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Comparison of CFPC & Royal College CPD Accreditation/Certification
Systems Jessica Black, Certification Manager, CFPC
Mya Warken, Team Lead, CPD Accreditation, Royal College October 18, 2016
Disclosures Jessica Black Paid employee of the College of Family Physicians of Canada
Mya Warken Paid employee of the Royal College of Physicians and Surgeons
of Canada
Disclosure of commercial support
The 8th National CPD Accreditation Conference has received NO COMMERCIAL financial support.
The 8th National CPD Accreditation Conference has
received NO COMMERCIAL in-kind support.
Learning objectives
By the end of this session, participants will be able to: Explain the administrative, educational, and ethical standards
that are similar between the two national CPD accreditation systems.
Describe areas of difference in their standards and processes of accreditation.
Consistently apply the standards when reviewing applications for accreditation.
Overview
CPD accreditation/certification processes Administrative standards Educational standards Ethical standards Contact us and additional resources Opportunity for discussion!
Getting to know you
Stand up if you: Are a Royal College accredited CPD provider Are a CFPC Mainpro+ reviewer Review CPD activities for both MOC and Mainpro+ credits Develop CPD activities for both MOC and Mainpro+ credits
Royal College MOC Program
Quiz time! What does the acronym “MOC” stand for in “MOC Program”
a) Maintenance of Competence Program b) Maintenance of Certification Program c) Means of Communication Program
Royal College MOC Program
Quiz time! What does the acronym “MOC” stand for in “MOC Program”
a) Maintenance of Competence Program
b) Maintenance of Certification Program c) Means of Communication Program
MOC Program overview
Governed by the Professional Learning and Development Committee
Three sections MOC Section 1: Group Learning MOC Section 2: Self-Learning MOC Section 3: Assessment
MOC Program rules MOC Program cycle – 5
years
40 credits / year of cycle
400 credits / cycle
Minimum 25 credits/section/cycle (for cycles starting on or after Jan. 1, 2014)
Recording of activities required in MAINPORT ePortfolio
Enabling components Framework of CPD
Activities MAINPORT ePortfolio CPD accreditation system CPD Educators
CFPC Mainpro+
Quiz time! What does the acronym “Mainpro” standard for?
a) Maintenance of Proficiency Program b) Maintenance of Professional Standards program c) Maintenance Program for CPD
CFPC Mainpro+
Quiz time! What does the acronym “Mainpro” standard for?
a) Maintenance of Proficiency Program b) Maintenance of Professional Standards program c) Maintenance Program for CPD
CFPC Mainpro+ overview
Policy and guidelines established by the National Committee on CPD (NCCPD)
Two credit categories Certified Non-certified
Three activity categories: Group Learning Self-Learning Assessment
Activities approved for: 1 credit-per-hour 2 credits-per-hour 3 credits-per-hour
CPD accreditation/certification process CFPC Royal College
System Activity-based Provider-based
Programs reviewed by National Office • National and off-shore one-
credit-per-hour programs • Two- and three-credit-per-
hour programs • Online programs Provincial Chapter Offices • Provincially-offered programs Canadian medical school CPD offices • One-credit-per-hour
programs developed by faculty/CPD office
• 30 National Specialty Societies
• 16 Canadian university offices of CME/CPD
CPD accreditation/certification process (cont’d)
CFPC Royal College
Rounds, journal clubs and small groups
Certified by CFPC Chapter or University CPD office
Self-approval process administered by the Royal College
Content Review Content review required for all programs except: • Journal clubs • Rounds • Small groups • Regularly Scheduled Series • One-time large conferences
Content review up to the discretion of the accredited CPD provider
Ethical review If activity has for-profit support Completed at the time of submission, built into standards
Credit type Mainpro+ • Group Learning • Self-Learning • Assessment
Maintenance of Certification Program • Section 1 (group) • Section 3 (assessment)
CPD accreditation/certification process (cont’d) CFPC Royal College
Accreditation duration • All categories = 12 months • Section 1 = 12 months • Section 3 = 36 months
Documentation submitted with review
• CERT+ application • Needs assessment
summary/methods • Evaluation form/formats • COI for speakers and
planning committee members
• COI slide template • Program content (when
required) • Agenda (including
interactivity) • Program
brochure/advertising • Sponsor branding
• Application form • Needs assessment
summary • Evaluation form • Template COI form • Budget • Program • Assessment/feedback
tools
CPD accreditation/certification process (cont’d)
Quiz time! True or False: “The Royal College and CFPC have a reciprocal
credit agreement whereby CFPC Mainpro+ credits are recognized as equivalent to MOC credits.”
CPD accreditation/certification process (cont’d)
Quiz time! True or False: “The Royal College and CFPC have a reciprocal
credit agreement whereby CFPC Mainpro+ credits are recognized as equivalent to MOC credits.” False. The Royal College and CFPC do not have a reciprocal credit
recognition agreement. CFPC members may claim up to 50 MOC Section 1 credits per cycle
based on the policy within the new Mainpro+ system launched June 27, 2016. Claimed as Group Learning certified credits
Administrative standards CFPC Royal College
Developing organization • Independent planning committee
• 2 and 3 credit per hour programs must be developed in collaboration with a not-for-profit-physician organization
Developed or co-developed by a physician organization
Physician Organization a not-for-profit group of health professionals with a formal governance structure, accountable to and serving, among others, its specialist physician members through: • Continuing professional development • Provision of health care and/or • Research
Planning Committee • Provincial Programs: Min. one (1) CFPC Member
• National Programs: Min. three (3) CFPC Members
• Must not include commercial interest
• Must be representative of the target audience
• Must not include commercial interest
Educational standards CFPC Royal College
Needs Assessment Gaps in knowledge or performance of target audience. Practice relevance • Level of needs assessment
increases with credits-per-hour sought.
