Accreditation Standards and Accountability

Physician Organization | Accreditation Standards | Accountable Physician | UBC FoM Member | CFPC Member

Physician Organization

Only a physician organization may apply for accreditation/certification of a program for physician CPD study credits. The physician organization develops the CPD Activity from needs assessment through to evaluation, is responsible for selecting topics, content and presenters based on target audience needs, and ensures the scientific validity and objectivity of the program. The physician organization is in charge of the finances in that all registration/support are received and expenses paid by the organization, and the organization is responsible for any revenue or deficit. The planning committee is decided by the physician organization. A physician organization cannot consist of a small number of physicians working together to develop educational programming. The physician organzation must be Canadian.

Definition: A not-for-profit group of health professionals with a formal governance structure, accountable to and serving, among others, its specialist physician members through:
•    Continuing professional development
•    Provision of health care; and/or
•    Research

This definition includes (but is not limited to) the following groups:
•    Faculties of medicine
•    Hospital departments or divisions
•    Medical (specialty) societies
•    Medical associations
•    Medical academies
•    Physician research organizations
•    Health authorities not linked to government agencies (ie. BC's do not qualify)

Types of organizations that are not considered Physician Organizations:
•    Disease-oriented patient advocacy organizations (e.g. Canadian Diabetes Association)
•    Government departments or agencies (e.g. Health Canada, Public health Agency of Canada)
•    Industry (e.g. pharmaceutical companies, medical device companies, etc.)
•    Medical education or communications (MEC) companies (e.g. CME Inc.)
•    For-profit online educators, publishing companies or simulation companies (e.g. Medscape, CAE)
•    Small number of physicians working together to develop educational programming

Physician Organization Roles and Responsibilities:
•    Must be involved in planning all aspects of the CPD activity with the non-physician organization from the beginning of the planning process (needs assessment) to the end (evaluation).
•    Must appoint a scientific planning committee to develop and plan the program.
•    Has ultimate authority over all decisions and is accountable to ensure that the administrative, educational and ethical accreditation standards are met.
•    Responsible for:
     -the payment of honoraria, travel, lodging and meal expenses for faculty presenting at an accredited activity.
     -maintaining attendance records for a five-year period.
     -providing attendees with certificates of participation.
     -submitting an application to an accredited CPD provider.
     -implementing the activity based on the plan approved by the accredited CPD provider.
•    Co-development of the CPD activity with a not-for-profit organization is permitted and is recognized by the following statement (provided by the physician organization) on all program materials: This [program/workshop/seminar] was co-developed with [name of organization(s)] and was planned to achieve scientific integrity objectivity and balance.

Accreditation Standards

Ethical Standards
•  The physician organization has control over and assumes responsibility for topics, content and presenters, and ensures the scientific validity and objectivity of the CPD Activity
•  Planning committee is representative of target audience and as such includes RCPSC specialist(s) and/or CFPC family physician(s), and any other target groups
•  Planning committee does not include any representative of commercial interests, and there is no industry influence over topics, content or speaker selection
•  Sponsorships are in the form of educational grants payable to the physician organization
•  No drug or product advertisements appear on, or with, any of the written or presented materials
•  Budget identifies to UBC CPD all sources of revenue, expenses, and intent for any profits
•  Exhibits must be in a separate room from the educational CPD Activity
•  Generic product names are used or, if brand names use several
•  A balanced view of therapeutic options is presented and is up to date and free of commercial bias
•  Disclosure forms are completed by the planning committee and submitted to UBC CPD for review
•  Planning committee reviews the disclosures completed by the presenters and ensures appropriate conflict of interest management

Educational Standards
•  Physician organization conducts the needs assessment of target audience
•  Learner-centered objectives for overall CPD Activity and individual sessions address identified needs
•  Format and environment is appropriate for learning
•  Minimum 25% interactivity
•  Proper evaluation is conducted and includes opportunity to assess bias, learning objectives, reflection, balance, and identify CanMEDS/-FM roles addressed
•  For Mainpro+ certification only:
       -Presenters include in their presentations evidence with references and how it was used to create content
    Barriers to change are discussed in educational design

Administrative Standards
•  Planning meeting minutes are kept, with dates and attendees
•  Sponsorship agreements must be signed and countersigned
•  Organizers provide specific instructions to presenters regarding their involvement
•  All presentations are submitted in time for content review by the planning committee
•  Presenters use 2-step disclosure to participants, both in slides (disclosure, management) and verbally
•  All sponsors are identified to participants, using appropriate sponsor acknowledgement
•   Participants must be able to register and receive a receipt or record of registration. A registration fee must be charged when a CPD Activity has commercial support
•  Certificates with accreditation statement are provided to attendees

Responsibilities of Accountable Physician

Download for signature (for online applications only): Declaration of Accountable Physician

The Accountable Physician is the member of the planning committee representing the Physician Organization, and as such agrees to assume ultimate responsibility for upholding the accreditation standards in the educational design and in supporting the presenters to ensure that the following requirements for independence, balance, scientific rigor are met in the content of this CPD Activity. See Accreditation Standards.

For Mainpro+: Responsibilities of UBC Faculty of Medicine member

Download for signature (for online applications only): Declaration of UBC Faculty of Medicine Member

The UBC CPD or UBC Faculty of Medicine member certifies that they have been significantly involved in the planning, organization, development and implementation of the CPD Activity meets the following accreditation standards:

•  the CPD Activity content is based on a needs determination which is reflected in the objectives
•  the content is scientifically valid and balanced
•  the methods of presentation are appropriate for the content
•  the CPD Activity adheres to the ethical standards in the UBC CPD Guidelines for Support 2016            
•  proper disclosure of any potential conflicts of interests of the planning committee and speakers are declared         
•  there is a proper evaluation of the CPD Activity 
•  Post-event: the summary of yes/no responses to the industry bias question on the evaluations must be forwarded to UBC CPD within three months following your CPD Activity

For Mainpro+: Responsibilities of CFPC member

Download for signature: Declaration of CFPC Member

The CFPC member certifies that they are a family physician residing in the province where the CPD Activity is held and has had substantial input into the planning and development of the CPD Activity by:
•  being a member of the planning committee
•  ensuring the content is relevant to family medicine 
•  contributing the consideration of learning needs, the determination of learning objectives, development of program content, and the choice of speakers or presenters
•  being informed of any financial or non-financial incentives associated with the program


JoAnna Cassie: or 604.875.411 x69135

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