The Royal College of
Physicians and Surgeons
of Canada
2006 ANNUAL REPORT
Vision
The Royal College is dedicated to the best health for Canadians and to leadership in specialty medicine. The vision of the
Royal College is founded on innovation, the ongoing pursuit of excellence and the highest ethical values of our
profession. Through the teamwork of its Fellows, volunteers and employees, the Royal College achieves its vision in a
variety of ways, including
• advocacy for quality health care,
• broad membership involvement,
• innovative technology,
• the highest standards of specialty medical education,
• partnerships and collaboration,
• appropriate funding, and
• efficient management.
Mission
The Royal College of Physicians and Surgeons of Canada is an organization of medical specialists dedicated to ensuring
the highest standards and quality of health care.
Contents
Message from the President: Supporting our physicians and the provision of quality care
At a glance
Who we are, what we do and how we do it
What does it mean to be a member of the Royal College?
The year in review—putting our mission into action
Supporting excellence and innovation
Providing leadership in specialty medical education and practice
Promoting sound health policy for optimal patient care
Advancing quality specialty care through lifelong learning
Enhancing our services and infrastructure
Communicating effectively
Our governance
Our leadership
Message from the CEO: Rejuvenation and renewal to support our mission
Financials
2
4
6
7
13
16
17
19
20
22
23
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26
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Message from the President
Organizations must undergo review to ensure they remain relevant and responsive in
terms of serving stakeholders and successfully achieving their goals. For this reason,
the College’s Council initiated the governance review and strategic planning processes
in September 2006. A strong governance structure can help us ensure the system
guiding our decision-making processes is efficient, effective, engages our members
and supports the College’s strategic direction. The strategic planning process enables
us to focus the College’s energy toward priorities, and assess and adjust our direction
in response to the changing environment. These processes build on the College’s
existing strengths to ensure relevance to our members, the provision of high quality
care by specialists, and our ability to remain a leader in specialty medicine.
A notable initiative between the Royal College and the College of Family Physicians
of Canada is another step in the right direction to help support our physicians and
the provision of quality care. The initiative, Family Physicians and Other Specialists—
Working and Learning Together, shines a spotlight on intraprofessional collaboration
and communication—a key element to ensuring that every Canadian has access to
high-quality care. The initiative identified 13 recommendations to meet today’s
challenges in strengthening the relationships between family physicians and other
specialists.
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NAVIGATING THE WAY FORWARD
Supporting our physicians and the provision of quality care
From a broader perspective in terms of collaboration and strategic planning, the Royal College has been an active member of the
Canadian Medical Forum (CMF)—a nine member partnership that meets twice a year to provide a forum for consultation, consensus
building, strategy development and joint action on issues such as physician human resources and medical professionalism. The
College also established a working group in 2006 to find ways to help medical specialists better serve First Nations, Inuit and Métis
communities. The improvement of health care within these communities is one of the Royal College’s strategic objectives and builds
on the Aboriginal health initiative begun by former Royal College president Dr. John McDonald, FRCPC.
In building and fostering this momentum, we are fortunate to have the support of more than 1,800 committed medical specialists
and other professionals who volunteer to support every area of the College’s work with their immense contributions of time,
expertise and energy. They enable us to achieve our objectives in our core business areas—postgraduate medical education,
continuing professional development, and health and public policy—and their contributions are the foundation of our success.
In closing, I would like to welcome our CEO, Dr. Andrew Padmos, FRCPC, who joined us in September 2006. His conviction, vision
and insight will be invaluable to the Royal College as we focus on the goals set before us. I would also like to convey my
appreciation to Dr. Jim Hickey, FRCPC, for acting as interim CEO for the first nine months of the year, while maintaining his duties as
director of Fellowship Affairs. Jim’s term at the helm was a significant factor in sustaining the morale and dedication of College staff,
and the profile and integrity of the organization itself. And, on behalf of the Council and all the College’s members, I thank the staff
for their continued commitment to excellence and for their part in the successes we enjoyed in 2006.
Louise Samson, MD, FRCPC
Learn more about the College’s governance review and strategic planning processes at
http://rcpsc.medical.org.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Who we are
The Royal College is a member-based, national, not-for-profit organization. For more than 75 years, we have been a leader in specialty medicine,
advancing the highest standards of postgraduate medical education and practice.
Established in 1929 by a special Act of Parliament to oversee the medical education of specialists in Canada, we have since expanded our reach
to become a stronger voice of specialty medical education in Canada, advocating on behalf of specialty medicine on issues such as health human
resources, patient safety, medical education, revalidation and lifelong learning.
What we do
By ensuring the highest standards and quality of health care, the College contributes to the improved health of Canadians on behalf of its
members in various ways throughout their professional life cycles: as residents, as practising physicians, as educators, researchers and
administrators, and in retirement.
We set standards for specialty
training and education
We assess and accredit
residency programs
We assess residents’ education
and training
The Royal College prescribes the requirements for specialty education in 60 areas of medical, surgical and
laboratory medicine plus two special programs. A leader in specialty medicine, we respond to and help shape
the medical education environment to ensure our future medical specialists are competent and equipped to
better meet the health needs of society.
By regularly reviewing the training programs and resources of over 600 specialty residency programs in 17
faculties of medicine, we ensure that they continue to meet the standards set by the College.
The College assesses the training and credentials of approximately 2,500 medical graduates annually to
determine their eligibility to take the Royal College certification examinations.
