Revalidation of Licensure Douglas H. Blackman, MD, CCFP Deputy Registrar College of Physicians & Surgeons of BC May 12, 2008

The Challenge - A Balance of Interest The Public Trust The public interest The social contract The Profession Respect Reassurance Trust

The College Mandate To establish, monitor and enforce standards of practice to enhance the quality of practice and reduce incompetent, impaired or unethical practice amongst members To establish and maintain a continuing competency program to promote high practice standards amongst members

The History International International National National Provincial / Local Provincial / Local

Revalidation: National FMRAC Working Group on Revalidation Membership from several MRAs and other stakeholders MCC MCC CMA CMA CFPC CFPC RCPSC RCPSC AFMC AFMC

Revalidation – Definition Revalidation is a quality assurance process in which members are required to provide satisfactory evidence of their commitment to continued competent performance in their practice.

Revalidation - Purpose To reaffirm, in a framework of professional accountability, that physicians’ competence and performance are maintained in accordance with professional standards.

Revalidation – Position Statement All licensed physicians in Canada must participate in a recognized revalidation process in which they demonstrate their commitment to continued competent performance in a framework that is fair, relevant, inclusive, transferable and formative.

Revalidation – Basic Principles Fair The process of revalidation is transparent to the physician, uses fair and standardized tools, and is considerate of cost and administrative burden to the physician.

Revalidation – Basic Principles Relevant The process of revalidation is designed to confirm a physician’s competence within the scope of his or her practice.

Revalidation – Basic Principles Inclusive Revalidation applies to all licensed physicians.

Revalidation – Basic Principles Transferable Participation in the process of revalidation will be mutually recognized by each Canadian jurisdiction and will not inhibit mobility in Canada.

Revalidation – Basic Principles Formative The process of revalidation is a constructive educational quality assurance process, independent and distinct from the disciplinary processes of the regulatory authorities.

Revalidation: CPSBC Committee on Revalidation of Licensure – an ad hoc committee of Council Membership: Dr. Euan Frew, Council Member & RCPSC involvement Dr. Robert A. Bluman, UBC Dept CPD / KT Dr. Jonathan Slater, BCMA Dr. Robin D. Saunders, BCMA Dr. V.J. (Jim) Thorsteinson, CFPC Dr. Robert A. Baker, COMPA Committee, CPSBC Dr. Robert L. Halpenny, Medical Directors Group Dr. Douglas H. Blackman, Deputy Registrar, CPSBC

Revalidation: CPSBC To consider and advise on potential tools to be employed in a revalidation program / process in British Columbia.

Revalidation: CPSBC Potential Tools 1.Mandating compliance with the same CPD requirements as the CFPC or RCPSC for maintenance of certification / fellowship 2.Confirmation of hospital reappointment where relevant

Revalidation: CPSBC 3.360° review with multisource feedback (e.g. CPSA – PAR Program) 4.Formalization of COMPA Self-audit process with modifications discipline specificdiscipline specific With colleagueWith colleague +/- 360° feedback+/- 360° feedback Include Practitioner Prescription Profile for reviewInclude Practitioner Prescription Profile for review

Reassurance Ultimately, it is our goal to develop a program that is robust, manageable and affordable.

Reassurance This is not, nor is it intended to be, a disciplinary process. The focus will be educational and, where necessary, remedial. The only direct risk to a physician in this process as proposed would be willful non-participation.

Reassurance The College’s other complaint and investigative processes will continue to operate separately, as previously.

Accountability As a profession generally, we are accountable to the public through the Legislature in accordance with the Medical Practitioners Act. As professionals, we are accountable to our patients and to one another.

Revalidation of Licensure Thank You