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Codes of Ethics and Professional Conduct

To achieve high standards of a profession it is the dedication of its Members in performing service to humanity that helps define them. In becoming a Member (as defined in the by-laws) of the Manitoba Association of Osteopathic Manual Therapists (MAOMT) (the "Association"), an individual assumes obligations and responsibilities to act in accordance with the ideals and standards within the Osteopathy profession. These principles, standards and ideals are set forth in the by-laws of the Association (the "by-laws"), the Standard of practice, the MAOMT Policies and Procedures, and the Code of Ethics. 

 

Each Member of the Association must adhere to the highest standards of conduct at all times when dealing with the public. The Association embraces the belief that the principles, standards and ideals contained in the previously named documents must be adhered to by each Member.

While a Code of Ethics describes the ideals behaviour that each members strive for.  If that behaviour is not met, not every failure to achieve perfection will result in disciplinary action. The Association also needs a set of minimum standards that each Member must comply. This Standards of Practice is the professional standard by which a Member’s behaviour is judged in the complaints and discipline process.

The Code of Ethics sets out the goals which members attempt to strive for. The Standards of Practice specifies the rules that must be achieved to avoid possible disciplinary action. The Code of Ethics can help interpret any uncertainty in the application of the Standards of Practice to a particular situation. Members whom strive to follow Code of Ethics as part of their culture of practice will have no fear of not meeting the Standards of Practice.

Code of Ethics

Introduction

This code outlines the expected standards of behaviour for all members of the Manitoba Association of Osteopathic Manual Therapists (MAOMT). It is to be read in conjunction with the MAOMT’s Standards of Practice and other relevant documents as well as the applicable federal and provincial legislation.

Nothing in this Code shall be construed as permitting breach of any law or interpreted in any way that would discourage a member from complying with their legal obligations (statute and common law).

The Code provides guidance for thinking about ethical issues; it cannot provide a final answer to all ethical questions that may arise during professional practice. Failure to specify any particular responsibility or practice in this Code does not negate the existence of these responsibilities or practices. 


Members aim to attain the following ideals:

Patient values, beliefs, goals and rights 

1. Members shall listen to their patients and show respect for their values, beliefs and goals. 
2. Members shall respect the moral and legal rights of their patients, and shall act to ensure that these rights are respected by all staff in their employ. 
Patient-professional Relationship 
3. Members shall value the well-being of patients over their personal interests. 
4. Members shall take all reasonable steps to minimize risk to patients and to prevent harm. Members shall appropriately manage any harm that arises. 
5. If an emergency arises during treatment, members shall provide appropriate assistance. 
6. Members shall maintain appropriate patient-professional boundaries. 
7. Members shall not discriminate against any patient on grounds of age, ancestry, place of origin, colour, ethnic origin, citizenship, creed (religion), disability, family status, gender, gender identity, gender expression, marital status, medical condition, national or ethnic origin, physical or mental disability, political affiliation, race religion, sexual orientation or socioeconomic status. 
8. Once a patient is accepted into the practice, members shall provide professional services until: a) they are not longer required; b) the patient declines further treatment; c) another osteopathic manual practitioner or health care professional has assumed responsibility; or d) until the patient has been given reasonable notice of the member’s intent to terminate the relationship. 
Informed Decision-making 
9. Members shall provide all necessary and sufficient information about osteopathy treatment in a manner the patient can understand, doing their best to answer questions as completely as possible. Information shall be transparent, accurate, complete, and evidence-based where possible. 
10. Members shall respect the right of capable patients to give or refuse consent. 
11. Members shall guide substitute decision makers in making decisions in accordance withe the accepted substitute decision-making standards.
12. Members shall be attentive to unrealistic expectations, explaining to patients what can and cannot be reasonably expected from treatment. 
13. Members shall not misuse the power imbalance to influence decision making. They shall inform their patients when their personal values influence their recommendations. 
14. Members shall respect requests for a second opinion from a colleague or health professional. 
Privacy 
15. Members shall protect the emotional and physical privacy of their patients. 
Confidentiality 
16. Members shall protect all personal and health information. 
17. Members shall respect that patients own their own health care information. 
18. Members shall only disclose health information to third parties with the patient’s consent. 
19. Members may share information with other health are professionals who are, have or will be providing health care to a patient, taking care to disclose necessary information only and to ensure information is not inadvertently conveyed to unintended parties. 
Fees, Renumeration 
20. Members shall charge fees that are reasonable for services rendered. 
21. Members shall refrain from any action that permits renumeration for referral services. 
22. Members shall provide a fee schedule before initiating treatment. 
23. Members shall ask for payment only after service has been rendered. 
Practice 
24. Members shall practice within the limits of their knowledge and skill. 
25. Members shall recognize their limitations and make appropriate and timely referrals for the well-being of their patients. 
26. Members shall maintain complete and accurate clinical records. 
27. Members shall engage in lifelong learning to maintain their clinical skills. 
Accountability 
28. Members shall be accountable for their decisions, whether they result in action or inaction. 
Abuse, Harassment 
29. Members shall refrain from behaviour that may be construed as harassment or abuse of patients, associates or employees. They shall ensure a professional environment free of intimidation and hostility. 
30. Members shall refrain from use of their authority to coerce patients, associates or employees. 
Advertising 
31. Members shall not engage in any activity, including advertising or speech, that could mislead a reasonable person. 
32. Members shall not use patient testimonials to promote their practice. 
Unethical Behaviour 
33. Members shall intervene promptly if any member of their practice provides incompetent care. 
34. Members shall take reasonable steps to address unethical conduct by colleagues and other health care professionals. 
Members charged with criminal acts shall report the charges as well as the courts findings to the MAOMT.
Collaboration 
35. Members shall work collaboratively with other professionals in planning and implementation of care. 
36. Members shall respect other members of the health care team, notwithstanding any philosophical differences regarding treatment, and share information with other professionals in the circle of care. 
Research 
37. Members shall utilize osteopathic research that contributes to improving patient outcomes and improving care. 
38. Members shall support current research standards. 
Conflict of Interest 
Members are responsible for recognizing a conflict of interest before it arises. Once they are aware of a conflict or potential conflict of interest, members shall manage it promptly and appropriately in the best interest of the patient. 
Integrity 
39. Members shall practice in an honest and upright manner. 
40. Members shall uphold the reputation of their profession and act to preserve public trust. 
41. Members shall refrain from practicing while impaired in any way. 
42. Members shall clearly and accurately represent themselves, never overstaying or embellishing their abilities, education, experience or qualifications.  


