Volunteering with Resident Doctors of Canada 2015-2016 Message from the President Dear Members: As a vibrant member-driven national organization, Resident Doctors of Canada (RDoC, formerly CAIR) relies on resident representatives to fulfil our Strategic Direction #3: “Representation - serve as the unified voice of Canadian residents”. RDoC is the go-to organization for the Canadian resident perspective on medical education. We cultivate continuous meaningful dialogue with our members and the Provincial Housestaff Organizations (PHOs). We seek to partner and collaborate with stakeholders as the national leader on resident issues. To do this, we ensure our Board members, Committee members and liaison representatives are effective advocates for their colleagues. This Guide outlines the various Volunteer positions that exist within RDoC. All current and incoming (class of 2015) RDoC members are encouraged to apply for vacant positions that interest you. We recommend you apply for more than one position as we may not be able to accommodate your first choice. If you have any questions, please contact the RDoC Office at [email protected] or 1-613-234-6448. Christina Nowik, MD MPA, 2014-2015 RDoC President Become a: Board Member Committee Member Liaison Representative • Elected by the RDoC membership at the Annual General Meeting in June. • • Represent your fellow residents at our national stakeholder organizations. • Represent BC, AB, SK, MB, ON, the Maritimes and NL. Work to implement RDoC’s 2014-2017 Strategic Plan and Priorities • • Terms begin after the RDoC Annual General Meeting and run until the next AGM. Advocate on behalf of RDoC’s Strategic Plan and Priorities. • Terms begin after the RDoC Annual General Meeting and run until the next AGM, unless otherwise indicated. • Attend 1-2 in-person meetings per year, plus teleconferences and email correspondence • Find details of each liaison position on pages 4-21. • • Attend 4 in-person meetings per year, plus teleconferences and email correspondence. Contact your local PHO Office for more information about positions available in your region. • • Attend 1-2 in-person meetings per year, plus teleconferences and email correspondence Find details of each Committee’s activities on pages 2-4. Apply here today: https://residentdoctorscanada.wufoo.com/forms/20152016volunteer-application-form/ The deadline for applications is 2359hrs EDT, Monday, May 4, 2015. The RDoC Office will contact those selected for volunteer positions after the RDoC 2015 Annual General Meeting, June 13, 2015 in Toronto. partners. This involves developing position statements and ensuring that liaison representatives who sit on committees at stakeholder organizations are well-briefed on the issues and relay RDoC's views in all settings. RDoC Committees Note that Committee priorities may be subject to change. Committee Members Roles & Responsibilities • Prepare for, attend, and actively participate in all meetings and work of the Committee; • Review the agenda and accompanying materials prior to attending the meeting. Seek clarification of any items that are not clear; • Respond to email communications and deadlines in a timely manner; • Offer constructive comments or points of disagreement, as appropriate; • Be willing to listen to and consider other points of view; • Demonstrate professionalism, teamwork, and a spirit of cooperation; • Maintain confidentiality on Committee work, as appropriate; • Be mindful that the Committee’s work is intended to benefit the greater RDoC membership. Awards Committee Total Meetings: Teleconferences and regular e-mail communication The Awards Program honours individuals or organizations who have contributed to improving resident wellbeing, medical education, and resident life in Canada. Past recipients have included residents, program directors, postgraduate medical education (PGME) administrators, and organizations that support residents. The Awards Committee is responsible for the annual nomination and selection process. Practice Committee Some of the initiatives/key issues the Practice Committee has worked on in 2014-2015 are: • Practice Management Training • Entry Disciplines/Framework for Education Reform • Physician Resource Planning/HHR • Physician autonomy and social accountability Practice Management Training To ensure seamless transitions from training to practice, it is important that all residents receive standardized practice management training in the non-clinical (i.e., legal, administrative and financial) skills necessary for physicians to practice within their specialties. RDoC is taking a leadership role to examine and evaluate current practices in order to advance the standardization of PM curriculum across Canadian residency programs. Entry Disciplines/Framework for Education Reform The medical education system is undergoing a period of significant change including the shift to competencybased training, greater scrutiny of training position allocation and selection/matching systems, competition for scarce resources, and misalignment of training with job prospects/societal demand. To articulate the resident perspective, the Practice Committee has begun to develop a position (guiding principles/ framework) and national advocacy approach to address and influence changes in education delivery that align with patient needs and support learner transitions across the education continuum and into practice. Physician Resource Planning/HHR The Practice Committee has continued the work begun by the RDoC Board in 2012 to advance physician resources planning and effect change. Key activities include: Total Meetings: 1-2 in-person meetings, teleconferences and regular e-mail communication • The Practice Committee works on behalf of the Resident Doctors’ Board of Directors to oversee the creation and realization of activities relating to Strategic Direction #1 “Training: to optimize the continuum of medical education,” and specifically to the goals of supporting the delivery of patient-centered care and seamless transitions from training into practice.” The Committee develops consistent messaging and seeks opportunities for collaboration with Resident Doctors’ Continued advocacy and participation in national stakeholder initiatives based on the Resident Physician Principles on Health Human Resources, which call for a national HHR plan and better ways to anticipate physician supply and demand to meet patient needs, as well as reliable data and better coordination between patient needs and residency training positions to help residents with career decisions. Page 2 | 21 Meeting dates and locations are subject to change Keynote presentations at conferences such as the upcoming Canadian Medical Association General Council (August 2015), and the Royal College National Summit on Physician Employment (Fall 2015), to discuss and identify innovative solutions based on best practices. • Ongoing review of resources related to job opportunities and career planning, and the development of resident specialty profiles to show what it is like to be a resident in different specialties, including lifestyle aspects. • Social Accountability and Physician Autonomy Social accountability is intrinsic to medicine and has been identified by the RDoC Board as an overarching or guiding principle for Resident Doctors’ work. The Practice Committee continues to expand on this concept and has begun to examine the related and emerging issue of physician autonomy and medical professionalism in the changing health care system. The intent is to develop guiding principles that articulate the resident perspective regarding the importance of preserving professional autonomy while improving physician accountability. Training Committee Total Meetings: 1 in-person meeting, teleconferences and regular e-mail communication The Training Committee works on behalf of Resident Doctors of Canada’s Board of Directors to oversee the creation and realization of Resident Doctors’ activities relating to Strategic Direction #1 “Training: To optimize the continuum of medical education”, and specifically to the goals of contributing to and advocating on national curriculum development, accreditation, certification, licensure and examination policy and resident matching. Pertinent issues the Training Committee has worked on in 2014-15 are: • Mentorship • Accreditation • Competency-based medical education Mentorship Mentorship continues to be a key focus of RDoC’s activities. We are continuing to build a hub of mentorship resources on the RDoC website and practical tools for residents that would help facilitate mentee development and a culture of mentorship in residency and beyond. At the October 2014 International Resident Leadership Summit, RDoC presented a workshop on “Mentoring: An empowerment tool to motivate and improve skills”. This workshop further built on RDoC’s recent position paper and commentary on mentorship. Our resident awareness week activities highlighted posts by residents on the Training Committee. Accreditation This past year, the committee updated the RDoC preaccreditation questionnaire which obtains confidential feedback from every resident in a program to be surveyed. The confidential, collated results are