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TORONTO CHIROPODIST, D.Ch., B.Sc., PODIATRIC MEDICINE

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As you may or may not have been aware, recently there has been a controversy in Ontario due to the misinterpretation of radiographs by a radiologist at Trillium Health Centers.   This situation has occurred in the last few years in B.C. and Nova Scotia and has resulted in new legislation and regulations in the respective provinces. The correct interpretation of a radiograph is an art as you are taking a still photograph of a 3 dimensional living person and viewing it in black, grey and white in 2 dimensions. Things do not always appear as they are and to the untrained eye pathology can easily be missed. 

I owned and operated my own X-ray equipment for over 30 years and X-rayed the majority of my patients. Sometimes interpretation is not easy as most conditions can present themselves with many variables and different presentations so that no 2 radiographs are the same.  In those circumstances where I was uncertain and I thought that pathology may have been present, I always obtained a second opinion from a radiologist. My biggest fear in private practice was missing a pathology that may have had dire consequences  for the patient. Fortunately to my knowledge that never occurred. 

Ontario Chiropodists are trained to interpret radiographs and by law are qualified to do so in Ontario. This is a privilege with huge responsibility as the misinterpretation of a radiograph could have a fatal outcome for a patient. 
This is where the conundrum comes in. How could a health care professional be entrusted with the task of X-ray interpretation but be prohibited from ordering, owning or operating an X-ray machine?  You are allowed to read an X-ray, but not order one, it doesn't make sense. 

In 1991 when the Chiropody Act was created there were American trained Podiatrists who at that time typically had 3 years of undergraduate training and 4 years Podiatry training, and Chiropodists who were typically trained in Britain practising foot care in Ontario. A Chiropody course was created at George Brown College that was 2 years in length and required no undergraduate prerequisites. Things have evolved and now the educational requirements to become a licensed Chiropodist in Ontario is a minimum 3 years undergraduate as well as 3 years from The Michener Institute in Toronto. Many recently graduated Chiropodists have much more than the minimum.   

The HARP Act states that an Ontario Chiropodist who graduated with 4 years  training in Chiropody is allowed to order, own and operate an X-ray machine in Ontario. Minimal training is involved in ordering the correct views of the foot as is the taking of such views. The challenge lies in the correct interpretation of the radiograph. This task carries enormous responsibilities. Ontario Chiropodists have been given this responsibility by law. 

Recently my wife, Marz Hardy an Ontario Chiropodist, who has 4 years training in Chiropody as do many other Ontario Chiropodists, applied to the MOHLTC for the privilege  to install an X-ray machine at her clinic. She first consulted with the registrar at the CoCoO and was told to contact the MOHLTC regarding the HARP Act as she stated that the College had no jurisdiction in regards to X-rays. 

This Chiropodist was informed by the MOHLTC that she was entitled to order, own and operate an X-ray machine and proceeded to do so. 

This is when the CoCoO started doing everything in their power to prevent any Ontario Chiropodist from ordering, owning or operating their own X-ray machine. Legal advice was consilted and contacted the Ministry of Health numerous times to try to prevent a Chiropodist from having access to this valuable diagnostics tool which could only enhance the profession's esteem and reputation and at the same time improve Ontario citizens' healthcare. 

At first I was contacted by the CoCoO the MOHLTC stating that the Chiropody course had to be be 4 years concurrent and they had misinterpreted the legislation. The MOHLTC informed me after consultation that the 4 years did not have to be concurrent or from the same institution. 

Then the new excuse is, which has nothing to do with 4 years education but rather that the Chiropodist had to be a member of the 'Podiatry Class' although this is not written in the HARP Act or the Chiropody Act as far as I can see and nobody has provided me with any proof despite numerous requests.  

The CoCoO has been in contact with the acting manager of the the MOHLTC. He has been sending me so called quotes from the HARP Act which I cannot find where he states that only a member of the 'Podiatry Class' can possess an X-ray machine in Ontario after doing research at the CoCoO, whatever that means. He has failed to provide me with the link to this legislation despite numerous requests. 

Is this why the College was created?  To impede the profession's progress?  We have a situation where numerous members of the profession would have access to this vitally important diagnostic tool which could potentially have life saving outcomes and the registrar of your College is doing everything in her power trying to deny you this right.

I ask you why?
 
Brought to you by Dr. John A. Hardy and Dr. John A. Hardy only, owner of Academy Foot and Orthotic Clinics.

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Academy Clinics has a special interest in high quality custom orthotics.

 

416-465-8737

Toronto, ON Chiropodist
Academy Foot and Orthotic

752 BROADVIEW AVENUE
Toronto, ON M4K 2P1 

Across from the Broadview Subway
Professional  Family  Foot  Care

PROFESSIONAL
FOOT CLINIC

CHIROPODIST / FOOT SPECIALIST,  B.Sc. PODIATRIC MEDICINE / ACADEMY FOOT & ORTHOTIC CLINICS, 752 Broadview Ave , Toronto ON, M4K 2P1 416-465-8737