The National Alliance of Respiratory Therapy Regulatory Bodies (NARTRB) is the national body representing
provincial respiratory regulators who have been given the legislative authority to regulate the profession of
respiratory therapy in their respective jurisdiction. The mission of the NARTRB is to facilitate collaboration on
regulatory issues, while respecting the autonomy of each member organization to fulfill their legislated mandate.
The NARTRB is responsible for:
1. Establishing minimum entry-to-practice standards.
2. Facilitating labour mobility across Canadian jurisdictions.
3. Harmonizing registration practices across Canadian jurisdictions.
4. Sharing information on regulatory issues as it relates to each member organization’s regulatory mandate.
5. Collaborating, sharing information, and developing strategies to address professional practice issues as it
relates to the protection of the public.
6. Participating as a key interested party with many individuals and organizations on issues and initiatives
that impact the regulatory environment and the practice of respiratory therapy.
Respiratory therapists are committed to providing safe, ethical, and effective care to their patients. They work to
ensure the well-being and betterment of individuals and communities. To guide the development and assessment
of these healthcare professionals, the Entry-to-practice National Competency Framework was established in
2016.
As the profession evolves, so must its competencies. The competencies listed in this updated profile continue to
provide a single, pan-Canadian entry-level benchmark for practitioners, regulators, educators, assessment and
accreditation providers, other interested parties, and the public. They also serve as a springboard for continuous
professional development and lifelong learning.
The updated profile acknowledges the diverse roles and responsibilities within the profession, and addresses the
specific expectations of respiratory therapists across various settings, including intensive care units, emergency
departments, operating rooms, cardiopulmonary diagnostic units (including sleep studies and pulmonary function),
as well as in delivering community-based care. The competencies integrate both clinical and non-clinical statements
that are relevant to all practitioners, regardless of their level of education or previous experience.
The updated competencies are based on consultation with subject-matter experts, collaboration with interested
parties, and a nationwide validation survey. They reflect the evolving needs of the healthcare landscape, taking
into account the latest evidence-based practices, technological advancements, and changing demographics.

The Journey Toward Reconciliation
In recent years, societies around the world have engaged in

