National Consultation for Changes to Residency Accreditation - Standards and Process

Letter of Information 

National Consultations for Residency Accreditation Changes – New Draft Standards and Proposed Process

You are invited to take part in a survey regarding changes to the residency accreditation process and standards. The national consultations are being led by the Canadian Residency Accreditation Consortium (CanRAC), a collaboration of the Collège des médecins du Québec (CMQ), the College of Family Physicians of Canada (CFPC), and the Royal College of Physicians and Surgeons of Canada.

Please refer to the supporting documentation

The following supporting documents will orient you to the proposed changes, which you would have received through direct email:

  • General Standards and Implementation primer
  • General Process primer
    • Including a brief primer highlighting key implications for you given your role in the accreditation system 
  • New draft Institution-Level standards
  • New draft Program-Level standards

What are the national consultations about?

The purpose of the national consultations is to acquire input from stakeholders on the new draft standards and proposed process changes, particularly with respect to two goals:

  1. That the standards (and their components) are clearly stated, linked to quality residency education, consistent, and feasible; and
  2. That the proposed process changes address the expressed concerns and maintain the strengths of the current system, most notably to enhance the focus on continuous quality improvement and outcomes, revise decision categories, utilize an electronic database, improve the input and involvement of key stakeholders, and maintain the peer review nature of residency accreditation.

Your feedback is important in determining that the proposed changes – new draft standards and proposed process changes – to the residency accreditation system are acceptable, comprehensive, and feasible.

What do the national consultations involve?

National consultations are rolling out beginning in November 2016 in a staggered approach to solicit stakeholder feedback on the draft standards and process changes for the new residency education accreditation system. Feedback will be solicited directly via online surveys of the postgraduate deans, program directors, department chairs, resident organization representatives, surveyors, accreditation committee members, and specialty committee chairs. Webinars (in English and French) will be available for surveyors, Department Chairs, Program Directors, and their respective program/discipline representatives (e.g., administrative staff) to familiarize them with the proposed changes in an accessible and easily referenced format.

The proposed changes reflect the feedback received over the past three years during the development of the proposed changes. Members of the postgraduate medical education community have been consulted throughout this development process, such as during one of three Residency Accreditation Summits.

We ask that you complete a single survey with 4-6 questions on Process and 2-22 questions on standards (depending on the level of detailed feedback you wish to provide), which should take approximately 15-60 minutes to complete (with 45-60 minutes of preparation).

What about confidentiality and privacy?

The survey is designed so that your responses will remain anonymous. You will not be asked to write your name or the name of your organization on the survey, unless you voluntarily provide your information to be contacted for follow-up. Moreover, if we publish or present the study results, we will not use any identifying information. Your responses will be combined with other responses so that you cannot be identified. Also, any responses that could reveal your identity will be blacked out from the survey and not included in the database. Your manager(s), supervisors, and colleagues will not have access to your survey responses. 

We will keep all survey data on a password-protected computer in a locked research office at the Royal College. Only the secretariat team will have access to the survey and raw data. Data will be kept for seven years after the publication of findings. After this time, it will be deleted and destroyed. Once the study is complete, we will share a summary report of the results with all participating respondents and organizations.

Do you have to do this?

Your participation in the survey is voluntary.

How many people will take part in the study?

All postgraduate deans, program directors, department chairs, accreditation committee members, specialty committee chairs, surveyors, and resident organization representatives will be invited to participate (>1000 stakeholders).

What are the risks to participating in the study?

There is little risk associated with your participation in the survey. Some of the questions on the survey may make you feel uncomfortable because they ask about your perceptions of residency accreditation in Canada. You do not have to answer any questions that make you feel uncomfortable. Your employment/position will not be affected by your agreement or refusal to participate in the survey.

What are the benefits to participating in the study?

You may not directly benefit from the survey. However, participants may feel a sense of satisfaction for contributing information that will directly inform the future of residency accreditation in Canada. 

What if I have questions?

Please feel free to contact CanRAC at, if you have any questions about national consultations or visit

Thank you in advance for your time.

CanRAC Leaders:

Collège des médecins du Québec

  • Dr. Anne-Marie MacLellan, MDCM, CSPQ, FRCPC

CFPC Representatives

  • Dr. Ric Almond, MD, CCFP  

RCPSC Representatives

    • Dr. Jason Frank, MD, FRCPC