provided to the resident surveyors prior to the on-site surveys. The Committee is also working on optimizing the use of the collated results by developing a standardized and confidential method to communicate the survey results to the accreditation team. RDoC representatives are also closely involved with the Colleges and FMRQ in updating the conjoint accreditation standards to ensure they’re aligned with a competency-based approach to medical education. RDoC continues to support the participation of residents as surveyors on accreditation survey teams. This past year, through RDoC, residents have volunteered on all Royal College external review teams and CFPC and Royal College full survey teams. In August 2014, RDoC collaborated with the Royal College and the CFPC to deliver an accreditation information session to the Assembly of the Provincial Association of Resident Physicians of Alberta, in the lead up to the University of Calgary full survey. We hope to continue such collaborations in the future, to ensure that residents are well-informed about accreditation and are able to share with their peers the importance of a robust continuous quality improvement process. Competency-based medical education RDoC has recently developed an information document and backgrounder on CBME for residents. The information document outlines recommendations that residents can take within their respective programs to promote a successful transition and ensure that the needs of learners are being met. The committee is currently working on a risk mitigation paper, examining this issue from the resident perspective, identifying aspects that may threaten or enhance the quality of resident medical education, and provide recommendations for mitigating and fostering these. Over this past year, RDoC has also been actively involved in providing feedback on the CanMEDS 2015 framework and updated diagram. Moving forward, RDoC will continue to advocate for close involvement in the development of milestones/EPAs, the e-portfolios and a robust implementation and evaluation of the competencies. Page 3 | 21 Meeting dates and locations are subject to change Wellness Committee RDOC Liaison Representatives on the National Stage Total Meetings: 1-2 in-person meetings, regular teleconferences and email communication Expectations for Liaison Representatives The Wellness Committee works on behalf of RDoC Board of Directors to oversee the creation and realization of RDoC activities relating to Strategic Direction #2 – “Wellness: to enrich the experience of medical education as trainees, teachers, and clinicians to inspire a redefined work environment for resident physicians, promote a culture of respect, and to champion the good health of Canadian resident physicians in mind, body, and spirit.” • Be an ambassador and an advocate. Be mindful that you are attending this meeting on behalf of RDoC as an organization and of your fellow residents across Canada. • Be mindful of the important role you play in postgraduate medical education innovations, advocacy, and policy, through your participation in national stakeholder meetings on behalf of RDoC. • Participate in all meetings and teleconferences wherever possible, and advise the RDoC office as soon as possible if you are unable to attend. • Review the agenda and accompanying materials prior to attending the meeting. Seek clarification of any items that are not clear. The RDoC Office will ensure you are properly briefed before your meeting. • Keep an eye out for issues that may have a potential impact (positive or negative) on resident training and include them in your report to the RDoC Board. • If you are not clear on RDoC’s position on an issue, please contact the RDoC Office as soon as possible so that staff can help you. Resiliency Training In collaboration with the Resiliency Training Curriculum Working Group, submitted an abstract to ICRE for Fall 2015. Hosted the RDoC Summit on Resiliency Training in Post-Graduate Medical Education in Feb 2015. • Following a meeting or teleconference, provide RDoC with a written report summarizing key issues as they relate to RDoC, and identifying issues requiring action by RDoC. Patient Handover Pursuing collaboration with I-PASS on developing a resident Handover Education Curriculum and onepage “Handover Backgrounder” for all RDoC liaison representatives. Workshop Presentation on Handover Best Practices at ICRE in Fall 2014. • AFMC Graduation Questionnaire Working Group Member (page 6) • Pan-Canadian Entrustable Professional Activities Working Group Member (page 6) • CAME Board of Directors, Membership, Professional Development Committee Member (page 7) • CAIMPD Observer (page 7) • CMA Committee on Ethics Member (page 8) • CMA GP Forum Representative (page 8) • CMA Ad Hoc Working Groups (page 9) • CPHI Advisory Committee/AFMC Resource Group Member (page 9) Some of the initiatives the Wellness Committee has worked on in 2014-2015: Intimidation and Harassment Prevention Review and rewrite RDoC Position Paper on Resident Intimidation and Harassment (June 1996) and update the wording to reflect more positive language, e.g., “Promoting a Positive Work Environment.” Duty Hours and Fatigue Management Representation on the RC Resident Duty Hour National Steering Committee. Review and update RDoC Position Paper on Duty Hours (published in 2012) to incorporate the language of “fatigue management.” Open Liaison positions – General membership The Practice, Training, and Wellness Committees are each co-chaired by 2 Board Members. Membership on each Committee is comprised of a total of 12 members, including a maximum of an additional 2 Board Members and 4 – 10 volunteer RDoC members, ensuring a mix of disciplines, training and practice settings, and geographic distribution where possible. Page 4 | 21 Meeting dates and locations are subject to change • International Conference on Physician Health Planning Committee Member (page 9) Open Liaison positions – priority given to RDoC Board Members • CMPA Council Observer (page 10) • AFMC Board of Directors – Observer (page 6) • CAPER Executive and Policy Committee Member (page 10) • CFMS Observer (page 7) • • CMA Board of Directors Member(page 8) CFPC Accreditation Committee Observer (page 10) • • CMA Committee on Nominations Member (page 8) CFPC Board of Examiners Observer (page 11) • • CMA General Council Voting Delegate (page 8) FMRAC Annual Meeting Observer (page 11) • • CMA Specialists Forum Representative (page 9) FMEC PG Accreditation Implementation Committee Member (page 12) • Canadian Medical Forum (page 10) • FMEC PG Clinician Teachers Implementation Committee Member (page 12) • CFPC Board of Directors Observer (page 11) • CFPC Section of Residents Observer (page 11) • FMEC PG Leadership Implementation Committee Member (page 13) • FMEC PG Career Planning and Residency Matching Process Working Group Member (page 12) • FMEC PG Learning & Work Environments Implementation Committee Member (page 13) • FMEC PG Collaborative Governance Council Member (page 13) • FMEC PG Transition from Medical School to Residency Working Group Member (page 14) • FMEC PG Social Accountability Implementation Committee Member (page 14) • FMEC PG Transition from Residency to Practice Working Group Member (page 14) • FMEC PG Strategic Implementation Group Member (page 14) • FMEC PG Physician Resource Planning Taskforce Technical Steering Committee Member (page 15) • FMEC PG Transitions Implementation Committee Member (page 15) • Medical Council of Canada Annual Meeting Observer (page 16) • FMEC PG Physician Resource Planning Taskforce Member (page 15) • Royal College Accreditation Committee (page 17) • Junior Doctors Network Member (page 16) • Royal College Assessment Committee (page 18) • • Royal College Committee on Specialties (page 18) Royal College CanMEDS 2015 National Advisory Committee Member (page 18) • Royal College Credentials Committee (page 19) • Royal College Council Observer (page 18) • Royal College Education Committee (page 19) • Royal College National Steering Committee on Resident Duty Hours Representative (page 20) • Royal College E-portfolio Advisory Committee (page 19) • Society of Rural Physicians of Canada Representative (page 21) • Royal College Fellowship Affairs Committee Nonvoting Member (page 19) Currently filled Liaison positions • Royal College Health and Public Policy Committee Voting Member (page 20) • AFMC Committee on Resident Matching – Observer (page 6) • Royal College International Conference on Residency Education Program Advisory Board (page 20) • CaRMS Board of Directors Voting Member (page 10) • FMEC PG Governance Implementation Committee Member (page 13) • MCC Blueprint Project Governance Board Member (page 16) • Royal College International Resident Leadership Summit Planning Committee (page 20) Page 5 | 21 Meeting dates and locations are subject to change Issues key to RDoC: • Accreditation Process Working Group (page 17) • Accreditation Standards Development Working Groups (page 17) • Accreditation Standards Integration Committee (page 17) • Conjoint Task Force on Resident Input into the Accreditation Process (page 17) • Royal College Professional Development Committee Member (page 20) Association of Faculties of Medicine in