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Family Medicine Examination Update: 2021 SAMP exam (September 29, 2021)
Apply for a CAC
  • What are Certificates of Added Competence, and why should I apply?

    The College of Family Physicians of Canada (CFPC) is the professional home for family physicians who provide comprehensive, continuing care to their patients as well as family physicians who focus some or all of their practices in certain domains of care that help meet the needs of their patients and communities. While maintaining our pride as family physicians and the generalists that we are trained to be, we acknowledge that the delivery of family medicine services is evolving. Certificates of Added Competence (CACs) provide a means of recognizing those family physicians who have achieved a defined level of competence and commitment to maintenance. Members who hold CACs are valued resources to other family physicians and to our patients. The use of a CAC Special Designation denotes the achievement of a defined level of competence in the domain of the CAC and a commitment to its ongoing maintenance.
     
  • Approved CAC domains of care in family medicine

    • Addiction Medicine
    • Care of the Elderly
    • Emergency Medicine
    • Enhanced Surgical Skills
    • Family Practice Anesthesia
    • Obstetrical Surgical Skills
    • Palliative Care
    • Sport and Exercise Medicine
  • Residency Training Profile

    The College of Family Physicians of Canada (CFPC) is pleased to share with you the Residency Training Profile for Family Medicine and Enhanced Skills Programs Leading to Certificates of Added Competence (Residency Training Profile). This document defines the broad scope of training required to prepare family physicians to meet the evolving health care needs of patients and communities in Canada.

    The Residency Training Profile is based on the Family Medicine Professional Profile, which the CFPC published in 2018 to describe family physicians’ collective commitment to providing accessible, continuous, and comprehensive patient-centred care.  
     
    The Residency Training Profile clarifies that a principle aim of enhanced skills residency training leading to Certificates of Added Competence (CACs) is to enable advanced practice and health systems leadership. CAC holders are local and systems-level care champions, functioning as resources to their colleagues and communities. They support continuity and extend the role of the comprehensive family physician by providing backup and consultation to colleagues treating patients with challenging conditions, ideally integrated in a Patient ‘s Medical Home practice environment.
  • How is competence in a CAC domain of care assessed?

    The priority topics and key features for the assessment of competence were developed by the CFPC Working Groups on the Assessment of Competence in Addiction Medicine, Care of the Elderly, Enhanced Surgical Skills, Family Practice Anesthesia, Obstetrical Surgical Skills, Palliative Care, Sport and Exercise Medicine, and the Committee on Examinations – Emergency Medicine.

    The goal of the priority topics and key features is to guide the in-training and summative assessment of domain-specific competencies required for awarding CACs, and to inform the curriculum and training development.

    Priority topics and key features for the assessment of competence in Category 1 enhanced skills programs:
  • How do I acquire a CAC?

    Emergency Medicine

    The only way to obtain the CCFP (EM) designation is through the Examination of Added Competence in Emergency Medicine. There are two eligibility routes for the exam: through accredited residency training programs or through practice (please click here for more information). There will be no other route to obtain a CAC in Emergency Medicine.

    All candidates who successfully complete the Examination of Added Competence in Emergency Medicine will automatically receive a CAC in Emergency Medicine.

    Addiction Medicine | Care of the Elderly | Enhanced Surgical Skills | Family Practice Anesthesia | Obstetrical Surgical Skills | Palliative Care | Sport and Exercise Medicine

    1. CAC through residency route
    How do I acquire my CAC now that I have completed a Canadian residency program?
    Graduates of accredited Category 1 programs who hold Certification in the College of Family Physicians of Canada (CCFP) are eligible for CACs and consequently will be granted the right to use their designations as long as they maintain their status as a CFPC member and ongoing Mainpro+® requirements.

    Eligibility Criteria for a CAC through residency route

    Membership
    The applicant must be a member in good standing with the College of Family Physicians of Canada at the time of the application, holding the Certification in the College of Family Physicians of Canada (CCFP) designation.

    Postgraduate training in the domain of care
    Successful completion of an accredited enhanced skills residency program at a Canadian university, as confirmed by the program.

    Formal invitation from the College of Family Physicians of Canada to apply for a CAC in the domain of care
    Upon receipt of a Confirmation of Completion of Training from the program, all eligible candidates will be directly contacted and offered an opportunity to apply for a CAC. CFPC is in direct communication with universities and candidates are not required to personally request the Confirmation of Completion of Training from the program.

    A nominal application fee will be required at the time of application.

    2. Practice eligible route
    The College is currently working on outlining the requirements and application and assessment processes for the practice eligible route for CACs. The new practice eligible route will determine a process whereby those in practice can be recognized for the acquisition of the skill set necessary for awarding a CAC, without completing a formal residency program.

    CACs awarded through the practice eligible route will be awarded based on a satisfactory demonstration of the competencies that have been defined as required for certification of this level of competence in family medicine. These competencies have been defined for each domain and they have been published here. The exact means by which these competencies can be assessed have not yet been developed but they will vary as they are adapted to physicians in practice.

    We expect to have more concrete information in 2021. All new information and updates will be posted on our website and shared with our members via email.
     
  • How will the successful awarding of a CAC affect my credentials and practice?

    A CAC credential is conferred by the CFPC in the form of a diploma that will be mailed to you. Upon receiving this credential, family physicians are authorized to use the CAC designation as long as they maintain their competence through continuing professional development (CPD).

    CAC Special Designations recognize those family physicians who have achieved and maintain enhanced skills in certain domains of care. The designation is not intended to limit physicians’ comprehensive practices and it is not related to practice privileges or billing.

    CAC credential

    Designation

    Addiction Medicine

    CCFP (AM) / MCFP (AM)

    Care of the Elderly

    CCFP (COE) / MCFP (COE)

    Emergency Medicine

    CCFP (EM) / MCFP (EM)

    Enhanced Surgical Skills

    CCFP (ESS) / MCFP (ESS)

    Family Practice Anesthesia

    CCFP (FPA) / MCFP (FPA)

    Obstetrical Surgical Skills

    CCFP (OSS) / MCFP (OSS)

    Palliative Care

    CCFP (PC) / MCFP (PC)

    Sport and Exercise Medicine

    CCFP (SEM) / MCFP (SEM)

    Please note: MCFP holders are eligible for CACs only through the one-time leader route (available only for a limited time when a new domain of care is approved for a CAC).
     
  • Will I need to maintain my CAC?

    The CFPC is currently updating the Mainpro+ platform to allow for the tracking of CPD activities that relate to a CAC domain of care.

    To maintain a CAC and the privilege of using this Special Designation, CAC holders will soon be required to earn and report at least 75 certified Mainpro+ credits related to each CAC domain of care in their five-year Mainpro+ cycle.

    This credit requirement forms part of, and is not additional to, the standard Mainpro+ requirements of 250 Mainpro+ credits, including at least 125 certified credits. Holders of more than one CAC will need to earn and report 75 certified Mainpro+ credits for each CAC they have.  CAC holders will be provided ample notice before these new CAC maintenance requirements are introduced.

    If you have any questions about credit requirements, please contact CPD staff at [email protected] or 1-800-387-6197 ext. 560.
  • When will other domains of care in family medicine be eligible for CACs?

    Interest has been expressed in developing new CACs in additional domains of care in family medicine. To inform the decision about potential new domains, the CFPC commissioned a study on the impact the CACs have had on the provision of care in Canada so far. The report is available through this link:  Understanding the Impact of the CFPC Certificates of Added Competence.

    The College is currently evaluating its next steps regarding CACs and we expect to have more concrete information in 2021.

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