Accreditation
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Updated October 11, 2018


Town Hall

Wednesday, November 21, 2018
noon - 1:30 p.m.
Room 264, Apotex Centre  
750 McDermot Ave.

The Department of Family Medicine is holding a Town Hall in preparation for the external review. Please mark your calendar so that you can attend this event. The Town Hall will be combined with the Department of Family Medicine Council meeting.

For those unable to attend in person, it will be available via video/audio conferencing using Blue Jeans. Call in details to follow.

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December 2018 Review

Tuesday, December 4 and Wednesday, December 5, 2018

Residents, faculty and staff required to attend meetings related to the review have now been contacted via email. While we do not expect any changes, we will advise you as soon as possible if any meeting times are changed. Thank you to those who have responded to their invitations. If you have been asked to attend and have not yet responded, an RSVP is required by Friday, September 28.

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About Accreditation

The Max Rady College of Medicine, Department of Family Medicine residency programs are accredited by the College of Family Physicians of Canada (CFPC).

The purpose of accreditation is:

  • To attest to the educational quality of accredited programs
  • To ensure sufficient uniformity and portability to allow residents from across Canada to qualify for the CFPC examinations as residency eligible candidates

Specific standards for family medicine residency training programs accredited by the CFPC (commonly known as the Red Book) is a document that outlines the standards used by the CFPC to accredit family medicine and enhanced skills residency programs in departments of family medicine at Canadian universities. These discipline-specific standards for family medicine are complementary to and consistent with the B standards and will clarify or expand on the B standards as they relate to the education of family physicians.

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Background

Following the February 2014 regularly scheduled, full CFPC accreditation survey visit, the CFPC “granted the status of accredited program with an external review to be conducted within 24 months (by June 2016).”

The external review took place in March 2016, and following the review, the CFPC “granted the status of accredited program with an external review to be conducted within 24 months (by June 2018)” for both the family medicine and enhanced skills residency programs.

As a result of the impact of the health system changes in Manitoba, the family medicine residency program committee requested a deferral of the spring 2018 external review. The CFPC approved the request for the deferral.

The external review in December is a follow up to the March 2016 external visit. The CFPC review team will examine documentation and meet with faculty, staff, and residents to confirm evidence of progress made since March 2016, in the standards cited at that time as not yet being in full compliance following the February 2014 full accreditation survey.

We have made significant improvements and progress towards full compliance and welcome the opportunity to provide evidence of such to the review team.

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CFPC reviewers

We will be welcoming CFPC reviewers in the following areas:

For Family Medicine Core

Dr. Jennifer Hall, Associate Dean, Dalhousie University

Dr. Hall has been a practising family physician for over 20 years, in a community health centre with the Horizon Health Network, Saint John Zone and with the Memorial University department of family medicine. As well, she worked as clinical chief of palliative medicine at the health care corporation in St. John’s, Newfoundland. Currently, Dr. Hall practises in a team-based practice with several family physicians, students and residents. Dr. Hall began her career at Memorial University, and then moved to New Brunswick where she soon took on the role of family medicine residency program director with Dalhousie University. Dr. Hall continues her work there as associate dean, Dalhousie medicine New Brunswick. She is also a preceptor to undergraduate medical students and residents at Dalhousie and memorial. For the past 10 years, Dr. Hall has held many leadership roles with the CFPC, as a member of the CFPC’s national executive committee as member-at-large and subsequently as honorary secretary-treasurer, and as chair of the board and president-elect. For five years, she served on the board of the New Brunswick chapter. In 2010, Dr. Hall was acknowledged by the CFPC as the family physician of the year for New Brunswick with the Reg L. Perkin Award, and the CFPC’s Award of Excellence in 2008. In 1998, she received the Gus Rowe Teaching Award from Memorial University of Newfoundland.

Dr. Karl Stobbe, Site Director, McMaster University

Dr. Stobbe practiced and taught rural family medicine in Beamsville for over 20 years. Dr. Stobbe served as rural program director in McMaster’s department of family medicine, and developed a rural stream of training for family medicine residents. From 2005-07, Dr. Stobbe led the expansion planning team for the Michael G. Degroote School of Medicine at McMaster University, developing McMaster medical campuses in the Waterloo and Niagara regions. From 2008-2018 he served as the regional assistant dean of the Niagara campus. His current role at McMaster is Niagara postgraduate family medicine site director. His interests include ensuring access to healthcare for marginalized populations, improving the quality of healthcare, and improving the functioning of our healthcare system. Nationally, he was president of the Society of Rural Physicians of Canada from 2008-2010. Internationally, Dr. Stobbe has worked in Philippines, Laos, Nepal, Peru and Iraq. 

