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Specialty Committee Chairs’ Update

Mises à jour pour présidents des comités de spécialité

Mises à jour pour présidents

des comités de spécialité

Specialty Committee

Chairs’ Update

May - June 2018

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)

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.

Discipline Reviews

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:

The next COS meeting is on November 16, 2018 in Ottawa. The following Specialties will be reviewed:

In addition, the COS will review Part I and Part II AFC (diploma) for the following:

Part I AFC (diploma)

Part II AFC (diploma)

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 nameProposed name changeDeadline for feedback
Emergency Medical ServicesPrehospital and Transport MedicineJuly 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, 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

Engaging residents

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:

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:

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:

Should you wish to begin preparation for the transition for CanERA prior to provision of the above training, tools, support, you can:

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:

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!

Upcoming Meetings and Deadlines