La règlementation de l'ostéopathie au Canada: un fouillis monumental
Il appartient à chaque province de légiférer en ce qui concerne les professions en général et l'ostéopathie en particulier.
À cet égard, le "Collège des Médecins" de chacune des provinces canadiennes, prévoit dans leurs règlements, d'émettre un permis d'équivalence de pratique de la médecine à un docteur en médecine ostéopathique en autant que ce dernier ait obtenu son diplôme dans un des 26 collèges de médecine ostéopathique accrédités par l'American Osteopathic Association. Malgré cela, seule la province de l'Ontario a émis un tel permis jusqu'à présent.
Puisque le titre d'ostéopathe n'est pas protégé dans plusieurs provinces, comme au Québec, en Ontario, en Colombie-Britannique et finalement en Nouvelle-Écosse, un groupe de physiothérapeutes a profité de ce vide juridique pour y établir des écoles privées d'enseignement de l'ostéopathie, et d'y fonder des associations pour leurs gradués. Il faut mentionner que ce même groupe a également profiter de ce même vide juridique pour établir leurs écoles dans d'autres pays, tel qu'en Allemagne, en Suisse et en France.
Bien que ce groupe prétende être une organisation internationale, aucune agence des gouvernements provinciaux du Canada ou des autres pays en question plus haut, et aucune association régissant la pratique de l'ostéopathie au niveau mondial comme l'Osteopathic International Alliance et la World Osteopathic Health Organization ne reconnait leur compétence.
La triste réalité est que n'importe qui peut s'ouvrir un cabinet d'ostéopathe, dans les provinces mentionnées plus haut, et y traiter des patients sans qu'aucune agence gouvernementale ou loi ne régisse leur pratique ou compétence. À notre avis, cette situation constitue un danger certain pour le public.
Le citoyen moyen est donc laissé à lui-même parmi ce méli-mélo de pseudo-ostéopathes et n'a malheureusement aucun moyen de différencier le vrai du faux.
Voici un portrait détaillé de l'ostéopathie au Canada tel que décrit par L'Osteopathic International Alliance:
CANADA
Summary
Osteopathic Medicine is defined as a complete system of medical care with a philosophy that combines the needs of the patient with the current practise of medicine, surgery, and obstetrics. Osteopathic Medicine emphasizes the interrelationship between structure and function, and has an appreciation of the body’s ability to heal itself. An osteopathic physician in Canada is a person with full, unlimited practise rights who has achieved the nationally recognized academic and professional standards within the United States to diagnose, and provide treatment based upon the principles of osteopathic philosophy. Individual countries establish the national, academic, and professional standards for osteopathic physicians practicing within their countries.
An osteopath is a non-physician practitioner who has achieved the nationally recognized academic and professional standards within her or his country to practise osteopathic manipulative treatment. Individual countries establish the national academic, and professional standards for osteopaths practicing within their countries.
Canada consists of ten Provinces and three Territories. Each Province or Territory governs registration of osteopaths in Canada. There are separate Acts for each jurisdiction regulating osteopathic medicine in Canada. In most provinces, title protection for the osteopathic or D.O. designation lies with these regulatory bodies. The province of Quebec has no title protection.
Osteopathic Medicine
Listed below are the licensure requirements for US-trained D.O.s in the provinces and territories of Canada. All the provinces that have provisions for licensing D.O.s as physicians require that D.O.s be graduates of an osteopathic medical colleges accredited and they be or intend to become Canadian citizens. For the provinces or territories that state, “no provisions exist for licensing US-trained D.O.s,” it is suggested the individual contact that regulatory authority. While there may not be a provision, the regulatory agency may consider amending its current policy to include recognition of US-trained D.O.s.
Alberta
Scope of Practise: unlimited
Requirements: Must have completed at least 2 years of Graduate Medical Education (GME) accredited by the Accreditation Council for Graduate Medical Education or the American Osteopathic Association and must have passed the Universities Coordinating Council Exam, a basic sciences exam, and have passed all three parts of the licensing examination of the Medical Council of Canada (LMCC).
Statutes/Regulations
Medical Profession Act of Alberta
http://www.qp.gov.ab.ca/documents/acts/M11.cfmContact:
College of Physicians and Surgeons of Alberta
900 Manulife Place
10180-101 Street
Edmonton Alberta T5J 4P8
CANADA
(780) 423-4764
http://www.cpsa.ab.caBritish Columbia
Scope of Practise: one licensure pathway provides D.O.s with unlimited practise rights, and another pathway limits D.O.s to practise OMM
Requirements: To be eligible for unlimited licenses: must have completed at least one year of GME approved by the American Osteopathic Association or the Accreditation Council for Graduate Medical Education, completed at least 1 year of Graduate Medical Education in Canada, and passed all three parts of the LMCC. For licenses limited to OMM: must have completed at least 2 years of American Osteopathic Association approved GME and passed all three parts of the NBOME or COMLEX.
