ROYAL COLLEGE OF DENTAL SURGEONS OF ONTARIO MINUTES OF THE 412 th MEETING OF COUNCIL Wednesday, January 11 and Thursday, January 12, 2017 DoubleTree by Hilton Toronto Hotel, 108 Chestnut Street, Toronto The 412 th Meeting of the Council of the Royal College of Dental Surgeons of Ontario was held on Wednesday, January 11, 2017 at 7:00 p.m. and resumed on Thursday, January 12, 2017 at 9:05 a.m. ATTENDANCE: Council Members: Elected Representatives: Dr. Elizabeth MacSween District 1 Dr. Benjamin Lin District 2 Dr. Mark Eckler District 4 Dr. Lawrence Davidge District 5 Dr. Sandy Venditti District 6 Dr. Cam Witmer District 7 Dr. Ronald Yarascavitch District 8 Dr. Richard Hunter District 9 Dr. Flavio Turchet District 10 Dr. Amelia Chan District 11 Dr. David Segal District 12 University Representatives: Dr. Harinder Sandhu, Western University, Ontario Dr. David Mock, University of Toronto Lieutenant-Governor-in-Council Representatives: Mr. Ted Callaghan Ms. Susan Davis Ms. Margaret Dunn Mr. Manohar Kanagamany Ms. Catherine Kerr Mr. Greg Larsen Ms. Marianne Park
Page 2 Mr. Derek Walter Ms. Elizabeth Wilfert Regrets: Dr. Lisa Kelly District 3 Ms. Beth Deazeley Public appointee Legal Counsel: Mr. Alan Bromstein Royal College of Dental Surgeons of Ontario Staff: Mr. Joe Donahue, Director, Human Resources Mr. Irwin Fefergrad, Registrar Dr. Michael Gardner, Director, Quality Assurance Ms. Lori Long, Director, Professional Conduct and Regulatory Affairs Mr. Kevin Marsh, Communications Director Mr. Greg Moors, Director, Finance, Property and Administration Ms. Angie Sherban, Executive Assistant and Council Liaison Ms. Dayna Simon, Senior Counsel, Regulatory Affairs Wednesday, January 11, 2017 (1) WELCOME REMARKS - REGISTRAR Mr. Fefergrad chaired the meeting and called it to order at 7:00 p.m. He welcomed everyone to the meeting. (2) ROLL CALL Council members were asked to introduce themselves. There were 22 Council members in attendance and 2 members absent. Pursuant to College By-Laws, a quorum was declared. (3) REPORT ON 2016 ELECTIONS TO RCDSO COUNCIL Mr. Fefergrad reported the results of the College election that took place on December 14, 2016. Elected were as follows:
Page 3 Dr. Elizabeth MacSween District 1 Dr. Benjamin Lin District 2 Dr. Lisa Kelly District 3 Dr. Mark Eckler District 4 Dr. Lawrence Davidge District 5 Dr. Sandy Venditti District 6 Dr. Cam Witmer District 7 Dr. Ron Yarascavitch District 8 Dr. Richard Hunter District 9 Dr. Flavio Turchet District 10 Dr. Amelia Chan District 11 Dr. David Segal District 12 (4) ELECTION TO EXECUTIVE COMMITTEE Mr. Fefergrad reviewed the voting process with Council. There were five positions for election to the Executive Committee that would be cast by closed ballot. The five positions were President, Vice-President, third member dentist, first public member and second public member. He added that there would be five separate elections, one for each position. Public members and dentists were eligible for the President and Vice-President position. He stated that, under the College s By-Laws, nominations can be made from the floor and there can be self-nominations to run for the election. Mr. Fefergrad appointed Mr. Greg Moors and Ms. Dayna Simon as the returning officers for the election. (a) Election of President Mr. Fefergrad stated that he had received nominations from Dr. Elizabeth MacSween, Dr. David Segal and Ron Yarascavitch. There were no further nominations from the floor. Each candidate was invited to address Council in the following order: Dr. MacSween, Dr. Segal and Dr. Yarascavitch. The election by closed ballot followed.
