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Medical Council of Canada Assessment Review Task Force Recalibrating for the 21st Century
Report of the Implementation Committee Ottawa, September 2012
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• 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
Future of Medical Education in Canada
http://mcc.ca/en/Publications/assessment_review_report.shtml
ARTF Implementation Committee
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• 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
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
Recommendation 1
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.
Recommendation 2
ARTF
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.
Recommendation 3
ARTF
8 ARTF Recommendation #3
Business Enterprise Developments to Promote Flexibility
Scoring & Results Management
Solution for Item Banking (all exams)
Automated Item Generation
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Harmonization
CFPC Simulated Office Orals
Four more OSCE Stations
Common OSCE
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.
Recommendation 4
ARTF
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Framing our Focus: Pan-Canadian PRA Process
Eligible
Screening assessments
(Point-in-Time)
Experience Credentials
Practice Ready Route
Point-in-Time Assessment
Over-Time Assessment
PRA Decision
Sponsorship
Common toolkit
Trained assessors
Standard decision & appeals process
Provisional Licensure
NAC – Practice Ready Assessment
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.
Recommendation 5
ARTF – Action Items
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• Develop a map of all current MCC projects
and align them with the ARTF recommendations
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ARTF Implementation Map
ARTF Implementation Committee
• Delivery date: March 2013 Application for Medical Registration in Canada & sub-projects
• Delivery date: March 2013 • Refined Model: December 2015 CFPC-MCC Harmonization
• Proposed delivery date: mid 2013 Scoring & Results Management
• Delivery date: December 2013 NAC Practice Ready Assessment (Phase I Design)
• Proposed delivery date: January 2015 Space Planning
• Delivery date: to link with Blueprint Solution for Item Banking (Phase III, all exams)
• Three phases - 2013 -2014 - 2016 Blueprint Project
• Proposed delivery date: July 2016
International Delivery of MCC QE Part I • Proposed delivery date: dependent on business plan
Flexibility - Increased Frequency of MCCQE Part I and harmonization of one or more Royal College Specialty with Part II
ARTF – Action Items
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Review the FMEC PG recommendations and ensure that the Blueprint project is aligned with the significant recommendations.
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
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
Postgraduate education
ARTF – Action Items
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• 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
ARTF – Action Items
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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