Canada (AFMC) The AFMC represents Canada's 17 faculties of medicine and is the voice of academic medicine in this country. The AFMC is engaged in advocacy activities related to all facets of academic medicine. AFMC works to represent and support the mandates of Canada’s medical faculties on research, medical education, and clinical care with social accountability. Advocacy initiatives are tailored to keeping these issues high on the federal government's agenda and ensure that Canada's faculties of medicine serve as important resources to decision-makers in this country. • The Future of Medical Education Postgraduate (FMEC PG) Project • Increased collaboration between RDoC and the Postgraduate Deans • Training Capacity • Accreditation & inter-professionalism AFMC Committee on Resident Matching ►Member Position filled until November 2017 The AFMC Resident Matching Committee reviews and discusses all issues related to allocation, selection and matching. Each representative will be eligible to serve a three (3) year term, renewable once. Issues key to RDoC: • PGY1 Main Residency Match (PGY1 match), Family Medicine/Emergency Medicine Match (FM/EM match), Medicine Subspecialty Match (MSM), and Pediatric Subspecialty Match (PSM). • The match process • Unmatched CMGs AFMC Graduation Questionnaire (GQ) Working Group ► Member AFMC Board ► Observer Priority given to RDoC President Total Meetings: one in-person meeting at the Canadian Conference on Medical Education The AFMC is governed by the Board of Directors, comprised of the Deans of the 17 faculties of medicine and up to four public members. The Board is responsible for mandating the work of all AFMC Standing Committees, Resource Groups and Interest Groups. The objective of AFMC, as outlined in the constitution, is to promote the advancement of academic medicine in Canada through the review and development of standards for medical education in Canada, development of national policies appropriate to the aims and purposes of Canadian faculties of medicine, fostering of research into major areas of interest for Canadian faculties of medicine, representation of the Canadian faculties of medicine to key agencies. The Association of Faculties of Medicine of Canada (AFMC) will initiate the administration of a Canadian Graduation Questionnaire – hereafter referred to as the AFMC GQ (replacing the previous AAMC process) – annually to all medical students, starting with the Canadian universities’ Medical Doctor Programs’ graduating classes of 2015. There was a need identified by the AFMC leadership to have a working group of experts and learners to help inform the development of content and governance on the creation, administration, analysis, processing and reporting of this questionnaire. Pan-Canadian Entrustable Professional Activities Working Group ►Member Total meetings: Monthly teleconferences The Pan-Canadian Entrustable Professional Activities (EPAs) Working Group will define EPAs that all graduates from Canadian medical schools should be able to perform with indirect supervision when starting a residency training program regardless of specialty. This is a Future of Medical Education in Canada (FMEC) Postgraduate group Page 6 | 21 Meeting dates and locations are subject to change supported by the Association of Faculties of Medicine of Canada (AFMC). Issues key to RDoC Issues key to RDoC: • Competency-based medical education • Assessment Canadian Association for Medical Education (CAME) Canadian Association for Medical Education (CAME) Board of Directors ► Member CAME is a grassroots organization created for medical educators by medical educators. CAME’s goal is to promote excellence and scholarship in all aspects of medical education by advocating for medical education and medical educators, supporting faculty development, and encouraging research in medical education. Scholarly activities • Inter-professional education Explore the possibility of a CAME certificate program in medical education. • Regular evaluations of CAME’s overall PD program (versus individual courses) to ensure that the needs of the membership are met. The RDoC representative shall be an IM PGY2 or PGY3 Total Meetings: 1 in-person; Spring 2015 (location TBC) CAIMPD is a nation-wide group of Internal Medicine Program Directors, who discusses issues and provides leadership on issues pertinent to all Internal Medicine residents. Issues key to RDoC: • Milestones /EPAs for Internal Medicine • PGY1 and PG4 match • Issues key to RDoC Future of medical education • CAIMPD Observer The CAME Board member also sits on the CAME Membership Committee and the Professional Development Program Committee. Meetings are held in conjunction with CCME and there are teleconferences during the year. • Explore possibilities for the development of a variety of CAME PD offerings, including, but not limited to, courses, online resources, speaker bureaus, etc. Canadian Association of Internal Medicine Program Directors (CAIMPD) Total Meetings: one in-person meeting in conjunction with the CCME, April 16-19, 2016 in Montréal, and teleconferences; • • • CAME Membership Committee ► Member This committee advises the CAME Board of Directors on membership growth and retention; membership benefits, products and services; organizational branding, marketing and promotion; website composition. AFC Diplomas/GIM Subspecialty Duty hours • Exam timing • Issues of importance to Internal Medicine Canadian Federation of Medical Students (CFMS) CFMS Observer Priority given to RDoC Board Member Total Meetings: 2; September 2015; April 2016 (in conjunction with CCME) Issues key to RDoC • CAME membership issues • Resident involvement in CAME • Benefits to residents for participation in CAME CAME Professional Development Program Committee ► Member The CFMS is a national organization that represents over 8,000 medical students attending 14 Canadian medical schools. Issues key to RDoC This Committee plans develops, implements and evaluates CAME’s Professional Development Program. • Student/resident collaboration • Accessibility to medical education and flexibility in training • DME and training capacity • Competency-based training Page 7 | 21 Meeting dates and locations are subject to change CMA Committee on Nominations ► Member Canadian Medical Association (CMA) Due to CMA’s governance structure this liaison representative position is for 2016-2017. Priority given to RDoC’s Board of Directors The CMA is a national, voluntary association of physicians that advocates on behalf of its members and the public for access to high quality health care, and provides leadership and guidance to physicians. The CMA was founded in 1867 and is guided by its mission and vision statements. It is a federation made up of the 12 provincial and territorial medical associations and represents more than 70,000 physicians. Total Meetings: 1 teleconference June 2017 This committee makes recommendations to General Council regarding membership on the various committees and physician advisory groups of the CMA. Issues key to RDoC • Ensure that resident experts are represented in CMA governance structures and that potential candidates are well informed on resident issues and concerns CMA Board of Directors ► Member RDoC President or designate CMA General and Family Practice (GP) Forum ► Representative Total Meetings: 5; August 23-27, 2015 – Halifax; September 29-October 3, 2015 – Esterel (Quebec); December 4-5, 2015 – Ottawa; February 26-27, 2016 – Ottawa; May 26-28, 2016 – Ottawa Total Meetings: 2; August 22, 2015 (Halifax); February 2016 (Ottawa) The Board of Directors is the executive arm of the CMA responsible for managing the affairs of the CMA in accordance with policies established by General Council. Board members must attend the General Council meeting. Issues key to RDoC The GP Forum is concerned with promoting the exchange of information, analysis and research as it pertains to issues around General and Family Practice, as well as early identification of issues through environmental scanning, and a focus on health economics and the health policy environment. • Physician human resource issues • Health care transformation • Quality outcomes and indicators • Physician wellbeing and mental health • • Medical education training capacity Advanced skills/special interest training for generalists • Referral pathways and processes (from primary care to specialty care) • Inter-professionalism Issues key to RDoC CMA Committee on Ethics ► Member Due to CMA’s governance structure this liaison representative position is for 2016-2017 CMA General Council (GC) ► Voting Delegate Total Meetings: 2; Fall 2016; Spring 2017; Ottawa The Committee on Ethics interprets and recommends amendments to the CMA Code of Ethics, addresses problems related to ethics referred to the CMA, advises CMA on matters pertaining to ethical issues that arise from scientific and technological progress in the health sciences and ethical issues of interest or concern to the medical profession, and advises the CMA on ethical issues related to its core strategies and priorities. Issues key to RDoC • End-of-life Care/Physician Assisted Death • Professionalism • Privacy issues Priority given to RDoC President / Board member Total