Members must participate in the quality assurance program, keep required records, and cooperate with requests for information. The Committee administers the program, may grant exemptions, and can order peer and practice assessments.
Definitions and Program Requirements Definitions 1. In this Regulation, “assessor” means a person appointed under section 81 of the Health Professions Procedural Code; (“évaluateur”) “Committee” means the Quality Assurance Committee required by subsection 10 (1) of the Health Professions Procedural Code and includes a panel of the Committee; (“comité”) “program” means the quality assurance program required by section 80 of the Health Professions Procedural Code. (“programme”) Members must participate 2. Every member shall participate in the program. Components and administration 3. (1) The program shall include the following components: 1. Continuing education or professional development designed to, i. promote continuing competence and continuing quality improvement among the members, ii. address changes in practice environments, iii. promote interprofessional collaboration, and iv. incorporate standards of practice, advances in technology, changes made to entry to practice competencies and other relevant issues in the discretion of the Council. 2. Self, peer and practice assessments. 3. A mechanism for the College to monitor members’ participation in, and compliance with, the program. (2) The program shall be administered by the Committee. Exemptions 4. Upon application by a member, the Committee may grant an exemption to the member from any of the requirements of the program because of illness, maternity leave or any other circumstance the Committee considers appropriate. Self-Assessment, Continuing Education and Professional Development Activities Participation and record-keeping 5. (1) Every member shall participate in self-assessment, continuing education and professional development activities in the form and manner approved by the Committee for the purpose of maintaining and enhancing the member’s knowledge, skill and judgment. (2) Every member shall keep records of the member’s participation in self-assessment, continuing education and professional development activities in the form and manner specified by the Committee and for the time period specified by the Committee. (3) At the request of the Committee, an assessor or a College employee, a member shall provide to the Committee, the assessor or the College employee, within the time period specified in the request, or where no time period is specified, within 30 days after receiving the request, (a) complete and accurate information, in the manner and form specified by the Committee, about the member’s self-assessment, continuing education and professional development activities; and (b) the member’s self-assessment, continuing education and professional development activity records described in subsection (2). Peer and Practice Assessments Selection of members 6. (1) The Committee shall select members to undergo peer and practice assessments in order to assess the members’ knowledge, skill and judgment. (2) A member may be required to undergo a peer and practice assessment if, (a) the member’s name is selected at random, including by stratified random sampling; (b) a request is made under subsection 5 (3) and, either, (i) insufficient or inaccurate information is provided by the member, or (ii) the member’s records do not demonstrate that the member has engaged in adequate self-assessment, continuing education or professional development activities; (c) the member is selected on the basis of other criteria specified by the Committee and published on the College’s website at least three months before the member is selected on the basis of those criteria; or (d) the member has been assessed previously and the Committee concludes that another peer and practice assessment should be conducted. (3) The Committee shall appoint an assessor to carry out the peer and practice assessment, which may include, but is not limited to, (a) an inspection of the forms and other documents used in the member’s practice; (b) an inspection of the member’s records of the care of patients; (c) an assessment of any information respecting the member’s care of patients; (d) an interview with the member; (e) an inspection of the premises where the member practises; (f) an examination of the member’s equipment and supplies; (g) an evaluation of the member’s knowledge, skill and judgment, which may include a written evaluation or an objective structured clinical examination; and (h) an inspection of the member’s records described in subsection 5 (2). Written report 7. (1) An assessor shall, within the time period specified by the Committee, provide to the College a written report of the assessment. (2) The Committee shall provide to the member a copy of the assessor’s report and notice of the member’s right to make written submissions to the Committee within 30 days after the member receives the report and the notice. Remedial action 8. If, after considering the assessor’s report and any submissions made by the member, the Committee is of the opinion that the member’s knowledge, skill or judgment is not satisfactory, the Committee may take any action listed in subsection 80.2 (1) of the Health Professions Procedural Code. 9. Omitted (provides for coming into force of provisions of this Regulation).