British Columbia Order in Council — Order under Health Professions The amendments to the Bylaws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia are approved (O.C. 494/2001)

O.C. 494/2001

British Columbia — Orders in Council

Act and section:- Other (specify):- Authority under which Order is made: Health Professions Act,

section 19 5 D4 \o \\-6. . K:\HPATCMA\OIC 2000 \oic bylaws mar 01.doc PROVINCE OF BRITISH k:OLUMBIA ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL Order in Council No: — 494, Approved and Ordered APR 1 2 2001 Lieutenant Governor Executive Council Chambers, Victoria On the recommendation of the undersigned, the Lieutenant Governor, by and with the advice and consent of the Executive Council, orders that the amendments to the bylaws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia, as set out in the attached resolution of the Board of that College dated March 20, 2001, are hereby approved. Li-ruov Presiding Member of theExecutive Council (This

part is for administrative purposes only and is not part of the Order)

College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia (CTCMA) 2"d Floor, 5050 Kingsway, Burnaby, B.C., Canada. V5H 41-12 Phone: 604-638-3108 Fax: 604-638-3103 RESOLUTION OF THE BOARD OF THE COLLEGE OF TRADITIONAL CHAIESE MEDICINE PRACTITIONERS AND ACUPUNCTURISTS OF BRITISH COLUMBIA MADE THE 20TH DAY OF MARCH, 2001 BY TELECOMMUNICATION AND FASCIMILE. RESOLVED THAT, in accordance with the authority established in

section 18(1) of the Health Professions Act, and subject to the approval of the Lieutenant Governor in Council, the Board makes the Bylaws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia, as attached to this Resolution. CERTIFIED A TRUE COPY

COLLEGE OF TRADITIONAL CHINESE MEDICINE PRACTITIONERS AND ACUPUNCTURISTS OF BRITISH COLUMBIA BYLAWS

PART I

PART II

PART III

PART IV

PART V

PART VI

PART VII Board of College College Administration College Records Registration Inspections, Inquiries and Discipline Registrant Records for Self Employed Registrants General

Definitions 3 12 17 19 31 35 43

SCHEDULE A

SCHEDULE B

SCHEDULE C

SCHEDULE D

SCHEDULE E

SCHEDULE F

SCHEDULE G

SCHEDULE H Code of ethics Standards of practice Registrant representation districts Maximum fees for information requests Approval guidelines for education/training program Fees for registration and examination Order to attend hearing of discipline committee Approved education training programs College of TCAI Practitioners and Acupuncturists of British Columbia Bylaws

Definitions I . In these Bylaws, "Act" means the Health Professions Act; "appointed board member" means a member of the board appointed by the Minister of Health and Minister Responsible for Seniors under

section 17(3)(

b) of the Act; "board" means the board of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia; "chair" means the chair of the board elected under

section I I of the Act; "Code of Ethics" means the Code of Ethics set out in

Schedule "A"; "college" means the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia established by the Regulation; "deliver", with reference to a notice or other document, includes mail to or leave with a person, or deposit in a person's mailbox or receptacle at the person's residence or place of business; "elected board member" means a member of the board elected under

section 17(3Xa) of the Act; "examination" means theoretical or clinical examination, given orally or in writing, or by computer, or a practical examination, or any combination of these, and includes a supplementary examination; "personal information" means personal information as defined in

Schedule I of the Freedom of Infirmalion and Protection of Privacy Act; "public representative" means a person who, is not a registrant or former registrant or who has no close family or business relationship with a registrant or former registrant and includes an appointed board member. "record" means a record as defined in

Schedule 1 of the Freedom of hybrmation and Protection of Privacy Act; "regulation" means the Traditional Chinese Medicine Practitioners and Acupuncturists Regulation; "respondent" means a registrant named in a citation under

Section 37 of the Health Professions Act; "special resolution" is a resolution, which requires a 3/4 vote of those persons present and eligible to vote at a meeting; "Standards of Practice" means the Standards of Practice set out in

Schedule "B"; "vice-chair" means the vice-chair of the board elected under

section I I. 2 College of ICH Practitioners and Acupuncturists of British Columbia Bylaws

PART I: BOARD OF THE COLLEGE First Board 1.1

(1) Despite

section 1, for the purposes of

Part 1 of these bylaws, (a) "appointed board member" includes a person appointed under

section 17(2Xa) of the Act, to represent the public on the first board, and (b) "elected board member" includes a person appointed under

section 17(2)(

a) of the Act to represent the health profession on the first board.

(2) This

section is repealed 90 days following the first election referred to in

section 1 7(2Xa) of the Act Composition of Board 2. The board shall consist of nine (9) members. Three (3) shall be appointed board members and six (6) shall be elected board members. Of the six elected board members, three (3) shall be elected from registrants of the doctor of TCM or TCM practitioner, three (3) shall be elected from registrants of acupuncture or TCM herbalist. Of the six elected board members, at least one (1) shall be from the province of British Columbia outside of the Lower Mainland. Electoral Districts 3.

(1) The province of British Columbia shall be divided into 2 electoral districts: Lower Mainland and the province of British Columbia outside of Lower Mainland.

(2) The board may change the boundaries of an electoral district by a special resolution. Eligibility for Election 4.

(1) A registrant is eligible for election to the board if (

a) the registrant is resident in the electoral district for which he or she is nominated; (

b) the registrant is not in default of payment of any moneys prescribed in the Bylaws; (

c) the registrant's certificate of registration has not been revoked or suspended in the six years preceding the date of the election for any reason other than non- payment of fees; (

d) the registrant is the holder of a certificate of registration and the certificate is not subject to a term, condition, or limitation arising from an incapacity, incompetence, or professional misconduct matter; (

e) the registrant has not been the subject of a finding of professional misconduct, incompetence or incapacity in the four years preceding the date of the election; and College of TC Al Practitioners and Acupuncturists of British Columbia Bylaws 3

Nomination Procedure 5.

(1) At least 120 days prior to the expiry of the term of office, the registrar must notify every registrant in the applicable district(

s) of the date of an election and provide information about the nomination and voting procedure.

(2) Any registrant may nominate for office one registrant in good standing with the ❑ominee's consent and in accordance with the College nomination procedure. The nomination must be received at least 90 days prior to the expiry of the term of office.

(3) The registrar must disqualify any nominee whose nomination or election contravenes the Act, the regulations, the bylaws, or the procedures, or who does not meet the requirements of

Section 4. The registrar will notify the nominee of the reasons for disqualification in writing and report the disqualification with reasons to the board. Election Procedure 6.

(1) The registrar must prepare and mail to each registrant an election ballot not less than 60 days prior to the expiry of the term of office.

(2) Each registrant will be entitled to one ballot and may cast one vote for each member to be elected on such ballot. A ballot must not be counted unless it is received by the registrar at least 30 days prior to the expiry of the term of office and is contained in a sealed envelope.

(3) The person receiving the most votes for each position is elected.

(4) In the case of a tie vote, the registrar must determine the successful candidate by random draw.

(5) The registrar must supervise and administer all board elections and may establish procedures, consistent with these bylaws, for that purpose.

(6) In the event of any irregularity or dispute with respect to any nomination, ballot or election, the registrar will be the sole arbitrator thereof, and his or her decision is final.

(7) Where the number of nominees is less than or equal to the number of positions in an electoral district the registrar will declare the nominees to be elected by acclamation.

(8) Where the number of nominees is less than the number of positions in an electoral district the board will appoint registrants as available.

(9) Where the difference between the votes received by the two leading candidates for a position is 5% or less of the total votes cast, either candidate may request a recount of the votes.

(10) A recount may only be requested within 10 days of the date the candidates are notified of the final results of the election. 4 College of WM Practitioners and Acupuncturists of British Columbia Bylaws

(11) The registrar must not authorize destruction of the ballots prior to 31 days after the candidates are notified of the results of an election or recount Election Results 6.1 (

I) As soon as possible following the counting of ballots, the registrar shall (

a) notify each candidate of the results of the election and of the procedure for recount; and (

b) notify all members of the results of the election and provide the names and biographies of the members elected or acclaimed to the board by publishing the information in the next issue of the College publication. Terms of Office 7.

(1) The term of office for an elected board member commences at the first regular meeting of the board after the election of the board member.

(2) The term of office for an elected board member is 2 years.

(3) An elected board member is eligible for re-election for 2 additional terms.

(4) An elected board member whose maximum number of terms has been served may stand for re-election after a lapse of I term.

(5) An elected board member may resign at any time by delivering a notice in writing to the registrar. The resignation of an elected board member shall take effect immediately upon delivery of a notice in writing to the registrar. 8. An elected board member may be removed by a special resolution of the board or the registrants at a general meeting in accordance with the provisions of

section 37. Vacancy 9.

(1) Any vacancy of an elected board position may be filled by a registrant from the same electoral district as the outgoing board member for the period of time until the next scheduled board election by special resolution.

(2) An election must be held at the next scheduled board election to fill any vacant position of an elected board member for the remainder of the outgoing member's term where the time remaining is greater than 3 months. Remuneration 10. (

I) A board member may, at the discretion of the board, be paid an honorarium to a maximum of $200 per day, by the College for authorized time and effort spent on College business.

(2) A board member is entitled to be reimbursed by the College for reasonable expenses, and necessarily incurred in connection with the activities of the College. College of TCM Practitioners and Acupuncturists of British Columbia Bylaws

(3) A board member who spends less than 4 hours on business of the college may, at the discretion of the board, be paid an honorarium for the time spent at an hourly rate proportional to the per diem rate. Chair and vice-chair 11. (

I) The members of the board must elect a chair and a vice-chair by a majority vote for a 1 year term.

(2) The chair must: (

a) preside at all meetings of the college and board and is an ex-officio member of all committees, (

b) sign all certificates, diplomas and other instruments executed on behalf of the College as required, (

c) sign the minutes of each meeting after they are approved by the board, and (

d) act in accordance with the requirements of his or her office in carrying out the duties and responsibilities of the board.

(3) The vice-chair will perform the duties of the Chair in the absence of the chair.

(4) In the absence of both the chair and the vice-chair, an acting chair for a board meeting must be elected by a majority vote of the board members present. Board Meetings 12.

(1) The board must meet at least 4 times in each fiscal year and must provide reasonable notice of board meetings to registrants.

(2) Meetings of the board must be called by the registrar at the request of either the chair or any 3 board members.

(3) The registrar must provide the following to registrants or members of the public on request: (

a) details of the time and place of a board meeting, (

b) a copy of the agenda, and (

c) a copy of the minutes of any preceding open meeting.

(4) Subject to subsection (5), meetings of the board must be open to registrants and to the public.

(5) The board may exclude any person from any part of a meeting if it is satisfied that (

a) financial or personal or other matters may be disclosed of such a nature that the desirability of avoiding public disclosure of them in the interest of any person affected or in the public interest outweighs the desirability of adhering to the principle that meetings be open to the public, College of TCAI Practitioners and Acupuncturists of British Columbia Bylaws

(

b) a person involved in a criminal proceeding or civil suit or proceeding may be prejudiced, (

c) personnel matters or property acquisitions will be discussed, (

d) the contents of examinations will be discussed, (

e) communications with the Office of the Ombudsman will be discussed, (

I) instructions will be given to or opinions received from legal counsel for the college, the board, or committees, or (

g) the person is acting in such a way as to prevent the board from conducting the meeting.