Meetings: 1; August 23-26, 2015 – Halifax GC is the CMA governing body and is primarily responsible for the election of CMA officers, directors and members of some committees, making changes to bylaws, and receiving CMA Board reports and recommendations. In addition, GC debates substantive issues of concern to the profession and passes resolutions accordingly, and provides strategic direction to the CMA. Page 8 | 21 Meeting dates and locations are subject to change Issues key to RDoC • • • • Resident physician health Represent resident interests at GC • Physician work hours and fatigue management Advance discussion on post-graduate training capacity and HHR • Leadership programs/initiatives for residents • Career counselling and employment opportunities End-of-life Care and National Senior’s Strategy • Contribute to physician-government interaction on issues of importance to residents • Political environment issues relevant to PGME CMA Specialists’ Forum ► Representative Priority given to RDoC Board member Canadian Physician Health Institute (CPHI) Advisory Committee ► Member Total Meetings: 2; August 23, 2015 – Halifax; February 2016 – Ottawa; + teleconferences The Forum is comprised of all the CMA affiliated and associated national medical organizations and provides an opportunity to work with national specialty and subspecialty organizations on issues of mutual interest and to influence public and private sector policy through the CMA. Issues key to RDoC • New models of health care delivery • Quality Collaborative • Specialty/PGME mix/HHR The CMA is changing its approach to policy work and stakeholder engagement and has sunsetted its core committees. In their place, the CMA will be creating ad hoc and time-limited working groups that are issue focused. The mandate of the Committee is to collaborate on existing physician health programs, identify gaps in the area of physician health and identify potential solutions to the gaps, identify potential service delivery models that are effective, to help prioritize initiatives and evaluate the effectiveness of program delivery. • Resident wellbeing and mental health • Awareness of resident health initiatives International Conference on Physician Health Planning Committee Potential areas of CMA policy and advocacy work include: • Total Meetings: 2; Fall 2015; Spring 2016; + teleconferences Issues key to RDoC New: CMA Ad Hoc Working Groups • The RDoC representative will also serve on the AFMC Resource Group on Physician Health and Wellbeing. Issues pertaining to medical education at all phases of the medical career life cycle and professionalism, including inter-professional care and relationships with other providers. Total Meetings: TBC This biennial event provides the opportunity for attendees to learn about current and innovative research in physician health. Issues key to RDoC Issues pertaining to disease management and prevention, health protection and health promotion. • Issues related to the economics, organization and management of the health care delivery system, including health human resources. • Issues related to political and public affairs strategies that support CMA objectives with the federal government. • Resident wellbeing • Exposure to international initiatives dealing with physician health Issues key to RDoC • National health policy issues/initiatives • Health human resources (HHR) • Length of training and training capacity • National health goals and framework Page 9 | 21 Meeting dates and locations are subject to change Issues key to RDoC Canadian Medical Forum (CMF) Attended by RDoC President and Executive Director Total Meetings: 2; November 2015 (both); June 2015 (ED only), both in Ottawa • Promote use of CAPER data in RDoC initiatives • Bring forward RDoC’s data needs to CAPER Canadian Resident Matching Service (CaRMS) This is a forum of medical organizations including: AFMC, RDoC, CFMS, CMA, FMRAC, MCC, the Royal College, and SRPC. The forum focuses on issues of medical education, training, certification, licensure, practice, portability, physician resources, and medical student and resident issues. CaRMS Board of Directors ► Voting Member Position filled until November 2017 (3-year term) Total Meetings: 2 in-person per year, June 2015, November 2015 + teleconferences Issues key to RDoC • Ensure resident issues and concerns are integrated into national stakeholder policy making • Health human resources Canadian Medical Protective Association (CMPA) CaRMS is a not-for-profit organization that works in close cooperation with medical schools and students to provide an electronic application service and a computer match for entry into postgraduate medical training throughout Canada. CaRMS provides an orderly and transparent way for applicants to apply for residencies in all programs and at all schools in Canada. Issues key to RDoC: CMPA Council► Observer • Ratio of undergraduate to postgraduate positions Total Meetings: 1; August 21-22, 2014 - Ottawa • Post-match survey • Main resident and subspecialties’ match The CMPA is a mutual defense organization for physicians who practice in Canada. Its raison d'être is to protect a member's integrity by providing services of the highest quality including legal defense, indemnification, risk management, educational programs and general advice. College of Family Physicians of Canada (CFPC) The CFPC is the professional organization responsible for establishing standards for the training, certification and lifelong education of family physicians and for advocating on behalf of the specialty of family medicine, family physicians and their patients. Issues key to RDoC • Monitor involvement of residents in CMPA risk management program • Education Initiative for trainees • Raising awareness amongst residents re: rights, processes in academic matters The CFPC strives to improve the health of Canadians by promoting high standards of medical education and care in family practice, by contributing to public understanding of healthful living, by supporting ready access to family physician services, and by encouraging research and disseminating knowledge about family medicine. Canadian Post-MD Education Registry (CAPER) CFPC Accreditation Committee ► Member CAPER Executive and Policy Committee ► Member Total Meetings: 1; October 23-25, 2015 – Vancouver (in conjunction with the International Conference on Residency Education); + 2 teleconferences RDoC was one of the founders of CAPER which was established in 1986. CAPER is incorporated within the bylaws of the AFMC with the mandate to provide accurate information that may be used for medical manpower planning on a national basis. Total Meetings: 2 in-person; January 2015-Toronto; June 2015 (conjoint with the RC Accreditation Committee) The CFPC accredits residency training programs in family medicine; family medicine/emergency medicine; and enhanced skills at all 17 medical schools in Canada. The accreditation of residency programs attests to the educational quality of accredited programs and allows residents from across Canada to qualify for the CFPC examinations. Page 10 | 21 Meeting dates and locations are subject to change Issues key to RDoC: • Program accreditation • Triple C Curriculum • CanMEDS-FM and Conjoint accreditation standards provides a forum of enhanced initiation and implementation of policies and programs relating to issues of Family Medicine education and practice. The intended goals are to improve the quality of the Family Medicine residency experience and to have a positive impact on the delivery of health care to Canadians. Issues key to RDoC: CFPC Board of Directors ► Observer • Priority given to RDoC Board Member Total Meetings: one in-person in conjunction with Family Medicine Forum (November 12-14, 2015, Toronto) Assessment and evaluation • Standards • Future practice The College’s National Board of Directors is the final decision-making authority over the 10 provincial chapter organizations. Federation of Medical Regulatory Authorities of Canada (FMRAC) Issues key to RDoC • Ensure ongoing representation of residents on CFPC Board and Committees • Harmonization of exams • Transfer of credits between CFPC & Royal College • Accreditation standards FMRAC Annual Meeting ► Observer CFPC Board of Examiners ► Member Total Meetings: 2: December 2014, June 2015; + teleconferences during the year. Total Meetings: one in-person meeting, June 2016 FMRAC is a national association of provincial and territorial medical regulatory authorities. Its purpose is to provide a national structure for the provincial and territorial medical regulatory authorities to present and pursue issues of common concern and interest; to share, consider and develop positions on such matters; and to develop services and benefits for its members. Issues key to RDoC The Board of Examiners is the Committee responsible for overseeing the CFPC’s examinations. This Committee is also responsible for standard setting for the examinations and sets the pass/fail criteria. It is responsible for maintaining the quality of the examination process through regular monitoring of the performance of the examination and the conduct of examination research. • • • Promote equitable policies for both Canadian trained