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It explains the public-protection purpose of certification, the role of the legislation-defined competency standards, the content development team and their qualifications, and security controls over examination items. It also details how reference lists are gathered and reviewed, and how programs may use those references to support transparent item development.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/content-development-process-for-cmtos-certification-examinations/317274/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/content-development-process-for-cmtos-certification-examinations/317274.png","ImageObject",300,407,{"name":92,"@type":93},"Mason","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why does the College of Massage Therapists of Ontario have certification examinations?","Question",{"text":113,"@type":114},"Certification examinations protect the public by evaluating candidates’ proficiency against predefined entry-to-practice competencies, supporting safe, effective, and ethical massage therapy care.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Who is responsible for developing the content for CMTO’s certification examinations?",{"text":118,"@type":114},"The content development team includes Prometric’s Assessment Development Specialist, Subject Matter Experts (SMEs), and other Prometric staff with psychometric expertise. SMEs are Registered Massage Therapists in good standing with CMTO.",{"name":120,"@type":111,"acceptedAnswer":121},"How are examination references used to develop item (question) content selected and updated?",{"text":122,"@type":114},"Ontario massage therapy education programs contribute references through a survey every three to five years. References used by two or more programs are considered, and inclusion is reviewed based on availability, quality, relevance to exam content outlines, author expertise, and overlap with other approved references.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},317274,1790528471,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},5909887256941,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Content Development Process for CMTO’s Certification Examinations  \nThis document describes the process for developing the College of Massage Therapists of Ontario (CMTO) Certification Examinations. Successful completion of these examinations is required for registration as a Registered Massage Therapist (RMT or MT) in Ontario. CMTO and Prometric are committed to excellence in the creation and execution of the Certification Examinations. Strict adherence to international testing standards ensures the development of standardized, fair,  \nvalid, reliable and defensible examinations.  \nWhy does the College of Massage Therapists of Ontario have Certification Examinations?  \nThe goal of certification examinations is to protect the public by evaluating a candidate’s level of proficiency against a predefined set of competencies specified for entry to practice. This helps ensure that therapists entering the profession can deliver massage therapy care in a safe, effective, and ethical manner. The Certification Examinations are developed and administered by Prometric on behalf of CMTO and include the Multiple-Choice Question (MCQ) examination and the Objectively Structured Clinical Evaluation (OSCE) examination.  \nMassage Therapy is a regulated health profession in Ontario. CMTO is the regulatory body that provides oversight and guidance to registrants of the profession. CMTO uses several pieces of legislation in fulfilling its mandate of public protection, most notably the Regulated Health Professions Act (RHPA), 1991 and the Massage Therapy Act (MTA), 1991. With regard to the requirements for registration, the RHPA states that each regulated health profession in Ontario must “develop, establish and maintain standards of qualification for persons to be issued certificates of registration.” With regard to certification examinations, the MTA states: “in setting the examinations to be taken by applicants to the College for registration, the College shall specify the general areas of competency to be examined and shall ensure that the examinations provide a reliable and valid measure of a candidate’s competency in knowledge, skills and ability for the practice of massage therapy in Ontario.”  \nWho is on the team that develops the content for CMTO’s Certification Examinations?  \nThe content development team for the Certification Examinations is composed of Prometric’s Assessment Development Specialist, various Subject Matter Experts (SMEs), and other Prometric staff with psychometric expertise. All SMEs are Registered Massage Therapists (RMTs) in good standing with CMTO. Typically, these individuals have several of the following qualifications:  \na) Extensive clinical experience;  \nb) Relevant post-secondary education in addition to Massage Therapy training;  \nc) Abundant continuing education in Massage Therapy;  \nd) Prior teaching or assessment experience; and  \ne) A solid understanding of the role of CMTO and the examinations demonstrated through prior roles with CMTO (e.g., having served as a peer assessor, examiner, etc. ) .  \nHow is the examination content kept secure?  \nKeeping the examination content secure is critically important. Security policies, including examination candidate requirements and item (question) bank protection and access, are strictly monitored and enforced. There is careful screening of examination staff and those involved in examination standard setting. In addition, statistical analyses of item performance are conducted when required to identify possible examination security breaches.  \nHowever, to demonstrate that the Certification Examinations are developed and administered in an objective and fair manner, there is a necessary degree of transparency regarding examination content and delivery. Information about the development process is shared with Massage Therapy programs, instructors, examination candidates and the public as much as possible without compromising examination security or validity. Exam specif","cbCaib4OzTB83KMu","https://ap.wps.com/l/cbCaib4OzTB83KMu","pdf",238389,"English","# Why CMTO Has Certification Examinations\n## Certification purpose and competency evaluation\n# Who Develops the Exam Content\n## Team roles and subject matter expertise\n# How Examination Content Is Kept Secure\n## Security policies and monitoring\n# How Reference Lists for Item Development Are Generated\n## Program surveys and review criteria\n# Are Programs Required to Use Approved References?\n## Transparency goals and reference use\n# Steps to Develop Defensible Certification Examinations\n## Six-step development overview","[{\"question\":\"Why does the College of Massage Therapists of Ontario have certification examinations?\",\"answer\":\"Certification examinations protect the public by evaluating candidates’ proficiency against predefined entry-to-practice competencies, supporting safe, effective, and ethical massage therapy care.\"},{\"question\":\"Who is responsible for developing the content for CMTO’s certification examinations?\",\"answer\":\"The content development team includes Prometric’s Assessment Development Specialist, Subject Matter Experts (SMEs), and other Prometric staff with psychometric expertise. SMEs are Registered Massage Therapists in good standing with CMTO.\"},{\"question\":\"How are examination references used to develop item (question) content selected and updated?\",\"answer\":\"Ontario massage therapy education programs contribute references through a survey every three to five years. References used by two or more programs are considered, and inclusion is reviewed based on availability, quality, relevance to exam content outlines, author expertise, and overlap with other approved references.\"}]","Content Development Process for CMTO’s Certification Examinations | PDF",1789931159,15]