(6) If the board excludes any person from a meeting, it must have its reasons for doing so noted in the minutes of the meeting.

(7) The registrar must ensure that minutes are taken at each meeting and retained on file.

(8) A majority of the board members constitutes a quorum.

(9) In the case of an equality of votes the chair shall not have a casting or second vote in addition to the vote to which he or she is entitled as a board member and the proposed resolution shall not pass.

(10) The board may meet and conduct business by mail, facsimile, electronic means, telephone or video conference connections, when some or all board members are unable to meet in person.

(11) Except as otherwise provided for in the Act, the regulations, or these bylaws, the most recent edition of Rohert's Rules of Order governs the procedures at meetings of the board. Extraordinary Board Meetings 13. (

I) A written resolution signed by all board members is valid and binding and of the same effect as if such resolution had been duly passed at a meeting of the board.

(2) Despite

section 12(1), the registrar or the chair may call a meeting of the board without providing notice to the registrants where necessary to conduct urgent business. Committees 14.

(1) A person appointed to a committee established under these bylaws (

a) must serve a term determined by the board not exceeding 2 years, and (

b) is eligible for reappointment but may not serve more then 3 consecutive terms.

(2) A committee member may be removed by a majority vote of the board. College of Till Practitioners and Acupuncturists of British Columbia Bylaws 7

The board must designate a committee chair and a committee vice-chair from among the members of the committee.

(4) Each committee must annually submit a report of its activities to the board.

(5) The registrar is an ex-officio member of every committee. Registration committee (3) 15.

(1) The Registration committee is established consisting of 6 members appointed by the board.

(2) The registration committee must include at least 2 public representatives, at least i of whom must be an appointed board member. Inquiry Committee 15.1

(1) The Inquiry Committee is established consisting of 6 members appointed by the board.

(2) The inquiry committee must include at least 2 public representatives, at least I of whom must be an appointed board member. Examination Committee 15.2

(1) The examination committee is established consisting of at the most, three (3) persons appointed by the board.

(2) The examination committee is responsible for advising the Registrar with regard to registration examinations, and acts as a consulting body to the Registrar in the appropriate testing of applicants' knowledge and skills. Discipline Committee 16.

(1) The Discipline Committee is established consisting of 6 members appointed by the board.

(2) The discipline committee must include at least 2 public representatives, at least 1 of whom must be an appointed board member. Quality Assurance Committee 17. (

I) The Quality Assurance Committee is established consisting of 6 members appointed by the board.

(2) The quality assurance committee must include at least 2 public representatives, at least one of whom must be an appointed board member.

(3) The quality assurance committee is responsible for 8 College of ICA! Practitioners and Acupuncturists of British Columbia Bylaws

(

a) reviewing the standards of practice to enhance the quality of practice and to reduce incompetent, impaired or unethical practice among registrants. (

b) establishing and maintaining a continuing competency program to promote high standards of practice among registrants, and (

c) recommending courses to the board for approval under

section 57. Patient Relations Committee 18. (

I) The patient relations committee is established consisting of 6 persons appointed by the board.

(2) The patient relations committee must include at least 2 public representatives, at least I of whom must be an appointed board member.

(3) The patient relations committee must (

a) establish and maintain procedures by which the college deals with complaints of professional misconduct of a sexual nature, (

b) monitor and periodically evaluate the operation of procedures established under paragraph (a), (

c) develop and coordinate, for the college, educational programs on professional misconduct of a sexual nature for registrants and the public as required, (

d) establish a patient relations program to prevent professional misconduct, including professional misconduct of a sexual nature, (

e) develop guidelines for the conduct of registrants with their patients, and (0 provide information to the public regarding the college's complaint and disciplinary process.

(4) For the purposes of this section, "professional misconduct of a sexual nature" means (

a) sexual intercourse or other forms of physical sexual relations between the registrant and the patient, (

b) touching, of a sexual nature, of the patient by the registrant, or (

c) behaviour or remarks of a sexual nature by the registrant towards the patient; but does not include touching, behaviour and remarks by the registrant towards the patient that are of a clinical nature appropriate to the service being provided. Standards of Education Committee 19. (

I) The standards of education committee is established consisting of 6 persons appointed by the board. College of TC Al Practitioners and Acupuncturists of British Columbia Bylaws

(2) The standards of education committee must include at least 2 public representatives, at least I of whom must be an appointed board member.

(3) The standards of education committee is responsible for (

a) establishing, implementing, enforcing and evaluating the standards of education for the approval of programs in

Schedule E in accordance with board policy; and (

b) reviewing and making recommendations to the board regarding: (

i) adherence of the acupuncture and traditional Chinese herbology and traditional Chinese medicine education programs listed in

Schedule E to the College standards of education to determine an approval rating; and (ii) the amendment of

Schedule E. Finance and administration committee 20.

(1) The finance and administration committee is established consisting of at least 3 board members appointed by the board and must include at least I appointed board member.

(2) The finance and administration committee is responsible for (

a) managing the college's system of financial administration, including (

i) accounting practices and systems, including classification of accounts, (ii) internal control and auditing systems, (iii) financial planning, (iv) budgetary control, (

v) ensuring the safekeeping of allege assets, including assets held in trust, (vi) managing college revenues, including receipt, recording and control of funds and deposit to accounts maintained by the board, (vii) producing financial reports for the use of the board, and submitting a financial statement to the auditor immediately after the close of each fiscal year, (

b) advising the board on the needs of the college in regard to financial administration, vend the financial implications of board decisions, (

c) advising the board on the application of legislative, regu►atory and other financial requirements to the college, (

d) developing, establishing and administering, for the approval of the board, financial policies, systems and procedures essential to the financial administration of the college, and 10 College of ICU Practitioners and Acupuncturists of British Columbia Bylaws

(

e) overseeing the organization, staffing and training of financial staff of the college. Executive Committee 21. (

I) The executive committee is established consisting of 3 board members appointed by the board, at least 1 of whom must be an appointed board member.

(2) The executive committee may act on any matter related to the ongoing administration of the college and may exercise all the powers of the board except when the board is in session.

(3) Acts of the executive committee, if within the scope of its authority, are effective as the acts of the board until varied or rescinded by the board.

(4) The executive committee must take minutes of its proceedings and submit them to the board at the next board meeting. Committee panels 22.

(1) The discipline committee, the inquiry committee, the registration committee and the patient relations committee may meet in panels of 3 persons which must include at least I board member and 1 public representative.

(2) The chair of a committee referred to in subsection ( 1 ) must appoint the members of a panel and must designate a chair of the panel.

(3) A panel of a committee referred to in subsection (

I) may exercise any power, duty, or function of that committee. Meetings of a committee or a panel 23. (

I) A majority of a committee or panel constitutes a quorum.

(2) All members of a panel constitute a quorum.

(3) The provisions of

section 12(2) to (6) and (8) to (10) apply to a committee or a panel as if it were the board. Remuneration of committee members 24.

(1) A committee member may, at the discretion of the board, be : (

a) paid an honorarium of up to $200 per day spent on business of the college, and (

b) reimbursed by the college for reasonable expenses necessarily incurred in connection with business of the college.

(2) Where a committee member spends less than 4 hours on business of the college, he or she may be paid for the hours spent at an hourly rate proportional to the per diem rate. College of 7CtI Practitioners and Acupuncturists of British Columbia Bylaws

PART II: COLLEGE ADMINISTRATION Seal 25.

(1) A seal for the College must be approved by the board.

(2) The seal of the college must be affixed, by those persons designated by the board, to certificates of registration and such other documents as the board may direct by resolution. Registrar 26. (

I) In addition to the registrar's duties under the Health Professions Act, the registrar must: (

a) be responsible for the funds of the College and establish and maintain such accounts with a chartered bank, trust company or credit union as the board determines necessary from time to time, (

b) at each meeting of the board submit a report of all revenues and expenditures since the last meeting unless otherwise directed by the board, (

c) submit a report to the annual meeting of the College, (

d) submit a financial statement to the auditor immediately after the end of each fiscal year, and (

e) keep the records and the Seal of the College and perform such other duties required of them by the Act and the bylaws and such other duties as required by the board.

(2) When the financial statement for the College has been certified by the auditor in writing the registrar must make a copy available to each registrant by publication or by mail not later than 150 days following the end of the fiscal year. (

I) In the event of the office of the registrar being vacant, the board shall make a temporary appointment until a successor is appointed by the board. Deputy registrar 26.1. (

I) The board may appoint a person to act as deputy registrar.

(2) The deputy registrar (

a) Must perform any duties assigned by the registrar, and (

b) In the event of the registrar's absence or inability to act for any reason, may exercise the powers and perform the duties of the registrar.

(3) The deputy registrar has the same authority as the registrar when he or she is acting oil behalf of the registrar. 1 2 College of TC Al Practitioners and Acupuncturists of British Columbia Bylaws

Fiscal Year 27. The fiscal year of the college begins on the April 1 and ends on March 31 of the following year. Banking 28.

(1) The board must establish and maintain such accounts with a chartered bank, trust company or credit union as the board determines necessary from time to time. Payments and commitments 29.

(1) The registrar may approve payments and commitments for the purchase of goods and services up to $1,000.

(2) Subject to subsection (3), all payments and commitments by the college in excess of $1,000 must be approved by the registrar and 1 board member designated by the board.

(3) The board must not purchase personal or real property or enter contracts for services in excess of $100,000 without a special resolution approved by the registrants of the college at a general meeting. Borrowing powers 30. (

I) The board may raise funds or borrow money in the name of the college, in any manner determined by the board, in order to carry out the purposes of the college.

(2) The board must not enter into any security obligation in excess of $50,000 without a special resolution approved by the registrants of the college at a general meeting.

(3) The registrants may by special resolution at a general meeting, restrict the borrowing powers of the hoard. Investments 31. The board may invest funds of the College in any investments authorized under

section 15 of the Trustee Act in the name of the College and may change those investments. Auditor 32. (

I) The board must appoint a chartered accountant or a certified general accountant to be the auditor.

(2) The registrar must submit the financial statement to the auditor within 60 days of the end of the fiscal year.

(3) A copy of the auditor's report must be included in the annual report. Legal Counsel College of 1'C At Practitioners and Acupuncturists of British Columbia Bylaws 13

33. The board or with the approval of the board, a committee or panel, may retain legal counsel for the purpose of assisting the board, committee or panel in carrying out any power or duty under the Act, the regulations or these bylaws. General meetings 34. (

I) A general meeting of the registrants must be held in British Columbia at a time and place determined by the board.

(2) The first annual general meeting of the registrants must be held not more than 15 months after the date the bylaws are approved by the Lieutenant Governor in Council and after that an annual general meeting must be held at least once in every calendar year and not more than 15 months after the holding of the last preceding annual general meeting.

(3) The following matters must be considered at an annual general meeting (

a) financial statements, (

b) the report of the board, and (

c) the report of the auditor, if any.

(4) Every general meeting, other than an annual general meeting, is an extraordinary general meeting.