Page 4 A second ballot was cast for Dr. Segal and Dr. Yarascavitch. Dr. Yarascavitch was re-elected as President. Dr. Yarascavitch briefly addressed Council members and thanked them for their support. (b) Election of Vice-President Mr. Fefergrad stated that he received three nominations for the position of Vice- President from Dr. Elizabeth MacSween, Dr. David Segal and Dr. Flavio Turchet. There were no other nominations from the floor. The candidates were invited to address Council. Dr. MacSween did not wish to make any further comments, Dr. Segal and Dr. Turchet addressed Council. The election by closed ballot followed. A second ballot was cast for Dr. Segal and Dr. Turchet. They both declined to address Council again. There was a tie in the second ballot and a third ballot was cast. Under the by-laws, there was a draw by lot for the position witnessed by Mr. Fefergrad, Mr. Moors and Ms. Simon. Dr. Turchet was elected Vice-President and congratulated. (c) Election of Third Member Dentist Mr. Fefergrad advised that there were two nominations for the position of third member dentist on the Executive Committee. They were Dr. Elizabeth MacSween and Dr. David Segal. Mr. Fefergrad called for nominations from the floor, and there were none. Both candidates addressed Council in the following order: Dr. MacSween and Dr. Segal. The election by closed ballot followed. Dr. Segal was elected third member dentist on the Executive Committee and congratulated. (d) Election of Public Member (First and Second Positions) Mr. Fefergrad reported that two candidates had stated their intention to run for a public member position on the Executive Committee. The candidates were Mr. Ted
Page 5 Callaghan and Ms. Marianne Park. There were no other nominations from the floor. Mr. Fefergrad stated that an election for each position is usually held. However, as there were only two nominations and pursuant to Council s approval, Mr. Callaghan and Ms. Park were acclaimed the two public members of the Executive Committee. (5) MOTION TO DESTROY BALLOTS OF ELECTION MOTION #1: THAT the ballots from the election of the 412 th Meeting of Council be destroyed. CARRIED (Unanimously) (6) ADJOURNMENT There being no further business, the meeting on Wednesday, January 11, 2017 was adjourned for the evening at 8:20 p.m. Thursday, January 12, 2017 (1) CALL TO ORDER Mr. Fefergrad called the meeting to order at 9:00 a.m. (2) ROLL CALL There were 22 Council members in attendance and 2 members absent. Pursuant to College By-Laws, a quorum was declared.
Page 6 (3) CONSIDERATION AND ADOPTION OF THE REPORT OF THE EXECUTIVE COMMITTEE (acting as the Nominating Committee) IN RESPECT TO APPOINTMENTS TO RCDSO COMMITTEES Dr. Yarascavitch reported to Council that the Nominating Committee (Executive Committee) had met following the election of Council on January 11, 2017 and prepared the slate of committees, taking into account the parameters of the College s by-laws and requests from Council members for population of committees. A copy of the slate of committees was distributed to Council members for their review. There was a short recess and Mr. Fefergrad invited Council members to meet with him or the Executive Committee if there were any questions or concerns about the committee appointments. After resuming the meeting, Mr. Fefergrad advised that in response to a question raised, Ms. Beth Deazeley was reappointed as Chair of the Legal and Legislation Committee because of her legal background and experience that will be required in order to deal with many by-laws changes anticipated as a result of Bill 87. There was no further discussion on the slate of committee members presented and it was approved as circulated as APPENDIX A. Dr. Larry Davidge abstained from voting. MOTION #2: THAT Council does hereby approve the slate of committee members as circulated by the Nominating Committee (APPENDIX A). CARRIED (Abstention: 1) (Unanimously) Dr. Yarascavitch thanked all Council members for their input and willingness to serve. He looked forward to working with Council in the new term.
Page 7 (4) NEW BUSINESS Dr. Yarascavitch presented College lapel pins to the new members of Council: Dr. Chan, Dr. Eckler and Dr. Venditti. It is not normal practice to conduct business at the January election meeting, but Mr. Fefergrad advised that two items required action by Council and could not wait until the next Council meeting in May. 4.1 Commission on Dental Accreditation of Canada (CDAC) Mr. Fefergrad reported that at the November 2016 meeting, Council approved Dr. Joseph Stasko to be the College s representative to attend the CDAC Accreditation Survey for the Western University DDS program from April 3 to 7, 2017. He stated that Dr. Stasko recently advised that he is not able to attend the survey and Council was asked to give consideration to approving Dr. Sandy Venditti to replace him. Dr. Venditti replaced Dr. Stasko in District 6. Dr. Venditti expressed her willingness to be the College s representative for this accreditation survey. MOTION #3: THAT Council appoints Dr. Sandy Venditti to replace Dr. Joseph Stasko as the College s representative at the Commission on Dental Accreditation of Canada (CDAC s) accreditation survey of Western University s DDS program which takes place on April 3-7, 2017 in London. CARRIED (Unanimously) 4.2 Amendments to Bill 87 Protecting Patients Act, 2016 (Schedule 4 RHPA Amendments) Mr. Fefergrad reported to Council on the amendments to Bill 87, Protecting Patients Act, 2016, which is an omnibus bill. He made a PowerPoint presentation and reviewed some of the proposed amendments:
Page 8 The Minister of Health is getting expanded powers under Section 5 to require personal health information from the College about a member. The Minister of Health has regulatory making authority to make regulations around College committees and panels composition, competence and eligibility. With regard to sexual abuse, the definition of patient includes individuals who were patients within the last year or a longer period of time as the College may determine. The Inquiries, Complaints and Reports Committee panels has expanded powers to make interim suspensions of a member s certificate at any time following the receipt of a complaint or report, in addition to when specified allegations are referred to the Discipline Committee. No gender-based restrictions. Mandatory revocation grounds are expanded and suspension is mandatory in sexual abuse cases that do not involve conduct requiring mandatory revocation. Mandatory program to provide funding for therapy begins immediately upon an investigation or the filing of a complaint. Penalties for failing to report sexual abuse of patients has increased to $50,000. Expanded functions to the Patient Relations Committee including transparency. a. Transparency. b. The register, in addition to what is now contained, includes: every Caution. Any Specified Continuing Education or Remedial Program (SCERP). The result of any inspection of an instruction program that the College has. The Minister of Health to make regulations on civility of communications with patients. Mr. Fefergrad added that although there are a lot of proposed changes, the College has been proactive and implemented many of them already. He reviewed with Council all of the areas that the College is currently involved in.
