SHSM Policy and Implementation Guide – Health and Wellness
Specialist High Skills Majors

SHSM Policy and Implementation Guide – Health and Wellness

The SHSM–Health and Wellness enables students to build a foundation of sector-focused knowledge and skills before graduating and entering apprenticeship training, college, university, or an entry-level position in the workplace. Where local circumstances allow, boards may elect to offer one or more variants of the SHSM in a given sector, each with a particular area of focus. This SHSM may be designed to have a particular focus – for example, on health care, fitness, or child care and family services. This focus is achieved through the selection of the four major credits in the bundle.

TOOLS AND RESOURCES

For local labour market opportunities in the sector, see your local SHSM contact at the board office.

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INSIGHT

The requirements of this SHSM are unique and are geared to the health and wellness sector. However, the design of all SHSM programs follows a consistent model, described in Section A: Policy.

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Required Components for the SHSM–Health and Wellness

The SHSM–Health and Wellness has the following five required components:

1. A bundle of nine Grade 11 and Grade 12 credits

These credits make up the bundle:

  • four health and wellness major credits that provide sector-specific knowledge and skills. The four courses must include at least one Grade 11 and one Grade 12 credit, and may include one cooperative education credit related to the sector. (This cooperative education credit would be additional to the two that are required in the bundle; see below);
  • three other required credits from the Ontario curriculum. Schools may commit to including a contextualized learning activity (CLA) for the health and wellness sector in each of the three credits. In each credit, some of the course expectations are then met through the CLA. (Schools that do not formally commit to including CLAs are still free to offer them in one or more of the credits.) The three credits include:
    • one in English;1
    • one in mathematics; and
    • one in science or social sciences and humanities (or a cooperative education credit related to the sector, which would be additional to the two cooperative education credits required in the bundle; see below);
  • two cooperative education credits that provide authentic learning experiences in a workplace setting, enabling students to refine, extend, apply, and practise knowledge and skills outlined in the cooperative education curriculum as well as sector-specific knowledge and skills.

1. Note that a compulsory English credit is required in Grade 11 and in Grade 12 for graduation with an OSSD. Schools may determine whether the CLA, if offered, is completed in the Grade 11 or Grade 12 English course.

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See Section A1.2 for more on SHSM credits and CLAs.



Credits
Apprenticeship Training
Grades 11–12

College
Grades 11–12

University
Grades 11–12

Workplace
Grades 11–12
Major Credits
One credit may be substituted with a cooperative education credit (additional to the 2 required co-op credits)
4
Including at least
one Gr. 11 and
one Gr. 12 credit
4
Including at least
one Gr. 11 and
one Gr. 12 credit
4
Including at least
one Gr. 11 and
one Gr. 12 credit
4
Including at least
one Gr. 11 and
one Gr. 12 credit
English may include a CLA 1 1 1 1
Mathematics may include a CLA 1 1 1 1
Science or Social Sciences and Humanities may include a CLA
May be substituted with 1 cooperative education credit (additional to the 2 required co-op credits)
1 1 1 1
Cooperative Education 2 2 2 2
Total number of credits 9 9 9 9

Note: Multiple credits in the Ontario technological education curriculum allow additional instructional time for the practice and refinement of skills needed to develop student performance to the levels required for certification, entry into apprenticeship programs, or participation in school–work transition programs (see The Ontario Curriculum, Grades 11 and 12: Technological Education, 2009, page 17).

2. Sector-recognized certifications and/or training courses/programs

This SHSM sector requires students to complete a specified number of compulsory and elective sector-recognized certifications and/or training courses/programs, as indicated in the following table. NOTE: Where an item in the table is capitalized, it is the proper name of the specific certification or training course/program that is appropriate for the SHSM. Where an item is lowercased, it is the name of an area, type, or category of training for which specific certifications or training courses/programs should be selected by the school or board. The requirements are summarized in the table below.

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See Section A1.3 for more on SHSM certifications and training.