(5) The board (

a) may convene an extraordinary general meeting by resolution of the board, and (

b) must convene an extraordinary general meeting within 60 days after receipt by the registrar of a request for such a meeting signed by at least 10% of all registrants, provided that the meeting is to address issues that are within the college mandate. Notice of general meeting 35. (

I) The board must deliver notice of an annual or extraordinary general meeting to every registrant at least 45 days prior to the meeting.

(2) Notice of a general meeting must include (

a) the place, day and time of the meeting, (

b) the general nature of the business to be considered at the meeting, (

c) any resolutions proposed by the board, and (

d) any resolutions proposed by the registrants under

section 36 and delivered to the registrar prior to the mailing of the notice. 14 College of IC Al Practitioners and Acupuncturists of British Columbia Bylaws

(3) The accidental omission to deliver notice of a meeting to, or the non-receipt of a notice by, any registrant or board member entitled to receive notice does not invalidate proceedings at that meeting. Resolutions proposed by registrants 36.

(1) Any 10 registrants may deliver a written notice to the registrar requesting the introduction of a resolution at least 30 days prior to the date of an annual or extraordinary general meeting.

(2) On receipt of a notice specified in subsection (1) and at least 14 days prior to the date of that meeting, the registrar must deliver a notice and a copy of the resolution to each registrant.

(3) A registrant may propose a resolution at a general meeting from the floor and any such resolution will be noted by the Chair of the meeting and placed at the end of the agenda to be debated if time permits. Proceedings at general meetings 37.

(1) A quorum is 10% of total registrants.

(2) No business, other than the adjourr ment or termination of the meeting, may be conducted at a general meeting at a time when a quorum is not present.

(3) If at any time during a general meeting there ceases to be a quorum present, business then in progress shall be suspended until there is a quorum present.

(4) If within 30 minutes from the time appointed for the commencement of a general meeting or from any time during a general meeting when a quorum is not present, the meeting must be adjourned.

(5) In the absence of both the Chair and the Vice-Chair of the board, an acting chair for a meeting must be elected from among the board members present by a majority vote of the registrants present.

(6) A general meeting may be adjourned from time to time and from place to place, but no business may be transacted at an adjourned meeting other than the business left unfinished at the meeting from which the adjournment took place.

(7) When a meeting is adjourned in accordance with subsection (4) or by motion, notice of the rescheduled meeting must be delivered as in the case of the original meeting.

(8) No motion proposed at a meeting need be seconded and the chair of a meeting may propose a motion.

(9) A registrant present at a meeting is entitled to one vote and the chair of the meeting, where the chair is a registrant, is entitled to one vote.

(10) Voting must be conducted by ballot.

(11) In case of a tie vote on a resolution, the proposed resolution must not pass. College of WM Proqiiioners and Acupundurisis of British Columbia Bylaws 15

(12) Except as these bylaws otherwise provide, the most recent edition of Robert's Rules of Order governs the procedures at an annual or extraordinary general meeting. Voting by proxy 38. (

I) A registrant entitled to vote at a general meeting may, by proxy, appoint in writing another registrant as his or her proxy holder to attend and act at the general meeting in the manner, to the extent and with the power conferred by the proxy.

(2) A proxy holder has the same rights as the registrant who appointed him or her to speak at the meeting.

(3) A proxy ceases to be valid following the general meeting specified in the proxy.

(4) A proxy must be in the form prescribed by the College and must contain (

a) the date it is executed, (

b) the name of the proxy holder, and (

c) the signature of the registrant assigning the vote.

(5) A proxy may be revoked by the registrant in writing. Notice to public representatives 39. A notice or mailing provided to the general membership of the College must also be provided to a public representative serving on the board or a committee. 16 College of TCM Practitioners and Acupuncturists of British Columbia Bylaws

PART Ill: COLLEGE RECORDS Body responsible for administering the Freedom of Information and Protection of Privacy Act 40.

(1) The registrar is the "head" of the college for the purposes of the Freedom of Information and Protection of Privacy Act.

(2) The registrar may authorize a deputy registrar, a person employed by the college or a person who has contracted to perform services for the college to perform any duty or exercise any function of the registrar that arises under the Freedom of Information and Protection of Privacy Act.

(3) The board is responsible for ensuring that the registrar fulfills his/her duties under the Freedom of Information and Protection of Privacy Act.

(4) The registrar must report quarterly to the board regarding the steps it has taken to fulfill its duties under the Freedom of Information and Protection of Privacy Act. Fees for information request 4 I. Subject to

section 75 of the Freedom of Information and Protection of Privacy Act, an applicant who requests access to a college record under

section 5 of the Freedom of Information and Protection of Privacy Act must pay the fees set out in

Schedule D for services required to comply with the information request. Protection of personal information 42.

(1) The board must take all reasonable measures to ensure that the collection, use, and disclosure of personal information occurs in accordance with the Freedom of Information and Protection of Privacy Act.

(2) The board must take reasonable measures to ensure that, where personal information is sent to any person or service organization for processing, storage or destruction, a contract is made with that person or organization which includes an undertaking by the person or organization that confidentiality will be maintained. Disclosure of annual report 43. The College must provide a copy of the annual report to every registrant and to a person on request. Disclosure of registration status 44. (

I) Where an inquiry about the registration status of a person is received by the board or the registrar, the registrar must disclose (

a) whether or not the person is a registrant or a former registrant, (

b) whether or not the discipline committee has ever issued an order relating to the person under

section 39 of the Act and the details of the order, College of ICH Practitioners and Acupuncturists of British Columbia Bylaws 17

(

c) whether or not the person has ever signed a consent order under

section 36 of the Act, and (

d) the details of a consent order pertaining to a change in the person's registration status or a restriction on the practice of the profession of the registrant.

(2) Except with the consent of the person affected, the registrar must not release the names of complainants, patients, or their families or information which might otherwise enable a person inquiring about the status of a registrant to establish the identity of complainants, patients or their families. Manner of disposal of college records containing personal information 45. (

I) The board must ensure that a college record containing personal information is disposed of only by (

d) effectively destroying a physical record by utilizing a shredder or by complete burning, (

e) erasing information recorded or stored by electronic methods on tapes, disks or cassettes in a manner that ensures that the information cannot be reconstructed, (

f) returning the record to the person the information pertains to, or (

g) returning the record to the registrant who compiled the infOrmation. 18 Practitioners and Acupuncturists of British ( .olunibia Bylaws

PART IV: REGISTRATION

Definitions 46. For the purposes of

part IV of these bylaws "apprenticeship" means supervised practice with a tutor or preceptor who assumes responsibility for the theoretical and practical education and training of the apprentice; "education" means any course of study, containing both clinical and theoretical components, based on a single program or integrated curriculum, containing content necessary for entry level acupuncture and traditional Chinese herbology and traditional Chinese medicine practice; "practice" means practising within the scope of practice as defined in

section 4 of the Regulation under the Health Professions Act. Titles and types of registrants 47. Four titles will be granted to applicants based on their education, training and in the case of grandparented applicants, practice experience :

(1) Registered Acupuncturist, abbreviated as "R.Ac.", to practise acupuncture,

(2) Registered Traditional Chinese Medicine Herbalist, abbreviated as "R.TCM.H.", to practise traditional Chinese herbology,

(3) Registered Traditional Chinese Medicine Practitioner, abbreviated as "R.TCM.P.", to practise traditional Chinese medicine, and

(4) Doctor of Traditional Chinese Medicine, abbreviated as "Dr.TCM.", to practise traditional Chinese medicine. A registrant may change to another title in accordance to the educational and training standards under

Schedule E. There are seven registration status under each of the four titles. Each registration status confers different privileges. (

I) full registration, (2) grandparented registration, ( 3) limited registration, (4) student registration, ( 5) non-practising registration (6) temporary registration, and College of 'Al Practitioners and Acupuncturists of British Columbia Bylaw., 19

(7) honorary registration. Full registration 48.

(1) For the purposes of

section 19(2) of the Ac!, the requirements for full registration are (

a) graduation, from an acupuncture education or training program for registration as acupuncturist, or from a traditional Chinese herbology education or training program for registration as a traditional Chinese herbalist, or from a traditional Chinese medicine education or training program for registration as a traditional Chinese medicine practitioner or Doctor of traditional Chinese medicine, listed in

Schedule "H", (

b) successful completion of the examinations required by the examination committee, and (

c) evidence satisfactory to the registration committee of the good character of the person consistent with the responsibilities of a registrant and the standards expected of a registrant. (2) receipt by the registrar of (

a) a signed application for full registration in a form approved by the registration committee, (

b) the application fee specified in

Schedule "F", (

c) a notarized copy, or other evidence satisfactory to the registration committee, of the applicant's degree, diploma or other acceptable educational credential and evidence satisfactory to the registration committee that the applicant is the person named therein, (

d) a statutory declaration as specified in Form 1, (

e) the examination fee set by the College, and (

t) a signed criminal record check authorization form. Grandparented registration 49 Applicant for registration as acupuncturist : this provision will be annulled effective June 21, 2001.

(1) An applicant who does not meet the requirements established in

section 48 may be granted full grandparented registration by the registration committee where the applicant, immediately upon application 20 College of TCH Practitioners and Acupuncturists of British Columbia Bylaws

(

a) has been practising in British Columbia in a capacity substantially equivalent to a registrant for any 12 month period between December 22, 1997 and December 22, 1999, (

b) has never been qualified, and does not at the time of application, qualify under

section 48, (

c) has successfully completed any courses and examinations required by the registration committee, including a college mandated upgrading course. (

d) satisfies the registration committee concerning the good character of the person consistent with the responsibilities of a registrant and the standards expected of a registrant, (

e) has delivered to the registrar (

i) a signed application for grandparented registration in a form approved by the registration committee, (ii) the application fee specified in

Schedule "F", (iii) a notarized copy, or other evidence satisfactory to the registration committee, of the applicant's degree, diploma or other acceptable educational credential and evidence satisfactory to the registration committee that he or she is the person named therein, (iv) a statutory declaration in Form I, (

v) the examination fee as specified in

Schedule "F", (vi) a signed criminal record check authorization form, (vii) all information that relates to the applicant and the practice of acupuncture or is otherwise relevant to the safe and ethical practice of acupuncture, regardless of where the event took place, including but not limited to: (

I) any professional liability insurance claim, and (2) settlement or judgment in any civil law suit or particulars of any civil action that is pending where the applicant is a party; and (viii) evidence satisfactory to the registration committee that any deficiency in his or her practice or ethics revealed by the matters disclosed under 49(1)(

e) has been remedied and there is no threat to public safety, and (

f) can meet the criteria as specified in

section 49(2).

(2) To meet the requirements of

section 49(1)(0 above, an applicant must: (

a) Obtain a minimum of 70 points based upon the following standards and criteria: College of TCAI Practitioners and Acupuncturists of British Columbia Bylaws. 21

(

i) practice in British Columbia in a capacity substantially equivalent to an acupuncture registrant for a 12 month period not concurrent with the 12 months declared to satisfy the requirement of 49(1)(a). Each 12 months of continuous practice will score 15 points; (ii) practice outside of British Columbia in a capacity substantially equivalent to a registrant for a 12 month period. Each 12 months of continuous practice will score 5 points; (iii) education program(

s) acceptable to the registration committee. Each year of such education will score a maximum of 25 points; (iv) apprenticeship program acceptable to the registration committee. Each year of such education will score 25 points; (

v) acupuncture licensure in another jurisdiction acceptable to the registration committee Such licence may score 10 points; and (vi) other professional activities acceptable to the registration committee to a maximum of 20 points.

