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Revalidation of Licensure

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Title: Revalidation of Licensure


1
Revalidation of Licensure
  • Douglas H. Blackman, MD, CCFP
  • Deputy Registrar
  • College of Physicians Surgeons of BC
  • May 12, 2008

2
The Challenge - A Balance of Interest
  • The Public
  • Trust
  • The public interest
  • The social contract
  • The Profession
  • Respect
  • Reassurance
  • Trust

3
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

4
The History
  • International
  • National
  • Provincial / Local

5
Revalidation National
  • FMRAC Working Group on Revalidation
  • Membership from several MRAs and other
    stakeholders
  • MCC
  • CMA
  • CFPC
  • RCPSC
  • AFMC

6
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.

7
Revalidation - Purpose
  • To reaffirm, in a framework of professional
    accountability, that physicians competence and
    performance are maintained in accordance with
    professional standards.

8
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.

9
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.

10
Revalidation Basic Principles
  • Relevant
  • The process of revalidation is designed to
    confirm a physicians competence within the scope
    of his or her practice.

11
Revalidation Basic Principles
  • Inclusive
  • Revalidation applies to all licensed physicians.

12
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.

13
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.

14
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

15
Revalidation CPSBC
  • To consider and advise on potential tools to be
    employed in a revalidation program / process in
    British Columbia.

16
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

17
Revalidation CPSBC
  • 3. 360 review with multisource feedback (e.g.
    CPSA PAR Program)
  • 4. Formalization of COMPA Self-audit process with
    modifications
  • discipline specific
  • With colleague
  • /- 360 feedback
  • Include Practitioner Prescription Profile for
    review

18
Reassurance
  • Ultimately, it is our goal to develop a program
    that is robust, manageable and affordable.

19
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.

20
Reassurance
  • The Colleges other complaint and investigative
    processes will continue to operate separately, as
    previously.

21
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.

22
Revalidation of Licensure
  • Thank You
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