BC Health Regulators Sign Statement of Apology for Indigenous Racism in BC Health Care

In response to the In Plain Sight report, which detailed systemic racism against Indigenous peoples in the B.C. health care system, COTBC along with 10 other Health Regulatory Colleges in B.C. have signed a Joint Statement of Apology and Commitments to Action.

In the Joint Statement of Apology and Commitments to Action the Colleges state: “As the leaders of health regulatory colleges in British Columbia that govern more than 21,000 health professionals, we respectfully and humbly apologize to Indigenous peoples (First Nations, Métis, and Inuit), communities and registrants of our respective Colleges who have experienced and suffered from racism while engaging with our organizations or with the health professionals we regulate.”

“We hope that this apology and commitment to action can be the start of a new journey to restore our relationship and enable collaborative work toward continued reconciliation and healing.”

The Joint Statement was signed by the 11 Colleges at a July 27, 2021 ceremony with an Indigenous leader, knowledge carrier and witnesses at Spanish Banks in Vancouver on the unceded, ancestral, traditional territories of the Musqueam, Squamish, and Tsleil-Waututh peoples.

“It is great to see the collective leadership being provided by the Health Regulators’ commitment to the Joint Statement of Apology and Commitments to Action,” said Joe Gallagher, k’ʷunəmɛn, Tla’amin Nation, a First Nations consultant for the Health Regulators. “The Health Regulators are a key part of the BC health system and the work done today marks the responsibilities they have committed to through First Nations teachings. Their actions moving forward are essential to eradicating Indigenous-specific racism and achieving Cultural Safety and Humility in the health care system through the health professionals they regulate.”

The ceremony location included an anchor sculpture as a symbol of the signatory Colleges being grounded in this important moment of commitment. A mountain with a human form in the distance acted as the official witness of the ceremony.

“We are becoming One (Nutsamaht)! This powerful moment proves that to me,” said Sulksun (Shane Pointe), a First Nations Knowledge Carrier who guided the ceremony.

 “Signing the Joint Statement of Apology and Commitments to Action is an important act of reconciliation with Indigenous peoples in B.C.,” said Jennifer Lawrence, Registrar/CEO of the College of Dental Hygienists of BC, one of the signatory Colleges. “As part of reconciliation, we have a responsibility to deepen our understanding of the trauma experienced by Indigenous peoples when receiving care and take real action to ensure they are able to access health care that is culturally safe and free from racism.”

The signatory Colleges are:

College of Chiropractors of BC
College of Dental Hygienists of BC
College of Denturists of BC
College of Dietitians of BC
College of Naturopathic Physicians of BC
College of Occupational Therapists of BC
College of Opticians of BC
College of Optometrists of BC
College of Physical Therapists of BC
College of Speech and Hearing Health Professionals of BC
College of Traditional Chinese Medicine Practitioners and Acupuncturists of BC

In accordance with First Nations protocols, five people who attended the ceremony were called upon as official witnesses to legitimize the work and carry the oral history of this historic event. These witnesses were essential to the ceremony and are responsible for sharing what they saw, heard, and felt with their family when they return home and whenever they are asked. Witnesses are an important component of oral traditions and hold the truth which ensures each of us remains accountable to our commitment set out in the apology.

“It was a profound honour to act as a witness to this important event, ensuring the heart-felt memories and messages of the ceremony are carried forward and shared with others, and that regulators are held accountable for their commitments,” said Andrea Bowden, Deputy Registrar, College of Occupational Therapists of BC and one of the official witnesses of the ceremony.

Progress on our Commitment to Indigenous Cultural Safety and Humility

We continue to take steps that embed the principles of cultural safety and humility into our organizational values, governance, and operations.  Below we share highlights of our recent activities.

Website Updates After completing an environmental scan, we are updating and developing content for our website. Examples of planned topics include land acknowledgements, a listing of relevant reports and publications, and an overview of resources and continuing education opportunities.

We are excited to explore engaging the talent of a local Indigenous artist to develop meaningful, culturally appropriate images for the site.

