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
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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
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ARTF Recommendation #3
9. Harmonization
CFPC
Four more
Simulated
OSCE Stations
Office Orals
Common
OSCE
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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
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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
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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
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ARTF Implementation Committee
15. ARTF – Action Items
Review the FMEC PG
recommendations and ensure that the
Blueprint project is aligned with the
significant recommendations.
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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
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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
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