Four (4) compulsory
Cardiopulmonary Resuscitation (CPR) – Level C or Health Care Provider (HCP); both include automated external defibrillation (AED) infection control Standard First Aid Workplace Hazardous Materials Information System (WHMIS) – generic (i.e., not site-specific) instruction
Three (3) electives from the list below
advanced training in a technique (e.g., feeding, assistance, airway management, IV insertion) advanced training in a technology (309) allergy awareness ambulation, lifting, and transfers
animal first aid anti-oppression and allyship training approaches to healing babysitting
behaviour management child safety and injury prevention communication skills concussion awareness
conflict resolution customer service dietary considerations equity and inclusion
ethical considerations fire safety and fire extinguisher use first aid/CPR/AED awareness fitness
Food Handler Certification group dynamics lab practices leadership skills
marine and wilderness first aid medical terminology mental health awareness* Mental Health First Aid
non-violent crisis intervention personal training personality inventory portfolio development
project management safe body mechanics safe food handling – basic sign language
spa service (208) specialized care (e.g., diabetes, dementia, nutrition) sterile techniques stress management techniques
waste management wrapping and taping for performance and injury    

* approved by and delivered under the direction of the school board's Mental Health Leader


3. Experiential learning and career exploration activities2

Experiential learning and career exploration opportunities relevant to the sector might include the following:

  • one-on-one observation of a cooperative education student at a placement in the agriculture sector (an example of job twinning)
  • a day-long observation of a skilled tradesperson in the agriculture sector (an example of job shadowing)
  • a one- or two-week work experience with a member of an industry association or a professional in the sector (an example of work experience)
  • a volunteer experience in a long-term care facility
  • an experience coaching an elementary school student in reading as part of a reading buddy program, or other curricular or extracurricular activities
  • assisting in an exercise class in a long-term care facility
  • attendance at a health and wellness sector career fair
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See Section A1.4 for more on experiential learning and career exploration activities.

2. Experiential Learning and Career Exploration activities in the health and wellness sector may require a student to consent to a police records check, immunization clearance and/or Confidentiality and Privacy Agreements.

POLICY

Note that volunteer activities in an SHSM cannot be counted towards the hours of community involvement required to earn the OSSD.

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4. Reach ahead experiences

Students are provided one or more reach ahead experiences – opportunities to take the next steps along their chosen pathway – as shown in the following examples:

  • Apprenticeship: visiting an approved apprenticeship delivery agent in the sector
  • College: interviewing a college student enrolled in a sector-specific program
  • University: observing a university class in a sector-related program
  • Workplace: interviewing an employee in the sector
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See Section A1.5 for more on reach ahead experiences.

5. Sector-partnered experiences (SPEs)

Students engage with a sector partner and apply skills to gain insight into the relationship between this sector and ICE (innovation, creativity, and entrepreneurship), coding, and/or mathematical literacy.

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See Section A1.6 for more on sector-partnered experiences (SPEs).

Pathways for the SHSM–Health and Wellness

See the table illustrating the four pathways and required credits leading to completion of this SHSM.

TOOLS AND RESOURCES

Visit the ministry's SHSM website for related resources.

Tools and Resources icon

Awareness building (Grades 7 and 8)

See Section B3.4 for information on building awareness of SHSM programs among students in Grades 7 and 8.

Exploration (Grades 9 and 10)

See Section B3.4 for information on providing Grade 9 and 10 students with opportunities for exploration of SHSM programs. In addition, students considering this SHSM can be encouraged to enrol in the following courses to become better informed about careers and postsecondary options in the sector:

  • Any Grade 9 or 10 course related to the specific specialty of interest (e.g., Individual and Family Living, Healthy Active Living Education, Food and Nutrition)
  • Career Studies (compulsory) and Discovering the Workplace: Some of the expectations in these Grade 10 courses provide opportunities for students to explore occupations and other postsecondary options in the sector and to participate in experiential learning activities.
  • Health Care: This course is recommended for any Grade 10 student who is considering enrolling in an SHSM–Health and Wellness program.

Specialization (Grades 11 and 12)

Students acquire the sector-specific knowledge and technical skills required to earn their the Ontario Secondary School Diploma (OSSD) with an SHSM–Health and Wellness by completing its five required components. Students and their parents/guardians are encouraged to consult with guidance counsellors and teachers to select the courses that will enable students to pursue their goals.

Some experiential learning placements may require students to provide a record of vaccinations and/or undergo a police check as a prerequisite for participation in the experience.

Students pursuing an apprenticeship pathway should consider the Ontario Youth Apprenticeship Program (OYAP), which enables them to start an apprenticeship while earning their OSSD.

Students pursuing a university pathway are advised to complete their required cooperative education credits in Grade 11, in order to allow room in their timetables in Grade 12 for credits needed to meet university entrance requirements.

When helping students plan their SHSMs, particularly with respect to the selection of courses to fulfil the requirement for credits in the major, teachers should bear in mind that technological education courses can be offered as single-credit or multiple-credit courses.

