, Pamela Dawn Bel, Susan Frances Belanger, Joanne Madeleine Benavides, Sylvia Betsis, Diana Bettencourt, Michael Bhasin, Nalini Bird-Bright, Andrea Marie Birks, NataLee Blondin, Heather E Bolduc, Stefanie Lynne Bradwin, Jennifer Breedon, Tyna Mary Brennan, Mary Claire Brooks-Matwichuk, Natalie Jane Brown, Christie Ann Brown, Stacy Lyn Burdon, Denise Ann Burnes, Kelly Ann Cammarata, Franca Cancelli, Cheryl Capaldi, Alissia Magdalena Cardinal, Denis Cassidy, Julie Lynn Castano, Michelle Catherine Castrucci, Lisa Charbonneau, Lucy Charbonneau-Kane, Jennifer Lynn Chateauvert, Kim Chatsikiriakos, Kathy Chenier, Carole Ruth Chiu, Christina Choi, Ja-Yung Chornous, Leigh-Ann Chow, Jenny Jing Yee Cohen, Debra Colasanti, Anna Cook, Patricia Anne Corning-Hamilton, Deborah Anne Correa, Cheryl Corrigan, Marilyn Joan Costello, Beatrice Coyne, Tracy Crocker, Diana Cyr, Mary Catherine D'Ambrosio, Mary Victoria Dandoy, Bernadeth Danforth, Colleen Marie D'Ascenzo, Laura Marie 008597 007417 008741 001672 003639 002392 001184 005611 003224 010163 008957 008642 006479 006794 007345 008165 005193 007370 002337 001859 002558 003668 010546 004764 006633 009698 010380 001382 008841 008924 009800 004213 008188 006413 006685 004504 009702 007480 001003 008351 006931 010169 007416 008184 007690 006288 006627 003940 003820 010520 007257 007100 010839 006482 003670 001640 002762 009581 001917 001802 005255 007309 004142 002952 010177 003589 009928 DavarPanah, Nooshin De Nure, Leslie Joan DeBernardi, Jennifer Joan DeBruyn, Katherine E Dekoulos, Stavroula Sophia DeMeyer-Czuczman, Maureen Dempsey, Valerie Lynn Desjardins, Claude A Desjardins, Terry Ann DeVos, Cathy Lynn DiGiandomenico, Abby Disera, Cathy Anne Dolan, Mary Doneff, Andrea Nicole Dow, Nadia Drosi, Linda Marie Drudge, Margaret Sophia Ducusin, Rowena Dumont, Alison Dusto, Alison Jane Elmaleh, Honey Lynda Evagelacopoulos, Catherine Elisabeth Evans-Perras, Nancy E Facto, Dian Farina Reid, Mary Farnsworth, Denise Lorraine Farrell, Jennifer Christine Fawcett, Heather Ann Fazekas, Valerie Ferguson, Kelly Jane Finan, Renee Foeller, Stephanie Jane Fortney, Craig David Fox, Jacqueline M French, Tammy Lynn Frisch, Lisa Frosina, Carolyn J Fruitman, Janet Gagnon, Angela Jean Marie Galarneau, Patricia Lynne Galati, Franca Garant, Brenda Lee C Garas, Nora Gent, Leesa Gerges, Reham Germain, Margaret Adrienne Ghesquiere, Deana Lynn Giudice, Maryanne Gleeson, Sharon A Gogo, Judy Anne Goldhar, Marilyn Susan Goldmacher, Pearl Ann Goldstein, Gail Suzzanne Golightly, Pauline Gorelle, Jacqueline M Goshovskiy, Vasyl Goulbourne, Katie Greco, Maria Greene, Christine Audrey Haigh, Monika L Hammond, Angela Hardy, Valerie Joan Haroutunian, Anet Heatley, Heather Marie Hesketh, Romaine N Hicks, Sarah Louise Hicks, Tracy Dale 006515 002763 009740 007148 007059 002260 003495 006427 000858 006025 010147 001621 003542 006441 010067 004042 002617 010030 007881 003054 000980 007552 001460 002599 007310 005263 005262 005094 008929 007086 009375 004512 006915 007500 003479 007411 000990 000654 008575 001877 006408 003617 009256 010252 008073 008935 007888 006876 007735 007042 001610 001599 003360 005354 001361 010269 009058 003453 009704 007945 003494 002814 007850 004109 001693 007402 003442 Hill, Teresa L Hill, Tracy Ann Hilliker, Pamela Mary Hinch-Wight, Marilou Holden, Teresa Margaret Holmes, Renee R Hoover, Krista Lynn Horricks, Debra Lynn Howie, Kelli-Lee Anne Howie, Susan Hundal, Mandeep Hunter, Jill Anita Hurtubise, Sylvie Ibeas, Catherine Jean Ideias, Patricia Lee Iorio, Laura Lee Ireland, Liane Cecile Jelinek, Michaela Jones, Sheryl Arlene Kanani, Karima Katsman, Elina Katzman-Little, Jodie Kaufman, Mary Jane Keir, Jane Ellen Keith, Jeanette Kellett, Jennifer Lisa Kelly, Lisa Marie Kiely, Karen Gloria Kinsman-Ludlow, Carolyn I Kirk, Kelly Elizabeth Kisel, Kimberly Phyllis Kollmann, Tracy Lynn Kong, May Kotsopoulos, Christine Maria Kowal, Melanie Leslie Krasowski, Shana Kummel, Sarah Eve-Lynn Lacasse, Claudette Lacroix, Lucie Bernadette Lafrance, Lyne Lalonde, Christine Lamarche, Anne Lasci, Lisa Marie Lauzon, Deborah Ann Lawrence, Elaine Lee, Sandra Jane Leroux, Cynthia Lesperance, Lisa Anne Liberman, Gwen Lyn Linke, Jamie-Lynn Lloyd, Jason Christopher Long, Tanisha