Committee on Specialties (COS) Update
At the April 6, 2018 COS meeting, the following outcomes were determined:
Part II Area of Focused Competence (AFC-Diploma)
- Interdisciplinary brain medicine: was rejected by the COS at Part II, on the grounds that the application did not meet all the criteria for an AFC (Diploma) discipline.
- Neuromusculoskeletal ultrasound: was deferred by the COS at Part II, pending major clarifications from the applicant. The application, along with the requested clarifications, will be considered at the fall 2018 COS meeting.
Changes to Recognized Disciplines
Emergency Medical Services: the request from the AFC Working Group in Emergency Medical Services to change the discipline’s name to Prehospital and Transport Medicine was determined by the COS to constitute a minor change. A public notice of intent toward this change has been published on the Royal College website, inviting feedback from stakeholders by July 8, 2018, before a final decision is rendered by the director, Specialty Education, Strategy and Standards.
For further details see “Notice of request to change discipline name: Emergency Medical Services” below.
The eight discipline reviews conducted during the spring 2018 meeting consisted of six regular reviews and two monitoring reports. All of the reviewed disciplines will return to the regular review cycle, with one discipline requested to submit minor follow up for information during the fall 2018 COS meeting:
- Orthopedic Surgery
- Otolaryngology – Head and Neck Surgery
- Plastic Surgery
- Surgical Foundations
- Vascular Surgery
- Pediatric Radiology
- Aerospace Medicine
The next COS meeting is on November 16, 2018 in Ottawa. The following Specialties will be reviewed:
- Forensic Pathology
- General Surgical Oncology
- Public Health and Preventive Medicine
- Clinician Educator
In addition, the COS will review Part I and Part II AFC (diploma) for the following:
Part I AFC (diploma)
- Applications to be determined
Part II AFC (diploma)
- Neuromusculoskeletal ultrasound
The next deadline for interested AFC (diploma) applicants to apply for Part I review is September 1, 2018, for consideration during the fall 2018 COS meeting on November 16, 2018.
Notice of request to change discipline name: Emergency Medical Services
(The following article was originally published in the May 2018 edition of Dialogue.)
We are seeking feedback from members on a proposed change of name for the Area of Focused Competence (AFC-diploma) in Emergency Medical Services.
|Current name||Proposed name change||Deadline for feedback|
|Emergency Medical Services||Prehospital and Transport Medicine||July 8, 2018|
Rationale and process for change
The change to “Prehospital and Transport Medicine” was requested by the AFC Working Group in Emergency Medical Services. This request was initiated to better reflect the discipline’s extended scope of practice, which includes a wide range of medical services for both emergency and non-emergency patients during transportation and pre-hospitalisation.
The request was reviewed by the Royal College’s Committee on Specialties on April 6, 2018. The committee agreed to proceed with the intent toward the change. They are now inviting feedback from stakeholders before a final decision is made.
Send your feedback by July 8, 2018
Stakeholders are invited to provide feedback concerning this request by July 8, 2018 (i.e. within 60 days of publication of this notice, dated May 9, 2018). Please forward your feedback to the Office of Specialty Education at email@example.com, Attn: Jason R. Frank, MD, MA (Ed), FRCPC, Director, Specialty Education, Strategy and Standards.
All feedback received within this timeframe will be used by the Royal College’s Office of Specialty Education in reaching a final decision regarding the above request.
CanMEDS and Faculty Development
Residents play an important role in the successful implementation of Competence by Design (CBD). When residents understand the change and see its positive impacts, they are often among the loudest CBD champions. In fact, early cohort programs report that engaging residents early and often was one of their best time and effort investments.
Recognizing the value of early and regular outreach, the Royal College recently hosted a resident orientation webinar. Hosted by Adelle Atkinson, associate professor of Paediatrics, University of Toronto, the session focused on giving programs practical tips on engaging residents in CBD.
The Resident orientation webinar held on May 9, 2018 highlighted helpful resources such as the:
If you haven’t already seen them, be sure to check out these resources.
Residency Accreditation Update
Residency Accreditation Reviews/Onsite Visits
The Queen’s University accreditation review occurred the week of March 4, 2018. The final accreditation decisions will be made at the June 2018 meeting of the Residency Accreditation Committee (Res-AC). The decisions for the University of Alberta accreditation review, which was conducted in late 2017, will also be made at the June 2018 meeting.