physicians and IMGs Monitor IMG credentialing process Labour mobility Issues key to RDoC: • Certification examinations • Harmonization of exams • Alternative Route to Certification • Future of assessment and examination CFPC Section of Residents (SoR) ► Observer Priority given to RDoC Board Member Total Meetings: 2; September 2014; March 2015. The Section or SoR was established by the CFPC in an effort to obtain input from Family Medicine residents from across Canada. The Section is a national, elected committee of Family Medicine Residents representing their respective family medicine training programs which Page 11 | 21 Meeting dates and locations are subject to change FMEC PG Career Planning and Residency Matching Process Working Group ► Member Future of Medical Education in Canada Postgraduate Project (FMEC PG) The Future of Medical Education in Canada Postgraduate Project (FMEC PG) was the second in a series of projects funded by Health Canada to create a vision for producing the types of physicians Canadians need, now and in the future. Building on a previous effort that focused on the training of students going through undergraduate medical school, FMEC PG looked at ways to improve their postgraduate education as they moved through residency and into independent practice. The Future of Medical Education in Canada: A Collective Vision for PG Education report, released in March 2012, sets out 10 recommendations for achieving the project’s vision as well as the actions that must be taken in order to succeed. Between April 2013 and March 2016, the FMEC PG Project is charting a new course for major improvements to postgraduate medical education as Canada’s medical doctors move through residency and into independent practice. The ultimate goal is to ensure that medical residents receive the best training possible and are able to meet the changing healthcare needs of Canadians. Priority given to Practice Committee co-chair / RDoC Board Member Total Meetings: Teleconferences and up to one inperson meeting per year Formerly the Selection and Entry Disciplines group, the FMEC PG Career Planning and Residency Matching Process Working Group is charged to review the process whereby medical students engage post-graduate training opportunities. This Working Group is specifically addressing the following: more effective alignment of the learning continuum from entry to medical school through to readiness for independent practice; an examination of all aspects of the process by which medical students select and apply for postgraduate positions, with the goal of ensuring transparency, validity and consistency throughout; improving the support and counseling of undergraduate students regarding career selection. Issues key to RDoC FMEC PG Accreditation Implementation Committee ► Member Position filled until June 2016 The Accreditation Implementation Committee was established under the umbrella of the Future of Medical Education-Postgraduate Project (FMEC PG), in order to advance FMEC PG Recommendation # 10: Alignment of Accreditation Standards. More specifically, the recommendation stated: “Accreditation standards should be aligned across the learning continuum (beginning with undergraduate medical education and continuing through residency and professional practice), designed within a social accountability framework, and focused on meeting the healthcare needs of Canadians.” Issues key to RDoC: • Accreditation alignment across the continuum • Conjoint accreditation standards and processes • Measureable outcomes for accreditation • Alignment of the learning continuum from entry to medical school through to readiness for independent practice • Selection process for entry into postgraduate training • Streamlining career path during undergraduate training • Innovative approaches for selection of residency positions • Career counselling and support for career selection FMEC PG Clinician Teachers Implementation Committee ► Member Total Meetings: Teleconferences and up to one in-person meeting per year The Committee was formed to implement the FMEC PG Collective Vision Recommendation 7 “develop, support, and recognize clinical teachers.” A Symposium on Clinical Teachers was held in 2013 to identify themes for action towards developing a national strategy for faculty development, and the Committee is specifically addressing the development of the following: an international repository of tools for clinical teachers, articulation of core competencies for faculty development curriculum, standards for accreditation, and a national governance structure for CPD and faculty development. Page 12 | 21 Meeting dates and locations are subject to change Issues key to RDoC • • both in Canada and internationally in order to define key concepts, strengths and weaknesses Role of residents as teachers and future clinical teachers, and national competency-based curriculum at residency level Issues key to RDoC: Assessment tools for residents to safely provide feedback to clinical teachers for ongoing professional development. • Development of an effective collaborative governance model in PGME • Social accountability • Improving efficiencies to support a more sustainable health care system. FMEC PG Collaborative Governance Council Priority given to RDoC President, Term of office – 2-year non-renewable FMEC PG Leadership Implementation Committee ► Member Total Meetings: Quarterly meetings during the year either in-person or electronically with at least one inperson meeting. Total meetings: Teleconferences and up to one in-person meeting per year The Governance Council is a collaborative governance structure for Postgraduate Medical Education (PGME) that will result in more efficient and effective medical education to prepare socially accountable physicians to provide high quality health care for Canadians. The PGME governance structure integrates the multiple bodies that play a role in PGME (including regulatory and certifying colleges, educational and healthcare institutions, and payers) to work collaboratively, across the PGME system, to achieve efficiency, reduce redundancy, and provide clarity on strategic directions and decisions for PGME in the best interest of society, learners and the health system. Issues key to RDoC: The FMEC PG Leadership Implementation Committee works to implement Recommendation # 8 of the FMEC PG Report, “Foster the development of collaborative leadership skills in future physicians, so they can work effectively with other stakeholders to help shape our healthcare system to better serve society” with a focus on the transformative action: “Develop, in close collaboration with UGME programs, a national core leadership curriculum for all residents that is focused on professional responsibilities, self-awareness, providing and receiving feedback, conflict resolution, change management and working as part of a team as a leader, facilitator or team member.” Issues key to RDoC: • National collaborative governance in PGME • Accreditation standards • Engagement of residents in decision-making processes • New leadership tools for learners • Strategic directions and decisions for PGME taking into account the best interest of patients, learners and the health system • Repository of curriculum design and delivery models FMEC PG Governance Implementation Committee FMEC PG Learning & Work Environments Implementation Committee ► Member Total Meetings: Teleconferences and up to one in-person meeting per year Position filled until June 2016 (3-year term) Total Meetings: Teleconferences and up to one inperson meeting per year The Committee was formed to implement the FMEC PG Collective Vision Recommendation # 9 to establish effective collaborative governance in post-graduate medical education. This includes reviewing challenges and barriers to collaborative governance; examination of existing models and/or practices of collaborative governance and success factors related to effective governance; an examination of collaborative governance The Learning & Work Environments Implementation Committee was formed to address the FMEC PG Collective Vision Recommendation 3 “create positive and supportive learning and work environments.” This includes identifying factors that optimize performance, learning and wellness; examining training models and opportunities for residents; as well as addressing accreditation standards and the impact of hidden curriculum. The initial focus is on information gathering, including literature reviews, environmental scans and surveys. Page 13 | 21 Meeting dates and locations are subject to change Issues key to RDoC • Factors that optimize performance, learning and wellness • Positive and negative aspects of hidden curriculum • Accreditation standards and training models for optimal learning and work environments FMEC PG Social Accountability Implementation Committee ► Member acts as the Secretariat. Ten Recommendations have come forward from a rigorous review of Postgraduate Medical Education in Canada. The Strategic Implementation Group (SIG) comprises key influencers and strategic partners who advise on the implementation of the FMEC PG project’s key deliverables. Several working groups and subcommittees have been created to directly