For Enhanced Skills Programs

Dr. Fraser Brenneis, Associate Professor (former Vice-Dean, Education), University of Alberta

Dr. Fraser Brenneis is a member of the CFPC’s residency accreditation committee. Dr. Brenneis has been a family physician for over 35 years and has been active in medical and family medicine education administration for most of that time. he has been the director of undergraduate education in the department of family medicine, director of the integrated community-based clerkship, vice-dean education, acting vice-dean faculty affairs in the Faculty of Medicine and Dentistry at the University of Alberta; and was a member and chair of the CFPC’s section of teachers from 1993-2001.

Dr. Paul Humphries, Assistant Program Director, University of Alberta

Dr. Paul Humphries practises in Edmonton and is a professor at the University of Alberta. He has practied full-service family medicine with general practice anesthesia, palliative care, obstetrics and medical teaching. His current clinical focus is home palliative care, and academic foci are assessment, administration and rural/distributed training. He was the founding director of the Northwestern Ontario family medicine residency. Dr. Humphries has been president of the Alberta College of Family Physicians, director of family medicine residency programs, vice chair of CaRMS, and a member of the CFPC board and committee on accreditation. He often participates in accreditation teams across Canada. He and his wife, Sybil, grew up in farming families and now raise horses (and grandchildren) in Alberta.

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Identified Areas of Review

The CFPC review team will be reviewing documentation and meeting with faculty, staff, and residents for evidence of progress in the standards and Program areas identified in the response to the March 2016 visit, including:

Family Medicine Core Program

  • Effective administrative and leadership structure that enables the central program to govern distributed teaching sites
  • Systematic and coordinated program evaluation
  • Clearly defined family medicine curriculum, with competency-based outcomes
  • A safe learning environment for all residents
  • A consistent faculty evaluation process
  • Effective delivery of faculty development at all sites
  • A core family medicine experience throughout the program, with a clearly defined behavioural medicine curriculum delivered at all sites
  • An academic program that is consistent at all sites
  • A well-coordinated and organized resident assessment program, with an effective progress review process and regular direct observation and feedback at all sites

Enhanced Skills Program

  • Fully developed oversight and management of programs by the Enhanced Skills Program Committee

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Progress

Key areas of improvement since 2016 include the following:

  • Postgraduate leadership structures are in place, with regular meetings of committees and subcommittees.
  • Evaluation processes for preceptor feedback, rotation assessments, educational events, faculty evaluation and performance discussions have been developed and implemented.
  • Resident assessment processes have been created with identified benchmarks for completion of assessment forms. Field notes, direct observation forms and horizontal experience end of shift reports are audited regularly.
  • Competency framework has been updated to reflect CanMEDS-FM 2017 and the family medicine professional profile.
  • Behavioural medicine faculty lead position has been created, and defined didactic sessions have been developed and are being delivered.
  • Enhanced skills program associate director has been appointed, and regular meetings of the ESP subcommittee are held. Assistant directors have been appointed for each enhanced skills program, and represent their respective programs on the ESP subcommittee. Resident representatives have been selected to sit on the ESP subcommittee.

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Standards

The CFPC review team will be examining documentation and meeting with faculty, staff and residents to confirm evidence of progress made since the March 2016 external visit, in the standards cited as not yet being in full compliance. These standards are as follows:

Family Medicine Core Program

Standard B1 - Administrative and leadership structure that is effective and enables the central program to govern distributed teaching sites, including overall communication and coordination between the central program and the streams related to program planning and delivery, curriculum, assessment, and program review and future direction.

Standard B1 - Program evaluation that is systematic and coordinated, with all evaluation data available as part of this process.

Standard B2 - family medicine curriculum that is clearly defined, with competency-based outcomes that reflect the six essential skill dimensions of competence and the CanMEDS-FM roles.

Standard B3 - Safe learning environment for all residents, with no discrimination and intimidation targeted towards residents.

Standard B4

  • Faculty evaluation process that is consistent.
  • Faculty development that is delivered effectively at all sites.

Standard B5

  • Core family medicine experience throughout the program, with clearly defined behavioural medicine curriculum delivered at all sites.
  • Academic program that is consistent at all sites.

Standard B6 - Resident assessment program that is well coordinated and organized, with strong linkage and alignment between the assessment framework and tools. An effective progress review process at all sites. Regular direct observation and feedback at all sites, and clear and effective field notes.

Enhanced Skills Program (ESP)

Standard B1 - Enhanced Skills Program Committee with fully developed oversight and management of programs.

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Questions

Questions regarding accreditation can be directed to:

Dr. Bruce Martin
Postgraduate Director

Dr. José François
Department Head

Karen Grant 
Manager, Projects and Program Evaluation

For more information about CFPC accreditation, click here.