Standards of Practice
 

Introduction

Members of the Manitoba Association of Osteopathic Manual Therapists (MAOMT) hold themselves to high standards of professionalism in their practice. They have extensive education and training in osteopathic practice that meet or exceed the benchmark standards published by the World Health Organization(1) and are dedicated to promoting safe and

effective osteopathic assessment and treatment.
 

The MAOMT has developed standards, which are intended to ensure that clients of MAOMT members receive safe and effective care, provided in an ethical manner. As Osteopathic Manual Therapists are not currently self-regulated in Manitoba, these

standards apply to MAOMT members only. These standards are not set in regulation as they would in the the case of a self-regulated profession in Manitoba. The MAOMT has developed these standards for the benefit of members and their clients. Some members of the MAOMT may be registrants with a regulatory college of colleges and would therefore be subject to the standards set by that college or colleges.
 

This document sets out the acceptable professional standards that all Osteopathic Manual Therapists, who have been accepted as members of the MAOMT, are expected to follow. Standards of practice provide a shared understanding of how members of a profession are expected to conduct themselves. Members of the MAOMT are expected to consistently adhere to these standards in their osteopathic practice. 
 

It is anticipated that this document will continue to evolve and that it will be revised periodically to reflect changes in the health care sector or clinical setting and to address emerging issues. In the event that any statement in this document conflicts with existing

legislation, the legislation shall prevail.
 

One of the pre-requisites of becoming an MAOMT member is to first be accepted as an affiliate member of the Ontario Association of Osteopathic Manual Practitioners (OAO). When the MAOMT was established in 2016, the intention was to align our standards and ethics with those of the OAO. With the OAO’s expressed written authorization and permission, much of this document has been taken directly from the OAO’s Standards of Practice Document, with edits being made accordingly to reflect Manitoba’s Personal Health Information Act and laws.
 

(1) World Health Organization, 2010, Benchmarks for Training in Osteopathy
(2) CSA Z16686:20 Osteopathic healthcare provision (Adopted CEN EN 16686:2015, first edition, 2015-07, with Canadian deviations)

 

The MAOMT member shall:


Section 1 - Professional Conduct

Responsibility to comply with legislation

1.1 Comply with all federal, provincial/territorial and municipal laws and regulations relevant to the member’s practice as an MAOMT Osteopathic Manual Therapist.

Individual Responsibilities

1.2 Practice within the limits of personal knowledge and skills in the field of osteopathy

1.3 Be accountable for the member’s own actions.

1.4 Represent all professional qualifications, designations and affiliations honestly and correct misinterpretations of credentials by others immediately.

