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Mainpro® - CME requirements for members

General requirements

All members who are in full or part time practice are required to participate in Mainpro.

The classes of membership to which this applies are:

* Resident members are not required, but may choose to submit Mainpro credits during their FM Residency

The classes of membership that are exempt are:

Credit requirements

Certificant and non-Certificant members are required to submit a total of 250 credits every 5 years. At least 125 of these must be from accredited CME (Mainpro-M1 and / or Mainpro-C credits). The rest can be from non-accredited CME (Mainpro-M2 credits).

The 5-year time-frame allows members to work continuously toward completing their CME requirements. They can plan their own activities by participating in selected eligible activities at their own timing over the entire 5-year period.

Mainpro-M1 credits and Mainpro-C credits can be claimed for accredited CME activities. These are accredited by the CFPC and by other organizations with which the CFPC has accreditation agreements. Mainpro-M2 credits can be claimed for unaccredited activities. These three credits serve complementary roles by recognizing different forms of CME.

Fellowship (FCFP)

Fellowship Eligibility

Established by the CFPC Board of Directors, there are three criteria used to determine Fellowhship eligibility. Fellowship is awarded to Certificants who have:

  • Held Certification (CCFP) for at least ten (10) consecutive years with no discontinuations and/or suspensions;
  • Successfully completed two (2) consecutive five-year Mainpro® cycles; and
  • Submitted a minimum of 25 Mainpro-C credits in each of the two consecutive Mainpro® cycles.

* Note: Fulfillment of the above criteria does not guarantee Fellowship in the College.  

Maintenance of Fellowship

Those awarded Fellowship on or after January 1, 2004, must report 250 Mainpro credits in every five-year cycle, of which:

  • At least 125 Mainpro-M1 and/or Mainpro-C*
    • *At least 25 of the above must be Mainpro-C
  • The additional 125 credits may be Mainpro-M2, Mainpro-M1 and/or Mainpro-C

Those who were awarded Fellowship in The College of Family Physicians of Canada prior to 2004 must meet the requirements for Maintenance of Certification (Mainpro-C credits are optional for these individuals).

Timing of the 5-year cycle

The first 5-year cycle began in 1998 for all Active members.  For all those who attained certification or membership in 1999 or later, the 5-year cycle starts the January 1st  following attainment of certification or membership.

Active members who attain certification through the practice-eligible route will begin a new 5-year cycle the January 1st following certification. Any credits previously submitted will remain on record but will not be transferred to the new cycle. They will be given 10 Mainpro-C credits for their new cycle in recognition of going through the certification process.

Family Medicine Residents and Mainpro

PGY-1 and PGY-2: Individuals enrolled in a Canadian university family medicine residency program are eligible to participate in Mainpro.  Resident members may earn Mainpro credits for participating in CME/CPD activities that are not a part of their mandatory residency training curriculum (course work, projects, etc.). Upon completion of residency training (PGY-2 or PGY-3), these individuals will be assigned to a new five-year Active member cycle and may carry forward, from the residency cycle, a maximum of 30 Mainpro-M1 and five (5) Mainpro-C credits.

PGY-3: Individuals who opt to transition directly from a family medicine residency program into a third year residency in emergency medicine, palliative care,  care of the elderly or other third year program will remain as a Resident member. These individuals continue to be eligible for the discounted Resident member fee and may report Mainpro credits as per usual (no restrictions on the number of credits that may be earned/reported). As per above, once residency training is complete (PGY-2 or PGY-3), Resident members may carry forward 30 Mainpro-M1 and five (5) Mainpro-C credits into their first Active member cycle.

Note: Training courses and projects that are considered part of a residency program/curriculum are not eligible for Mainpro credits (these are considered medical education versus continuing medical education).

NEW! Effective January 1, 2010, new and existing Resident members of the CFPC must enter their Mainpro credits online (paper-based submissions will not be accepted). Entering credits online is quick and efficient! From your home or office, enter CME/CPD credits as you earn them. Not only can you view your CME/CPD credit accomplishments whenever you want to, you can also monitor and plan your professional development with ease.

Click here to submit...

As always, Mainpro-C category activities can be entered online but members must email, fax or mail the accompanying certificate or proof of participation to the CFPC. We do not require proof of participation for Mainpro-M1 and Mainpro-M2 activities.  However, it is important to retain copies of certificates obtained for all activities in the event of a credit audit by the CFPC.

Active Members Returning to Residency Training

Active members who halt their practice to pursue additional full-time residency training (emergency medicine, psychiatry, or other) will have their current Mainpro cycle stopped and be assigned a temporary Resident member cycle (they may continue to report Mainpro credits as per usual - no restriction on the number of credits that may be earned/reported). Upon completion of residency training, these individuals will be assigned to a new five-year Active cycle; they may carry forward a maximum of 30 Mainpro-M1 and five (5) Mainpro-C credits from their Resident member cycle to their new Active cycle. These individuals are eligible for a reduced membership fee only if pursuing full-time residency training (please contact the membership department for more information).

Note: Training courses and projects that are considered part of a residency program/curriculum are not eligible for Mainpro credits (these are considered medical education versus continuing medical education).

NEW! Effective January 1, 2010, active members returning to residency training must enter their Mainpro credits online (paper-based submissions will not be accepted).

Active Members Completing Post-Graduate Didactic or Enhanced Skills Training

Active members who pursue additional post-graduate education (e.g., Masters of education, PhD in epidemiology, or other) or participate in enhanced skills training (e.g., three months training in obstetrics/gynaecology, pain management or other) will remain Active members and may continue to report Mainpro credits as per usual (no restriction on the number of credits that may be earned/reported). Individual consideration for cycle extension must be made in writing to the CPD Manager (dpatel@cfpc.ca); individual consideration for membership fees during the additional training must be made in writing to Membership Manager (jfernandes@cfpc.ca).

Active members who pursue post-graduate education and enhanced skills training programs may be eligible to earn 25 Mainpro-C credits upon program completion. Please contact the CPD Department for more information, or refer to the Mainpro Credits Submission Forms section of our website at www.cfpc.ca/mainproforms.

Special circumstances

Members holding Certificate of Special Competence in Emergency Medicine

The requirements for members holding the Certificate of Special Competence in Emergency Medicine are based on their status as a certificant in family medicine. Members holding CFPC(EM) or members holding MCFP(EM) must complete the requirements for Maintenace of Certification / Maintenance of Membership. There are no additional or specific requirements related to the practice of emergency medicine.


Affiliate Specialist members

Affiliate Specialist members are members who hold Certification in a medical specialty other than family medicine and whose primary practice is in that specialty. Participation in CME activities approved for members under Mainpro is not necessary for these members if they participate actively in the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada. They will, however, be required to submit a copy of their annual RCPSC credit profile.

Members residing in other countries

Members residing in countries other than Canada and the United States, may claim credits for their local CME activities provided that:
  •  the activities fulfil the CME requirements of a national college or academy of family physicians in which they are members, or
  • the activities are judged to be equivalent in quality and standards to those approved through Mainpro.





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