1. Presentation to CAPA Annual Meeting MAINPRO + 25 October, 2014

2. Presenter Disclosure Faculty: Jamie Meuser Relationships with commercial interests: Nil

3. Disclosure of Commercial Support This program has received NO COMMERCIAL financial support This program has received NO COMMERCIAL in-kind support Dr. Meuser is a paid employee of the College of Family Physicians of Canada

4. Objectives To highlight some features of the changes to the Mainpro program – Mainpro + To discuss some of the anticipated challenges To clarify, and respond to questions about Mainpro +

5. What is Mainpro?  Framework providing CPD participation guidelines and standards for Canadian family physicians  System that enables family physicians to conveniently track/monitor CPD participation  Educational certification ensuring high-quality, ethical CPD programming through a rigorous peer- review process

6. History of CPD/Mainpro 1954CFPC founded; CME required 1969First Certificants (CCFP) 1975First Maintenance of Certification program 1995Mainpro introduced 1998Expanded MOC component → start of 5-year cycles 2001New approach to Mainpro-C credits 2003Modifications to Maintenance of Certification requirements and Fellowship 2013Annual reporting requirements and online reporting 2015Mainpro+

7. CAPA Participation in Mainpro Physicians’ Assistants who are members of CAPA have been reporting their CPD activities through Mainpro since 2011 There are currently 363 CAPA members who are reporting CPD activities in this way

8. Educational Principles of Mainpro QUALITY CPD EVIDENCE- BASED CONTENT CRITICAL APPRAISAL/ INQUIRY REFLECTION & POSITIVE CHANGE ADULT LEARNING THEORY NEEDS OF LEARNERS

9. Mainpro Values & Principles Purpose: Guide development and serve as measures of program success Support the evolving roles of family physicians within an ever-changing healthcare system Provide answers to the “why” questions around Mainpro system changes

10. Values and Principles 1. Simplicity 2. Comprehensiveness 3. Availability 4. Reflection and application 5. Individualization 6. Scientific validity 7. Transparency

11. Why Change the Current System? Confusing and non-intuitive Does not sufficiently encourage and reward those CPD activities that are most effective and impactful

12. Why Change the Current System? World of CPD is changing: –Events  workplace-based learning –Personal assessment of benefit  practice/patient outcomes –Individual  team/practice focus –Medical Expert  broad conception of competency –Clinical practice only  broad definition of practice

13. What will stay the same? 5-year cycle Minimum 250 credits/cycle Minimum 25 credits/year

14. What will change? M1 M2 C Group learning Self learning Assessment Accredited Unaccredited Certified Non Certified

15. What will change?

16. New Mainpro Categories Certified (minimum 50% must be Certified) Non Certified Group LearningConferences, rounds, journal clubs, AAFP prescribed credits Non-industry events, AAFP elective credits Self LearningOnline programs, Linking Learning to Practice, CFPC Self Learning ® program, CFP Mainpro articles, Pearls™ Journal reading, curriculum development, committee participation AssessmentMedical examinations, Linking Learning to Assessment, practice audits, simulation, QA programs Family medicine curriculum review, manuscript review *** Elimination of Activity Maximums ***

17. New Mainpro Categories Group Learning –Activities that provide opportunities to learn with others Self-Learning –Activities planned and implemented by the individual, outside the context of a group Assessment –Activities that stimulate learning through analysis of data and provision of feedback about an individual or group (e.g. practice audit). The assessment of learning materials, such as clinical practice guidelines, may also qualify under this category

18. Certified vs. Non-Certified CPD Certified CPD –Activities that have been reviewed and approved by the College as meeting standards for certified CPD. Non-Certified CPD –Activities that have not been formally reviewed by the College, but comply with the College’s definition of CPD, are non- promotional in nature, and provide valuable professional learning opportunities

19. Communication Plan Started at FMF 2013, continues through 2014 and beyond - implementation in 2015 cfpc.ca, eNews, CFP, videos, whiteboard animation Regional Educators

20. Positives Raising the bar on certification Intuitive Categories Investment in program development Credits for a variety of practice-linked activities Regional Educators New platform Carry over credits

21. Raising the bar on Certification Programs that incorporate CanMEDS-FMCredits based on programs meeting explicit quality criteriaImplementation of impact assessment drives better patient outcomesInvestment in Program Development

22. Challenges New technology Rollover of existing credits Fellowship Impact Assessment New Reporting Cycles: July 1 to June 30

23. Impact Assessment What was the impact of this learning experience on you or your practice? Please check all that apply.  My practice will be changed and improved.  I learned something new.  I am motivated to learn more.  This experience confirmed I am doing the right thing.  I perceived bias in this program.  I was dissatisfied for another reason.

24. Impact Assessment (expanded)  I learned something new. Interested in earning additional credits? Complete a Linking Learning activity for the opportunity to earn certified credits through reflection.

25. Audiences & Approaches CFPC staff and ChaptersMembersResidentsPhysician AssistantsUniversitiesCPD providersRegulatory AuthoritiesGovernments, Sister OrganizationsPatients

26. Other Linked Activities New platform Mainpro credits for Royal College and AMA accredited programs (max 50/cycle for each) ePearls Self LearningProgram Development

27. Getting there from here… Board Approval CFPC and Chapter staff training Roll out Communication Plan Build new Platform QA and TestingImplementation Ongoing Monitoring & Quality Improvement 201320142015 & beyond

28. Questions?