Revalidation of Licensure

1
Revalidation of Licensure

• Douglas H. Blackman, MD, CCFP
• Deputy Registrar
• College of Physicians Surgeons of BC
• May 12, 2008

2
The Challenge - A Balance of Interest

• The Public
• Trust
• The public interest
• The social contract
• The Profession
• Respect
• Reassurance
• Trust

3
The College Mandate

• To establish, monitor and enforce standards of
  practice to enhance the quality of practice and
  reduce incompetent, impaired or unethical
  practice amongst members
• To establish and maintain a continuing competency
  program to promote high practice standards
  amongst members

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The History

• International
• National
• Provincial / Local

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Revalidation National

• FMRAC Working Group on Revalidation
• Membership from several MRAs and other
  stakeholders
• MCC
• CMA
• CFPC
• RCPSC
• AFMC

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Revalidation Definition

• Revalidation is a quality assurance process in
  which members are required to provide
  satisfactory evidence of their commitment to
  continued competent performance in their
  practice.

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Revalidation - Purpose

• To reaffirm, in a framework of professional
  accountability, that physicians competence and
  performance are maintained in accordance with
  professional standards.

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Revalidation Position Statement

• All licensed physicians in Canada must
  participate in a recognized revalidation process
  in which they demonstrate their commitment to
  continued competent performance in a framework
  that is fair, relevant, inclusive, transferable
  and formative.

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Revalidation Basic Principles

• Fair
• The process of revalidation is transparent to the
  physician, uses fair and standardized tools, and
  is considerate of cost and administrative burden
  to the physician.

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Revalidation Basic Principles

• Relevant
• The process of revalidation is designed to
  confirm a physicians competence within the scope
  of his or her practice.

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Revalidation Basic Principles

• Inclusive
• Revalidation applies to all licensed physicians.

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Revalidation Basic Principles

• Transferable
• Participation in the process of revalidation will
  be mutually recognized by each Canadian
  jurisdiction and will not inhibit mobility in
  Canada.

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Revalidation Basic Principles

• Formative
• The process of revalidation is a constructive
  educational quality assurance process,
  independent and distinct from the disciplinary
  processes of the regulatory authorities.

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Revalidation CPSBC

• Committee on Revalidation of Licensure
• an ad hoc committee of Council
• Membership
• Dr. Euan Frew, Council Member RCPSC involvement
• Dr. Robert A. Bluman, UBC Dept CPD / KT
• Dr. Jonathan Slater, BCMA
• Dr. Robin D. Saunders, BCMA
• Dr. V.J. (Jim) Thorsteinson, CFPC
• Dr. Robert A. Baker, COMPA Committee, CPSBC
• Dr. Robert L. Halpenny, Medical Directors Group
• Dr. Douglas H. Blackman, Deputy Registrar, CPSBC

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Revalidation CPSBC

• To consider and advise on potential tools to be
  employed in a revalidation program / process in
  British Columbia.

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Revalidation CPSBC

• Potential Tools
• 1. Mandating compliance with the same CPD
  requirements as the CFPC or RCPSC for maintenance
  of certification / fellowship
• 2. Confirmation of hospital reappointment where
  relevant

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Revalidation CPSBC

• 3. 360 review with multisource feedback (e.g.
  CPSA PAR Program)
• 4. Formalization of COMPA Self-audit process with
  modifications
• discipline specific
• With colleague
• /- 360 feedback
• Include Practitioner Prescription Profile for
  review

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Reassurance

• Ultimately, it is our goal to develop a program
  that is robust, manageable and affordable.

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Reassurance

• This is not, nor is it intended to be, a
  disciplinary process.
• The focus will be educational and, where
  necessary, remedial.
• The only direct risk to a physician in this
  process as proposed would be willful
  non-participation.

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Reassurance

• The Colleges other complaint and investigative
  processes will continue to operate separately, as
  previously.

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Accountability

• As a profession generally, we are accountable to
  the public through the Legislature in accordance
  with the Medical Practitioners Act.
• As professionals, we are accountable to our
  patients and to one another.

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Revalidation of Licensure

• Thank You