Engagement is central to CMRITO's immediate and long-term goals as an organization. It is hardwired into our new Strategic Plan, actively woven through the College's activities in 2025.

Offering more French language communications with applicants and registrants is one of the ways the College sought to enhance engagement. Beginning in 2025, teams across the organization began to refine their processes and build consistent pathways, tools, and materials in French so that French-speaking registrants, patients, and system partners could fully participate in CMRITO regulatory processes in their first language. This resulted in the introduction of new French-language Quality Assurance and Registration practices and communications. This work continues into 2026 and will lead to further enhancements including French translations of most content on the CMRITO website and foundational documents like By-law No. 6.

CMRITO met regularly with the Ministry of Health and the Ministry of Colleges and Universities throughout the year to discuss proposed fee increases, regulatory compliance, the transition of the As of Right registration policies to facilitate interprovincial mobility for health care professionals, and the accreditation status of private career colleges, among other topics. These recurring conversations helped strengthen productive relationships and will lead to further constructive discussions and enhanced bonds with important system partners going forward.

The College similarly began developing a new Health Care Partner Engagement Strategy (HOPES) to promote and enhance relations between the College and its registrants, other health profession colleges, key system partners, and the public. Strengthening these relationships with a shared understanding of mandates, roles, and interdependencies is critical. HOPES will be a key focus of the CMRITO in 2026 and beyond and will ultimately help enhance patient safety in the health care system.

CMRITO regulates five specialties (radiography, radiation therapy, nuclear medicine, magnetic resonance, and diagnostic medical sonography) under a unified scope of practice. Each specialty has its own unique education pathway, professional competency profile, and has traditionally had its own unique areas of practice. As technology and practice environments evolve — particularly with the growth of hybrid technologies and increasingly integrated models of care — traditional specialty boundaries are becoming less distinct, more in some areas than others. Coupled with COVID-19 directives to regulated health professionals regarding practice beyond their defined scopes of practice, health human resource challenges, and changing practice environments, the College provided advice to registrants, employers, facility operators, and other system partners that MRITs could perform activities in another specialty, provided they had both the necessary education and experience to perform procedures competently and had the knowledge, skills, and judgement to do so.

In the summer of 2025, it was identified that this required realignment with the Registration Regulation. This has created a need to examine how specialty regulation is structured and whether current approaches remain aligned with legislation, public protection, and contemporary and evolving practice realities.

As a result, Council struck an eight-member Specialty Framework Advisory Committee to define the scope of the issue and develop options and recommendations for future-focused solutions for consideration in 2026. Composed of CMRITO registrants from each of the College's five specialties, the Committee composition ensured representation from a diversity of practice settings, input from educational programs, external experts in governance and regulatory operations, urban and rural geographic viewpoints, frontline and managerial perspectives, and a wide range of professional experience.

The College's focus on engagement is also demonstrated by our continued commitment to healthy, transparent dialogue with our audiences. In addition to the feedback collected through public consultations on proposed changes to By-law No. 6, CMRITO sought to share additional information about the College and its decision-making in a special section of our newsletter "Know Your College" introduced in 2024. In-depth articles under this title have appeared in the last five issues of the College's newsletter to help provide additional background and insight to important College matters. This year, these articles covered the transformation of the College over the last decade, the need to raise fees to cover growing expenses related to regulatory programs and services delivered in the public interest, and outlining CMRITO's Professional Conduct processes and explaining why costs are increasing. Individually and collectively, these pieces provide background and context to help readers understand recent changes at the College and the impact of these developments.

The success of our engagement activities was also reflected in the 2025 election. The fact that 10 people ran for election for three Council seats and over 14,500 votes were cast in those elections illustrates how registrants in all specialties are engaged, interested in sitting on Council, committed to contributing to the regulation of the profession, and invested in electing highly qualified and competent peers to help lead the College deliver on its public interest mandate.

I want to thank CMRITO Council, Committees, and staff for your tireless effort, perseverance, and commitment this past year. I would also like to extend my gratitude to MRITs across the province for your dedication to providing safe, effective, and ethical care.

A strong year has paved the way for an even stronger future. It is my pleasure to present our progress and achievements, what we learned, and how we strengthened our capacity to meet the evolving needs of the public in the 2025 CMRITO Annual Report.

On January 1st, the College of Medical Radiation and Imaging Technologists of Ontario embarked on a new three-year strategic plan. Much of the College's activity in 2025 focused on establishing a solid base for the goals articulated in the plan to build upon over the following years.

The College launched its French language services enhancement project and the Specialty Framework Advisory Committee in 2025 and completed all of the preparations to introduce the As of Right registration program by the end of year. For the French language and Specialty Framework projects, vigilant work by CMRITO staff resulted in the discovery of inconsistencies in CMRITO practices that led to fulsome reviews and the introduction and implementation of new initiatives.

As of Right legislation enabling health care professionals from other provinces to practice in Ontario was first introduced in April of 2025. The expansion of this program to include medical radiation and imaging technologists was announced in mid-October for implementation on January 1, 2026. Within months, the College developed and implemented new registration pathways and communication tools to facilitate MRITs from other provinces immediately being able to practice in Ontario.

As an organization, CMRITO is focused on advancing a culture that is diverse, respectful, and inclusive. Our Organizational Values of Inclusion, Diversity, Equality, and Accessibility (IDEA) underpin our regulatory work, setting a standard for our operations and decision-making. Our goal is to integrate these values into everything we do. CMRITO Council participated in IDEA workshops and education sessions over 2025 covering a host of topics including Indigenous awareness and religious diversity. CMRITO staff similarly hosted and participated in monthly IDEA learning activities, focusing on the themes of mental health and gender diversity.

In September, the College leveraged its prominent position in Canada's MRIT regulatory landscape to host the 2025 Regulatory Education Symposium. Designed to contribute to the regulatory community's understanding and foster dialogue on key issues in regulatory practice, this one-day virtual event brought together more than 100 participants including CMRITO Council members, Committee members and staff, key system partners from medical radiation and imaging regulators outside of Ontario, and senior leaders from the regulatory community and professional associations to discuss current and emerging issues in regulation.

Our work throughout 2025 was varied and impactful. I am proud to continue working with my fellow Council members to support the governance of the CMRITO. On behalf of the Council, thanks to the CMRITO staff for their hard work this year. Your commitment to our regulatory mandate is the bedrock of our continued success. To the CMRITO registrants across the province, thank you for your dedicated care for Ontarians. Your contributions are vital in enhancing the health of the communities you serve, and your commitment is greatly admired.

The work of CMRITO, our registrants, and system partners takes place on traditional Indigenous territories across the land currently called Ontario. We are thankful to the First Nations peoples, Inuit, and Métis from across Turtle Island who have stewarded these territories since time immemorial and continue to contribute to the strength of communities across the land today. We are grateful to have the opportunity to live, work, and play on this land.

Ontario is home to vast traditional territory of the Anishinaabe, Cree, Oji-Cree, Haudenosaunee, Delaware, and Algonquin peoples and includes 46 historical treaties; 207 reserves held by 127 of the 128 First Nations of the province; and a portion of the Métis Nation Homeland. The name Ontario is derived from the Haudenosaunee word "kanadario" which translates to "sparkling water."

We invite you to begin or deepen your own reconciliation journey by learning more about the Indigenous people of your area.