Chantelle Lumb, Cathey-Anne Mach, Mary Susan MacKinnon, Marlene Beth MacNeil, Sharnie Renee Manalo, Dulce Marchuk, Charlene Marchuk, Debbie Lynn Marietti, Jasmine Tammy Marshall, Meghan Kara Gunter Marshall, Susan Masci, Angie May, Stephen Robert McAdam, Karen Marie McCormack, Karen Elizabeth McGill-Edwards, Beryl Evadney 008223 005044 004725 003759 004400 007502 008075 000823 004717 005918 007134 005341 006400 009945 008384 003378 002137 009669 003409 004915 003001 005316 001379 003191 001108 009282 001658 001479 002206 003052 003343 006880 010352 004817 005900 010601 010340 006426 004376 005237 002276 005470 005123 006391 000586 001043 008819 003565 003702 010365 006556 008898 001661 004008 003673 005882 008701 006225 005865 004030 008255 001178 008096 007558 008007 007382 004781 McGrath, Tracy McIndoe, Lila McKeown, Leslie Ann McPherson, Valerie Lynn McQueen, Cynthia Barbara Milanis, Lenna Christine Mitha, Shamsah M Moir, Mary Christine Morgan, Shelley-Ann Michelle Morgan Schubert,Tammy Kim Morin, Tracy Lynn Morozuk, Mellissa Rebecca Morrison, Maryann Morrison, Sarah Mullen, Nancy Marie Narodowska, Alexandra Dorota Neault, Kimberlee M Newell, Diane Nguyen, Ngan Nichol, Monika Erika Nitsopoulos,Alexandra Tany Nowak, Iwona O'Donnell, Francine Orschel, Nancy Lynne Paeglis, Diana Ingrida Pagel, Brian Eric Pagel, Phillip Ashly Painter-Getty, Shelley Jean Panagakos, Petroula Petty Pancer-Nagel, Marla A Papoutsidis, Stephanie Partridge, Lee Ann Pasivirta, Diane Lynn Passaro, Piera Sabrina Paz, Kim Emerson Peachman Faust,Tonia Carolynne Peazel McCavery, Joanne Marie Picone, Carmelinda Pilon, Natalie Marie Pinto, Catherine Rina Pizans, Gina Marie Plaskos, Michelle Poliziani, Esther Maria Potter, Jacqueline A Powell, Sindy Kay Prokopchuk, Valerie-Joan Psihopedas, Connie Pullin, Giavanna Pyrek, Katarzyna Qaqish, Kathleen Raiche, Diane Ranger-Fernandes, M L Sylvie Reiser, Katarzyna Joanna Renshaw, Judie Repas, Tracy Lee Richard, Andrea Marie Riddell, Sarah Riemer, Anita Louise Rife, Dianne Michele Rodriguez, Ana Maria Rolling, Angela Josina Romano, Giuseppa Rose, Nancy Irene Roy, Stacey Joy Rusich, T Catriona Russell, Lauren Joy Saunders, Karen Marie 008542 001722 006299 005085 003951 003746 003912 002189 010329 002422 008673 008710 009044 010324 004023 008610 003466 003467 009298 008835 006995 010189 004875 001006 003844 007195 007196 005541 008998 004161 008639 008538 009967 010256 010212 007607 008381 005301 006428 001077 004290 008173 005972 003541 006209 004499 010089 002508 009582 006178 002747 004879 009583 003882 005841 007737 009415 005832 004944 002828 002582 005007 004025 008056 009964 010345 005246 16 MILESTONES NOVEMBER 2008 STATUS UPDATE Authorized for Self-Initiation – June 14, 2008 to October 30, 2008 Name Reg ID Name Reg ID Name Reg ID Name Reg ID Schultz, Diane Hope Schwartzentruber, Delores H Seagal, Faina Semren, Teresa Seymour, Helene Lise Shams, Rebecca Lynn Shantora, Helen Shapiro, Clare Elizabeth Shum, Mona Siason, Alfonso Sidley, Karin Patricia Song, Joanne Speciale, Cathy 002659 002414 010462 006705 002452 012381 005657 004110 004098 004837 009543 005844 006651 Stancu, Elena Stefanyk, Susan Lilian Stergerics, Cornelia Stoneham, Mary Jill Stormont-Dawes, Patricia Lee-Anne Taylor, Deby ten Den, Tara Tessmer, Jayne Marie Tiberio, Deborah Ann Tieu, Carol Lynn Torado, Reinalyn Tourond, Misty Toussiani, Simin S 010260 003012 004908 004471 008671 006193 005769 004167 004926 008022 010131 009229 009588 Tricarico, Rose Christine Trott, Debbie Tryon, Susan Ann Tunnoch, Crystal Leann Unan, Barbara Van Dyke, Susan Margaret Varghese, Hema Vasko, Dana Michelle Vezina, Debra L Vigliotta, Vittoria Walker, Laurie Ann Watson, Diane Elizabeth Webber, Carolyn 002899 002644 003829 009680 010113 009215 007943 005306 005801 008855 008020 004921 005100 Wharram, Ida Michelle Mary Whitelaw, Heather Blair Wile, Tracy Lynn Williams, Elaine C Williams, Maria Rita Wood, Deloris Lilian Wood, Rina Yee, Lillian Yeomans, Mary-Ellen Yungblut, Jean Ellen Zagrodnik, Anne 006394 001347 005288 008765 005062 003518 003778 004599 005775 001072 003866 Suspended/Revoked/Resigned Registrants In accordance with section 24 of the Regulated Health Professions Act (Code), the following registrants