Reinstatement of MARRT License

There are circumstances under which a Registered Respiratory Therapist must apply to have their MARRT license reinstated. Circumstances include:

Not renewing their license by the required license renewal date (11:59 pm on January 31), allowing their license to expire.
The individual requests to become Inactive Practicing, and they are not licensed to practice as a respiratory therapist for a period of time.

To reinstate your license, please complete the Application for Reinstatement for Inactive Registrants form and submit it to the Executive Director Registrar six to eight weeks prior to your scheduled return to work date.

The following is required to have the MARRT license reinstated:

Must have practiced for a minimum of 720 hours as a Registered Respiratory Therapist in the four years prior to the date of the request for reinstatement.
Must have maintained a minimum of 24 hours of continuing competency for the year immediately preceding the request for reinstatement.
Must complete all learning modules required for licensure.
Must provide evidence of current Professional Liability Insurance at the required level of coverage based on the current MARRT requirements.
Must provide evidence of a current:
1. Criminal Record Check
2. Vulnerable Sector Check
3. Adult Abuse Registry Check
4. Child Abuse Registry Check
Pay the reinstatement fee
Pay the license fee (prorated to the date of the reinstatement)

Once you receive approval to proceed with your reinstatement, go to your MARRT profile and click on Reinstatement. Once you have completed the reinstatement process and paid the reinstatement fee, contact the Executive Director Registrar and you will be invoiced the appropriate fee prorated to the date of your reinstatement.

Required Practice Hours

In the event that the individual does not meet the requirement of 720 hours of practice as a Registered Respiratory Therapist in the four years immediately preceding the request for Reinstatement, the individual will be required to complete the Clinical Skills Assessment (CSA) conducted by the College of Registered Respiratory Therapists of Ontario (CRTO) in Toronto, Ontario. This is the same assessment process that individuals must go through who have not completed a Canadian approved respiratory therapy education program.

The individual will be responsible for all costs associated with the assessment including the cost of the assessment process, travel, lodging, food, and any other costs incurred. Following the CSA, the CRTO will provide a report, identifying any gaps or deficiencies that require education to be deemed competent in the identified areas. Please refer to the MARRT Guide for Internationally Educated Applicants, Steps 7, 8, and 9 for further information or refer to the following summary of these steps.

STEP 7: Clinical Skills Assessment (CSA) Conducted by the CRTO

In the Clinical Skills Assessment phase, applicants are asked to demonstrate their clinical skills in a simulated environment (i.e., clinical environment that mimics real-world practice, for example, an operating room, or intensive care unit). The CSA consists of a series of simulated clinical scenarios, each designed to measure whether applicants can demonstrate speciﬁc clinical competencies at an entry-to-practice level. Applicants are also assessed on their communication skills, professionalism, clinical problem solving, and health and safety.

Important information about the Clinical Skills Assessment:

The CSAs are conducted on an as-needed basis at a CRTO approved simulation facility in Toronto, Ontario, Canada.
The CSAs are conducted in-person and there is no option to conduct this portion of the assessment virtually.
The CSA is available in English only.
The fee for the CSA is listed on the Schedule of Fees.
For detailed information about the CSA, please see the CSA Guide
The applicant is required to pay the CSA fee to the CRTO ﬁrst in order for the CSA to be scheduled.
Once the CSA fee is paid and the CSA is scheduled, the applicant must arrange to be in Toronto, Ontario, Canada for the full period of the CSA.
The applicant is responsible for all costs associated with being in Toronto for this assessment. Examples of costs include travel expenses to and from Toronto, travel to and from the assessment site(s) in Toronto, all hotel / lodging costs, all food costs, and any other costs associated with traveling to and from Toronto and staying in Toronto.

Following the completion of the CSA, a written report will be provided to both the applicant and the MARRT identifying areas of competency and areas of deﬁciency, and the training required to address the deﬁciencies.

STEP 8: Oﬃcial Report from the CRTO to the MARRT Registration and Quality Assurance Committee

Upon completion of the CSA in Toronto, Ontario, the CRTO will prepare a comprehensive report identifying the competencies that meet the entry level requirements and competencies that are deﬁcient and require additional education and training. This comprehensive report will be forwarded to the applicant and to the MARRT Executive Director Registrar. This report will then be presented to the Registration and Quality Assurance Committee for discussion and decision. The Committee will review the report and:

- Direct that the MARRT license be reinstated;

OR,

- Direct that a MARRT license be issued with conditions;

OR,

- Direct that a MARRT license be issued upon successful completion of additional training. The Committee will develop and approve a customized education program to address the identiﬁed deﬁciencies. The education plan will be determined on a case-by-case basis. This customized education plan will be presented to the applicant, in writing;

OR,

- Refuse continuation in the process.

A copy of the Committee’s decision will be forwarded to the applicant in writing within 15 days of the Registration and Quality Assurance Committee meeting.

STEP 9: Individualized Education Plan

Individualized Education Plan

The MARRT Executive Director Registrar will schedule a meeting with:

the applicant,
a representative from the Respiratory Therapy program at the University of Manitoba, and,
a representative from the University of Manitoba Access Hub.

This group will meet to identify the speciﬁc courses required to address the deﬁciencies identiﬁed through the assessment process. All education requirements will be fulﬁlled by enrolling in the required courses in the Respiratory Therapy program at the University of Manitoba in Winnipeg, Manitoba. A representative from the University of Manitoba Access Hub will assist the applicant with their application to the Respiratory Therapy program and the required courses.

The applicant will be responsible for the tuition and any other required fees associated with enrolling in the required courses at the University of Manitoba.

Upon completion of the education and training requirements, an oﬃcial transcript will be provided to the applicant/student and the MARRT will receive an oﬃcial letter of completion from the Department Head of the Respiratory Therapy program as evidence of successfully completing the education requirements.

Should the applicant wish to complete the required education and training at another approved Respiratory Therapy program, the MARRT will meet with the applicant to explore these options.