guide implementation activities of the FMEC PG Collective Vision recommendations. Issues key to RDoC: Priority given to Practice Committee co-chair / RDoC Board Member Total Meetings: Teleconferences and up to one inperson meeting per year This Committee was formed to implement the FMEC PG Collective Vision Recommendation 2 “cultivate social accountability through experience in diverse learning and work environments.” This includes formulating implementation activities and action plans to help change the culture of residency education so it provides experiences for all residents in a diversity of learning environments that reinforce our collective socially accountable mandate. Issues key to RDoC • How social accountability is addressed in PGME (issues, themes, best practices) • Ways to instill social accountability values into all residents’ learning experience • Providing diverse learning environments (exposure to varied practice settings and service delivery models) • • Accreditation standards alignment • Social accountability • Learning and work environments • Transitions • Assessment • Distribution and mix of physicians to meet health care needs FMEC PG Transition from Medical School to Residency Working Group ► Member Total Meetings: Teleconferences and up to one in-person meeting per year The Transitions to Residency Working Group is responsible for defining and describing the important issues around how to ensure that newly minted MD’s are competent and comfortable to being their residencies. It will provide actionable implementation plans to address this transition milestone in Canadian direct-entry residency programs. The project objectives include: Issues key to RDoC Emphasis on improving care to underserved and disadvantaged populations and respecting variations in health care needs among different patients and communities Career planning resources and supports FMEC PG Strategic Implementation Group • • Effective handovers and transitions between medical schools and postgraduate programs • Multiple entry points into residency post graduate education • General/core competencies Priority given to RDoC Board Member FMEC PG Transition from Residency to Practice Working Group ► Member Total Meetings: Teleconferences and up to one inperson meeting per year Total Meetings: Teleconferences and up to one in-person meeting per year A consortium of four organizations – the Association of Faculties of Medicine of Canada, 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 (Royal College) – spearheaded the Future of Medical Education in Canada Postgraduate (FMEC PG) Project, funded by Health Canada. The AFMC The Transitions to Practice Working Group is charged with examining the final phase of residency training, and developing models that enhance the preparation of physicians for practice. This WG was created to further implementation of FMEC PG Recommendation 5 Transitions: Ensure Effective Integration and Transitions along the Educational Continuum. Page 14 | 21 Meeting dates and locations are subject to change Issues key to RDoC • Competencies required for transition to independent practice, beyond knowledge and technical skills • Evaluation of these competencies, including optimal timing of these assessments • Mentorship programs that works locally, nationally, and is governed with authority. The primary area of consensus is on improving the pan-Canadian alignment of physician human resources through collaborative physician HR planning. The work encompasses improved planning and decision-making support (including tools, other evidence or planning methodologies) as well as examination of emerging issues impacting pan-Canadian physician HR. FMEC PG Transitions Implementation Committee ► Member Priority given to RDoC Practice committee co-chair / Board Member Total Meetings: Teleconferences and up to one inperson meeting per year Recommendation 5 of the FMEC PG report is to Ensure Effective Integration and Transitions along the Educational Continuum. The AFMC, with the support of Health Canada, has established a Transitions Implementation subcommittee, with three working groups: Transitions to Residency, Transitions to Practice, and Selection and Entry Disciplines. Over 3 years, the Transitions sub-committee is charged to propose and implement projects to address, promote and facilitate implementation of the recommendation to develop smoother and more effective transitions from medical school to residency and from residency into clinical practice. Issues key to RDoC • Transition models and best practices that respond to identified health care system priorities. • Effective integration of transitions along the medical education continuum • Preparation for practice Issues key to RDoC • Physician mix and distribution to meet the health care needs of the population • Aligning residency positions to employment opportunities • Improving decision-making support for learners • Pan-Canadian physician planning to better inform physician supply and need/demand • Collaboration and coordination to address physician imbalances across identified specialties Physician Resource Planning Task Force Technical Steering Committee (TSC) Total Meetings: E-mail communication and up to four inperson meetings per year (once per quarter) The purpose of the TSC is to provide technical advice to support model scope and development for panCanadian physician resource planning to better inform physician supply and need/demand. This is an activity that is advancing work on Recommendation # 1 of the FMEC PG project “to ensure the right mix, distribution and number of physicians to meet societal needs.” Issues key to RDoC Physician Resource Planning Task Force Priority given to Practice Committee co-chair / RDoC Board Member • Development of a pan-Canadian physician planning tool to better inform physician supply and need/demand • Better coordination of physician planning nationally • Best practices related to physician resource planning modelling Total Meetings: E-mail communication and up to four inperson meetings per year (once per quarter) In June 2012 the Conference of Deputy Ministers directed that ACHDHR (now the Committee on Health Workforce) to work with the Association of Faculties of Medicine of Canada (AFMC) to examine ways in which Recommendation 1 of the FMEC PG report, to “ensure the right mix, distribution and number of physicians to meet societal needs” could be advanced. The Task Force was established to look for short-term objectives that could advance the long-term goal of creating a process Page 15 | 21 Meeting dates and locations are subject to change Junior Doctors Network (JDN) MCC Blueprint Project Governance Board ► Member JDN ► Member Position filled until 2016 Priority given to RDOC Board Member Total meetings: 1-2 in-person per year Total Meetings: 1-2 in conjunction with the WMA General Assembly & Council Meetings; + monthly teleconferences The Medical Council of Canada (MCC) assesses over 11,000 medical students and graduates every year through its qualifying examinations (MCCQE’s) to fulfill its mandate to administer a uniform system for physician assessment for all of Canada. The MCC’s credential, the Licentiate of the MCC (LMCC) is meant to be the final educational credential to allow independent unsupervised practice. The World Medical Association (WMA) is comprised of national member associations (NMAs) and provides ethical guidance to physicians through its Declarations, Resolutions and Statements. The Junior Doctors Network (JDN) is comprised of individual postgraduate medical trainees who are associate members of the World Medical Association (WMA). The JDN provides a forum for experience sharing, policy discussion and resource development on issues of interest to trainees, including global health, postgraduate training, safe working conditions, and physician migration. Issues key to RDoC • Duty hours and junior doctor wellbeing • HHR planning and physician migration • Global Health Training and Ethical Implications • International liaison/collaboration with JDN and WMA members The Blueprint Project has 2 general phases. Phase 1 establishes the MCC Blueprint and Test Specifications through evidence-based information and consultation with various stakeholders, with finalization through MCC Council. Phase 2 encompasses both the: transition of current MCC Qualifying Examinations (QEs) content and assessment tools to meet the established Blueprint, and development through partnerships and collaboration of new tools to assess competencies not fully tested by MCC examinations (i.e. assessment evolution). The timeline for these activities are tentatively expected to lead up to the year 2017, before which no operational change is expected. Issues key to RDoC • Medical Council of Canada (MCC) Medical Council of Canada (MCC) ► Observer Total Meetings: one in-person meeting, September 2015 The MCC is responsible for promoting a uniform standard of qualification to practice medicine for all physicians across Canada. The qualification, known as the Licentiate of the Medical Council of Canada (LMCC), remains acceptable to provincial medical regulatory authorities. This ensures portability across the country, while continuing to