IDENTIFICATION OF APPLICANT BODY AND/OR SPONSORING ORGANIZATION
Name of the proposed specialty subspecialty:
Name and address of applicant: *
Telephone #
Fax #
E-mail:
Submission date
Signature:
If necessary, please add a separate page with the names and addresses of co-applicants.
*
NOTE: Please identify a single address for receipt of all correspondence relating to this
application.
Property of RCPSC
Approved by COS-October 2007
1
Revised: May 2008
Application for Recognition of a Specialty or Subspecialty
Application- Stage I
GENERAL INFORMATION (Questions 1 to 6)
1.
What is the name of the proposed subspecialty?
X:
2.
a) What is/are the primary specialty(ies) for this proposed subspecialty?
X:
b) Would this proposed subspecialty be accessible from any other discipline?
Yes
No
If yes, please identify.
X:
3.
Describe the relationship of this proposed subspecialty to the primary specialty.
X:
4.
Is there a National Specialty Society for the primary specialty? Yes
If yes, please identify.
X:
5.
Is there a National Specialty Society for the proposed subspecialty? Yes
If yes, please identify.
X:
6.
Describe the relationship between these societies (if applicable).
X:
Property of RCPSC
Approved by COS-October 2007
2
No
No
Revised: May 2008
Application for Recognition of a Specialty or Subspecialty
Application- Stage I
SPECIFIC INFORMATION (Questions 1 to 10)
1.
Please describe the unique nature of the proposed subspecialty.
(What skill/technique/knowledge base is included that requires distinct recognition?)
X:
2.
Please provide a list of journals and publications that support this special area.
(Demonstrate the value that these add to the medical literature. Indicate if they are peer-reviewed,
indexed, the scope of distribution [national/international], the subscription volume, and Canadian
contribution to these publications. Where meetings or societies are cited indicate the scope of these and
the contributions of Canadian physicians to these meetings or societies.)
X:
3.
Is this discipline recognized as a subspecialty in another jurisdiction?
Yes
No
If yes, where? How long has this recognition been in place?
X:
a)
i.
For each jurisdiction:
How is the discipline organized? (Is it a primary specialty or a subspecialty of other
disciplines? Does it fall under the jurisdiction of another supervising body or does it have an
independent supervising organization?)
X:
ii.
X:
How is it recognized? (Is there certification by examination?)
3.
b) Please provide information on training programs and evaluation methods used in
these other jurisdictions.
X:
4.
Are there training programs for this discipline in Canada? Yes
No
(Please describe including where the training takes place, how many trainees/year, what is the duration of
the training, what are the sources of funding for these programs.)
X:
5.
How will the recognition of this proposed subspecialty affect the primary
specialty(ies) and other related specialties? (Will there be overlap of patient populations,
procedures, investigative techniques, areas of research? Please include both positive and negative
implications.)
X:
6.
a)
How much experience in the proposed subspecialty is currently provided during
training in the primary specialty(ies)? (Please provide information regarding number of
months, specific experiences.)
X:
b)
What is the recommended length of training for the proposed subspecialty?
(Justification for the length of training is required.)
X:
c)
Would any component of the proposed subspecialty training be taken as part of
the training in the primary specialty(ies)? (Would double counting1 be permitted? Please
describe how this would be handled in the training program of the subspecialty and the primary
specialty.)
X:
1
Double counting is defined as a period of time which may be undertaken during the final year in the primary specialty with the joint approval
of the program director in the specialty and the program director in the subspecialty.
Property of RCPSC
Approved by COS-October 2007
3
Revised: May 2008
Application for Recognition of a Specialty or Subspecialty
7.
Application- Stage I
a) How would recognition of this subspecialty affect: (Impact should be interpreted broadly
and include community, the delivery of medical care, cost-savings. Population health data should be
included in applicable.)
i.
Delivery of medical care?
X:
ii. Meeting community needs?
X:
iii. Health care budgets?
X:
b) What role will the consultant in the proposed subspecialty play in meeting
community needs?
X:
c)
Describe the academic role of the consultant in this discipline. (What would be the
requirements for teaching and research, if the subspecialist was part of an academic/tertiary care
centre?
X:
d) Describe the patient population for this discipline. (This should include variety and
volume of patients with supporting information.)
X:
e) Please estimate how many physicians are currently practising in the proposed
specialty/ subspecialty in Canada and in which locations. (This should reflect the
national physician workforce for the proposed specialty/subspecialty.)
X:
f)
X:
Describe the current practice profiles of the physicians in this discipline.
g) Outline future (5 years and 10 years periods) projected workforce needs (FTEs)
for practising subspecialists in the proposed field.
X:
h) What is the impact of technology both in terms of requirements to practise and
expected impact of future technological development on the need for he proposed
subspecialty?
X:
8.
Why is recognition by the Royal College essential for the success of the proposed
subspecialty?
X:
9.
What would be the projected effects on the Canadian health care system from the
recognition of the proposed subspecialty? Include both positive and negative
impacts.
X:
10. Please identify Canadian organizations and stakeholders who should be consulted
regarding this application. (Other than the groups identified in the Part II, Consultation section. The
applicant is required to provide the names and addresses of the identified organizations and stakeholders)
X:
Property of RCPSC
Approved by COS-October 2007
4
Revised: May 2008
Application for Recognition of a Specialty or Subspecialty
Application- Stage I
SPECIALTY SPECIFIC INFORMATION:
A completed application form must include the following:
1. A document outlining the Objectives of Training for the subspecialty.
This document should describe the key competency to be acquired in each competency role. The
OTR template is provided as an example and should be used as a guide. (Please contact
cos@rcpsc.edu for the latest version of the template.)