Statutes/Regulations
Medical Practitioners Act of British Columbia
http://www.cpsbc.bc.ca/policymanual/mpa/mpa.pdfContact:
College of Physicians and Surgeons of British Columbia
1807 W. 10th Avenue
Vancouver British Columbia V6J 2A9
CANADA
(604) 733-7758
http://www.cpsbc.bc.caManitoba
Scope of Practise: unlimited
Requirements: In 2002, the College voted to register U.S.-educated and trained DOs.
Contact:
College of Physicians and Surgeons of Manitoba
1000-1661 Portage Avenue
Winnipeg Manitoba R3J 3T7
CANADA
(204) 774-4344
http://www.cpsm.mb.caNew Brunswick
Scope of Practise: unlimited
Requirements: Must have completed at least 2 years of GME approved by the A or the Accreditation Council for Graduate Medical Education and have passed all three parts of the
LMCC. There is also a reciprocity pathway for D.O.s holding a license to practise medicine in Maine.
Statutes/Regulations
College of Physicians and Surgeons of New Brunswick Medical Act and Regulations
http://cpsnb.org/english/MedicalAct/med-act-toc.htmlhttp://cpsnb.org/english/Regulations/by-laws-toc.htmlContact:
College of Physicians and Surgeons of New Brunswick
1 Hampton Road, Suite 200
Rothesay, New Brunswick E2E 5K8
CANADA
(506) 849-5050
http://cpsnb.orgNewfoundland
Scope of Practise to be determined
Requirements: in 2002, the College committed itself to seeing that the government establishes a registration pathway for U.S.-educated D.O.s. It is anticipated that establishing guidelines may take a couple of years.
Contact:
Newfoundland Medical Board
139 Water Street, Suite 603
St. John’s Newfoundland A1C 1B2
CANADA
(709) 726-8546
Northwest Territories
Scope of Practise: unlimited
Requirements: While no specific provisions are in place, the American Osteopathic Association has been told the government will grant registration to any physician that qualifies for licensure in any other province.
Contact:
Government of the Northwest Territories
Centre Square Tower 8th Floor
Yellowknife NWT X1A 2L9
CANADA
(867) 920-8058
Nova Scotia
Scope of Practise: unlimited
A new regulation was put into effect in 2002 to recognize U.S.-educated osteopathic physicians.
Statutes/Regulations
Chapter 10 of the Acts of 1995-96 of Nova Scotia
http://www.cpsns.ns.ca/publicset.htmlContact:
Provincial Medical Board of Nova Scotia
Sentry Place
1559 Brunswick Street, Suite 200
Halifax Nova Scotia B3J 2G1
CANADA
(902) 422-5823
http://www.cpsns.ns.caOntario
Scope of Practise: Unlimited
In 2002, the Premier of Ontario and the College of Physicians and Surgeons of Ontario (CPSO) announced that changes were being implemented to recognize international medical graduates, including D.O.s who are now recognizing by the CPSO. In addition, the CPSO has created a Fast Track Assessment Program for international medical graduates who wish to practise in Ontario. The Fast Track Assessment is an expedited process designed for doctors with experience. It focuses on an evaluation of practise skills and can be tailored to the individual applicant. By evaluating the practise skills of the individual doctor rather than looking at the grades and training programs, the College acquires a more realistic view of the abilities of the individual physicians. For more recent graduates, there is the Standard Assessment process. It concentrates on examination grades and completion of an approved course of education and residency. All candidates are assessed in the same way. For more information on Ontario’s registration, go to
www.cpso.on.ca/info_physicians/applicants/regist.htmContact:
College of Physicians and Surgeons of Ontario
80 College Street
Toronto Ontario M5G 2E2
CANADA
(416) 967-2600
http://www.cpso.on.caPrince Edward Island
Scope of Practise: no provisions exist for licensing US-trained D.O.s
Contact:
College of Physicians and Surgeons of Prince Edward Island
199 Grafton Street
Charlottetown, PEI C1A 1L2
CANADA
(902) 566-3861
Quebec
Scope of Practise: unlimited
Requirements: Must have completed at least 1 year of GME approved by the American Osteopathic Association or the Accreditation Council for Graduate Medical Education, must have completed at least 1 year of GME in Quebec, passed the written, oral and clinical board examination of the College of Family Physicians of Canada and must speak French fluently.