1.5 Refrain from osteopathic practice while impaired in any way.

1.6 Refer the client to other healthcare providers, including other Osteopathic Manual Therapists, when it is in the best interest of the client.

1.7 Maintain professional boundaries with clients, students and other healthcare professionals.

Responsibilities to clients

1.8 Provide treatment only when there is a reasonable expectation of therapeutic benefit and continue treatment when there is a reasonable expectation of continuing benefit.

1.9 Practice in a manner that respects and promotes the diversity and equity of clients.

1.10 Advocate on behalf of clients for appropriate healthcare services.

1.11 Report actions or behaviours of an MAOMT member that pose a risk of harm to clients.

Responsibilities to other members and/or other healthcare professionals

1.12 Ensure comments about other Osteopathic Manual Therapists or healthcare professionals are accurate and relevant.

Responsibilities to ensure an appropriate clinical setting

1.13 Provide a clinical setting that is safe and allows for the dignified provision of culturally appropriate care.

1.14 Ensure that Standard Precautions, including minimum infection prevention practices, are in place in the clinical setting.

1.15 Maintain professional liability insurance as required by the MAOMT.

Section 2 - Record Keeping

2.1 Ensure accurate record keeping of the provision of client care.

2.2 Ensure the secure maintenance of all documentation of the provision of client care.

2.3 Ensure the appropriate transfer or disposal of client documentation.

Section 3 - Business Management

3.1 Maintain accurate and up-to-date financial records, contracts, appointment records and receipts

3.2 Promote his/her business with integrity and avoid situations that lead to conflict of interest.

3.3 Not accept a significant benefit (such as a rebate, gift or other compensation) from a supplier of healthcare products/services or from another healthcare professional to whom the member refers clients, as this is a conflict of interest.

3.4 Provide written notice to clients, and comply with all relevant legislation, if the member closes, sells or relocates a practice.

3.5 Refrain from using their place of employment and/or institutional affiliation to recruit clients for their private practice.

Section 4 - Informed Consent

4.1 Obtain informed consent from the client (or legal guardian or substitute decision maker) prior to commencing treatment.

4.2 Recognize and respect the client’s right to refuse part, or all, of the proposed treatment plan.

4.3 Obtain consent from clients (or their legal guardian or substitute decision maker) prior to allowing the therapeutic session to be observed or electronically recorded.

4.4 Provide explanations to clients (or their legal guardian or substitute decision maker) prior to treatment about the nature and purpose of assessments and the specific use of the results.

Section 5 - Client Centered Care

5.1 Use effective oral and written interpersonal communication skills.

5.2 Seek feedback and respond appropriately.

5.3 Educate clients and/or their caregivers to facilitate continued progress.

5.4 Facilitate teamwork and inter professional collaboration in the provision of client centered care.

5.5 Contribute osteopathic expertise, as a member of the inter professional team, to provide collaborative client centered care. 

Section 6 - Ongoing Professional Competence

6.1 Maintain awareness of relevant developments in osteopathic practice and related requirements.

6.2 Draw upon the expertise of others to enhance osteopathic practice and personal proficiency.

6.3 Regularly self-assess knowledge and skills to develop a plan for professional development needs. 

Section 7 - Clinical Supervison and Research

7.1 If offered, train and educate students and other healthcare professionals only in areas for which they are competent.

7.2 Ensure students have knowledge of the learning objectives and are are aware of the methods of evaluation prior to commencing their supervised clinical education and training.

7.3 Provide timely and specific feedback to students under their supervision.

7.4 Be responsible and accountable for the actions of students while under their supervision.

7.5 Recognize and acknowledge students’ and other healthcare professionals’ contributions

to a member’s research efforts.

7.6 Ensure and ethical process is used to evaluate research design including the eligibility

and recruitment of study subjects, data collection methods and use of results.

Section 8 - Advertising

8.1 Advertise professional services accurately and honestly.

8.2 Ensure that the member does not refer to their self in advertisements as an Osteopathic Manual Therapist with an osteopathic speciality, expertise or certification.

8.3 Only use the MAOMT logo with the express written permission of the MAOMT

8.4 Promote the member’s business with integrity and avoid situations leading to conflict of interest.

Limitations

The MAOMT may decline to proceed with a complaint against a Member, past or current after 5 years from the incident if the MAOMT concludes that there are insufficient reasons why the complaint was not brought earlier.

Disciplinary Actions

None to date

 

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