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The report from the Medical Council of Canada's Assessment Review Task Force Implementation Committee outlines recommendations to modernize physician assessments in Canada for the 21st century. It recommends expanding the scope and content of MCC examinations. It also recommends increasing flexibility in exam scheduling and exploring options for a more integrated national assessment strategy with partners like the College of Family Physicians of Canada and Royal College of Physicians and Surgeons of Canada. Finally, it recommends developing additional tools to rigorously assess the competencies of international medical graduates applying to practice in Canada.
Artf presentation
- 1. Medical Council of Canada Assessment Review Task Force Recalibrating for the 21st Century Report of the Implementation Committee Ottawa, September 2012
- 2. Future of Medical Education in Canada • • Respond to societal needs and ensure diversity in admissions • Respect the scientific basis of medicine including prevention and public health • Provide diverse learning contexts and emphasize generalism • Focus on intra and inter professional practice and encourage leadership • Move to a competency-based assessment system
- 4. ARTF Implementation Committee • Rose Carter (Chair) • Trevor Theman • Oscar Casiro • Anne-Marie MacLellan • Nancy MacBeth • Michael Marrin • Jay Rosenfield – Ian Bowmer – Krista Breithaupt – Andre De Champlain – Yves Lafortune – Darlene Link – Andrée Fortin-Bélanger 4
- 5. Recommendation 1 That the requirements for the LMCC include all components of the Canadian registration standard for full licence: • A recognized MD degree • MCCQE Part I and II • Formal postgraduate education acceptable to the medical regulators • Certification from CFPC or RCPSC ARTF
- 6. Recommendation 2 That the content of MCC examinations be expanded by: • Defining the knowledge and behaviours in all the CanMEDS roles for independent practice. • Revising the examination blueprints and reporting. • Review content and skill coverage on the blueprints for all MCC examinations. • Determine core competencies considered essential and explore the development of new tools to assess these specific competencies. ARTF
- 7. Recommendation 3 That the timing and frequency of MCCQE Part I and II, be revisited by: • Exploring options that would allow more flexibility in the scheduling of all MCC examinations. • MCCQE Part I (the knowledge and the clinical decision-making) and its prerequisites to be assessed at the most appropriate times in the learning /assessment continuum. • Continuing discussions with the CFPC and the RCPSC leading to the development of an integrated national assessment strategy. ARTF
- 8. Business Enterprise Developments to Promote Flexibility Solution for Item Banking (all exams) Scoring & Results Management Automated Item Generation 8 ARTF Recommendation #3
- 9. Harmonization CFPC Four more Simulated OSCE Stations Office Orals Common OSCE 9
- 10. Recommendation 4 That a rigorous look at the assessment of IMGs be undertaken with a view to developing the additional tools needed to clearly assess the competencies of IMGs by: • Promoting the MCCEE for its intended purpose. • Developing and standardizing other tools necessary to screen and assess IMGs coming to Canada for the purpose of entry into postgraduate training. • Determining the role of the MCC in assessing IMGs for readiness to entry into practice in Canada (e.g., identifying appropriate tools; creating new tools; developing standards to audit tools; or perform the assessments). • With partners, creating a framework for assessment for practice readiness. • Facilitating the development of a Canada-wide approach to assessment of IMGs for preparedness for practice. ARTF
- 11. NAC – Practice Ready Assessment Framing our Focus: Experience Credentials Pan-Canadian PRA Process Screening assessments (Point-in-Time) Eligible Practice Ready Point-in-Time Over-Time PRA Provisional Route Assessment Licensure Assessment Decision Sponsorship Common toolkit Standard decision & appeals process Trained assessors 11
- 12. Recommendation 5 That the MCC take the lead in creating a collaborative framework and an integrated national strategy for competency assessment of physicians throughout their medical careers, by working with the Federation of Medical Regulatory Authorities of Canada, the Collège des médecins du Québec, the College of Family Physicians of Canada and the Royal College of Physicians and Surgeons of Canada.
- 13. ARTF – Action Items • Develop a map of all current MCC projects and align them with the ARTF recommendations 13
- 14. ARTF Implementation Map Application for Medical Registration in Canada & sub-projects • Delivery date: March 2013 • Delivery date: March 2013 CFPC-MCC Harmonization • Refined Model: December 2015 Scoring & Results Management • Proposed delivery date: mid 2013 Solution for Item Banking (Phase III, all exams) • Delivery date: to link with Blueprint Blueprint Project • Three phases - 2013 -2014 - 2016 NAC Practice Ready Assessment (Phase I Design) • Delivery date: December 2013 Space Planning • Proposed delivery date: January 2015 Flexibility - Increased Frequency of MCCQE Part I and • Proposed delivery date: July 2016 harmonization of one or more Royal College Specialty with Part II International Delivery of MCC QE Part I • Proposed delivery date: dependent on business plan 14 ARTF Implementation Committee
- 15. ARTF – Action Items Review the FMEC PG recommendations and ensure that the Blueprint project is aligned with the significant recommendations. 15
- 16. Postgraduate education 1. Ensure the Right Mix, Distribution, and Number of Physicians to Meet Societal Needs 2. Cultivate Social Accountability through Experience in Diverse Learning and Work Environments 3. Create Positive and Supportive Learning and Work Environments 4. Integrate Competency-Based Curricula into Postgraduate Programs 5. Ensure Effective Integration and Transitions along the Educational Continuum
- 17. Postgraduate education 6. Implement Effective Assessment Systems 7. Develop, Support, and Recognize Clinical Teachers 8. Foster Leadership Development 9. Establish Effective Collaborative Governance in PGME 10. Align Accreditation Standards
- 18. ARTF – Action Items • Approach the RCPSC re: flexibility of exams. Possible harmonization of other specialty examinations Develop a White Paper describing a model for an integrated national assessment strategy • Include consultation with the Royal College and CFPC 18
- 19. ARTF – Action Items FMRAC Working Group on Assessment and Supervision to Steer Recommendation #5 - Practice Ready Assessment Begin to develop a communication strategy based on the work already started with the Blueprinting Project 19