Program Pathways: SHSM–Health and Wellness

This template shows program requirements for the SHSM–Health and Wellness in Grades 11 and 12, along with some of the additional credits needed for an OSSD. It is provided to help guide students in choosing the credits they need to meet the SHSM requirements in the pathway of their choice. Students should always review their pathways plan with their parents/guardians and their teachers to ensure that they have all the credits they need to graduate with an SHSM–Health and Wellness.

  • Shaded boxes represent required credits in the bundle for the SHSM–Health and Wellness.
  • (C) represents a compulsory credit for the OSSD.
  • The SHSM bundle of credits must include two cooperative education credits, but may include a maximum of four. The possible options are noted below, and explained fully in Section A1.2 of this guide.
Apprenticeship Training Pathway
Specialization
Grades 11–12
College Pathway
Specialization
Grades 11–12
University Pathway
Specialization
Grades 11–12
Workplace Pathway
Specialization
Grades 11–12
1 English credit (C)*
(in either Gr. 11 or Gr. 12)
1 English credit (C)*
(in either Gr. 11 or Gr. 12)
1 English credit (C)*
(in either Gr. 11 or Gr. 12)
1 English credit (C)*
(in either Gr. 11 or Gr. 12)
1 math credit (C)*
(in either Gr. 11 or Gr. 12)
1 math credit (C)*
(in either Gr. 11 or Gr. 12)
1 math credit (C)*
(in either Gr. 11 or Gr. 12)
1 math credit (C)*
(in either Gr. 11 or Gr. 12)
1 science* or social sciences and humanities credit* (in either Gr. 11 or Gr. 12)
A cooperative education credit related to the sector may be substituted.
1 science* or social sciences and humanities credit* (in either Gr. 11 or Gr. 12)
A cooperative education credit related to the sector may be substituted.
1 science* or social sciences and humanities credit* (in either Gr. 11 or Gr. 12)
A cooperative education credit related to the sector may be substituted.
1 science* or social sciences and humanities credit* (in either Gr. 11 or Gr. 12)
A cooperative education credit related to the sector may be substituted.
4 health and wellness major credits (including a Gr. 11 and a Gr. 12 credit)
A cooperative education credit related to the sector may be substituted for one of these four credits.
4 health and wellness major credits (including a Gr. 11 and a Gr. 12 credit)
A cooperative education credit related to the sector may be substituted for one of these four credits.
4 health and wellness major credits (including a Gr. 11 and a Gr. 12 credit)
A cooperative education credit related to the sector may be substituted for one of these four credits.
4 health and wellness major credits (including a Gr. 11 and a Gr. 12 credit)
A cooperative education credit related to the sector may be substituted for one of these four credits.
2 cooperative education credits related to the sector (in either Gr. 11 or Gr. 12)**
May be used as (C) credits
2 cooperative education credits related to the sector (in either Gr. 11 or Gr. 12)**
May be used as (C) credits
2 cooperative education credits related to the sector (in either Gr. 11 or Gr. 12)**
May be used as (C) credits
2 cooperative education credits related to the sector (in either Gr. 11 or Gr. 12)**
May be used as (C) credits
2 optional or compulsory credits (Gr. 11) 2 optional or compulsory credits (Gr. 11) 2 optional or compulsory credits (Gr. 11) 2 optional or compulsory credits (Gr. 11)
2 optional or compulsory credits (Gr. 12) 2 optional or compulsory credits (Gr. 12) 2 optional or compulsory credits (Gr. 12) 2 optional or compulsory credits (Gr. 12)

* A contextualized learning activity (CLA) must be included in the course in schools that have committed to offering CLAs (see “Other Required Credits” in section A1.2). (Note that students must take Grade 11 and Grade 12 English to graduate with an OSSD, but the CLA may be offered in either grade.)

** May be taken the summer before Grade 11

Note: To guide students and teachers in the development of their SHSM program, schools can access the latest approved SHSM course list for each sector through their SHSM board lead.

Occupations in the Health and Wellness Sector

The following table provides examples of occupations in the health and wellness sector, with corresponding National Occupational Classification (NOC) codes, sorted according to the type of postsecondary education or training the occupations would normally require.

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See Part 2 of the Introduction for more on occupations and NOC codes.

