Pearls™ is a program of evidence-based practice reflection exercises that facilitate the integration of new clinical knowledge into practice.

The exercises are available free of charge to College of Family Physicians of Canada (CFPC) members, family medicine residents, and practice-eligible exam candidates.

How do I complete a Pearls exercise?

The semi-structured Pearls template guides you through a five-step inquiry and reflective process. This process helps you to find valid, reliable, and relevant answers to your clinical questions; as well, it prompts you to develop a plan for putting new information to work in your practice.

  • Step 1: Formulate a specific question relevant to your practice
  • Step 2: Perform a literature search to identify evidence-based information to answer the question
  • Step 3: Evaluate the information by critically appraising the key article(s)
  • Step 4: Make a practice decision based on this information
  • Step 5: After an appropriate period of time has elapsed, evaluate the impact of this decision on your practice

Ready to complete a Pearls exercise? Login in to your CFPC account
Once logged into your account, select the Mainpro+ logo at the top of the page to go to your Mainpro+ dashboard. From there, select ‘Enter a CPD Activity.’ Make the following selections on the Activity form to access the Pearls exercise:

  • Category: Assessment
  • Certification Type: Certified
  • Activity Type: Pearls

Once you start the exercise, you can save your progress and return to it at a later time before submitting for Mainpro+ credits.

Pearls Chart New

The principles

Several guiding principles were followed in developing Pearls:

  • Each exercise should be largely self-directed—allowing physicians to complete it at their own pace
  • It should be practical—allowing physicians to explore information that is relevant to their practice
  • It should be challenging—allowing members to examine their current practices, knowledge, and ability to provide evidence-based care
  • It should be reflective—allowing members to assess the impact of their decisions after an elapsed period of time

Pearls should also challenge some of the traditional beliefs about continuing professional development (CPD) …

In traditional CPD, physicians attend didactic presentations or read books and journals in a rather unsystematic way. Physicians are often presented with a quantity of largely unfiltered information—and from this information, they might extract only a few key items that could benefit their practice. Research has shown that few practice-based changes are made as a result of this type of CPD. A more effective way to integrate new information into your practice is to begin with a specific practice question.

You are in control

You choose the question and implement clinical decisions based on the results of your independent literature search. You establish the pace of learning, determining when to initiate the activity and when to complete the reflective component.

Once you have completed the Pearls form, submit it to the CFPC for review. Pearls is not a “pass or fail” activity; however, the CFPC reserves the right to withhold credit for incomplete submissions or for submissions that do not meet the requirements stated on the submission form.  This Assessment activity has been certified by the College of Family Physicians of Canada for six Mainpro+ credits.  There is no limit on the number of forms you may submit in your Mainpro+ cycle.


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Have questions about continuing professional development?

Contact the CFPC CPD Department:


CPD Providers:

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