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Within residency education, accreditation is a quality improvement process that evaluates programs against national standards. In 2013, the Royal College partnered with the College of Family Physicians of Canada (CFPC) and Le Collège des médecins du Québec (CMQ) to develop a new accreditation system, based on best practices and a competency-based approach to medical education.

This collaborative working group is called the Canadian Residency Accreditation Consortium (CanRAC). A key component of this reform is to align accreditation with a competency-based approach to medical education.

Four main benefits to accreditation reforms

Clearer expectations
New standards more focused on outcomes

Go digital
No more printing big binders and starting from scratch every cycle

More CQI
Focused on continuous quality improvement (CQI), less punitive

Less episodic
Workload is more evenly spread over a predictable, continuous eight-year cycle (minimized “peaks” and “valleys” of effort)

10 reforms to accreditation

  1. New Standards for programs and institutions
  2. A new evaluation framework of standards for residency programs, including exemplary ratings and best practices
  3. A new eight-year cycle of regular accreditation visits supported by continuous data monitoring
  4. Introduction of a digital Accreditation Management System (AMS)
  5. Increased emphasis on self-study, outcomes and continuous quality improvement
  6. Enhanced onsite review processes, such as tracer methods
  7. A new institutional review process, standard system, and status category
  8. A renewed emphasis on the quality and safety of learning environments
  9. New decision categories with thresholds to improve consistency of decision-making
  10. A systematic approach to evaluation, research, and continuous improvement of the system