(3) No application for registration shall be made by a person under this

section after June 21, 2001. 49.1 Grandparented registrations as Traditional Chinese Medicine Herbalist, Traditional Chinese Medicine Practitioner and Doctor of Traditional Chinese Medicine

(1) An applicant who does not meet the requirements established in

section 48 may be granted full grandpartnted registration by the registration committee where the applicant, immediately upon application (a) (

i) has been practising traditional Chinese medicine herbology in British Columbia in a capacity substantially equivalent to a registrant for any 12 month period between January 1, 1998 and December 31, 2000 for applicant of the Traditional Chinese Medicine Herbalist title; or (ii) has been practising traditional Chinese medicine in British Columbia in a capacity substantially equivalent to a registrant for any 18 month period between ,lanuary 1, 1998 and December 31, 2000 for applicant of the Traditional Chinese Medicine Practitioner or Doctor of Traditional Chinese Medicine title. (

b) has never been qualified, and does not at the time of application, qualify under

section 48, (

c) has successfully completed any courses and examinations required by the registration committee, including a mandated safety course required by the College, (

d) satisfies the registration committee concerning the good character of the person consistent with the responsibilities of a registrant and the standards expected of a registrant, and 1'7 College of T( .tI Practitioners. and Acupuncturists of British ( 'olumbia By/aws

(

e) has delivered to the registrar (

i) a signed application for grandparented registration in a form approved by the registration committee, (ii) the application fee specified in

Schedule "F", (iii) a notarized copy, or other evidence satisfactory to the registration committee, of the applicant's degree, diploma or other acceptable educational credential and evidence satisfactory to the registration committee that he or she is the person named therein, (iv) a statutory declaration in Form 1, (

v) a signed criminal record check authorization form, (vi) all information that relates to the applicant and the practice of traditional Chinese medicine, or is otherwise relevant to the safe and ethical practice of traditional Chinese medicine, regardless of where the event took place, including but not limited to : (1) any professional liability insurance claim, and (2) a settlement or judgment in any civil law suit or particulars of any civil action that is pending where the applicant is a party; and (vii) evidence satisfactory to the registration committee that any deficiency in his or her practice or ethics revealed by the matters disclosed under 49.1(1)(

e) has been remedied and there is no threat to public safety.

(2) In addition to the requirements of

section 49.1(1) above, an applicant must obtain a minimum of : (a) 70 points for Traditional Chinese Medicine Herbalist, (b) 125 points for Traditional Chinese Medicine Practitioner in which acupuncture and herbology must each score a minimum of 45 points, or (c) 150 points for Doctor of Traditional Chinese Medicine in which acupuncture and herbology must each score a minimum of 45 points. The points are assigned based on the following standards and criteria : (

i) practice in British Columbia in a capacity substantially equivalent to a registrant of the respective title not concurrent with the 24 months declared to satisfy the requirement of 49.1( 1)(a). Each 12 months of continuous practice will score 15 points; (ii) practice outside of British Columbia in a capacity substantially equivalent to a registrant of the respective title. Each 12 months of continuous practice will score 5 points; ('allege vi it '%1 Practitioners and Acupuncturists al British Columtna Bylaws 23

(iii) 5 points for each year of post secondary education at college or university level, to a total maximum of 15 points; (iv) education program(

s) acceptable to the registration committee. Each year of study in traditional Chinese medicine study will score a maximum of 25 points; (

v) apprenticeship program acceptable to the registration committee. Each year of apprenticeship may score up to 15 points per year; (vi) doctor of traditional Chinese medicine licensure in another jurisdiction acceptable to the registration committee. Each licence may score 10 points; (vii) other significant academic or professional activities acceptable to the registration committee to a maximum of 20 points.

(3) No application for registration shall be made by a person under this

section 6 months after this

section comes into effect.

(4) No person may practice traditional Chinese medicine without a license two (2) years after this

section comes into effect. Limited registration 50. (

I) An applicant who does not meet the requirements established in

section 48 may be granted limited registration by the registration committee for a period of up to I year where the applicant (

a) may, in the opinion of the registration committee, be reasonably expected to satisfy the educational requirements established in

section 48 by completing upgrading courses or a period of supervised practice, (

b) may. in the opinion of the registration committee, practice as a limited registrant without any risk to public health and safety, and (

c) has delivered to the registrar (

i) a signed application for limited registration in a form approved by the registration committee, (ii) the application fee specified in

Schedule "F", (iii)a notarized copy, or other evidence satisfactory to the registration committee, of the applicant's degree, diploma or other acceptable educational credential and evidence satisfactory to the registration committee that he or she is the person named therein, (iv) a statutory declaration in Form I, (

v) the examination fee as specified in

Schedule "F", and (vi) a signed criminal record check authorization form. 24 ( 'allege of ICAl Practitioners and Acupuncturists of British Columbia Wows

(2) The registration of a person who has been granted limited registration under subsection (

I) may be renewed by the registration committee once for a period of up to I year.

(3) Full registration may be granted by the registration committee to a person who has been granted limited registration under subsection (1) and who (

a) completes the required upgrading courses or period of supervised practice as approved by the registration committee, and (

b) meets the requirements of

section 48.

(4) A person who has been granted limited registration under subsection (

I) may perform the services of a full or grandparented registrant with any practice limits or conditions set by the registration committee, which may include supervised practice. Student registration 51.

(1) An applicant may be granted student registration by the registration committee where the applicant (

a) is enrolled, or was enrolled during the 6 months previous to making an application under paragraph (

c) below, as a student in a training program approved by the registration committee, (

b) satisfies the board concerning the good character of the person consistent with the responsibilities of a registrant and the standards expected of a registrant, and (

c) has delivered to the registrar (

i) a signed application for registration in a form approved by the registration committee, (ii) the application fee specified in

Schedule "F", (iii) a notarized statement, or other evidence satisfactory to the registration committee, of the applicant's name, date of birth and educational standing, (iv) a statutory declaration in Form I. and (

v) a signed criminal record check authorization form.

(2) A person to whom subsection (1) applies must be registered under this

section before undertaking a period of practical training involving direct patient care.

(3) A student registrant may only provide services while under the general supervision of a full, grandparented, or temporary registrant in good standing . College of TC Al Practitioners and Acupuncturists nf British Columbia Bylaws 25

Non-practising registration 52.

(1) A full or grandparented registrant may be granted non-practising registration by the registration committee where the registrant has delivered to the registrar (

a) a signed application for non-practising registration in a form approved by the registration committee (

b) the application fee specified in

Schedule "F", and (

c) a statutory declaration that he or she will not practise anywhere in British Columbia, Canada within the scope of practice as defined in

section 4 of the regulation while registered under this section.

(2) A non-practising registrant may not provide the services specified in the Regulation in the Province of British Columbia, Canada.

(3) A non-practising registrant may be reinstated in accordance to

section 58. Temporary registration 53.

(1) An applicant may be granted temporary registration by the registration committee for a period of up to 90 days where the applicant (

a) is a registrant in good standing of a regulatory body governing the practice of acupuncture or traditional Chinese herbology or traditional Chinese medicine in a jurisdiction approved by the board, and (

b) has delivered to the registrar (

i) a signed application for temporary registration in a form approved by the registration committee, (ii) the application fee specified in

Schedule "F", (iii) a notarized copy, or other evidence satisfactory to the registration committee, of the applicant's registration status in a regulatory body specified in paragraph (

a) and evidence satisfactory to the registration committee that the applicant is the person named therein, (iv) a statutory declaration in Form I, and (

v) a signed criminal record check authorization form.

(2) The registration of a person who has been granted temporary registration under subsection (1) may be renewed by the registration committee once for an additional period of up to 90 days.

(3) A person who has been granted temporary registration under subsection (1) may perform any of the services of a full registrant.

(4) A temporary registrant must not 26 College of ICAI Practitioners and Acupuncturists of British Cambia Bylaws

(

a) serve on the board or on any of its committees, (

b) vote in an election of board members, or (

c) vote at a general meeting of registrants. This sub-section, 4(a), (

b) and (c), is effective after the first election referred to in

section 17(2)(

a) of the Act. Honorary registration 54.

(1) The board may award honorary registration to any person other than a registrant who has made a substantial contribution to the profession of acupuncture or traditional Chinese herbology or traditional Chinese medicine (

I) An honorary registrant may not provide the services of the profession of acupuncture or traditional Chinese herbology or traditional Chinese medicine specified in the regulation. Certificate of registration 55.

(1) The registrar must issue a certificate in Form 2 to any person who is granted full, grandparented, limited, student, non-practising or temporary registration and the certificate must specify the limits or conditions that apply to that class of registrants.

(2) A certificate of full, grandparented, or non-practising registration or any renewal of such certificate, is valid until not later than March 31 of the year following the year the certificate is issued.

(3) A certificate of limited or temporary registration is valid until the date shown on the certificate.

(4) A certificate of student registration, or any renewal of a certificate of student registration, is valid until the earlier of (

a) March 31 of the year following the year the certificate is issued, or (

b) six months after the date the registrant graduates or is last enrolled as a student in a training program approved by the board. Registration renewal 56.

(1) To be eligible for renewal of registration, a full, grandparented, limited, student, non- practising or temporary registrant must : (

a) apply to the registrar, (

b) pay the registration renewal fee specified in

Schedule "F", (

c) pay any other outstanding fee, debt or levy owed to the college, College of TCM Practitioners and Acupuncturists of British Columbia Bylaws 27

(

d) attest that he or she is in compliance with the Act, the regulations, and these bylaws, and is in compliance with any limits or conditions imposed under

section 39( I Xc) of the Act, and (

e) provide proof of having completed any registration renewal requirements shown under

section 57.

(2) Notice of the fees must be delivered to each registrant no later than February 10 and must describe the consequences of late payment and non-payment of fees.

(3) Each registrant must pay to the college the registration renewal fee on or before March 31.

(4) The annual registration renewal fee may be paid in advance installments where approved by the board.

(5) On payment of the registration renewal fee, and any arrears, the registrar must issue to the registrant making payment a receipt bearing the seal of the college and stating that the registrant is, subject to his or her compliance with the Act, the regulations, and the bylaws, entitled to practise the profession of acupuncture or traditional Chinese herbology or traditional Chinese medicine in the Province of British Columbia as a registrant of the college.

(6) Where a registrant fails to pay a registration renewal fee on or before March 31, he or she ceases to be registered. Conditions of Registration Renewal 57. (

I) A full or grandparented registrant who wishes to renew his or her registration must (

a) complete 25 hours of board approved continuing education every 2 calendar years, and (

b) practice acupuncture or traditional Chinese herbology or traditional Chinese medicine at a minimum level (200 patient visits during any consecutive 24 month period) within the last 4 years. Reinstatement 58. For the purpose of subsection (1), (2) and (3) of

section 58, a former registrant may apply for reinstatement as a non-practising registrant provided the former registrant repays the annual fees of a non-practising registrant for the periods while the former registrant was not on the register.

