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

Mainpro+ Program requirements

Mainpro+ Categories

CFPC Mainpro+ overview

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 jblack@cfpc.ca

Mya Warken mwarken@royalcollege.ca

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)

Thank you!