Adoption of a COTBC Land Acknowledgement Policy We believe meaningful land acknowledgements are an initial step towards reconciliation, decolonization, and Indigenous Cultural Safety and Humility. They show recognition and respect, which are essential to strengthening and healing relationships.

Given this, COTBC recently adopted a new policy that guides the organization on how its land acknowledgements will be developed and delivered.

Self-Identification of Indigenous Occupational Therapists As part of this year’s registration renewal, we invited occupational therapists to voluntarily disclose if they identify as Indigenous (First Nations, Métis, or Inuit) and if so, if they were interested in being contacted to provide their perspectives on important regulatory issues.

We are pleased to share that of the 31 registrants that self-identified as Indigenous, 18 consented to contact. We sincerely appreciate this interest, and we will be in touch as opportunities arise to provide your valuable input.

National Indigenous Peoples Day Staff of COTBC and the College of Physiotherapists of BC gathered on National Indigenous Peoples Day to reflect and learn about the impacts of colonization in Canada and the importance of land acknowledgements.

Call for Subject Matter Experts

Call for Subject Matter Experts

COTBC invites occupational therapists practising in BC to submit an expression of interest or nominate a colleague who can provide practice-specific knowledge and first-hand experience about what occupational therapists “need to know” to deliver safe, ethical and effective occupational therapy services.

We are looking for Subject Matter Experts (SMEs) who have documented expertise in diverse areas of practice and represent the occupational therapy population in BC.

SMEs required for case development

SMEs are needed to both write and review case scenarios for the Quality Assurance Program activities (e.g., Annual Continuing Competence Review).

College volunteers receive annual honorariums and travel/accommodation expenses are covered.

If you, or a colleague you know, might be interested in this opportunity, please complete and submit this form by August 20th, 2021. Please complete a separate form for each colleague you are nominating. Thank you!



Renewal is Approaching – Time for a Currency Check

With COVID-19, many people have faced interruptions to employment and may have experienced a decrease in hours worked. To renew, College Bylaws require registrants to meet one the following currency hour requirements:

  • Successful completion of at least 600 hours within the scope of the profession in the preceding three years,
  • Successful completion of a re-entry program within the preceding 18 months,
  • Graduation from a recognized Canadian occupational therapy program or being deemed substantially equivalent, having obtained an academic qualification from a program or institution outside Canada, within the past 18 months.

Given registration renewal will be for the 2021/2022 period, the hours completed during the following years will be eligible towards meeting the 600 hours in the preceding three years currency hour requirement: 2018-2019, 2019-2020 and 2020-2021. Please review your currency to ensure you will be eligible for renewal in June.

The College website offers a currency calculator to help you tally your hours.

If you are short on currency, the Registration Committee will consider hours you spent in other activities that support your continuing competence and the delivery of safe, ethical, and effective care. These activities may include participation in volunteer work and continuing professional development (both formal and informal study) from July 1, 2018 to June 30, 2021.

Note these hours cannot exceed 25% of the 600 required hours (i.e., 150 hours), and cannot have been accumulated while your registration status was non-practising or cancelled, or while you were participating in a re-entry program.

To apply for consideration fill out the online form and/or contact the College for next steps at:  registration@cotbc.org

Developing One Set of competencies for OTs in Canada

CORECOM is a pan-Canadian initiative (across the academic, association and regulatory sectors) to develop one set of occupational therapy competencies for occupational therapists in Canada. This month we see the launch of a validation survey for input from all OTs in Canada. (The College sent registrants an email on March 8 with information on how to participate in the validation survey and contribute to the evolution of this new single set of competencies for occupational therapists in Canada.)

This new single set of competencies for the profession will ultimately replace the Essential Competencies of Practice for Occupational Therapists in Canada (3rd Edition) that we rely on for many of our regulatory functions. COTBC will develop an implementation plan to incorporate this new set of competencies across all college programs.

Other partners will be similarly addressing the impact of the new competencies on the activities of their respective organizations including the Canadian Association of Occupational Therapists (CAOT) and the Association of Canadian Occupational Therapy University Programs (ACOTUP). The COTBC Registrar serves as one of the regulatory representatives on the CORECOM Steering Committee.