(1) A non-practising registrant whose registration is not suspended or canceled under

section 39 of the Act and who has been out of practice for less than 2 years may be restored to the full register or to the grandparented register by the registration committee where the registrant (

a) provides proof of completion of 25 hours of board approved continuing education every 2 calendar years, and (

b) has delivered to the registrar 28 College of TC AI Practitioners and Acupuncturists of British Columbia Bylaws

(

i) a signed application for reinstatement in a form approved by the registration committee, and (ii) the registration renewal fee specified in

Schedule "F", and any annual fee adjustments required for full-practising status.

(2) A non-practising registrant whose registration is not suspended or canceled under

section 39 of the Act and who has been out of practice for more than 2 year but less than 4 years may be restored to the full register or to the grandparented register by the registration committee where the registrant (

a) provides proof of completion of 25 hours of board approved continuing education every 2 calendar years for the duration when the registrant was a non-practising registrant, (

b) successfully completes any examinations or courses required by the registration committee, and (

c) has delivered to the registrar (

i) a signed application for reinstatement in a form approved by the registration committee, and (ii) the registration renewal fee specified in

Schedule "F", and any annual fee adjustments required for full-practising status.

(3) A non-practising registrant whose registration is not suspended or canceled under

section 39 of the Act and who has been out of practice for more than 4 years may be granted limited registration by the registration committee where the registrant (

a) provides proof of completion of 25 hours of board approved continuing education every 2 calendar years for the duration when the registrant was a non-practising registrant, (

b) successfully completes any examinations or courses required by the registration committee, (

c) may, in the opinion of the registration committee, practise as a limited registrant without any risk to public health and safety, and (

d) has delivered to the registrar (

i) a signed application for reinstatement in a form approved by the registration committee, and (ii) the registration renewal fee specified in

Schedule "F", and any annual fee adjustments required for full-practising status.

(4) The registration of a person who has been granted limited registration under subsection (3) may be renewed annually by the registration committee.

(5) A person who has been granted limited registration under subsection (3) may only perform the services of a full or grandparented registrant with any practice limits or conditions set by the registration committee, which may include supervised practice.

(6) A person who has been granted limited registration under subsection (3) and who was formerly a full registrant may be restored or reinstated to the full register upon College ofT( ..if Practitioners and Acupuncturists of British Columbia Bylaws 29

completion of conditions established by the registration committee, which may include 1 year of supervised practice.

(7) A person who has been granted limited registration under subsection (3) and who was formerly a grandparented registrant may be restored or reinstated to the grandparented register upon completion of a I year period of supervised practice. Reinstatement following non-payment of fees 59. (

I) A former registrant who ceased to be registered under

section 56(6) by reason only of a failure to renew his or her registration is eligible for reinstatement by the board under

section 21(4) of the Act where the former registrant, (

a) applies for reinstatement in the form required by the registration committee not later than 3 months following the expiry of his or her regi'Aration, (

b) is not in contravention of the Act, the regulations, or these bylaws, (

c) pays the registration renewal fee in

Schedule F, and (

d) pays a reinstatement fee in an amount equal to 35 percent of the registrant's annual registration renewal fee.

(2) Despite subsection (1), the board may reinstate a person without charging any fee where the person is able to demonstrate that he or she was unable to comply with

section 56 for reasons of undue hardship. Notification of change of registration information 60. A registrant must immediately notify the registrar of any change of address, name or any other registration information previously provided to the registrar. ,11 Tt n.,, Oil' "Id .1 nt.r..I.Intt.PI et, ,tf 11,41: els ..111,s041......

PART V: INSPECTIONS, INQUIRIES AND DISCIPLINE Inspections 61.

(1) An inspector must not observe a registrant while the registrant is providing a service to a patient except where (

a) the consent of the patient being treated has been obtained in advance, or (

b) the service is being provided in a public setting. Complaints 62. The registrar shall make every reasonable effort to facilitate receipt in writing of a complaint if delivery in writing by the complainant is not practical due to special circumstances. Investigations by inquiry committee 63. (

I) The inquiry committee must notify a registrant who is the subject of an investigation and any complainant of the disposition of the investigation and any action taken under

section 33(4) of the Act.

(2) Before agreeing to accept an undertaking or consent under

section 36 of the Act, the inquiry committee may review all previous complaints and disciplinary matters involving the registrant to be satisfied that the proposed undertaking or consent is appropriate in the circumstances. Consent orders 64.

(1) In this

section "consent order" means the record of an undertaking or a consent given under

section 36 of the Act for the purposes of resolving a complaint.

(2) A consent order must (

a) include any consent to a reprimand or to any other action made by the registrant under

section 35 of the Act, (

b) include any undertaking made by the registrant under

section 35 of the Act, (

c) specify the length of time that an undertaking specified in paragraph (

b) is binding on the registrant, (

d) specify the procedure that the registrant may follow to be released from an undertaking specified in paragraph (b), and (

e) specify which terms of the consent order may be disclosed to the public. College of TeA1 Practitioners and Acupuncturists of British Columbia Bylaws 3

Mediation 65.

(1) The inquiry committee may recommend under

section 33 (6)(

b) of the Act that a complaint be mediated where (

a) the inquiry committee determines that mediation may be appropriate, and (

b) the complainant and the registrant agree to mediation.

(2) Following a recommendation under subsection (1), the inquiry committee must appoint a mediator who is acceptable to the complainant and the registrant.

(3) Where an agreement between the complainant acid the registrant is reached through mediation, the terms of the agreement must be approved by the inquiry committee.

(4) Where an agreement is not reached through mediation, the mediator must refer the matter back to the inquiry committee. Citation for disciplinary hearing 66. (

I) On the direction of the Inquiry Committee or board. the registrar may join one or more complaints or other matters which are to be the subject of a discipline hearing in one citation as appropriate in the circumstances.

(2) On the direction of the Inquiry Committee or board, the registrar may sever one or more complaints or other matters which are to be the subject of a discipline hearing as appropriate in the circumstances.

(3) On the direction of the Inquiry Committee or board, the registrar may amend a citation issued under

section 36 of the Act.

(4) Where a citation is amended under subsection (3) prior to a discipline hearing, the amended citation must be delivered to the respondent by personal service or sent by regular mail to the respondent at the last known address for the person recorded in

section 20(2) of the Act not fewer than 14 days before the date of the hearing.

(5) Where a citation is amended under subsection (3) prior to a discipline hearing, and the amended citation changes the date, time or place of the hearing, the registrar must notify any complainant of the amendment not fewer than 14 days before the date of the hearing. hearings of discipline committee 66.1 (

I) No person may sit on the discipline committee while he or she is a member of the inquiry committee.

(2) No member of the discipline committee may sit on the panel hearing a matter ii► which he or she (

a) was involved as a member of the inquiry committee or (

b) has had any prior involvement in the matter under review. 32 College of TC,I4 Practitioners and Acupuncturists of British Columbia Bylaws

(3) Information about the date, time and subject matter of the hearing must be provided to any person on request.

(4) The Discipline Committee must provide notice by registered mail or by personal service to a person who is required to attend a hearing under

section 38(6) of the Act in the form set out in

Schedule "G".

(5) All discipline hearings shall be recorded and any person may obtain, at his or her expense, a transcript of any part of the hearing, which he or she was entitled to attend.

(6) In determining the penalty to be imposed on a registrant under

section 39(

I) of the Act the Discipline Committee must, after making a determination on the facts, consider a previous relevant disciplinary decision regarding the registrant or an undertaking or consent to a reprimand given by the registrant under

section 36(1) of the Act. Notice of disciplinary decision 67.

(1) At the conclusion of a disciplinary proceeding, where there was a finding of fault, the board must, within a reasonable time, advise every registrant of (

a) the name of the respondents, (

b) the facts of the case, (

c) the reasons for the decision, and (

d) the disposition of the case, including the nature of any limitation or suspension, and the date it is in effect.

(1) Where disciplinary proceedings result in the limitation, suspension or termination of a registrant's practice, the registrar must notify (

a) the college or associations responsible for the regulation of the profession of acupuncture or traditional Chinese herbology or traditional Chinese medicine in every Canadian jurisdiction (

b) the registrant's employer(s) (

c) on request, any other college or association in a jurisdiction inside or outside Canada, and (

d) any other person as directed by board policy or required by law. Retention of disciplinary committee and inquiry committee records 68. Records of the inquiry committee must be retained for not less than 6 years following the conclusion of an investigation and records of the discipline committee must be retained for not less than 6 years following the date a decision is rendered. College of R . Practitioners and Acupuncturists of British Columbia Bylaws 33

Registrant under suspension 69. A registrant while under suspension must not practice the profession of acupuncture or traditional Chinese herbology or traditional Chinese medicine and must not hold him or herself out as entitled to practise during that time. Fines 70. The maximum amount of a tine that may be ordered by the discipline committee under

section 39 of the Act is $ 35,000.00. 34 College of TC Al Practitioners and Acupuncturists of British Columbia Bylaws

PART VI: REGISTRANT RECORDS FOR SELF-EMPLOYED REGISTRANTS

Definitions 71. For the purposes of

Part 6 of these bylaws, "Patient representative" means (

a) a "committee of the patient" under the Patient's Property Act, (

b) the parent or guardian of a patient who is under 19 years of age, (

c) after the Representation Agreement Act comes into force, a representative authorized by a representation agreement registered under the Representation Agreement Act to make or help in making decisions on behalf of a patient, (

d) after the Representation Agreement Act comes into force, a monitor named in a representation agreement registered under the Representation Agreement Act to ensure that the representative fulfills the duties described in

section 16 of that Act, (

e) after the Adult Guardianship Act comes into force, a decision maker or guardian appointed under

section 10 of the Adult Guardianship Act, and (

f) after the Health Care (Consent) and Care Facility (Admission) Act comes into force, a temporary substitute decision maker chosen under

section 16 of the Health Care (Consent) and Care Facility (Admission) Act. Purpose for which personal information may be collected 72.

(1) No registrant may collect personal information regarding a patient unless (

a) the information relates directly to and is necessary for providing health care services to the patient or for related administrative purposes, or (

b) the collection of that information is expressly authorized by or under an enactment. Source of personal information 73. (

I) A registrant must collect personal information about a patient directly from the patient.