Apprenticeship Training College
  • Early childhood educators 4214
  • Educational assistants 4413
  • Social and community service workers 4212
  • Correspondence, publication, and regulatory clerks 1452
  • Dental hygienists and dental therapists 3222
  • Electrical and electronics engineering technologists and technicians 2241
  • Funeral directors and embalmers 6346
  • Health information management occupations 1252
  • Licensed practical nurses 3233
  • Massage therapists 3236
  • Medical administrative assistants 1243
  • Medical laboratory technicians and pathologists' assistants 3212
  • Medical laboratory technologists 3211
  • Medical sonographers 3216
  • Nurse aides, orderlies, and patient service associates 3413
  • Other assisting occupations in support of health services 3414
  • Paramedical occupations 3234
  • Respiratory therapists, clinical perfusionists, and cardiopulmonary technologists 3214
  • Social and community service workers 4212
University Workplace
  • Allied primary health practitioners 3232
  • Audiologists and speech-language pathologists 3141
  • Chiropractors 3122
  • Dentists 3113
  • Dietitians and nutritionists 3132
  • Family, marriage, and other related counsellors 4153
  • Optometrists 3121
  • Other professional occupations in health diagnosing and treating 3125
  • Other professional occupations in therapy and assessment 3144
  • Other technical occupations in therapy and assessment 3237
  • Pharmacists 3131
  • Registered nurses and registered psychiatric nurses 3012
  • Specialist physicians 3111
  • Technical sales specialists – wholesale trade 6221
  • Nurse aides, orderlies, and patient service associates 3413
  • Other assisting occupations in support of health services 3414
  • Personnel clerks 1415
  • Program leaders and instructors in recreation, sport, and fitness 5254
  • Receptionists 1414
  • Specialized cleaners 6732

Note: This information is based on the 2016 NOC. An update to the NOC in 2016 resulted in changes to the codes and titles for some occupations, and in some cases to the occupations included in the group. For more detail, refer to the Ministry of Labour, Training and Skills Development (MLTSD) web page, Ontario's Labour Market (https://www.ontario.ca/page/labour-market). (Note also that some of the names of occupations listed here reflect common usage in the sector and may differ slightly from those used in the NOC system.)

Postsecondary Programs and Training in the Health and Wellness Sector

The following are examples of programs and training related to careers in the health and wellness sector and the accreditations associated with each.

Apprenticeship Training
Aboriginal Early Childhood Education Worker Certificate of apprenticeship/certificate of qualification
Child and Youth Worker Certificate of apprenticeship/certificate of qualification
Early Childhood Educator Certificate of apprenticeship/certificate of qualification

 

College
Activation Coordinator – Gerontology Diploma
Advanced Care Paramedic Diploma
Cardiovascular Technician Diploma
Child and Youth Worker Diploma
Denturist Diploma
Developmental Service Worker Diploma
Disaster Management Diploma
Early Childhood Education Diploma/bachelor's degree
Fitness and Health Promotion Diploma
Fitness and Lifestyle Management Diploma
Funeral Services Diploma
Health Information Management Diploma/bachelor's degree
Hearing Investment Specialist Diploma
Laboratory Technology Diploma
Massage Therapy Diploma
Medical Office Administration Diploma
Medical Transcriptionist Diploma
Optical/Optometric Diploma
Orthotics/Prosthetics Diploma
Pharmacy Assistant Diploma
Physiotherapy Assistant and Occupational Therapy Assistant Diploma
Practical Nursing Diploma
Primary Care Paramedic Diploma
Recreation and Leisure Services Diploma
Registered Nutritional Therapy Diploma
Social Service Worker Diploma
Sports Therapy/Sports Management Diploma/bachelor's degree

 

University
Biomedical Toxicologist Bachelor's degree
Child Studies Bachelor's degree
Dentistry Doctor's degree
Kinesiology Bachelor's degree
Medical Radiation Sciences Bachelor's degree
Medicine Doctor's degree
Midwifery Bachelor's degree
Nurse/Nurse Practitioner Bachelor's degree
Nutritionist/Dietician Bachelor's degree
Occupational and Public Health Bachelor's degree
Occupational Therapy Master's degree
Pharmacy Bachelor's degree
Physical Therapy Master's degree
Social Work Bachelor's degree/master's degree
Speech-Language Pathology Master's degree

 

Training for the Workplace
Acupuncture Certificate
Central Processing Technician Certificate
Clinical Assistant Certificate
Dietary Aide Certificate
Fitness/Personal Trainer Certificate
Hospital Support Services Certificate
Recreational Aide Certificate
Specimen Collection/Laboratory Aide Certificate