guarantee that each province and territory maintains the right to grant the license to practice medicine. Issues key to RDoC • Costs of examinations • IMG credentialing process • Standards of professionalism • National Assessment Collaboration Evolution of examination process The Royal College of Physicians and Surgeons of Canada (Royal College) The Royal College is a national, professional association established in 1929 by a special Act of Parliament to oversee postgraduate medical education. It ensures that the training and evaluation of medical and surgical specialists attain the highest standards. The Royal College recognizes 79 disciplines, granting Fellowships in 29 specialties, 34 subspecialties, three special programs and 13 Areas of Focused Competence (AFC-diplomas). The Royal College requires Fellows worldwide to maintain their competence throughout their careers; it acts and speaks out in support of the most appropriate context for the practice of specialty care and the best patient care. The Royal College accredits the residency programs at 17 universities across Canada and also accredits the learning activities that physicians pursue in their continuing professional development programs. The Royal College verifies that a physician has met all the requirements necessary for Royal College certification. Page 16 | 21 Meeting dates and locations are subject to change Royal College Accreditation Committee ► 1 voting & 1 observer member Accreditation Standards Development Working Groups The RDoC position is held for two years, the first year as an observer and the second year as the voting representative. Each representative is expected to attend at least one accreditation survey during his/her term. Positions filled until June 2016 Total Meetings: 3; Dates TBD: Fall 2015, January 2016, June 2016 (conjoint with CFPC); Ottawa. The Accreditation Committee (AC) is a subcommittee of the Royal College Education Committee. Its major role is to ensure that residency programs accredited by the Royal College meet the requirements and standards for accreditation and are conducted in a manner that permits graduates of the programs to achieve a level of competence compatible with Royal College certification. Issues key to RDoC: • Resident involvement in accreditation surveys • Conjoint standards of accreditation • Assessments of accredited residency programs • Accreditation workshops and training Conjoint Committees/Working Groups on Accreditation: Monthly teleconferences and work between monthly calls Six accreditation standards development working groups have been created by the Royal College, the CFPC and CMQ, with responsibility for undertaking an in-depth analysis and development of residency education accreditation standards associated with their respective domains. The six accreditation standards working groups are – Institutional Governance, Program Organization, Education Program, Learners Teachers and Administrative Personnel, Resources, and Continuous Improvement. Each working group is expected to prepare a draft set of accreditation standards for ultimate approval by the governing bodies for accreditation at the Royal College, CFPC, and CMQ. Issues key to RDoC: • Accreditation of residency programs • Continuous quality improvement • Resident involvement in standards development • Competency-based medical education Accreditation Standards Integration Committee Accreditation Process Working Group Position filled until June 2016 Position filled until July 2017 Total Meetings: Bi-monthly teleconferences and two inperson meetings Total Meetings: Monthly teleconferences The Accreditation Process Working Group is responsible for exploring opportunities and making concrete recommendations with respect to the accreditation process elements, policies and technologies to ensure a rigorous, defensible, and balanced residency education accreditation system that promotes programs’ own continuous quality improvement and is aligned with competency-based medical education. Recommended technological systems, processes and policies will be presented to the governing bodies for accreditation at the Royal College, CFPC and CMQ for discussion, refinement, and approval in time for an in-depth national consultation with all stakeholders involved in accreditation beginning in the fall of 2015. Issues key to RDoC: • Efficiency of the accreditation process • Continuous quality improvement of programs • Process automation The Accreditation Standards Integration Committee oversees the development and integration of the new standards for accreditation of residency education institutions and programs in Canada. It is responsible for reviewing and providing feedback on the draft residency standards developed by the accreditation standards working groups and will also be asked to approve the accreditation standards for presentation to the governing bodies for accreditation at the Royal College, CFPC, and CMQ for discussion, refinement, and approval in time for an in-depth national consultation with all stakeholders involved in accreditation beginning in the fall of 2015. Conjoint Task Force on Resident Input into the Accreditation Process Positions filled until June 2016 Total Meetings: Monthly teleconferences Conjoint task force of the Royal College, CFPC, CMQ, RDoC and FMRQ to explore opportunities and make concrete recommendations with respect to ensuring that resident Page 17 | 21 Meeting dates and locations are subject to change input into the residency education accreditation process and its related processes are effective, confidential, valid, consistent, transparent, and of high quality in order to provide consistent and unique information to assist surveyors in the accreditation process. Recommendations will be presented to the governing bodies for accreditation at the Royal College, CFPC, and CMQ for discussion, refinement, and approval in time for an in-depth national consultation with all stakeholders involved in accreditation beginning in the fall of 2015. physician’s career, addressing newer competencies such as Leader and newer themes such as social accountability, patient safety and inter-professionalism. CanMEDS 2015 is one key initiative in the Royal College’s Competence by Design project. RDoC is an active participant in this process and has participated in all consultations. Issues key to RDoC: Royal College Assessment Committee ► 1 voting and 1 ex-officio non-voting member The voting position is appointed by the Royal College from nominations submitted by RDoC. • Implementation of competencies • Implications of new competencies to learners • Evaluation and assessment • E-portfolios • Faculty development • Communication of upcoming changes to learners Total Meetings: 2; September 17-18, 2015; February 2016; Ottawa Royal College Committee on Specialties ►1 voting and 1 ex-officio non-voting member The Assessment Committee is a subcommittee of the EdC. It advises on all assessment matters relating to Royal College specialty certification examinations, including requests from candidates for formal reviews. The committee is responsible for developing standards and policies governing the conduct and quality of specialty and sub-specialty examinations, performing annual reviews of the content and administration of all specialty and subspecialty examinations, reviewing and approving requests for changes to examination formats, and participating on Formal Review panels (appeals) for examinations when required. The voting position is appointed by the Royal College from nominations submitted by RDoC. Total Meetings: 2; November 5-6, 2015; Spring 2016; Ottawa • Annual reviews of the content and administration of all specialty and subspecialty exams • Standards and policies governing the conduct and quality of specialty and subspecialty exams The Committee on Specialties (COS) is a subcommittee of the Royal College Education Committee. It is responsible for providing advice and making recommendations on matters relating to the specialties recognized by the Royal College. The major tasks of the COS are to define requirements for the recognition of disciplines, perform periodic reviews of the status of recognized disciplines, evaluate submissions for recognition of new disciplines, and oversee the activities of the specialty committees that are established for every discipline recognized by the Royal College to advise on discipline-specific content and issues (e.g., standards, credentials, assessment and accreditation). • Timing of examinations Issues key to RDoC: Issues key to RDoC: Royal College CanMEDS 2015 National Advisory Committee Priority given to RDoC Board Member Total Meetings: Teleconferences and up to one inperson meeting per year • Recognition of new disciplines • Status of recognized disciplines • Discipline specific content issues (standards, credentials, assessment, accreditation) Royal College Council ► Observer The National Advisory Committee (NAC) provides strategic direction on the CanMEDS 2015 initiative. The Royal College has spearheaded an update of the existing CanMEDS roles to ensure that the CanMEDS framework continues to be reflective of changes in healthcare and medical education research and practice. This includes