The Dalhousie University accreditation review is scheduled for the week of November 26, 2018 with pre-review specialty committee input to occur in October, and the post-review specialty input to be sought in spring 2019. The corresponding final accreditation decisions will be made at the June 2019 Res-AC meeting. Dalhousie University is the first school to be reviewed in CanERA, the new system of accreditation, as part of the planned multi-phased CanERA implementation..
Canadian Excellence in Residency Accreditation (CanERA) - Recent and Upcoming CanERA-Related Activities
The Canadian Residency Accreditation Consortium (CanRAC) continues the further development and iterative testing of the new accreditation system, CanERA, which will be fully implemented as of July 1, 2019, at which point all accreditation reviews will be conducted in CanERA.
Updates and upcoming activities related to the development, implementation, and ongoing evaluation of CanERA include:
- Prototype 3 (P3) testing: With prototypes 1 and 2 complete, CanRAC is focused on preparation for P3, which will occur during the regular onsite reviews of Dalhousie University (November 2018) and McGill University (March 2019). P3 is the final phase of testing prior to full implementation. P3 evaluates all components of CanERA including the new digital accreditation management system (“CanAMS”), new standards, and new accreditation processes. To support P3 institutions and residency programs, CanRAC has developed a comprehensive model, which includes CanAMS access and training (provided in October 2017 for Dalhousie University, and February 2018 for McGill University), multiple pre-accreditation review visits, and regular touchpoints to address questions as they arise.
- Data integration: A key feature of the CanERA continuous accreditation cycle is the integration of new data sources, which will be developed and implemented iteratively in collaboration with stakeholders. The first phase of data integration, the introduction of CanRAC administered annual resident and faculty surveys, was developed collaboratively by the Conjoint Task Force on Resident Input. The task force was co-chaired by two residents and included membership representing the two Canadian resident organizations, residents, postgraduate deans, and the three CanRAC partners. P3 includes initial “proof of concept” testing of these surveys, which have been deployed to Dalhousie University residents and faculty thus far.
- CanAMS development, testing, and implementation: Efforts associated with the further development and testing of CanAMS continue based on feedback received as part of P2 and initial feedback from P3 schools, in conjunction with the ongoing development of the platform. The phased roll-out of CanAMS to institutions and residency programs is anticipated to begin in June 2018, with the final wave of institutions and residency programs receiving access by early 2019. Other accreditation stakeholders (e.g. specialty committees, accreditation committees) will be provided with timely access to CanAMS as well as associated training and support.
- Specific Standards of Accreditation (SSA): The SSAs for each specialty and subspecialty in the new CanERA template will be available on the Royal College website as of July 2018. As a reminder, with the exception of the regular accreditation review of Dalhousie University and McGill University, the SSAs in the old “pre-CanERA” format will continue to apply to all other accreditation activities (e.g. external reviews) in advance of July 1, 2019.
How are Specialty Committees affected by CanERA?
CanERA will be fully implemented for the upcoming regular accreditation reviews of Dalhousie and McGill Universities, and thereafter for all accreditation reviews at all universities as of July 1, 2019. Accordingly, specialty committees with residency programs at Dalhousie University (November 2018) and/or McGill University (March 2019) will be first to transition to CanERA. To prepare for this transition, specialty committees will need to:
- Be familiar with the new general standards of accreditation for residency programs, and the SSA in the new format aligned with the new general standards; and
- Be able to perform all accreditation-related tasks (review all documentation/data, provide input/feedback, etc.) in CanAMS.
How can Specialty Committees prepare for these changes?
Specialty committees require training and tools to successfully transition to CanERA. This support will be deployed in the coming months and will include:
- Standards training module: An online training module to help familiarize all those who interact with the accreditation system with the new general standards, will be available on the CanERA website (https://www.canera.ca/canrac/home-e) this summer (summer 2018).
- Specialty committee-specific training modules: Online training modules specifically for specialty committee members will be available early fall on the CanERA website (https://www.canera.ca/canrac/home-e). The modules will focus on logging in and navigating CanAMS, with a particular emphasis on CanAMS functionality that supports the role of specialty committees (members and Chairs) in the accreditation process.
- Specialty committee-specific training webinar session: To supplement the online training modules, it is anticipated that a webinar will be scheduled for early fall 2018 to provide an opportunity for additional CanERA transition information and support. The webinar will provide an overview of CanERA, with focus on key areas of change that impact specialty committees, and will provide an opportunity for specialty committee members to ask questions.