have been suspended/revoked for nonpayment of the annual renewal fee. These registrants were forwarded notice of the intention to suspend and provided with two months in which to pay the fee. If a registrant who has been suspended for non-payment does not reinstate her/his certificate of registration, that certificate is deemed to be revoked two years after the failure to pay the annual fee. Some registrants choose to resign from the College at renewal time. Resignations – June 14, 2008 to October 30, 2008 Name Reg ID Name Reg ID Name Reg ID Baker, Sandra Lynn Brent, Terri Barbara 007441 004138 Hirtz, Leisa Cavell Moreira, Stacie Anne 004197 012254 Pedwell, Gail Lynne 003816 Vaillancourt,Angele Marie T 002519 Name Reg ID Vezina, Lucie 005550 Reinstated – June 14, 2008 to October 30, 2008 Name Reg ID Hazell, Fay 010869 Irwin, Amanda Margaret 010282 Jenner, Melissa May 007656 Name Reg ID Name Reg ID Name Reg ID Kerr, Elizabeth Anne Lopez, Monica Isabel 004262 007554 Mwanga, Josiane North, Robin Noelle 011446 008824 Parasram, Vashti Smyth, Sandra Lynn 011070 006865 MILESTONES NOVEMBER 2008 17 APOLOGIES During a review of the professional portfolios submitted to the CDHO in 2008, it was discovered that sections of two portfolios were almost identical. Subsequent to an on-site visit, it was further discovered that what was described in the professional portfolio was not an accurate description of the registrants’ dental hygiene practice. Therefore, this matter was referred to the Executive Committee for consideration. In light of Undertakings signed by both registrants, in which they agreed to submit a written apology to be printed in Milestones, the Committee determined that no further action be taken. llege of y to the Co ingly g lo o p a y nd m know Please exte ntario for O f o ts is n gie te informa Dental Hy presenting inaccura nd rofessional falsifying a ect to aspects of my p of a esp submission ental e tion with r th s e d lu his inc other d portfolio. T h was identical to an y office. I m hic portfolio w ant who practiced in rmation tr fo gis hholding in r that I hygiene re it w r fo e ologiz assesso further ap formed the e other denin e v a h ld which wou e same location as th th ge that I practiced in istrant. I acknowled e College e reg t to th tal hygien g statemen in d a le is m al portfolio provided a ed that the profession ly lar rate when I dec y own accu m s a d te it . bm ne practice ie which I su g y h l ta n y de described m ntario rampton, O B , m o d is Sandra W 18 MILESTONES NOVEMBER 2008 I would lik e to false and m sincerely apologize for making isleading st atements c dental hyg oncerning iene practi m ce in the se professiona ction of my y l portfolio r ela There are various rea ted to my typical da y. sons for wh dence has y this incitaken plac e ho excuse the fact that th wever that doesn’t e on-site vis pletely corr it didn’t co ela mportfolio r te with what was pre egarding m sented in m y typical d stand that ay. I do un y this is a se derrious matt er. I would lik e to apolog ize for this promise no incident, a t to let it e nd v er happen future. again in th e My sincere st apologie s, Parvinder Bains, Bra mpton, On tario COUNCIL’S CORNER COUNCIL MEETING HIGHLIGHTS, October 17, 2008 Cathie Mazal-Kuula, stated in her opening remarks that this was her final meeting as President. Please see the President’s Message, elsewhere in this issue, for the complete text of her remarks. During the Administrative report, the Registrar stated that the registration statistics as of October 1, 2008 were as follows: General Certificate of Registration Inactive Specialty for a total of 9,274 598 473 10,345 2002 registrants are authorized to self-initiate as of October 16, 2008. Elections for Districts No. 2, 3 and 7 will be held on November 21, 2008. There will also be an election for the Academic Members. The President noted during the Executive Committee report that the proposed Conflict of Interest Regulation was being reviewed again in light of comments received during the consultation phase. She also discussed the collaborative pilot project that occurred with the College of Opticians of Ontario (COO) and the York Regional School Board (YRSB). Council