(2) Despite subsection ( 1 ), a registrant may collect personal information from another person if the registrant has reasonable grounds to believe (

a) that the patient has been made aware of the matters set out in

section 74(1) and has authorized collection of the personal information from another person, (

b) that the patient is unable to give his or her authority and the registrant, having made the patient's representative aware of the matters set out in

section 74(1), collects the information from the representative or the representative authorizes collection from another person, College of TCM Practitioners and Acupuncturists of British Columbia Bylaws 35

(

c) that compliance with subsection (1) would (

i) prejudice the best interests of the patient, (ii) defeat the purpose or prejudice the use for which the information is collected, or (iii) prejudice the safety of any person, (

d) that compliance with subsection (

I) is not reasonably practicable in the circumstances of the particular case, (

e) that the collection is for the purpose of assembling a family or genetic history of a person and is collected directly from that person, (

f) that the information is publicly available information, (

g) that the information (

i) will not be used in a form in which the patient concerned is identified, or (ii) will be used for statistical or research purposes and will not be published in a form that could reasonably be expected to identify the patient, or (

h) that non-compliance with subsection 1 is necessary where the information is about law enforcement or anything referred to in sections 15(1) or (2) of the Freedom of Information and Protection of Privacy Act. Collection of personal information 74. (

I) Where a registrant collects personal information directly from the patient, or from the patient's representative, the registrant must take such steps as are, in the circumstances, reasonable to ensure that the patient or patient's representative is aware of (

a) the fact that the personal information is being collected, (

b) the purpose for which the personal information is being collected, (

c) the intended recipients of the personal information, (

d) whether or not the supply of the personal information is voluntary or mandatory and, if mandatory, the legal authority for collecting the personal information, (

e) the consequences, if any, for that patient if all or any part of the requested personal information is not provided, (

f) the rights of access to personal information provided in

section 89.

(2) The steps referred to in subsection (

I) must be taken before the personal infomiation is collected or, if that is not practicable, as soon as practicable after the personal information is collected. 36 College of TC Al Practitioners and Acupuncturists of British Columbia Bylaws

(3) A registrant is not required to take the steps referred to in subsection (

I) in relation to the collection of personal information from a patient, or the patient's representative, if the registrant has taken those steps in relation to the collection, from the patient or patient's representative, of the same information or information of the same kind for the same or a related purpose, on a recent previous occasion.

(4) Despite subsection (1); a registrant is not required to comply with subsection (1) if the registrant believes on reasonable grounds (

a) that non-compliance is authorized by the patient concerned, (

b) that compliance would (

i) prejudice the interest of the patient concerned, or (ii) defeat the purpose or prejudice the use for which the information is collected, (

c) that compliance is not reasonably practicable in the circumstances of the particular case, or (

d) that the information is about law enforcement or anything referred to in sections 15(1) or (2) of the Freedom of Information and Projection of Privacy Act. Manner of collection of personal information 75. (

I) A registrant must not collect personal information (

a) by unlawful means, or (

b) by means that, in the circumstances of the case, (

i) are unfair, or (ii) intrude to an unreasonable extent upon the personal affairs of the patient concerned. Confidentiality of personal information 76. A registrant must at all times protect and maintain the confidentiality of personal information collected under

section 73, 74 and 75. Accuracy of personal information 77. The registrant must make every reasonable effort to ensure that the information is current and is legibly, accurately and completely recorded. Right to request correction of personal information 78. (

I) A person who believes there is an error or omission in a record containing his or her personal information may request that the registrant who has the record in his or her custody or control correct the information. College of TC Praetiiioners and Acupuncturists of British Columbia Bylaws 37

(2) If after receiving a request for correction under subsection (1), the registrant disagrees that there is an error or omission in the record, the registrant must note the request in the record with particulars of the correction that was sought. Use of personal information by a registrant 79.

(1) A registrant may use personal information only (

a) for the purpose of providing health care services to the patient or related administrative purpose, (

b) for a use or disclosure consistent with a purpose specified in paragraph (a), (

c) if the patient has consented to the use, or (

d) for a purpose for which that information may be disclosed by the registrant under sections 80 and 82. Disclosure of personal information by a registrant 80.

(1) A registrant must maintain confidentiality of personal information and may disclose relevant personal information only (

a) if the patient concerned has consented to the disclosure, (

b) for the purpose of providing health care services to the patient or related administrative purpose or for a disclosure consistent with either purpose, (

c) for the purpose of complying with an enactment of, arrangement or agreement made under an enactment of British Columbia or Canada, (

d) for the purpose of complying with a subpoena, warrant or order issued or made by a court, person or body with jurisdiction to compel the production of information, (

e) to an employee of, or contractor providing services to, the registrant, if the information is necessary for the performance of the duties of, or for the protection of the health or safety of, the employee or contractor, (1) to a lawyer acting for the registrant, for use in civil or criminal proceedings involving the registrant, (

g) where necessary to comply with the Coroners Act, (

h) where necessary to comply with the Ombudsman Act, (

i) for the purposes of (

i) collecting a debt or fine owing by a patient to the registrant, or (ii) making a payment owing by the patient to a registrant, (

j) to an auditor, the college or any other person or body authorized by law, for audit purposes, 38 ColleMe of TC Al Practitioners and Acuouncturists a! British Columbia Bylaws

(

k) where the registrant believes on reasonable grounds that there is a risk of significant harm to the health or safety of any person and that the use or disclosure of the information would reduce that risk, (

I) so that the next of kin or a friend of an injured, ill or deceased individual may be contacted, (

m) in accordance with sections 82 and 89, or (

n) as otherwise required by law. Definition of consistent purpose 81. A use or disclosure of personal information is consistent with the purposes of providing health care services to a patient or related administrative purposes under

section 79 and 80 if the use or disclosure has a reasonable and direct connection to either purpose. Disclosure for research and statistical purposes 82. (

I) A registrant may disclose personal information for a research purpose, including statistical research, only if (

a) the research purpose cannot reasonably be accomplished unless that information is provided in individually identifiable form or the research purpose has been approved by the board, (

b) any record linkage is not harmful to the individuals concerned and the benefits to be derived from the record linkage are clearly in the public interest, (

c) the head of the public body concerned has approved conditions relating to the following (

i) security and confidentiality, (ii) the removal or destruction of individual identifiers at the earliest reasonable time, and (iii) the prohibition of any subsequent use or disclosure of that information in individually identifiable form without the express authorization of the board relating to the confidentiality of personal information. (

d) The person to whom the information is disclosed has signed an agreement to comply with the approved conditions, these bylaws and any of the policies and procedures of the patient relations committee relating to the confidentiality of personal information. Storage and retention of personal information 83.

(1) A registrant must ensure that all records (

a) pertaining to his or her practice, and (

b) containing personal information are safely and securely stored.

(2) Personal information must be retained for a period of at least 10 years. College of TC1I Practitioners and Acupuncturists of British Columbia Bylaws 39

Manner of disposal of records 84.

(1) A registrant must ensure that records are disposed of only by (

a) transferring the record to another registrant or with the consent of the patient, to another health care agency or health care practitioner. (

b) effectively destroying a physical record by utilizing a shredder or by complete burning, (

c) erasing information recorded or stored by electronic methods on tapes, disks, or cassettes in a manner that ensures that the information cannot be reconstructed, or, (

d) transferring the record to the patient. Registrant ceasing to practise 85.

(1) A registrant who ceases to practise for any reason must dispose of personal information in accordance with this part, notify the college, and provide the college with a written

summary of the steps he or she has taken to dispose of the personal information.

(2) A registrant must make appropriate arrangements to ensure that, in the event that the registrant dies or becomes unable to practise for any reason and is unable to dispose of the personal information, the personal information will be safely and securely transferred to another registrant.

(2) A registrant who receives personal information transferred in accordance with subsection (2) or

section 84(

a) must notify the patient concerned of the transfer. Protection of personal information 86. (

I) A registrant must protect personal information by making reasonable security arrangements against such risks as unauthorized access, collection, use, disclosure or disposal.

(2) A registrant must take reasonable measures to ensure that a third party. including a volunteer, employee of or contractor of the registrant or a health professions corporation or a student practitioner under the supervision of the registrant, does not access, collect, use, disclose, store or dispose of personal information except in accordance with the requirements of this Part. Contracts for handling personal information 87.

A registrant must ensure that, where personal information is transferred to any person or service organization for processing, storage or disposal, a contract is made with that person or organization which includes an undertaking by the recipient that confidentiality and physical security will be maintained. 40 College of TCAl Practitioners and Acupuncturists of British Columbia Bylaws

Remedying a breach of security 88.

(1) A registrant must take appropriate measure to remedy any unauthorized access, use, disclosure or disposal of personal information under this part as soon as possible after the breach is discovered, including (

a) taking steps to recover the personal information or to ensure its disposal if it cannot be recovered, (

b) taking steps to ensure that any remaining personal information is secured, (

c) notifying (

i) anyone affected by the unauthorized access including patients and other health care providers, (ii) the college, and (iii) law enforcement officials, where criminal action may have contributed to the unauthorized action, and (

d) modifying existing security arrangements to prevent a recurrence of the unauthorized access. Patient access to personal information 89.

(1) For the purpose of this section, "access to" means the opportunity to examine or make copies of the original record.

(2) If a patient or a patient representative makes a request for access to personal information about the patient, the registrant must comply as soon as practicable but not more than 45 days following the request by (

a) providing access to the patient or patient's representative, (

b) providing access to the remainder of the personal information where that information excepted from disclosure under subsection (3) can reasonably be severed, or (

c) providing written reasons for the refusal of access to the personal information or to any portion of the health records. 3) The registrant may refuse to disclose personal information to a patient or patient representative (

a) where there is significant likelihood of a substantial adverse effect on the physical, mental or emotional health of the patient, (

b) where there is a significant likelihood of harm to a third party, or (

c) if the disclosure could reasonably be expected to disclose personal information regarding another individual.

(4) Where the registrant authorizes access and the patient or patient representative requests a copy of the personal information, a copy must be provided if it can reasonably be reproduced.

(5) A registrant may charge a reasonable fee for the reproduction of personal information, which does not exceed the fee established in

Schedule "D". College of WA! Practitioners and Acupuncturists of British Columbia Bylaws 41

(6) Subject to subsection (3), a patient under 19 years of age may have access to a record where, in the opinion of the registrant, the patient is capable of understanding the subject matter of the record.

(7) Except where authorized by the patient, a registrant must not provide access to the records of a patient who is under 19 years of age to the guardian or parent of the patient where the subject matter of the record is health care which was provided without the consent of a parent or guardian in accordance with the applicable provisions of the Infants Act. 42 College of TCAI Practitioners and Acupuncturists of British Columbia Bylaws

PART VII: GENERAL Liability insurance 90. All registrants and their employees must be insured against liability for negligence in an amount of at least $1,000,000 per occurrence. Review of a fee charged to a patient 91. (

I) A patient may request a review of a fee charged by a registrant by delivering a written application to the registrar enclosing a copy of the account.

(2) The registrar must investigate the matter raised by the application.

(3) The registrar must request the registrant to provide any information regarding the account which the registrant believes is relevant to the application.

(4) The registrar must conduct a hearing within 45 days after the date on which the application for review was received by the registrar or within such further period of time as the registrar considers reasonable.

(5) The registrar may conduct a hearing by reviewing the written submissions only or may require the parties to attend in person.

(6) Where the fee under review is not in accordance with the range of fees customarily charged at the time the services where provided, the registrar must fix a reasonable fee.

(7) The registrar must deliver written notice of the decision to the patient and registrant.