Should you wish to begin preparation for the transition for CanERA prior to provision of the above training, tools, support, you can:
- Stay up-to-date with the latest CanERA news and information: Visit the CanERA website (https://www.canera.ca/canrac/home-e) regularly for the latest updates and frequently asked questions. The website also includes an overview of the implementation plan (“When am I impacted?”), as well as a copy of the new General Standards of Accreditation for Residency Programs.
- Communicate with us: We want your input as we implement CanERA and develop helpful training and resources. If you would like to provide input, please email us at firstname.lastname@example.org and tell us what specialty committees need!
Areas of Focused Competence (AFC-diploma) Accreditation
To date, there have been 35 applications for accreditation of an Areas of Focused Competence (AFC-diploma) program that have been approved by the Areas of Focused Competence – Accreditation Committee (AFC-AC). These applications are in the following disciplines: Adult Interventional Cardiology (8), Adult Cardiac Electrophysiology (5), Adult Echocardiography (4), Adult Hepatology (2), Adult Thrombosis Medicine (3), Brachytherapy (1), Clinician Educator (1), Cytopathology (4), Solid Organ Transplantation (2) and Trauma General Surgery (1). In addition, there are four accredited AFC (diploma) programs in Transfusion Medicine that transitioned from an Accreditation without Certification (AWC) program in 2012. Thus, in total, there are 35 AFC (diploma) accredited programs.
International residency program accreditation
To date, there are seven international accredited institutions in five countries. Residency programs under the jurisdiction of these institutions are now eligible to apply for Royal College accreditation. The international residency program accreditation application process involves the submission of an application form and an onsite review to verify and validate information before a final decision is made on accreditation status. Specialty committees will be asked to review both the application form and the onsite review report to inform the decision of the International (residency) Program Review and Accreditation Committee (IPR-AC). The process will be comparable to the Specialty Committee review of a Pre-Survey Questionnaire (PSQ) and accreditation review report in the Canadian accreditation system.
The first international program application was reviewed by the IPR-AC in April with input from the relevant specialty committee, and six applications in three additional disciplines are currently under review. The Educational Standards Unit is working with these specialty committees to provide a tailored briefing on the international program accreditation process, and support as needed throughout the process.
The Specialty Committee of the Future Proposal: An Update
During the May 30, 2018 Specialty Committee Chairs' (SCC) mid-year webinar, chairs and chair-elects received a brief update on a proposal for restructuring specialty committees. The proposal, which was initially presented for consultation during the November 2017 SCC Workshop, aimed to achieve a specialty committee structure that would better reflect and support the changing scope of committee responsibilities, and achieve a better distribution of work among voting members. The feedback from chairs and chair-elects at the 2017 SCC Workshop reflected some concerns, including that the proposed structure may not be well-suited to all committees, and that it might increase the burden on AFC committees and subcommittees given their unique needs and focus.
Consultations have since occurred with other Royal College governance committees, including the Committee on Specialty Education. Feedback received from the latter round of consultations resulted in the Office of Specialty Education (OSE) pausing their consideration of the proposal, pending the finalization of the Royal College's strategic plan and operational priorities later this year. Next steps will involve a re-examination of the proposal by the OSE to align with the Royal College’s strategic plan and operational priorities, after which time further consultation will take place with specialty committee chairs and chair-elects. An update will be provided during the November 26 and 27, 2018 SCC Workshop.
International Conference on Residency Education (ICRE)
Early bird registration for ICRE 2018 is now open!
The wait is over! Online registration for the 2018 ICRE is now open.
Join more than 1,600 medical education leaders, clinical educators, program directors, residents and policy makers from around the world in Halifax, Canada, October 18-20, for the world's largest conference devoted exclusively to advancing residency education.
Headlined by international learning environment and MedEd experts, this year's conference will:
- explore the theme of The Learning Environment and Residency Education: The Evolution of Training
- feature six plenary sessions, 21 learning tracks, 60+ workshops, and more than 200 paper and poster presentations
- showcase special pre-conference events, including Understanding the Complex Construct of the Learning Environment: A Consensus Conference, where participants will explore the psychological, architectural, educational, inclusivity, digital, and socio-cultural avenues of the learning environment.
Click here to register for ICRE 2018.
The early bird deadline for online registration is September 4, 2018.
We can't wait to see you in Halifax!