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Accreditation Report - CFPC

This report outlines the accreditation status and issues faced by various Family Medicine and Palliative Medicine programs under the CFPC and RCPSC as of June 25, 2007. Most programs received approval, with provisional statuses noted for some areas, including Adult Infectious Diseases and Diagnostic Radiology. Major themes highlighted include challenges in funding, resident space, learning environments, and administrative support for Program Directors. Increased cases of resident remediation and probation were reported, indicating a need for improvements in trainee evaluation and support.

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Accreditation Report - CFPC

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

  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 RadiologyMedical Genetics Pediatric Critical Care Psychiatry • Notice of Intent to Withdraw Pediatric Infectious Disease

  3. RECURRENT THEMES from 2007 RCPSC Program Reports TOTAL COMMENTS FROM PROGRAMS = 43 • RESOURCES • Issues with Funding x 3 • Space for residents x 3 • 11 Programs with comments, Total comments = 14 • 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 • PD SUPPORT • Issues with Support for Program Director/admin x 6 • 6 Programs with comments, Total comments = 6

  4. B STANDARDSfrom 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. 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. Internal Review Committee2007-2013 • Chair: Dr. Glen Bandiera; Vice-Chair: Dr. Linda Sugar • Member recruitment in progress • Think of potential IRC Resident Reps • First meeting: February 26th (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. PORTALUPDATE 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. PORTALUPDATE 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. 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. 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. 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. 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. 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%

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