A document outlining the Specialty Training Requirements for the proposed
subspecialty. (Please contact cos@rcpsc.edu for the latest version of the template.)
2. This statement must include:
a) the total length of training,
b) the component experiences that will make up the residency program,
c) any specific requirements, such as research projects.
3. Describe the evaluation plans to ensure that graduates of residency programs in this
proposed subspecialty will be competent specialists and provide the rationale for each
of the points below.
Criteria for consideration will be:
a) development of a Final In-training Evaluation Report (FITER(Please contact cos@rcpsc.edu for
the latest version of the template.)
b) ITER
c) portfolio
d) written Short Answer Question (SAQ) examination
4. Outline the implementation issues for the proposed subspecialty. Include information
on:
a) Number of resident positions projected for the proposed subspecialty. Information should be
included on the numbers of fellowship programs currently existing and the number of fellows
currently being trained.
X
b) Where will these subspecialists be located? e.g. tertiary centres, community.
X
c) Describe the current number of subspecialists in practice and the numbers that are projected
for the next 5-10 years. Please include a brief description of the location of the practising
subspecialists.
X
d) Please estimate the number of faculty currently available nationally with expertise in the
proposed subspecialty and identify where they are located across the country.
X
e) What will be the funding implications for the proposed subspecialty?
X
f)
Please describe any anticipated impacts on Postgraduate Medical Education or practice
systems in any region.
X
Property of RCPSC
Approved by COS-October 2007
5
Revised: May 2008
Application for Recognition of a Specialty or Subspecialty
Application- Stage II
SPECIFICALLY TARGETED INFORMATION
TO BE REQUESTED BY THE ROYAL COLLEGE2
PLEASE NOTE: This section is provided to the applicant for information only.
The application must be widely supported by letters from the Royal College’s Regional Advisory
Committees, the Association of Faculties of Medicine of Canada (AFMC), including the Postgraduate
Deans Committee, the Canadian Association of Internes and Residents (CAIR), the Fédération des
médecins résidents du Québec (FMRQ), Collège des médecins du Québec (CMQ), Federation of
Medical Regulatory Authorities of Canada (FMRAC), and the parent specialty. The Committee on
Specialties (COS) will write to these stakeholders requesting specific information:
The Royal College has received an application for recognition of the subspecialty in xxx. The
entry for this subspecialty would be from the specialties of xxx .
In order for the Committee on Specialties to assess this application, consultation with a broad
spectrum of the medical community is being requested. It would be appreciated if your
organization would review the enclosed application for recognition of a specialty or
subspecialty in xxx and reply to the following questions:
Federation of Medical Regulatory Authority of Canada (FMRAC) and
Provincial Medical Regulatory Authorities (PMRA)
1. How would the recognition of this subspecialty impact specialty medical care in your province?
2. Is there a physician resource need for these types of subspecialists in your province?
3. What do you perceive as the potential benefits for the recognition of this new subspecialty in
your province?
Association of Faculties of Medicine of Canada AFMC (Deans and Postgraduate Deans)
1. How would the recognition of this subspecialty impact the organization of postgraduate medical
education at your University?
2. What are the funding opportunity and the prospects for the allocation of positions for this new
subspecialty?
3. Is there university support for the emergence of this subspecialty?
Collège des médecins du Québec (CMQ)
1. Is this discipline recognized as a subspecialty in Québec?
2. How would the recognition of this subspecialty impact specialty medical care in Québec?
3. What is the impact of recognizing this subspecialty on:
- Family Medicine in Québec?
- CMQ credentialing of specialists and subspecialists?
4. Would the CMQ allocate training cards for the subspecialty training in this discipline and what
steps would be taken to ensure financing?
Residents’ Associations
Canadian Association of Internes and Residents (CAIR)
Fédération des médecins résidents du Québec (FMRQ)
1. Do you have concerns about the length of training of the proposed subspecialty and the ability to
attract new residents? Is there justification for the proposed length of training time?
2. Are there clearly defined entry requirements?
3. Is the proposed new training already being covered in the entry specialty?
4. What would the impact be of “double counting” the last year of the entry specialty with the first
year of the proposed subspecialty?
PLEASE NOTE: This section is provided to the applicant for information only. The Office of Education will conduct this
consultation.
2
Property of RCPSC
Approved by COS-October 2007
6
Revised: May 2008
Application for Recognition of a Specialty or Subspecialty
Application- Stage II
Royal College’s Regional Advisory Committees (RACS)
1. What are the human resource needs for this subspecialty? Are there shortages?
2. Would recognition of this subspecialty improve patient care?
Parent Specialty(ies)/related National Specialty Society(ies)
Stakeholders Specialty(ies) /related National Specialty Society(ies)
1. What are the current and projected human resource requirements in this proposed subspecialty?
2. Is the amount of time to be spent in mandatory rotations satisfactory?
3. Is the demarcation between entry specialty and the proposed subspecialty clearly indicated?
4. Are the entry requirements clearly identified?
5. Is there a threat of potential erosion to the entry specialty?
6. Would you be in favor of “double counting” the last year of the entry specialty with the first year
of the proposed subspecialty?
Ministries of Health (MOH) Federal and provincial
Canadian Resident Matching Services (CaRMS)
College of Family Physicians of Canada (CFPC)
Property of RCPSC
Approved by COS-October 2007
7
Revised: May 2008