Wilkie Kathy, Tzountzouris John
Registrar & Chief Executive Officer, College of Medical Laboratory Technologists of Ontario, Toronto, ON.
Director, Registration & Professional Practice, College of Medical Laboratory Technologists of Ontario, Toronto, ON.
Healthc Pap. 2017;16(4):10-23. doi: 10.12927/hcpap.2017.25206.
The inherent risk involved in the provision of healthcare services leads to the inevitable requirement of health human resource oversight to protect the public from harm (Bayne 2012). As healthcare systems evolve, so do theoretical models for, and practical applications of, health human resource oversight policy and processes. The College of Medical Laboratory Technologists of Ontario (CMLTO), as one of 26 health regulatory bodies in Ontario, implements programs or processes to enact and support changes in the knowledge, skill and judgment of their members. Determining what healthcare trends are affecting different healthcare professions and professionals, and how a regulatory institution, with a very specific mandate prescribed by government legislation, can enable necessary changes is explored in this paper through a case study of the CMLTO's journey to redefine "professionalism" and enable evolving practices of medical laboratory technologists (MLTs). A brief overview of health professional regulation, explored through a functional taxonomy, provides a contextual foundation to the CMLTO's journey to redefine professionalism. This approach also enables a discussion of the "sharpening" of certain regulatory approaches, that is, that opportunities to improve regulatory approaches are revealed via public feedback and modifications are made to rectify the historic experiences of the public. As the role of regulatory institutions continues to evolve to include a more prominent focus on proactive approaches to regulation, the ability to enable and support healthcare practitioners to respond to changes in the healthcare system becomes increasingly important. The case of the CMLTO's journey to redefine professionalism highlights an opportunity for a profession, and indeed its professionals, to evolve their culture to contribute their unique value to the healthcare system in response to system-level trends.
提供医疗服务所涉及的固有风险导致了对卫生人力资源进行监督的必然要求，以保护公众免受伤害（贝恩，2012年）。随着医疗系统的发展，卫生人力资源监督政策和流程的理论模型及实际应用也在不断演变。安大略省医学检验技师学院（CMLTO）作为安大略省26个卫生监管机构之一，实施各种计划或流程，以促进和支持其成员在知识、技能和判断力方面的提升。本文通过对CMLTO重新定义“专业精神”并推动医学检验技师（MLTs）不断发展的实践历程进行案例研究，探讨了哪些医疗趋势正在影响不同的医疗职业和专业人员，以及一个有着政府立法规定的非常明确任务的监管机构如何促成必要的变革。通过功能分类法对卫生专业监管进行简要概述，为CMLTO重新定义专业精神的历程提供了背景基础。这种方法还能够讨论某些监管方法的“优化”，即通过公众反馈揭示改进监管方法的机会，并进行修改以纠正公众的历史经历。随着监管机构的作用不断演变，越来越注重积极主动的监管方式，促使和支持医疗从业者应对医疗系统变化的能力变得愈发重要。CMLTO重新定义专业精神的案例凸显了一个职业及其专业人员根据系统层面的趋势发展自身文化，从而为医疗系统贡献独特价值的契机。