(8) The registrant must repay forthwith any amount paid by the patient exceeding the fee fixed by the registrar. Marketing 92. (

I) In this part, advertisement" means the use of space or time in a public medium, or the use of a commercial publication such as a brochure or handbill, to communicate with the general public, or a segment thereof, for the purpose of promoting professional services or enhancing the image of the advertiser. "marketing" includes (

a) an advertisement, (

b) any publication or communication in any medium with any patient, prospective patient or the public generally in the nature of an advertisement, promotional activity or material, a listing in a directory, a public appearance or any other means by which professional services are promoted, and (

c) contact with a prospective patient initiated by or under the discretion of a registrant. College of T(V Practitioners and Acupuncturists of British Columbia Bylaws 43

(2) Any marketing undertaken or authorized by a registrant in respect of his or her professional services must not be (

a) false, (

b) inaccurate, (

c) reasonably expected to mislead the public, (

d) unverifiable, or (

e) contrary to the public interest in the practice of the profession.

(3) Marketing violates subsection (2) if it (

a) is calculated or likely to take advantage of a weakened state, either physical, mental or emotional, of the recipient or intended recipient, (

b) is likely to create in the mind of the recipient or intended recipient an unjustified expectation about the results which the registrant can achieve, (

c) implies that the registrant can obtain results (

i) not achievable by other registrants, (ii) by improperly influencing a public body or official, or any corporation, agency or person having any interest in the welfare of the recipient, by any other improper means, (iii) by any other improper means, or (

d) compares the quality of services provided with those provided by (

i) another registrant, (ii) a person authorized to provide healthcare services under another enactment, or (iii) another health profession.

(4) A registrant must not (

a) state publicly that he or she speaks on behalf of the College unless he or she has been expressly authorized by the board to state the official position of the College, or (

b) endorse or lend himself or herself as an acupuncturist to the advertisement of any product or service for sale to the public unless such product or service relates directly to the profession.

(5) A registrant who, in any advertisement, includes a statement of fees for a specific service (

a) must ensure that the statement sufficiently describes the fees and services so as to enable the recipient or intended recipient to understand the nature and extent of the services to be provided and the cost to the patient, and (

b) must not in the advertisement compare the fees charged by the registrant with those charged by another registrant.

(6) Unless otherwise authorized by the Act, the regulations, these bylaws, or the board, a registrant 44 College of TC,11 Practitioners and Acupuncturists of British Columbia Bylaws

(

a) must not use the title "specialist" or any similar designation suggesting a recognized special status or accreditation on any letterhead or business card or in any other marketing, and (

b) must take all reasonable steps to discourage the use, in relation to the registrant by another person, of the title "specialist" or any similar designation suggesting a recognized special status or accreditation in any marketing.

(7) A registrant must retain for one year after the date of publication or broadcast of any advertisement or brochure, and must provide to the board upon request (

a) a copy of such publication (

b) a recording of any such broadcast made by use of any electronic media, including radio, television and microwave transmission, and (

c) a written record of when and where the publication or broadcast was made.

(8) It is the duty of the registrant, when called upon by the discipline committee, inquiry committee, or the board to do so, to verify the statements made in his or her marketing.

(9) Registrants who limit their practices to certain branches or areas of the profession may state in any marketing the branch or area to which the practice is restricted. College of TC AI Practitioners and Acupuncturists of British Columbia Bylax s 45

Schedule A Codes of Ethics for Registrants The Code of Ethics for Registrants sets out guidelines for ethical acupuncture. traditional Chinese medicine herbologv and traditional Chinese medicine practice. The Code is based on a set of core %allies. which registrants must uphold in their relationships with their clients, members of their own profession. other health care providers. and the public. Registrants are professionals who act in a manner that enhances the reputation of. and inspires public confidence in the profession.

They have a responsibility to follow this code of ethics. and to keep informed about the laws and developments in professional standards that affect ethical health care practice. I I Health and well-being

a) Responsibility to clients

i) Registrants hold the health mid well-being of their clients as a primary responsibility. ii) Registrants provide care within their scope of practice to assist their clients to achieve their optimum level of health at all stages in life. iii) Registrants seek additional information or knowledge and refer the client to another health care pro% ider in accordance with the requirements of the regulation. or when aspects of the care required are beyond their level of competence.

b) Responsibility' to the public

i) Registrants address institutional. social and political factors influencing health and health care in ways that are consistent with their professional role and responsibilities. ii) Registrants pros ide the best care circumstances permit even when the need arises in an emergency . iii) Registrants participate. to the best of their abilities in research and other acti% ities that contribute to the ongoing development of acupuncture and traditional Chinese medicine knowledge. Registrants participating in research observe College sanctioned guidelines for ethical research.

c) Responsibility to other health care providers

i) Registrants respect and %atm the knowledge and skills of other health care pros iders and cooperate ith others so that maximum health benefits to their clients can be realized 2) Choice

a) Responsibility to clients Registrants fully inform their clients about the effects and risks of treatment. and of the scope and limitations they are entitled to practise. Registrants ensure that care is authorized by informed consent and practice v ithin Mc% ant law goy ernmg consent and choice.

iii) Registrants find out their clients' health needs and values. and help them to obtain appropriate information about their care and the services available to them. Registrants involve clients in health planning and health care decision making. in order to promote their clients self determination and ability to act on their on behalf in meeting their health care needs.

b) Responsibility to clients of diminished capacity Registrants im oh e clients of diminished competence in decision-making to the extent that those clients are capable. ii) Registrants seek to obtain consent for care from a substitute decision-maker when clients lack the capacity to make decisions about their care. did not make their w ishes known prior to becoming incompetent. or for any reason it is unclear what the client would ha‘ e wanted in a particular circumstance. When prior wishes of an incompetent client are not known or are unclear. care decisions must be in the best interest of the client and based on what the client would want. as far as is known. 3) Respect

a) Responsibility to the client Registrants are sensitise to. and respectful of the client's indix idual needs. \allies. dignity. and choices. ii) Registrants do not exploit clients' vulnerabilities for their on interests or gain. whether sexual emotional. social. political. financial, or any other way. iii) Registrants respect the privacy of clients when care is gix en. ) Registrants protect the client's confidentiality. and the confidentialit■ of their health care information.

b) Responsibility to the public and members of the profession

i) Registrants act in a manner that is respectful of other Registrants as well as the practice of acupuncture and traditional Chinese herbology and traditional Chinese medicine. ll Fairness

a) Registrants apply and promote principles of equity and fairness to assist clients in reeek mg unbiased treatment and a share of health services and resources proportionate to their needs 5) Accountability

a) Responsibility to the client

i) Registrants practise only while their ability to do so is unimpaired. ii) Registrants do not compromise care for reasons of personal or institutional expedience iii) Registrants strive to ensure that their clients receixe and understand complete and accurate information about their treatment.

) Registrants take preventive as well as corrective action to protect clients from unsafe. incompetent or unethical care. ) Registrants whether they arc engaged in clinical. administrative. research. or educational endeavors have professional responsibilities and accountabilities toward safeguarding the quality of care their clients receive.

b) Responsibility to the profession Registrants acquire new skills and knowledge in their area of practice on a continuing basis. as necessary for the pros ision of safe, competent and ethical care

c) Responsibility to other health care providers

i) Registrants refer only to other health service providers whom they do not suspect of unethical conduct or incompetent or unsafe care.

d) Responsibility to the public

i) Registrants represent their qualifications honestly. clearly and in a way that is not misleading to the public. other professionals and to their clients. ii) Registrants provide information to the public about acupuncture and traditional Chinese herbology and traditional Chinese medicine that is fair. accurate. and objective. 6) Practice env ironments conducive to safe. competent and ethical care

a) Responsibilities to the client and members of the health care team:

i) Registrants establish and promote health care environments that are conducive to safe. competent. ethical practice and to the health and well being of clients and others in the setting. ii) Registrants share their knowledge with any members of a health team with whom they should work. for the benefit of clients.

b) Responsibilities to other Registrants. Registrants pros ide responsible and respectful mcntoring and guidance for the professional development of students of acupuncture and traditional Chinese herbology and traditional Chinese medicine and other Registrants.

c) Responsibilities to persons under super ision: Registrants assume full responsibility for all the care the provide or delegate to persons under their super\ ision

Schedule B Standards of Practice for Registrants

I) Specialized body of knowledge Bases practice on traditional Chinese medicine theory and on content from other related health sciences. • Knows how and here to find needed information. • Justifies decisions with reference to knowledge and theory. • Presents an informed view of acupuncture. traditional Chinese herbology and traditional Chinese medicine to others. 2) Competent application of knowledge Identities client's actual or potential diagnoses, differentiates syndromes. plans interventions. performs planned interventions and evaluates client outcomes • Uses skills of obsenation. olfaction. inquiry, palpation and physical assessment to gather information about client status. • Distinguishes between relevant and irrelevant information when determining client diagnoses and differentiating syndromes. referring to other health care practitioners. or evaluating response to treatment. • States client diagnoses and potential health problems in practice setting terminolog■. using verifiable intbrmation. • Plans care based on assessment findings. diagnoses. differentiation of syndromes. cause and extent of disturbance. • Sets priorities when planning and gi■ ing care. • Performs planned interventions in accordance with the body of TCM theory policies. procedures. and these practice standards. • Evaluates client response to interventions and revises the inter\ entions as necessar■ . • Documents timely and accurate reports of relevant observations. including conclusions drawn from them. • Initiates. maintains and concludes a professional relationship. • Identities the difference between therapeutic communication skills and social interaction behaviours and uses each appropriatel■ . 3) Responsibilit■ and Accountability Maintains standards of acupuncture and traditional Chinese herbology and traditional Chinese medicine practice and professional behm iour determined the College of Registrants of B.C.

Regulations and Bylaws. the Health Professions Act. and the practice setting

• At all times is accountable and takes responsibility for on actions. • Functions in accordance with relevant legislation and standards of practice of licensed Registrants. • Follow s. develops and changes relevant facility, agency or department policies and standards. • Advocates improvements in clinical acupuncture. traditional Chinese herbolog ∎ and traditional Chinese medicine practice and health care. • Delegates to students or non-registrants only those tasks that arc appropriate commensurate with their skills. knowledge and abilities. 4) Provision of Service to the Public Pros ides health care sery ices and refers clients to health care professionals in providing acupuncture and traditional Chinese herbology and traditional Chinese medicine services • Communicates \\ ith and refers to other health care professionals about the client's care. • Exercises appropriate judgement in performing treatments. • Directs and/or participates in qualiit ∎ improx einem initiatives. • Explains services to clients and others 5) Code of Ethics Adheres to the Code of Ethics of the College of Registrants of British Columbia • Promotes a client's right to autonomy. respect. privacy, confidentiality. dignit ∎ and access to information. • Assumes responsibility for ensuring that relationships with clients are therapeutic and professional. • Ensures that practice is congruent with the Canadian Charter of Rights and Freedoms. • Demonstrates honest■. integrity and respect for their clients. members of their on profession. other health care pros iders. and the public. • Reports unsafe practice or professional misconduct to appropriate authority 6) Self-Regulation Assumes primary responsibility for maintaining competence. fitness to practice. and acquiring evidence- based knowledge and skills for professional practice • Invests time. effort. and other resources in maintaining e‘ idcnce-based know ledge and skills for practice. • Practices within on level of competence

• Maintains current licensure. • Maintains own physical. mental and emotional well-being.