Members indicated their support for the project and the fact that the CDHO was working with another College on such a positive endeavour. The 2009 Budget was approved and Lucy Pavao from Toronto was appointed as the Non-Council Member for the Patient Relations and Complaints Committees. The Chair of the Registration Committee reported that they are investigating the possibility of offering an on-line jurisprudence course in 2009. Clinical evaluation results for August 2008 were discussed and it was noted that the results are posted on the CDHO website. A Panel of the Registration Committee heard three appeals resulting from the August session. All three appeals were dismissed. The Ministry of Training, Colleges and Universities (MTCU) has assured the CDHO that no new dental hygiene programs will be authorized in the province until the current situation has been rectified. Proposed amendments to the Registration Regulation were approved for circulation and comment to stakeholders. As a result of the enactment of the Health System Improvements Act, 2007 on June 4, 2009 the CDHO has had to amend its bylaws to accommodate the changes. Council approved Bylaw No. 4 as drafted by the Regulations & Bylaws Committee for circulation and comment to registrants and stakeholders. The Complaints Committee reported that they had completed their investigation into one complaint and had appointed an investigator into another complaint. The Discipline Committee reported that there was a hearing scheduled for the end of November 2008. The Patient Relations Committee indicated that they had been focused on developing an evaluation mechanism for their programs with Dina Franchi, an evaluation expert, who spoke to Council in the afternoon on the topic “So You Want to Evaluate a Program?” The Executive Committee also reported that they had completed their investigation into seven cases. One case was referred to the Discipline Committee. In the other cases, the registrants signed Undertakings. In two of these cases the registrants provided letters of apology which are published elsewhere in this edition of Milestones. > The next meeting of Council is scheduled for January 30, 2009. The location is yet to be determined. All are welcome to attend. For further information please contact Jane Cain at 416-961-6234 or outside the Toronto area at 1-800-268-2346 ext. 226 or e-mail [email protected]. COUNCIL MEETING DATES 2009 Council Meeting Dates: January 30, 2009 May 29, 2009 October 30, 2009 MILESTONES NOVEMBER 2008 19 The Patient Relations Committee would like to remind all registrants: • To wear their name pin – full name is required • To identify themselves as a Registered Dental Hygienist • To reread the Professional Misconduct Regulations within the Dental Hygiene Act http://www.search.e-laws.gov.on.ca/en/search/ REMINDER All requests for a duplicate certificate of registration, tax receipt or a certificate of professional conduct (letter of good standing) must be in writing to the attention of Heather Boucher. Requests can be faxed to 416-961-6028; e-mailed to [email protected] or mailed to 69 Bloor Street East, Suite 300, Toronto, Ontario M4W 1A9. For Your Informa tion The Self-Initiation co urse for dental hygienists is availa ble online at the CDHA website. For more information or to register, please vi sit the CDHA websit e at www.cdha.ca. Di rect all phone enquiries to the CD HA at 1-800-267-52 35. PLEASE INCLUDE YOUR REGISTRATION NUMBER ON ALL CORRESPONDENCE The registrant is responsible for notifying the College of an address or name change within seven (7) days of that change. Milestones is published periodically by the College of Dental Hygienists of Ontario, 69 Bloor Street East, Suite 300, Toronto, Ontario M4W 1A9 Telephone • 416-961-6234 Toll Free • 1-800-268-2346 Facsimile • 416-961-6028 Milestones is the official publication of the College of Dental Hygienists of Ontario. Comments or Questions on issues relating to the dental hygiene profession are welcome. © 2008 College of Dental Hygienists of Ontario. This newsletter is copyrighted and may be copied or reproduced when full acknowledgement is given to the copyright holder.
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