Contact:
College des Medecins du Quebec
2170 Rene-Levesque Blvd West
Montreal Quebec H3H 2T8
CANADA
(514) 933-4441
http://www.cmq.orgSaskatchewan
Scope of Practise: limited to OMM
Requirements: Must have completed at least 1 year of American Osteopathic Association approved GME.
Statutes/Regulations
Osteopathic Practise Act, Chapter O-7, Revised Statutes of Saskatchewan
http://www.qp.gov.sk.ca/documents/English/Statutes/Statutes/M10-1.pdfContact:
College of Physicians and Surgeons of Saskatchewan
211 Fourth Avenue South
Saskatoon, Saskatchewan S7K 1N1
CANADA
(306) 244-7355
http://www.quadrant.net/cpssYukon Territory
Scope of Practise: unlimited
Requirements: While no specific provisions are in place, the American Osteopathic Association has been told the government will grant registration to any physician that qualifies for licensure in any other province.
Contact:
Government of the Yukon
PO Box 2703
Whitehorse, Yukon Y1A 2C6
CANADA
(867) 667-5257
Schools of Osteopathic Medicine
There are no recognized osteopathic medical schools in Canada.
Organisations/Associations
British Columbia Osteopathic Association:
Jim Church, DO
President
#302, 1990 Fort St.
Victoria, B.C. V8R 6V4
Ph:(250) 595-7772
Fax: 595-7796
Canadian Osteopathic Association
Ted Findlay, D.O. President
Canadian Osteopathic Association (and Aid Society)
P.O. Box 24081
London, Ontario N6H 5C4
Phone & Fax 519-681-1500 or Toll Free (All North America) 1-866-294-2503
E-mail:
coas@rogers.comFederation of Medical Regulatory Authorities of Canada (FMRAC)
(Formerly Federation of Medical Licensing Authorities of Canada [FMLAC])
Email:
ssmith@fmlac.comWebsite:
http://www.fmlac.comInternational Federation for Manual/Musculoskeletal Medicine (FIMM)
Website:
www.fimm-online.orgCanadian Osteopathic Educational Trust Fund
Mrs. Patricia Roper
Secretary/Treasurer
R.R.#2
Forest, Ontario N0N 1J0
Ph:(519) 786-6444
Fax: 786-2915
Ontario Osteopathic Association
David Fiddler, DO
President
832 Monarch Rd, RR#!
Lindsay, Ontario
K9V 4R1
Prairie Osteopathic Association
Ted Findlay, DO
President
1603 - 20 Ave. N.W.
Calgary, Alberta T2M 1G9
Ph:(403) 282-7165
Fax: 289-8269
Osteopathy
An osteopath is a non-physician practitioner who has achieved the nationally recognized academic and professional standards within her or his country to practise osteopathic manipulative treatment. Individual countries establish the national academic, and professional standards for osteopaths practicing within their countries.
Alberta
Scope of Practise: The practise of osteopathy is not regulated in Alberta.
British Columbia
Scope of Practise: The practise of osteopathy is not regulated in British Columbia
Requirements: N/A
New Brunswick
Scope of Practise: The practise of osteopathy is not regulated in New Brunswick
Requirements: N/A
Newfoundland
Scope of Practise: The practise of osteopathy is not regulated in Newfoundland.
Northwest Territories
Scope of Practise: The practise of osteopathy is not regulated in the Northwest Territories.
Requirements: N/A
Nova Scotia
Scope of Practise: The practise of osteopathy is not regulated in Nova Scotia.
Requirements: N/A
Ontario
Scope of Practise: The practise of osteopathy is not regulated in Ontario.
Requirements: N/A
Prince Edward Island
Scope of Practise: The practise of osteopathy is not regulated on Prince Edward Island.
Requirements: N/A
Quebec
Scope of Practise: The practise of osteopathy is not regulated in Quebec.
Requirements: N/A
Saskatchewan
Scope of Practise: The practise of osteopathy is not regulated in Saskatchewan.
Requirements: N/A
Yukon Territory
Scope of Practise: The practise of osteopathy is not regulated in the Yukon Territory.
Requirements: N/A
Schools of Osteopathy
There are no recognized schools of osteopathy in Canada. Additionally, there is no way for graduates of other international schools to have their osteopathic credentials recognized in Canada. To be registered with a provincial College of Physicians and Surgeons, one must be a graduate of an accredited college of the American Osteopathic Association