introduction of milestones across the continuum of a Attended by RDoC President and Executive Director Total Meetings: 2; Fall 2015, Spring 2016 Council is the senior governing body of the Royal College. Its over-arching role is to ensure the legal and ethical integrity of the Royal College. It defines the values, mission, vision, goals, objectives and strategic directions of the Royal College, and formulates and approves general Page 18 | 21 Meeting dates and locations are subject to change policies. Council also ensures the accountability of the Royal College by monitoring and supporting the implementation of policies, directives and the general functions of the Royal College. It fulfills this accountability and monitoring function through various means including the receipt and review of reports from the Executive Committee, Vice-Presidents, standing and other committees and the CEO. processes, and credentialing of candidates for examination leading to certification. Issues key to RDoC: Issues key to RDoC • • Specialty-specific objectives and training requirements • Accreditation Standards • Evaluation instruments and processes • Assessment of applications for academic certification • Promotion and implementation of policies that enhance PGME • Oversees the process for appeals of a Royal College ruling on training credit or eligibility for the exams Resident relationship with Royal College Royal College Credentials Committee (CC) ►1 voting and 1 ex-officio non-voting member The voting position is appointed by the Royal College from nominations submitted by RDoC. Total Meetings: 2; October 29, 2015 Ottawa; Spring 2016, generally by teleconference. The Credentials Committee (CC) is a subcommittee of the Education Committee. It advises on policies relating to credentialing as well as ruling on selected credentialing cases. The major tasks of the CC are to develop policies for assessing the eligibility of applicants for admission to the Royal College specialty examinations, and determine the ruling of an applicant’s examination eligibility and/or the conditions to be met by the applicant to attain eligibility for admission to the Royal College specialty examinations. Issues key to RDoC: • Practice Eligibility Route • Transfer of credits • Waiver of Training • Examination eligibility Royal College E-portfolio Advisory Committee ►2 resident members – 1 surgery, 1 medicine Total Meetings: Teleconferences as needed and one inperson meeting The Royal College ePortfolio Advisory Committee provides guidance and perspectives related to the design, development, testing and continuous enhancement of an expanded Royal College ePortfolio for residents, Fellows and MOC Program participants. This is one component of the Royal College’s Competence by Design (CBD) initiative facilitating the transition to a competency-based medical education model for residency education and continuing professional development. The CBD initiative includes a number of strategic projects including but not limited to revisions to the CanMEDS competency framework (CanMEDS 2015) and enhancements to Royal College’s ePortfolio (MAINPORT) to support learning and assessment from the beginning of residency to retirement. Royal College Fellowship Affairs Committee (FAC) ► Non-voting member Royal College Education Committee ► 1 voting and 1 ex-officio non- voting member The voting position is appointed by the Royal College from nominations submitted by RDoC. Total Meetings: 2; November 26-27, 2014; April 2016; Ottawa. The Education Committee (EdC), a standing committee of Council, develops policies to enhance the quality and effectiveness of the Royal College’s postgraduate medical education and evaluation processes. The major responsibility of the EdC includes the definition of specialties and subspecialties, including their specialtyspecific objectives and training requirements, accreditation standards, evaluation instruments and Total Meetings: 2; Fall 2015 – Ottawa; Spring 2016 The FAC, a standing committee of the Royal College Council, addresses a wide spectrum of issues pertinent to Fellows of the Royal College. FAC receives recommendations and reports from its subcommittees and serves as one mechanism for the membership to provide input to Council and other Royal College committees on College programs and policies. Page 19 | 21 Meeting dates and locations are subject to change Issues key to RDoC • Resident Membership in Royal College • Communications between Fellows & Residents • Volunteer support and recognition • Support and enhance members’ continuing education Education (ICRE). This will typically include organization of the workshops, plenary sessions, and gatherings of and for residents attending the annual event. The IRLS planning committee is the leadership forum for the IRLS. Its primary purpose is to facilitate the goals and objectives for the event, as well as develop programs in concert with Royal College objectives to benefit residents. Royal College Health and Public Policy Committee (HPPC) ► Voting member Issues key to RDoC • Total Meetings: Teleconferences and in-person meeting in Fall 2015 The HPPC, a subcommittee of the Executive Committee, provides advice and recommends policies and approaches that assist the College to fulfill its mandate in areas related to health and public policy, advocacy and research, in keeping with the vision, values and mission of the Royal College. • Royal College National Steering Committee on Resident Duty Hours Priority given to Wellness Committee Co-Chair/RDoC Board Member Total Meetings: Teleconferences and email correspondence Issues key to RDoC • Medical Professionalism • Health Human Resources • Labour mobility/changing regulatory landscape Royal College International Conference on Residency Education (ICRE) Program Advisory Board ► Member Total Meetings: Monthly teleconferences and one inperson meeting at the ICRE in Fall 2016. The RDoC rep starts his/her term following the 2015 ICRE in October 2015. The ICRE Committee is responsible for defining the program content of the ICRE, inviting participants and performing all the organizational tasks necessary to run the conference. The goal of the conference is to promote excellence in residency education in Canada and worldwide. Issues key to RDoC • Resident contribution to IRLS program content and development Offering perspectives regarding resident professional development training and education The National Steering Committee on Resident Duty Hours is a partnership of nine national health care organizations who undertook a national collaborative project to address the hours worked by Canadian physicians and surgeons in residency training and develop a pan-Canadian consensus on a way forward. After extensive review of the existing evidence, the NSC issued the June 2013 report Fatigue, Risk and Excellence: Towards a Pan-Canadian Consensus on Resident Duty Hours that outlined 5 key principles and made a series of recommendations for implementation that the National Steering Committee (NSC) is now seeking to move forward. Issues key to RDoC • Duty hours reform • Fatigue management Royal College Professional Development Committee (PDC) ► Member Currently filled until 2016 Resident contributions to conference theme, speakers, workshops Total Meetings: 2; November 19-20, 2015 (Ottawa); Spring 2016 Royal College International Resident Leadership Summit (IRLS) Planning Committee ► Member Total Meetings: Teleconferences and email correspondence The key responsibility of the International IRLS Planning Committee is the regular conduct of the IRLS at the Royal College International Conference on Residency The PDC is responsible for recommending, implementing and monitoring policies relevant to the development of the Maintenance of Certification program, the promotion of excellence in lifelong learning processes, strategies and tools for professional practice and the monitoring of practice assessment and improvement strategies that guide innovation, evaluation and scholarship. Page 20 | 21 Meeting dates and locations are subject to change Issues key to RDoC • Continuous quality improvement • Continuing professional development theory and practice • Maintenance of Certification Society of Rural Physicians of Canada SRPC ► Representative Priority given to RDoC Board member Total Meetings: 2; Fall 2015; Spring 2016 Founded in 1992, the SRPC’s mission is to provide leadership for rural physicians and promote sustainable conditions and equitable health care for rural communities. SRPC performs a wide variety of functions, such as developing and advocating health delivery mechanisms, supporting rural doctors and communities in crisis, promoting and delivering continuing rural medical education, encouraging and facilitating research into rural health issues, and fostering communication among rural physicians and other groups with an interest in rural health care. Issues key to RDoC • Portability of licensure • National rural health strategy • Monitor initiatives to promote Family Medicine residency • Participate in initiatives to support rural residents • DME and capacity Page 21 | 21 Meeting dates and locations are subject to change
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