Issue No. 10 - Accreditation
December 10, 2015
Making accreditation less burdensome for faculties of medicine by aligning standards, data and processes

"In their own words":  FMEC PG's Recommendation 10

We have made tremendous progress in aligning medical education accreditation over the last 3 years. Our accomplishments include: a new national taxonomy of accreditation standards, a comparison of accreditation standards across the continuum, a review of accreditation processes used by each organization, and a discussion of a national accreditation software platform. These are major innovations in a short time

- Jason Frank
Royal College


"Making the administrative process less cumbersome is a priority for the Collège des médecins du Québec. To date, several instruments were used precisely to reduce the time and resources devoted to accreditation by using, for example, a computerized system adapted to align all the accreditation processes of the medical education continuum, including continuing professional development, and to further focus accreditation towards assessment and ongoing quality improvement. "

- Anne-Marie MacLellan
Collège des médecins du Québec

"Alignment of accreditation along the continuum from UG to PG to CPD continues to be top of mind for our faculties of medicine who want to achieve excellence in medical education through an outcomes-based continuing quality improvement process. They are challenging us to create a system that is effective and efficient and much less resource-intensive. "

- Geneviève Moineau
The Association of Faculties of Medicine of Canada

"The accreditation organizations for medical education in Canada have committed to aligning their policies, procedures and practices in order to learn from each other, achieve efficiencies, and ultimately improve the quality of undergraduate, postgraduate and professional development education in Canada. "

- Louise Nasmith
University of British Columbia
The College of Family Physicians Canada

About the FMEC PG Implementation Project

The Future of Medical Education in Canada Postgraduate (FMEC PG) Implementation Project is helping to ensure that medical residents in this country continue to receive the best training possible and are able to meet the changing healthcare needs of Canadians.

The FMEC PG Implementation Project is funded by Health Canada and a consortium of four organizations: The Association of Faculties of Medicine of Canada (AFMC), The College of Family Physicians of Canada (CFPC), Le Collège des médecins du Québec (CMQ) and The Royal College of Physicians and Surgeons of Canada (The Royal College).
To read about all ten recommendations and their transformative actions, please consult the FMEC PG Collective Vision.

Reflections from Dr. Nick Busing, Project Lead

Aligning the UGME, PGME and CPD accreditation standards, data, and processes has involved the work of many stakeholders, and their contributions to this very important work have helped advance the system significantly, as highlighted in the comments from the four FMEC PG Accreditation co-chairs. Our co-chairs have been able to successfully engage their respective organizations in looking at the current accreditation environment with a critical eye and to enter into a real dialogue about how we can move forward together with a collaborative approach.  However, there is much more to do, and my challenge to all of us is to step back and (re)consider whether we can not only align the current practices, but if we can use this momentum to rethink our standards collectively, so that we can create new data requirements and processes along with streamlined outcomes focused standards. We do not need to abandon all of the current processes and standards, but rather I am suggesting that we might be missing an opportunity to critically reform our accreditation system to make it more efficient, less costly and leaner in all respects. If we are going to build a shared database (which I hope we will do) let's build it to contain not the information to respond to the exigencies that our current standards demand, but to respond to those of new outcomes-focused standards. It would be an exciting mission, and one which will benefit all those involved - the learners, the faculties and the certifying organizations.

Dr. Nick Busing led transformative change from 2005-2013 as President and CEO of the Association of Faculties of Medicine of Canada. Prior to joining AFMC, Dr. Busing spent 20 years at the University of Ottawa's Faculty of Medicine. He is a past president of the CFPC and a past chair of the Canadian Medical Forum.

Happy Holidays!

May you spend some quality time with your loved ones. 

- The FMEC PG Team