Presentation to CAPA Annual Meeting

MAINPRO +

25 October, 2014

Presenter Disclosure

• Faculty: Jamie Meuser

• Relationships with commercial interests:

Nil

Disclosure of Commercial Support

• This program has received NO COMMERCIAL financial support

• This program has received NO COMMERCIAL in-kind support

• Dr. Meuser is a paid employee of the College of Family Physicians of Canada

Objectives

• To highlight some features of the changes to the Mainpro program – Mainpro +

• To discuss some of the anticipated challenges

• To clarify, and respond to questions about Mainpro +

What is Mainpro?

Framework providing CPD participation guidelines and standards for Canadian family physicians

System that enables family physicians to conveniently track/monitor CPD participation

Educational certification ensuring high-quality, ethical CPD programming through a rigorous peer-review process

History of CPD/Mainpro

1954 CFPC founded; CME required

1969 First Certificants (CCFP)

1975 First Maintenance of Certification program

1995 Mainpro introduced

1998 Expanded MOC component → start of 5-year cycles

2001 New approach to Mainpro-C credits

2003 Modifications to Maintenance of Certification requirements and Fellowship

2013 Annual reporting requirements and online reporting

2015 Mainpro+

CAPA Participation in Mainpro

• Physicians’ Assistants who are members of CAPA have been reporting their CPD activities through Mainpro since 2011

• There are currently 363 CAPA members who are reporting CPD activities in this way

Educational Principles of Mainpro

QUALITY CPD

EVIDENCE- BASED

CONTENT

CRITICAL APPRAISAL/

INQUIRY

REFLECTION & POSITIVE

CHANGE

ADULT LEARNING

THEORY

NEEDS OF LEARNERS

Mainpro Values & PrinciplesPurpose:

• Guide development and serve as measures of program success

• Support the evolving roles of family physicians within an ever-changing healthcare system

• Provide answers to the “why” questions around Mainpro system changes

Values and Principles

1. Simplicity

2. Comprehensiveness

3. Availability

4. Reflection and application

5. Individualization

6. Scientific validity

7. Transparency

Why Change the Current System?

• Confusing and non-intuitive

• Does not sufficiently encourage and reward those CPD activities that are most effective and impactful

Why Change the Current System?• World of CPD is changing:– Events workplace-based

learning– Personal assessment of benefit

practice/patient outcomes– Individual team/practice focus– Medical Expert broad

conception of competency– Clinical practice only broad

definition of practice

What will stay the same?

5-year cycle

Minimum 250 credits/cycle

Minimum 25 credits/year

What will change?

M1M2

C

Group learning Self learning Assessment

Accredited Unaccredited

Certified Non Certified

What will change?

Promotional activities will no longer be eligible for credit

Wider variety of credit eligible activities

Explicit quality criteria for higher value credits

New Mainpro Categories

Certified (minimum 50% must be Certified)

Non Certified

Group Learning Conferences, rounds, journal clubs, AAFP prescribed credits

Non-industry events, AAFP elective credits

Self Learning Online programs, Linking Learning to Practice, CFPC Self Learning® program, CFP Mainpro articles, Pearls™

Journal reading, curriculum development, committee participation

Assessment Medical examinations, Linking Learning to Assessment, practice audits, simulation, QA programs

Family medicine curriculum review, manuscript review

*** Elimination of Activity Maximums ***

New Mainpro Categories

• Group Learning– Activities that provide opportunities to learn

with others

• Self-Learning– Activities planned and implemented by the

individual, outside the context of a group

• Assessment– Activities that stimulate learning through

analysis of data and provision of feedback about an individual or group (e.g. practice audit). The assessment of learning materials, such as clinical practice guidelines, may also qualify under this category

Certified vs. Non-Certified CPD

• Certified CPD– Activities that have been reviewed

and approved by the College as meeting standards for certified CPD.

• Non-Certified CPD– Activities that have not been formally

reviewed by the College, but comply with the College’s definition of CPD, are non-promotional in nature, and provide valuable professional learning opportunities

Communication Plan

• Started at FMF 2013, continues through 2014 and beyond - implementation in 2015

• cfpc.ca, eNews, CFP, videos, whiteboard animation

• Regional Educators

Positives

• Raising the bar on certification• Intuitive Categories • Investment in program development• Credits for a variety of practice-

linked activities• Regional Educators• New platform• Carry over credits

Raising the bar on Certification

Programs that incorporate CanMEDS-FM

Credits based on programs meeting explicit quality criteria

Implementation of impact assessment drives better patient outcomes

Investment in Program Development

Challenges

• New technology• Rollover of existing credits• Fellowship• Impact Assessment• New Reporting Cycles: July 1

to June 30

Impact Assessment

• What was the impact of this learning experience on you or your practice? Please check all that apply.

My practice will be changed and improved.  I learned something new. I am motivated to learn more. This experience confirmed I am doing the

right thing. I perceived bias in this program. I was dissatisfied for another reason.

Impact Assessment (expanded)

I learned something new.

Interested in earning additional credits? Complete a Linking Learning activity for the opportunity to earn certified credits through reflection.

Audiences & ApproachesCFPC staff and Chapters

Members

Residents

Physician Assistants

Universities

CPD providers

Regulatory Authorities

Governments, Sister Organizations

Patients

Other Linked Activities

New platform

Mainpro credits for Royal College and AMA

accredited programs (max 50/cycle for each)

ePearls

Self Learning Program Development

Getting there from here…

Board ApprovalCFPC and

Chapter staff training

Roll out Communication

Plan

Build new Platform QA and Testing Implementation

Ongoing Monitoring &

Quality Improvement

2013 20142015 & beyond

Questions?