In August of 2024, the Canadian Association of Medical Laboratory Regulators unexpectedly announced a decision to assume national certification examination responsibilities in most Canadian provinces (Quebec, Alberta, and BC are exempt) effective March 2026. In addition to the shift in examination services, CAMPLR has released revised “flexible pathway” competency profiles that fundamentally dictate the learning outcomes within medical laboratory training programs, which this new certification examination structure must adhere to.
While shifts in competency profiles are relatively commonplace in health science education programs, these shifts are normally accompanied by a suitable transition period which allows programs to adjust curricular framework over a period typically equivalent to a complete academic program cycle (i.e., Ontario Tech would historically have had 4-5 years to adjust curriculum). However, in this instance, the regulator has indicated that no such significant transition will occur. Per CAMLPR:
“The new competency profiles and examinations will require that educational institutions revise and align their curricula to ensure that graduates meet the required competencies for entry-level practice as MLTs. Institutions may need to adjust their teaching methods, course content, and assessment strategies to prepare students effectively for the new examinations.” CAMPLR, 2024
Moreover, per official CAMPLR communication, this change in examination is set to impact all current MLSc program students except for those who are currently in Year 4 – this will be the last class to write this historical CSMLS certification exam which has been the primary certification examination since the program’s inception.
“Beginning March 1, 2026, CAMLPR will administer the CAMLPR competency assessments (examinations) to all registration applicants, including those educated in Canada, based on the new CAMLPR competency profile” – CAMPLR, 2024
As such, the OnTech MLSc program must immediately address any new or revised competency outcomes indicated in the revised profile to ensure students have attained the required skills and education to challenge this new certification examination. This is a requirement for both Accreditation and Regulation. In addition, the Ontario Tech MLSc program is currently in the end stage of its most recent accreditation cycle and must begin to prepare its self-study submission in Spring 2025.
Given this circumstance, faculty members reviewed the current competency profile and the revised CAMPLR flexible pathway profile and have approved the revised wording on all MLSC courses to ensure alignment with the competency profile. In most instances, these changes constitute a structural or grammatical revision of the learning outcome to more clearly align with the revised competency profile and with quality practice in constructing learning outcomes (e.g., appropriate verb selection, measurability, single outcome, etc…). This proposed change is in support of both the accreditation cross reference exercise (standards 1.1.2 and 1.1.6) and ensuring alignment with regulatory expectations to meet all professional competencies.
Importantly, most of these changes DO NOT significantly alter the associated classroom or laboratory pedagogy, course objective, current learning practices, or student experience with minor exceptions to select laboratory exercises. The medical laboratory science team at Ontario Tech has been historically responsive to ongoing changes in the field and have accordingly kept pace in most instances with learning exercises that reflect clinical practice. However, this sudden shift in examination provider necessitates a modification of the course learning outcomes to ensure alignment for currently enrolled students.
In addition, the program has identified several minor learning gaps associated with the new competency profile and select new competencies and has incorporated new learning outcomes to address these concerns. These new learning outcomes make up a very small percentage of the proposed changes and can be reviewed in each associated course change form. The limited nature of these changes speaks to the continued commitment of program faculty to ensure learning exercises are reflective of ongoing clinical practice.
Indeed, given the robustness of the MLSc program and the relative consistency of medical laboratory science training programs in Canada, in most instances, those gaps that have been identified between the historical (CSMLS) and new (CAMPLR) competency profiles are relatively limited and can be addressed with the addition of several new outcomes across the MLSc program cluster.