We invite you to comment on the new or revised by-laws, standards, guidelines or other documents listed below.
Consulting with oral health care workers and the public is an important part of our development process. Your feedback on these topics is valuable.
Please send comments to email@example.com.
The revised Standard of Practice on the Use of Sedation and General Anesthesia in Dental Practice came into effect on November 15, 2018.
However, the Standard also includes new requirements. As of April 1, 2020, all dentists who administer minimal sedation, including nitrous oxide and oxygen sedation and oral minimal sedation must obtain authorization from the College. All facilities where minimal sedation is administered will be subject to random on-site inspections and evaluation by the College.
The April 1, 2020 effective date for the new requirements will allow us time to make needed changes to our By-Laws to implement and enforce the Standard.
The College has approved, in principle, three proposed by-law changes:
- By-Law #21 – Sedation and General Anesthesia
- amendments to By-Law #18 – Fees
- amendments to Appendix 28.2 about information that appears on the Register
Proposed By-Law #21 – Sedation and General Anesthesia
The proposed By-Law #21 would add a requirement that members be authorized by the College to administer minimal sedation. A facility permit will not be required for minimal sedation. However, these members will be required to submit documentation to the College about their use of minimal sedation on an annual basis and will be placed in a random selection pool for inspection.
At article 21.2, the proposed By-Law #21 includes provisions for members to apply for authorization from the College to administer minimal sedation, including the modalities of nitrous oxide and oxygen sedation and oral minimal sedation. Article 21.2 also includes provisions for members to apply for renewal of their authorization from the College on an annual basis, at which time they will be required to submit documentation about their use of minimal sedation.
The proposed By-Law #21 includes amendments to align it with the College’s revised draft Standard.
Proposed Amendments to By-Law #18 – Fees
By-law #18 amendments allow members to be charged a fee for authorization from the College to administer minimal sedation, renew such authorization on an annual basis and be subject to random on-site inspections and evaluation.
Proposed Amendments to Appendix 28.2
In order to incorporate additional information anticipated in the Proposed By-Law #21, it is proposed that Appendix 28.2 be amended to include provisions for information to be kept on the Register related to the use of minimal sedation.
Your feedback is important; please send any comments by e-mail to firstname.lastname@example.org by February 1, 2019. All comments will be reviewed by the Quality Assurance Committee. A final version of the by-laws, including any revisions made in response to stakeholder feedback, will be brought to Council for approval.
The College’s current Guidelines on Dental Recordkeeping were published in February 2008; a minor revision was made in May 2008.
The Quality Assurance Committee decided to update the Guidelines to ensure they are consistent with current practice parameters and standards.
Proposed revisions were presented to the November 15, 2018 College meeting.
- the Medical History section has aligned with the Medical History Recordkeeping Guide
- Comprehensive Clinical Examination provides additional guidance on the documentation of vital signs, as well as extra-oral and intra-oral findings.
- Drug Records has been aligned with the Guidelines on the Role of Opioids in the Management of Acute and Chronic Pain in Dental Practice.
- A new section has been inserted on the Release and Transfer of Dental Records, which will be linked to our Practice Advisory on this subject (also being updated).
- A new section on Additional Recordkeeping Requirements to reminds dentists of responsibilities related to specific types of dental treatment, including sedation and general anesthesia, dental CT scans, the diagnosis and management of temporomandibular disorders, and implant dentistry.
Additional wording changes have been made for clarity. As well, we encourage dentists to ask patients if they identify as a person with a disability or Deaf person; this will help the two parties discuss possible needs for accommodation.
Because of the importance of good recordkeeping, the proposed Guidelines are being circulated to all Ontario dentists and key stakeholders for review and input.
Your feedback is important; please send any comments by e-mail to email@example.com by February 1, 2019. All comments will be reviewed by the Quality Assurance Committee. A final version of the Guidelines including any revisions made in response to stakeholder feedback, will be brought to Council for approval.
The College’s current registration regulations set general requirements and conditions for licensure, different classes of certificates of registration, resignation and reinstatement.
The draft amendments do not alter existing provisions related to the general requirements and conditions for licensure, or the provisions regarding the different classes of certificates of registration. Instead, the draft regulation amendments amend existing provisions regarding resignation and reinstatement and add new provisions regarding suspensions.
Read the draft amendments. New content is shaded in grey.
Section 28 enables the Registrar to suspend a member for failure to provide the College with information. This would address situations where members have not completed mandatory questions on the Annual Renewal Questionnaire. This provision is one of the required elements needed to give the College the ability to suspend members in these instances.
A companion by-law change will also be required; it will be developed as the regulation amendment process moves forward.
Section 29 sets out the conditions under which the Registrar can lift suspensions imposed due to a member’s failure to pay fees.
The timelines set out in several provisions, such as sections 30 and 32, largely align with practices of other health regulatory Colleges. The timelines in section 28(1) of fifteen (15) days is, however, shorter than other Colleges. The 15 day time period was felt to be beneficial for the RCDSO as it will allow us to take swift action for failure to provide information.
Section 32(3) sets out when members are not eligible for reinstatement. New provisions have been added that are consistent with relevant reporting duties set out in the Regulated Health Professions Act, 1991.
Your feedback is important; please send any comments by e-mail to firstname.lastname@example.org by February 1, 2019.
At the June 14, 2018 Council meeting, the Registration Committee first reported that it was considering how it may be able to support members involved in charitable work.
After receiving input from Council, the Registration Committee brought this issue back to the November 2018 meeting. The Committee introduced a proposed by-law change to enable members to pay a reduced annual membership fee (of $250) if they are involved in volunteer work and are not otherwise making a profit from dentistry.
The College approved, in principle, the proposed amendment to By-Law #18 – Fees at its November 15, 2018 meeting.
Your feedback is important; please send any comments by e-mail to email@example.com by February 8, 2019.