1. 1 Accreditation Report - CFPC June 25, 2007 CFPC Accreditation Committee APPROVAL »Family Medicine Program »Palliative Medicine CONTINUING NEW PROGRAM »Enhanced Skills

2. 2 Accreditation Report - RCPSC ALL programs received the status of Approval with the following exceptions: –Provisional Approval - Internal Review Adult Infectious Diseases Transfusion Medicine –Provisional Approval - External Review Diagnostic Radiology Medical Genetics Pediatric Critical Care Psychiatry –Notice of Intent to Withdraw Pediatric Infectious Disease

3. 3 RECURRENT THEMES from 2007 RCPSC Program Reports TOTAL COMMENTS FROM PROGRAMS = 43 1.RESOURCES –Issues with Funding x 3 –Space for residents x 3 –11 Programs with comments, Total comments = 14 2.LEARNING ENVIRONMENT –Service/Education balance x 4 –Intimidation and Harassment x 5 –Face-to-Face evaluations x 2 –Transition to subspecialty x 2 –19 Programs with comments, Total comments = 23 3.PD SUPPORT –Issues with Support for Program Director/admin x 6 –6 Programs with comments, Total comments = 6

4. 4 B STANDARDS from 2007 RCPSC Program Reports TOTAL COMMENTS FROM PROGRAMS = 130 B1- Administrative structure –Admin support for PD X 8 –Budget Funding X 3 –RPC X 7 –Program Review X 3 –Evaluation of Faculty X 3 –Promotion X 2 –23 Programs with comments, Total comments = 33 B2- Goals & Objectives –G & O incomplete X 3 –G & O not linked to ITERS X 2 –Need CanMEDS format X 1 –G & O too detailed X 1 –7 Programs with comments, Total comments = 7

5. 5 B3- Structure & Organization –Service to education balance X 6 –Intimidation & Harassment X 2 –Supervision X 2 –21 Programs with comments, Total comments = 25 B4- Resources –Space for Residents X 3 –14 Programs with comments, Total comments = 18 B5- Content of Program –Space for Residents X 3 –14 Programs with comments, Total comments = 18 B6-Evaluation –Face to face feedback of ITERS X8 –ITER completion rate X 3 –ITERS not rotation specific X 5 –Evaluation not timely X 2 –Evaluation not objectives driven X 2 –14 Programs with comments, Total comments = 18

6. 6 Internal Review Committee 2007-2013 Chair: Dr. Glen Bandiera; Vice-Chair: Dr. Linda Sugar Member recruitment in progress –Think of potential IRC Resident Reps First meeting: February 26 th (Last Wednesday of month) ALL PDs will participate in Internal Reviews –Chair at least one survey; Faculty member at least once –‘Master’ sign-up roster…PDs will switch assignments as needed New Terms of Reference, 6 year cycle to Feb. PGMEAC Focus on G&O, Curriculum, evaluation It’s all for you and your program

7. 7 PORTAL UPDATE PGY 1 Programs and Program Directors* Portal Summary to Date PGY 1 Programs and Program Directors* Portal Summary to Date Attended or scheduled for Training: 21 of 28 Portals Under Construction: 15 of 28 Programs Running in Portal: 5 of 28 Emerg Med, ObGyn, Psych, OrthoSx, CoreSx, PlasticSx * July 1, 2008 start for ALL PGY1 entry programs

8. 8 PORTAL UPDATE Other Programs and Program Directors Portal Summary to Date Attended or Scheduled for Training: 5 of 43 Portals Under Construction: 4 of 43 Programs Running in Portal: 2 of 43 Ped GenSx * July 1, 2009 start for ALL programs not PGY1 entry

9. 9 Overview of Cases Reviewed by BOE-PG DURING July 1, 2007-Dec 31, 2007 28 Residents on remediation +/- probation up 65% from 17 cases 16 ‘new’ cases up 60% from 10 cases 1/16 were previously on remediation +/- probation down 24% from 3/10 cases

10. 10 Overview of Cases Reviewed by BOE-PG DURING July 1, 2007-December 31, 2007 28 Residents on probation +/- remediation From 15 different training programs Funding source –Pool “A” – MOH CMG = 18 up 125% from 8 –Pool “B” – MOH IMG = 3 up 50% from 2 –Pool “C” – Visa/Other = 7 same

11. 11 Overview of Cases Reviewed by BOE-PG DURING July1, 2007-December 31, 2007 28 Residents on probation +/- remediation LEVEL OF TRAINEES –PGY 1 = 7 up 250% from 2 –PGY 2 = 6 up 100% from 3 –PGY 3 = 4 down 20% from 5 –PGY 4 = 3 up 200% from 1 –PGY 5 = 8 up 33% from 6

12. 12 Overview of Cases Reviewed by BOE-PG DURING July 1, 2007-December 31, 2007 28 Residents on remediation +/- probation AREAS OF DIFFICULTY (> 1/trainee) –Communication= 9 up 12.5% –Knowledge/Clinical Skills= 15 up 25% –Organization/Case Mgmt= 5 up 25% –Attitude/Professional/Ethical= 24 up 243%

13. 13 Overview of Cases Reviewed by BOE-PG Of 28 cases in 07-08 5 successfully completed probation +/- remediation down 17% 1 resigned same 22 active cases up 120%