Risk-Based Assessments

In March 2023, CMTO will launch a new Risk-Based Assessment as part of STRiVE – the Quality Assurance Program.

Risk-Based Assessment allows RMTs to reflect on their risks and supports to competence, and provides multiple opportunities to demonstrate an understanding of the Standards of Practice and Regulations.

In this process, CMTO clearly identifies which Standards of Practice RMTs should focus on, provides an opportunity to prepare, and then offers feedback and resources to support RMTs throughout the process.

Risk-Based Assessment will:

  • Move from a random selection process to a selection process based on risk factors.
  • Support all RMTs in meeting the Standards of Practice and Regulations.
  • Make assessments easier to schedule and conduct.
  • Reduce the number of RMTs referred to the Quality Assurance Committee in the longer term.

The Process

  • Each year, RMTs with a General Certificate will complete a Practice Profile.
  • An RMT who underperforms on the Standards of Practice Quiz (part of the Practice Profile) and/or has a history of risk, such as a history of complaints, may be selected to complete a Practice Assessment.
  • An RMT who is not successful in the first Practice Assessment may be required to complete a second Practice Assessment.
  • An RMT who is not successful in the second Practice Assessment may be referred to the Quality Assurance Committee for further review.

The Practice Profile helps RMTs demonstrate how they meet specific Standards of Practice and Regulations, and identifies risks and supports to their competence. Beginning in 2023, RMTs with a General Certificate will complete the Practice Profile annually.

Practice Profile is an online exercise with two sections:

  • Self-Inventory of Risks and Supports to Competence – Responses are for personal use only and information reported remains confidential; and
  • Standards of Practice Quiz – Responses to questions are scored automatically. Answers and explanations are provided immediately upon submission. Each year the quiz focuses on different Standards of Practice or Regulations, and RMTs will know which Standards or Regulations ahead of time. In 2023, the quiz will focus on Infection Prevention and Control, Prevention of Sexual Abuse, Safety and Risk Management, and Record Keeping.

Practice Profile: Risks and Supports to Competence

Examples of RMT Risks to Competence Examples of RMT Supports to Competence
  • Lack of clinical exposure and experience
  • Practice features, including location and size of practice
  • Previous evidence of not meeting Standards of Practice
  • Previous evidence of non-compliance with STRiVE and issues with conduct
  • Educational institution
  • Clinical exposure and experience
  • Active participation in effective continuing professional development
  • Active professional organization participation
  • Using feedback for professional and personal development
  • Use of assessment tools and practices
  • Use of technology to support personal and professional competence and practice effectiveness


Following completion of the Practice Profile, a small percentage of RMTs will be selected to undergo a Practice Assessment. If an RMT is selected to complete a Practice Assessment, they will be connected with an Assessment Advisor.

Selection for a Practice Assessment is based on the three criteria noted below. Selection is not based on a single factor or information provided in the Self-Inventory of Risks and Supports to Competence section of the Practice Profile.

  • RMT Recent Performance – Poor performance on the Standards of Practice Quiz.
  • RMT Behaviour History – Pattern of behavioural history in the past three years, which may include professional conduct matters, lapses in or late registration, lapses in insurance coverage, or STRiVE non-compliance.
  • RMT Practice Features – Multiple practice risks over the past three years, including when an RMT graduated, practice setting, registration status changes, or weekly practice hours.

The Practice Assessment consists of two sections:

  1. Pre-Interview Assignment – This assignment focuses on the select Standards of Practice and Regulations identified for the year. The RMT completes the assignment and then the Assessment Advisor reviews it. The content of the assignment informs the topics of discussion in the Semi-Structured Interview.
  2. Semi-Structured Interview – The interview will take 45 – 60 minutes and the Assessment Advisor will ask a series of questions based on the topics identified. The Assessment Advisor will prepare an assessment report that is later shared with the RMT.

Based on the outcome of the first Practice Assessment, some RMTs may be selected for a second Practice Assessment with a new Assessment Advisor. This is meant to serve as another opportunity to demonstrate understanding of CMTO’s Standards of Practice and Regulations, and has the same two sections.

If the outcome of the second Practice Assessment is unsuccessful, the matter may be reviewed by the Quality Assurance Committee. The Committee may decide to prescribe remedial steps and strategies to help the RMT address any knowledge gaps.

The 2022 STRiVE e-Learning Module provides an overview of the Risk-Based Assessment. If you have further questions, please contact us at strive@cmto.com.

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