Schedule C Registrant Representation Districts Lower Mainland (Vancouver, Burnaby, North Shore, Richmond, Upper/Central Fraser Valley Boundary, Simon Fraser) E Province of British Columbia outside Lower Mainland

Schedule

I) Maximum fees for information requests (Part I 1 1 ) For applicants other than commercial applicants: (

a) for locating and retrieving a record (

b) for producing a record manually (

c) for producing a record from a machine readable record (

d) for preparing a record for disclosure and handling a record (

e) for shipping copies $7.50 per 1/4 hour after the first 3 hours. $7.50 per 1/4 hour. $16.50 per minute for cost of use of central mainframe processor and all locally attached devices plus $7.50 per 1/4 hours for des eloping a computer program to produce the record. $7.50 per 1/4 hour. actual costs of shipping method chosen by applicant. (

f) for copying records

i) photocopies and computer printouts floppy disks computer tapes microfiche 16 mm microfilm duplication 35 mm microfilm duplication microfilm to paper duplication photographs (colour or black and \\Inte ) $.25 per page (X 5 - x I I 8.5 - N 1-1- )S.30per page (11 - x 17 - 1. $10.00 per disk. $40.00 per tape. up to 2400 feet. $10.00 per fiche. $25.00 per roll. $40.00 per roll. 5.50 per page. $5.00 to produce a nee,atise $12.00 each for 16 - x 20" $9.00 each for I I - x 14 - $4.00 each for 8 - x 10" $3.00 each for 5 - x 7- . photographic print of textual. graphic or cartographic record Or x 10" black and \\like ) hard copy laser print.

B/W. 300 dots/inch hard coPs laser print. B/W. 1200 dots/inch hard cops laser print. colour photomechanical reproduction of 105 mm cartographic record/plan slide duplication plans audio cassette duplication video cassette (1/4" or 8 mm) duplication video cassette (1/2") duplication recording. and ideo cassette (3/4") duplication recording.

For commercial applicants for each sex\ ice listed in item I $12.50 each. $.25 each. $ 40 each. $1.65 each. $3.00 each. 5.95 each. $1.00 per square metre. $10.00 plus $7.00 per 1/4 hour of recording. $11.00 per 60 minute cassette plus $7.00 per 1/4 hour of recording. $20.00 per 120 minute cassette plus $7 per' hour of recording. $15.00 per cassette plus $11.00 per 1/4 hour of $40.00 per cassette plus $1100 per hour of the actual cost of pros iding that service.

SCHEDULE E Approval Guidelines for Education/Trainine Program Traditional Chinese Medicine (TCM) and Acupuncture educational programs are evaluated based on institutional processes, content and length of program and outcomes. Indicators are used to determine it'educational programs meet the criteria. Five areas of an educational program are reviewed I. Institutional Processes The Institutional philosophy and program philosophy. content and length enable graduates to meet the College's standards of practice. II.

Curriculum The curriculum provides learning experiences necessary for students to achieve the College's professional practice requirements. III. Students and graduates Students. during their participation in the education program, demonstrate progression towards achieving the College's professional practice requirements. Graduates have been and are successful in achieving professional practice requirements. IV.

Resources The institution has the resources and infrastructure necessary to develop. deliver and es aluate a program that provides learning experiences necessary for students to achieve the College's professional practice requirements. V. Program content The educational program has met the minimal requirements listed in the following sections of this

schedule Minimum educational Drumm requirements • "Academic year.' is used throughout this schedule. I academic year consists of 8 months. or 2 semesters. or quarters. or 2 trimesters of study. • Entrance requirement for all programs is 2 years of university education or equivalent. • It is expected that 50'),■, of the minimum hours listed under each clinical instruction shall be in a clinic owned and operated by the education or training program.

Where appropriate. it shall include: Practice obsenation : supervised observation of the clinical practice with case presentations and discussions: Diagnosis and C\ at nation . the application of TCM diagnostic procedures in evaluating patients: Supers ised practice : the clinical treatment of patients • All programs shall include I A minimum of -',(,

t) hours of BASIC TCM FOUNDATION BLOCK in ilt ,iors of l'(NI and Acupuncture

Basic TCM theory TCM diagnostic process Treatment principles and method/Zhi Ze and Zhi Fa Communication skills Ethics. medical. legal issues and practice management A minimum of 25(1 hours in the introduction of relevant biological and clinical sciences: western diagnosis and diagnostic tests. A. Acupuncture program : (Totaling 1900 hours minimum in 3 academic years. which included 450 hours minimum of clinical instniction). In addition to I and 2 listed above, a minimum of 550 hours in Pointology/Shu Nue Treatment of diseases Treatment techniques Equipment safety and clean needle techniques.

AND a minimum of 450 hours of clinical instruction in acupuncture. During the initial 200 hours. the supervisor shall be physically present at all times during the diagnosis and treatment of patient. For the remaining 250 hours. the super\ isor may be in close proximity to the location at which the patient is being treated during other clinical instruction. The student shall consult with the supervision before and after each treatment. B. Herbology program (Totaling 190(1 hours minimum in 3 academic years. w hizli included 450 hours minimum of clinical instruction).

In addition to I and 2 listed above, a minimum of 550 hours in : Clinical herbology Treatment of diseases Introduction to TCM classics. AND a minimum of 450 clinical instruction in herbology. During the initial 200 hours, the supervisor shall be physically present at all times during the diagnosis and treatment of patient. For the remaining 250 hours, the supervisor may be in close proximity to the location at which the patient is being treated during other clinical instruction. The student shall consult with the supervision before and after each treatment. C.

TCM practitioner program (Totaling 2600 hours minimum in 4 academic years. mhich included 65(1 hours minimum of clinical instruction).

The program will be a combination of the acupuncture program (A). the herbology program (

B) listed above. and courses in Tui Na. Shi Liao. and Chinese rehabilitation exercises such as Tai Ji Quan and Qi Gong. D. Dr.TCM program (Totaling 3250 hours minimum in 5 academic cars. which included 1050 hours minimum of clinical instruction). In addition to the TCM practitioner program listed in (C). the program shall consist of a minimum of -150 hours in Modern clinical research in TCM TCM classics Western diagnostic information Other TCM treatment modalities TCM gerontolog∎ TCM ps∎cholog∎ Advanced studies in acupuncture Herbal pharmacology. AND a minimum of I50 hours of clinical instruction.

1 Doctor of ircy indicates fees to be submitted at time,of application Acupuncture TCM licrbologa Grandparented Registration a. Application 125 125 b. Initial registration 500 Si))) C. Annual registration renewal 300 300 Full. Limited and Non-Practising registrations a. Application 125 123 b. Exa mina! ion 500 500 c. Initial registration -)50 150 d Annual regislralion renewal for Full & Limited 300 3)))) e. Annual registration renewal for Non-Practising 75 75 Temporal, Registration a.

Application 125 125 h Initial registration 150 150 c. 91)-day renew al 150 150 Student Registration a Appl leaf ion 75 .5 b Initial registration 25 25 c. Annual renewal 75 75 -1 300 400 w.); 915 55)) 700 175 850 55)) 55)) 150 195 1.21►tr 700 700 2) a) 75 25 75 75 25 75 TCM Practitioner 175 195 3)))) 35)) 300 7,50 ►

Schedule F : Fees For Examinations And Registration (Subject To Change) The following fee

schedule applies to first-time applicants only. For current registrants. take the total application fees and subtract the fees which were paid when you applied for your current title. You are a Registered Acupuncturist who received the R.Ac. title by full registration. You ore now applying for the TCM practitioners title under the grandparenting prox ision. New applicant's fees would be $1.125 ( + lb for TCM practitioner ►. However ■ on previously paid $875 (2a + 2b + 2c for acupuncture). therefore you are required to send the difference. which is $250. e.g.

Schedule C — Order To Attend Hearing Of Discipline Committee IN THE MATTER OF THE COLLEGE OF TRADITIONAL CHINESE MEDICINE PRACTITIONERS AND ACUPUNCTURSITS OF BRITISH COLUMBIA and IN THE MATTER OF A HEARING PURSUANT TO (SECTION 37 AND/OR

SECTION 4310F THE HEALTH PROFESSIONS ACT' INTO THE CONDUCT OF ORDER TO: TAKE NOTICE that ■ ou arc required to attend to testify as a witness at the time, date. and place set out below. pursuant to the pros isions of 'section 38 and/or

section 441 of the Health Professions Act. S.B.C.. c.50 You are also required to bring with you all documents in your possession or power relatimng to the matters in question in this proceeding. Please note that pro% isions of the Health Professions Act and the bylaws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia reproduced on the back of this Order TIME DATE PLACE. Dated. Member. Panel of the Discipline Committee responsible for the conduct of the hearing

Schedule H — Approved Education or Training Program After an accreditation s∎ stein of educational and training program has been implemented in accordance to the standards listed in

Schedule E. a list of accredited programs will be maintained by the College As of March 2001. the s∎ stem has not ∎ et been implemented.

FORM I STATUTORY' DECLARATION CANADA PROVINCE OF BRITISH COLUMBIA IN THE MATTER OF AN APPLICATION FOR REGISTRATION IN THE COLLEGE OF TRADITIONAL CHINESE MEDICINE PRACTITIONERS AND ACUPUNCTURISTS OF BRITISH COLUMBIA I. . of in the city of . in the Province of British Columbia do solemnly declare that : I. I have not been cons icted in Canada or elsewhere of any offence that. if committed bs a person registered under the Health Professions Act of British Columbia. would constitute unprofessional conduct or conduct unbecoming a person registered under these bylaws except as tbllosss : 2.

Ms past conduct does not demonstrate any pattern of incompetence or untrustworthiness which would make registration contrary to the public interest. I am a person of good character, 4. My entitlement to practise has not been limited. restricted or subjected to conditions in any jurisdiction at any time except as follow s At the present time. no investigation. review or proceeding is taking place in any jurisdiction which could result in tilt; suspension or cancellation of my authorization to practise in that jurisdiction except as follows: 6.

I lime read the Health Professions Act of British Columbia. and the regulations and bs laws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia made pursuant to that Act. I will practise at all times in compliance with the Health Professions Act of British Columbia and the regulations and bs laws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia made pursuant to that Act.

AND I make this solemn declaration. conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath. Signature of Applicant DECLARED before me at the cit of . in the Pros ince of British Columbia. this das of (year). A Commissioner for taking Affidavits in British Columbia

FORM 2 Certificate Of Registration College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia REGISTRATION CERTIFICATE This is to certify that has met the qualifications provided for in the bylaws of the College of Traditional Chinese Medicine Practitioners and Acupuncturists of British Columbia made pursuant to the HEALTH PROFESSIONS ACT of British Columbia. Canada. is dul■ qualified to practise in the pro\ inco of British Columbia. and is entitled to use the designation ,IN en under the Seal of the Board Dated Registration No. Chair Registrar

Document details

Collection	British Columbia — Orders in Council
Citation	O.C. 494/2001
Type	order_in_council
Volume / chapter	arc oic 0494 2001
Language	en
Format	pdf
Source	PROVINCIAL
Identifier	68ebac196d6cd02fbb3bb5a6fdfe9651480d5d4c

Source file is stored in the law ingest library (pdf).