Form

Description

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General Mainpro® Credit Submission

Use this form to report Mainpro-M1, Mainpro-M2 and Mainpro-C activity.

• Please note that you must submit proof of participation (certificates, diplomas, examination results, etc.) for Mainpro-C activities only
• For all other activities, please retain your proof of participation for a period of six (6) years should you be selected to participate in Mainpro credit validation/auditing

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Linking Learning to Practice

Use this form to earn Mainpro-C credits when you reflect upon issues/questions that arise as part of your clinical or non-clinical activities. For example, the issue/question may be a result of your participation in one of the following activities:

• Office practice, hospital work, research
• Teaching, presenting, mentoring
• Examinations, committee work, accreditation survey
• Accredited or unaccredited CME/CPD event, annual scientific assembly, hospital rounds

• Receive 2 Mainpro-C credits (plus 2 bonus Mainpro-M1 credits) for each form you complete and return to the College
• You may submit multiple forms for a single activity as long as each is based upon a distinctly different issue/question

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Pearls®

Use this form to earn Mainpro-C credits when you reflect upon practice-based questions that arise in your daily practice. This five step form captures the question, research used to answer the question, and the clinical decision made as a result of analyzing available information; it also prompts you to assess your decision after an elapsed period of time.

• Receive 3 Mainpro-C credits (plus 3 bonus Mainpro-M1 credits) for each form you complete and return to the College

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Provincial Practice Review/Enhancement Program

Use this form to earn Mainpro-C credits for participating in a provincial practice review and/or practice enhancement program.

• Receive 3 Mainpro-C credits (plus 3 bonus Mainpro-M1 credits) for each form you complete and return to the College
• You may submit multiple forms as long as each is based upon a distinctly different question

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Practice Audits/Quality Assurance Programs

Use this form to earn Mainpro-C credits for participating in a practice audit and/or quality assurance program.

• Receive 3 Mainpro-C credits (plus 3 bonus Mainpro-M1 credits) for each form you complete and return to the College
• You may submit multiple forms as long as each is based upon a distinctly different question

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Clinical Traineeships & Fellowships

Use this form to earn Mainpro-C credits for completing a clinical traineeship or fellowship. To be eligible, the activity must be a minimum of five (5) days in duration. Typically, clinical traineeships are 2-4 weeks in duration and may occur over an extended time period (e.g. multiple weekends).

• Receive 25 Mainpro-C credits (plus 25 bonus Mainpro-M1 credits) when you complete and return this form to the College

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Family/Emergency Medicine Examinations

Use this form to earn Mainpro-C credits for completing a family medicine or emergency medicine examination. The following are eligible examinations:

• CFPC Examination of Special Competence in Emergency Medicine
• ABFM Family Medicine Certification and Recertification Examinations
• ABEM Emergency Medicine Certification and Recertification Examinations

The CFPC will consider other examinations on an individual basis (e.g., certification examination in forensic medicine).

The CFPC Certification Examination in Family Medicine is not eligible for Mainpro-C credits.

• Receive 25 Mainpro-C credits (plus 25 bonus Mainpro-M1 credits) when you complete and return this form to the College

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Use this form to earn Mainpro-C credits for completing a university degree or diploma program related to family medicine. Examples of eligible programs include but are not limited to:

• Post-graduate degree in research or education
• Diploma in travel medicine, sports medicine, forensic medicine, ultrasound
• Receive 25 Mainpro-C credits (plus 25 bonus Mainpro-M1 credits) when you complete and return this form to the College

CPCSSN Quality Assurance Program

This form documents how you used your experience with the CPCSSN chronic disease profile of your practice to critically reflect on your management of one of the chronic diseases that are under surveillance in your practice by CPCSSN. The QA activity may or may not have included a comparison with other local or national practices.

• You will receive 3 Mainpro-C credits for each of these forms you submit.
• You may submit a form once a year for each of the chronic disease under surveillance in your practice by CPCSSN providing a practice profile of the chronic disease has been created for you by the CPCSSN Database Manager.
• Once you have completed this form, mail or fax it to the College to obtain your Mainpro-C credits.
• MainPro-C credits have been pre-approved for the CPCSSN project proving the form is completed and submitted.

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