Gaps in knowledge or performance of target audience
Learning Objectives • Information or skill(s) learners will acquire by participating in the activity
• Within program or brochures
Interactive • Min 25% 1 credit per hour
• Up to 50 % for 2 credits per hour
• Small groups/case-based for 3 credits per hour
• Min 25%
Reinforcement of Learning
• 1 validated strategy = 2 credits per hour
• 2 or more strategies = 3 credits per hour
Educational standards cont’d CFPC Royal College
Evaluation • 3 required evaluation questions
• Evaluation requirements increase as credits per hour requested increase
• Achievement of learning objectives
• Perception of bias • Opportunities for
interaction • Identification of learning
outcomes
Barriers to Change • Discussion of barriers to change = 1 credit per hour
• Approaches to overcoming barriers = 2 credits per hour
• Solicit barriers from participants and strategies for overcoming barriers = 3 credits per hour
Assessment Royal College
Assessment strategies • Demonstration of knowledge, skills, clinical judgment or attitudes.
• Participants record their answers or demonstrate abilities or competencies.
Data and feedback • Provide detailed feedback to participants on their performance.
• Questions answered correctly/incorrectly with references (knowledge)
Accreditation • Only required for: • Self-assessment programs • Simulation
Ethical standards Guidelines for physicians in interactions with industry Canadian Medical Association Written for individuals, interpreted for CME/CPD activities,
interpretations differ across the Colleges
Code of ethics for parties in continuing medical education Conseil Québécois de développement professionnel continu des
médecins For all Mainpro+ certified programs held in Quebec
National Standard for Support of Accredited CPD Activities January 1, 2018
Ethical standards CFPC Royal College
Control Scientific planning committee controls: a) topic (s) b) content c) speakers selected
Physician organization controls: a) topic(s) b) content c) speakers selected
Content • Evidence based • Balanced • Not promotional • Relevant to Family
Medicine
• Evidence based • Balanced • Not promotional
Educational Grants • Must adhere to guidelines of the CMA
• Payable to the physician organization
Drug/product names • Generic names (or both generic and trade names)
Advertisements • Corporate ads permitted • Must be on back page of
program
• Corporate ads permitted
• No product ads
Ethical standards (cont’d) CFPC Royal College
Sponsor recognition • Separate from educational program
• For single page programs; may occur at bottom of page only
• Font cannot exceed size of
program body text • No product logos (on
single page flyers).
• No branding (colours, etc.)
• Acknowledged on the general sponsorship page in program separate from the educational program
• The linking or alignment or a sponsor's name to a specific educational session (tagging) prohibited
• Corporate logos only
• No branding
Non-certified/non-accredited sessions CFPC Royal College
Definition Non-certified Unaccredited group learning activity
Guidelines • Must not conflict or compete with certified group learning activities
• Must be identified on the
program using the phrase “This session is not certified by the CFPC”
• Must not conflict with or compete with accredited group learning activities
• Must not be listed or included within conference brochures or schedules
Credit eligibility • If content is non-promotional in nature Mainpro+ participants may claim non-certified Group Learning credits
• If content is promotional no credits may be claimed.
• MOC Section 1 “unaccredited group learning” IF no industry sponsorship
• Stimulus for a Personal Learning Project (PLP) Section 2
Conflict of interest CFPC Royal College
Conflict of Interest ALL relationships for previous 2 years
Declarations from • Planning Committee • Speakers/Presenters • Moderators/Facilitators • Authors
• Planning Committee (PC)
• Speakers/presenters • Moderators/facilitators • Authors
Declared to Participants verbal and in writing
Slides 3-part declaration process • Program declaration • Faculty declaration • Mitigation of bias
• 2nd slide of presentation
Case Studies – Case 1 Your faculty has created a web-based CPD activity on recognizing and managing post-partum depression. The online module includes video vignettes of subject matter experts describing the guidelines and symptoms of post-partum depression. The module also includes case-based exercises with multiple-choice questions. Participants receive individualized feedback on the questions they answered correctly and incorrectly with references for the correct answer. Participants must complete a pre and post-test and an overall evaluation. There is also an “ask the expert” question submission option. What is the credit eligibility for this activity under each
system? Are there components that could be changed or added that
would modify the credit eligibility of the program?
Case Studies – Case 2 A quality assurance audit at a local hospital identified a segment of the physician population with poor communication skills. As a result, these physicians were invited to participate in a simulation-based CPD activity on communication skills while taking a patient history. The simulated scenario involves the use of standardized patients. Each participant is observed while interacting with the patient and assessed using a standardized checklist. At the end of the scenario, each participant is provided with verbal feedback on their performance and their individualized checklist for future reference. Once each participant has completed the scenario and received their feedback, all participants debrief as a group. A written evaluation form is provided to all participants at the conclusion. What is the credit eligibility for this activity under each system? Are there components that could be changed or added that would
modify the credit eligibility of the program?
Contact us and discussion CFPC Royal College
Jessica Black [email protected]
Mya Warken [email protected]
cfpc.ca/plannersandproviders • Understanding Mainpro+ Certification • Resources, Link to Cert+ etc.
royalcollege.ca/cpdaccreditation • CPD Accreditation Bulletin • FAQs • Accreditation toolkit (Section 1 and 3
sample applications, tools, resources)