Page 9 4.3 Update on International Trade Agreements Mr. Fefergrad introduced Dr. Peter Trainor, Past-President of the College and Canadian Dental Regulatory Authorities Federation (CDRAF), and Chair of the CDRAF Commission dealing with Trade Agreements. The CDRAF felt that a resource document should be produced for government to express the history of what dentistry has done to embrace competent internationally-trained dentists. A copy of the final briefing document was provided to Council for its information. It was compiled by Dr. Trainor and Mr. Robert Lees (Manager, Registration). After it has been translated into French, it will be made available to all dental regulatory authorities nationally to post on individual websites. In Ontario, immigration is a critical issue because it has the largest number of dentists and the largest number of non-domestically trained applicants. In order to maintain the College s mandate of acting in the public s interest, it is important that there is one standard of dentist. Dr. Trainor continued by reporting on the Comprehensive Economic Trade Agreement (CETA) between Canada and the Economic Union covering a common market of some 500 million people. He also discussed the Trans-Pacific Partnership (TPP) Agreement that covers 40% of the world s economy. The ultimate goal of the trade agreements is permit-to-permit registration which, in the College s view, is not in the public s interest. Canada has an accreditation process that measures education programs utilizing pre-determined criteria and is conducted by the Commission on Dental Accreditation of Canada (CDAC). It recognizes the importance of links that exist in Canada between accreditation and the educational process, the external certification process and the registration and licensure process. Canada has defined and recognized pathways for registration of candidates from its own faculties of dentistry as well as from jurisdictions that have mutual recognition agreements (MRAs). Candidates from those countries with MRAs are treated the same as domestically-trained applicants that include two national examinations, a written and an objective structured clinical examination administered by the National Dental Examining Board of Canada (NDEB).
Page 10 The Fairness Commissioner of Ontario holds the College accountable to ensure that its registration practices are equal, fair, transparent and accountable for all applicants. At its December 9, 2016 meeting, the Executive Committee recommended that Council strike a working group to explore Ontario immigration and ensuring that internationally-trained applicants have the knowledge, skill and judgement to be easily integrated into Ontario practice, and also to provide advice to Council on matters relating to trade agreements and labour mobility. MOTION #4: THAT Council establish a new Ad Hoc Committee, known as the Ad Hoc Committee on International Mobility, to be composed of Dr. Peter Trainor as Chair, the Registrar and no more than three other persons selected by the Executive Committee in consultation with the Registrar, to make recommendations to Council: 1. To assist Council in determining how to ensure that internationallytrained dentists have the knowledge, skill and judgement to be easily integrated into Ontario practise so as to facilitate registration while, at the same time, ensuring public protection; and 2. To provide advice and recommendation to Council on any other matters relating to trade agreements and labour mobility which, in the Committee s view, may affect the College s mandate to protect the public interest, AND THAT the Committee provide a report to Council on its activities at least once a year. CARRIED (Unanimously) Dr. Trainor answered several questions from Council members and he was thanked for his insightful report.
Page 11 (9) NEXT MEETING OF COUNCIL The next meeting will be held on Thursday, May 11, 2017 at the DoubleTree by Hilton Toronto Hotel. (10) ADJOURNMENT There being no further business, the meeting was adjourned at 12:05 p.m. MOTION #5: THAT the 412 th Meeting of Council be adjourned. CARRIED (Unanimously) SIGNED: Signature of Presiding Officer Signature of Recording Officer Date AMS:705548