Family Medicine

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Context World Book of Family Medicine – European Edition 2015 Several factors have stimulated reflection and evolution regarding CFPC’s maintenance of certification programme: 1. Team based care; 2. Greater importance of work-based learning; 3. The need for reflection about impact of learning on practice, given the evidence to support the importance of this step to support practice improvement; 4. Regulatory context in which increasingly physicians will need to demonstrate maintenance of competence and a commitment to practice improvement. Action The CFPC will be introducing an enhanced programme of maintenance of Certification, Mainpro+, in July 2015. It aims to support family physicians better in assessing their learning needs, to help them to capture the many ways in which they further their learning in all spheres of practice, and to reflect on the impact of each learning activity on their practice. Mainpro+ has three categories of CPD activities: Group Learning, Self Learning, and Assessment, with subcategories (Certified and Non-Certified) within each group. There will continue to be a yearly minimum requirement of credits for each five year Mainpro cycle. CPD activities that stimulate learning in all the roles expected of physicians (Collaborator, Communicator, Manager/Leader, Professional, Scholar, Health Advocate, Medical Expert-Definitions based upon CanMeds-FM) will be encouraged and incentivised, and recognition of the learning needed to excel at teaching, research, and administration as well as clinical work. All participants will be encouraged to develop a learning plan at the beginning of their cycle. For those family physicians who have acquired enhanced credentials in a focused area of practice, there will be a minimum number of credits required to address that practice domain. The CFPC, along with several other medical professional organizations, will build upon the Future of Medical Education in Canada (FMEC) project, to be part of a consortium working towards a CPD system that can consistently address evolving needs and priorities. The 3-year planning phase will be co-chaired by CFPC and the Royal College of Physicians and Surgeons of Canada. Describing and bringing these future directions to life will be accomplished through commissioning a series of collaborative projects to address important questions that will have a bearing on the future of CPD and the role(s) of a future Consortium (e.g. How will CPD activities be funded? What will be the role of patients and the public in setting priorities? How will team-based care be reflected in the setting of learning? etc.). The FMEC- CPD project will leverage the high degree of collaboration and conjunction of interest that already exists across the many organizations involved in CPD to construct a future pan-Canadian system with an appropriate governance structure that can respond more completely to the diversity of physician, provider, and societal health care needs. We have good evidence that clinicians who commit to lifelong learning perform better in practice. Mainpro+ aims to facilitate such engagement. The FMEC-CPD project will include a robust evaluation agenda to confirm collaborative priority-setting to support this learning. Take home messages The context of practice is evolving: team based care, workplace based learning, and increased accountability expected of our profession. Our CPD system needs to evolve to support physicians in their engagement in lifelong learning CFPC’s new Mainpro+ programme will better support physicians in assessing their learning needs, developing a plan, and measuring the impact of learning on all aspects of their practice. The CFPC is part of a consortium to build upon the Future of Medical Education in Canada (FMEC) project, to build a Pan-Canadian Planning Consortium for CPD. The initial phase of this work will unfold in 2015-2017 Original abstract http://www.woncaeurope.org/content/4488-transition-cme-cpd-fostering-good-practice-through-education References: Meuser J, Hill L, Outschoorn A: Learning to change: Coming updates to the CFPC Mainpro program; Can Fam Physician September 2013 59:913-914 The Future of Medical Education in Canada (FMEC) Continuing Professional Development (CPD): A Strategy for the Development of a Pan-Canadian FMEC CPD Consortium (unpublished)-Development coordinated by the Association of Faculties of Medicine of Canada-last revision August 2014 98
World Book of Family Medicine – European Edition 2015 Goulet F, and all: Effects of Continuing Professional Development on Clinical Performance: Results of a study involving family practitioners in Quebec; Can Fam Physician May 2013 59: 518-525 Lemire F: Mainpro: From improvement of knowledge to improvement of performance; Can Fam Physician September 2013 59: 1020 CanMEDS-Family Medicine: A Framework of Competencies in Family Medicine - See more at: http://www.cfpc.ca/ProjectAssets/Templates/Resource.aspx?id=3031#sthash.FsnHuFaW.dpuf 99
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Family Medicine

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