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About residency program accreditation

Canadian Excellence in Residency Accreditation (CanERA) is the system of residency accreditation used for all accreditation reviews in Canada. CanERA ensures top-tier training by reviewing residency programs with a focus on continuous improvement.

Institutional and Residency Program Accreditation is a voluntary process of quality assurance and quality improvement supported by the faculties (schools) of medicine at Canadian universities.

The purpose of the accreditation of residency programs by the College of Family Physicians of Canada (CFPC) Residency Accreditation Committee is twofold:
  • To attest to the educational quality of accredited programs
  • To ensure uniformity and portability to allow residents from across Canada to qualify for Certification (core family medicine and domains of added competence) as residency-eligible candidates
All family medicine residency programs in Canada are accredited by the CFPC on an eight-year cycle, with a focus on continuous quality improvement.

National Standards of Accreditation 

The General Standards of Accreditation are a national set of standards maintained conjointly by the Canadian Residency Accreditation Consortium (CanRAC) comprised of the CFPC, the Royal College of Physicians and Surgeons of Canada (RCPSC), and Collège des médecins du Québec (CMQ).
 

The CanERA Suite of General Standards

The conjoint accreditation process is built on rigorous, robust standards that set high and uniform expectations for the objective evaluation and continuous improvement of Canadian postgraduate medical education institutions and residency programs.
 

Residency Programs

The standards of accreditation for the core two-year and enhanced skills family medicine residency programs are set out in the Standards of Accreditation for Residency Programs in Family Medicine, often referred to as the “Red Book.”

The standards in the Red Book have been written to encompass the General Standards of Accreditation for Residency Programs along with additional family-medicine specific standards where appropriate; therefore, the Red Book does not need to be read in conjunction with the General Standards of Accreditation for Residency Programs.

The family medicine standards are structured into four sets to ensure clarity related to central program, site, and enhanced skills program-specific expectations. They aim to provide an interpretation of the General Standards of Accreditation for Residency Programs as they relate to the accreditation of programs in family medicine and ensure that these programs adequately prepare residents to meet the health care needs of their patient population(s) upon completion of training.

Current standards of accreditation

Standards of Accreditation for Residency Programs in Family Medicine

  1. Central Family Medicine Programs
  2. Administrative Learning Sites
  3. Central Enhanced Skills Programs
  4. Enhanced Skills Programs
Accompanying Documentation for Standards of Accreditation for Residency Programs in Family Medicine

The Standards of Accreditation for Residency Programs in Family Medicine should be read with the following document, which provides additional context, resources, and references to contextualize the standards.


Program Goals and Guiding Principles

 

CanERA General Standards of Accreditation

  1. General Standards of Accreditation for Institutions
  2. General Standards of Accreditation for Residency Programs

Reading the Standards

As the set of Standards of Accreditation for Residency Programs in Family Medicine are integrated with the general standards of accreditation, please note the following when reading the standards:
  • “Modified” means the wording has been modified from the original text in the General Standards of Accreditation for Residency Programs.
  • 001 prior to an indicator indicates that this indicator is specific to family medicine standards and does not appear in the General Standards of Accreditation for Residency Programs.
  • 002 prior to an indicator indicates that this indicator is specific to enhanced skills standards and does not appear in the General Standards of Accreditation for Residency Programs.

Version Applicability

Accredited postgraduate medical education institutions and their residency programs are held to the accreditation standards in place one year in advance of the relevant accreditation activity. Programs will be given a minimum of one-year notice in advance of a review visit as to the applicable standards and related processes.

For new applications, changes to standards apply immediately (i.e., the July 1st they are published). However, the standards will not change for an application once it is submitted for review, including in instances where applications are deferred with a request for a written response to areas requiring clarification.

The Canadian Accreditation Management System (CanAMS) is a digital tool designed to facilitate and support the medical education accreditation process and related activities both internally for the College (Residency Accreditation Committee), as well as for external stakeholders (universities) across the continuum of Canadian medical education accreditation. This tool will enhance the pre-visit, on-site review, and report development processes, integrate with other relevant systems, store all institutional and program accreditation information and evidence within a single repository for ease of access and use, and deliver an intuitive and user-friendly experience to all stakeholders.

Residency Training in Family Medicine

There are 18 departments of family medicine across Canada representing diverse learners, patients, and communities.

Departments of Family Medicine.

Family medicine programs include
  • The central two-year family medicine program
  • The central enhanced skills program, which oversees Category 1 and Category 2 programs
  • The currently recognized Category 1 programs are:
    • Family Medicine/Emergency Medicine
    • Family Medicine/Care of the Elderly
    • Family Practice Anesthesia
    • Family Medicine/Sport and Exercise Medicine
    • Family Medicine/Palliative Care
    • Family Medicine/Addiction Medicine
    • Family Medicine/Enhanced Surgical Skills
    • Family Medicine/Obstetrical Surgical Skills

Related Resources

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