We certify specialists in more
than 60 disciplines
We develop and administer examinations to more than 2,300 candidates annually. Physicians who complete
our postgraduate residency education requirements and who pass the examinations are granted Royal College
certification—evidence that they have met a single national standard for competency in specialty care.
We provide continuing
education assistance
We provide funding opportunities and public recognition for the advancement of specialty medicine and the
benefit of our members. By distributing more than $700,000 annually through the awards and grants program,
promoting research and recognizing the contribution of members to medicine and health care, we help young
and established professionals advance their careers.
We uphold professional
development and
lifelong learning
We maintain high standards in continuing professional development through the Maintenance of Certification
(MOC) program for Fellows and the CPD program for other specialists. Both programs provide a framework
that promotes the enhancement of practice-based learning and specialty-specific knowledge, skills,
attitudes, performance and, ultimately, health outcomes. We also support and apply educational research
related to lifelong learning, innovations supporting knowledge transfer and the integration of learning in
professional practice.
We advocate for and support
the development of sound
health policy
We provide management
support to national
specialty societies
We conduct health policy analyses and research, and advocate with external stakeholders including the
federal/provincial/territorial governments and other medical organizations for sound health policy to meet
societal health needs.
The College provides comprehensive and professional association management services to medical specialist
organizations and facilitates liaison between the Royal College and the national specialty societies.
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NAVIGATING THE WAY FORWARD
At a glance
How we do it
• Our successes are largely dependent upon the contribution and dedication of over
1,800 volunteers. These medical specialists and other professionals offer their
time, energy and wide-ranging skills, providing indispensable expertise, experience
and perspectives to virtually all areas of the College—especially the development
and administration of the certification examinations. Royal College volunteers fill
many roles, from sitting on committees and task forces, to serving as accreditation
surveyors and examiners, from volunteering as educators in accredited specialty
residency programs to contributing to the Annual Conference program.
• Our members’ support makes it possible not only to review and sustain our
programs but also to chart new territory. Members’ financial support helps sustain
our vital work in upholding quality postgraduate medical education and high
standards in specialty medicine practice, ensuring the next generation of medical
specialists are fully trained to take their place in Canada’s health care system.
• As the voice of over 40,000 members, the College contributes to shaping key
issues in specialty medicine and health care by engaging governments, partners
and stakeholders in dialogues on patient safety, timely access to care, physician
health and well-being, and health human resources.
• Our operations are carried out through the hard work of 150 full- and part-time
staff, and with the oversight of our dedicated Council members.
As the voice of over 40,000 members, the College contributes to
shaping key issues in specialty medicine and health care by
engaging governments, partners and stakeholders in dialogues on
patient safety, timely access to care, physician health and
well-being, and health human resources.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
What does it mean to be a member of the
Royal College?
Whether they care for
patients, teach and
supervise students, or
engage in research or
administration, the
Fellowship designation
signifies that Fellows of
the Royal College have
successfully met high
standards for specialty
training and are
committed to lifelong
learning.
Fellows
Medical and surgical specialists certified by the Royal College are invited to join the College as Fellows.
Several categories of membership for Fellows—including part-time, active, senior, retired and international—
offer flexible options and adjusted rates for members at different stages in their professional lives.
Fellowship means
• professional recognition—Fellows of the Royal College are readily identified by the internationally
recognized professional designations of FRCPC (Fellow of The Royal College of Physicians of Canada)
and FRCSC (Fellow of The Royal College of Surgeons of Canada) that set them apart from other
physicians and give patients, peers, and licensing and credentialing authorities assurance of their abilities;
• commitment to lifelong learning—Fellows engaged in clinical practice or related professional activities
in administration, education or research are required to participate in the College’s Maintenance of
Certification (MOC) program. Participation in the MOC program provides visible testimony of Fellows’
commitment to lifelong learning and their willingness to be accountable to their peers, regulatory
authorities and patients for how they are maintaining their competence and performance related to
their professional activities;
• affiliation with more than 40,000 like-minded professionals who share many of the same interests,
challenges and concerns; and
• opportunity to participate in over 60 committees, ranging from education to health policy, professional
development to ethics, thereby influencing the direction of specialty medicine in areas relevant to their
professional interests.
Resident Members
As a result of a focused
membership drive,
Resident Member
recruitment for
the Royal College
increased by
25 per cent in
2006 over the
previous year.
Medical residents who are registered with the postgraduate office of a Canadian medical school, are
enrolled in a Royal College-accredited residency program and have not previously been certified by the
College are invited to join the College as Resident Members. Resident membership offers unique
opportunities for residents in specialty medicine to
• gain valuable insight into the issues affecting specialty medicine,
• learn about the role of the College in maintaining high standards in residency education and
contributing to health policy,
• interact with and learn from physicians and surgeons already established in their careers, and
• provide their input and perspectives to the discussions and decision-making processes by sitting on
committees and task forces.
Membership breakdown—2006
Fellows
3 7,1 5 5
Resident Members
3 ,494
Total members
40,649
3.2%
Members worldwide
9.5%
Canada
United States
Overseas
87.1%
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NAVIGATING THE WAY FORWARD
The year in review—putting our mission into action
The College’s many initiatives and activities have two
things in common: they serve to fulfill our mission and
to create value for our members by working on their
behalf to improve the health of Canadians.
Supporting excellence and
innovation
Providing forums for exchanging
ideas and pursuing knowledge
The College’s Annual Conference supports and
promotes our vision and mission as reflected in our
core activities of postgraduate medical education,
continuing professional development, and health and
public policy. The Conference includes pre-conference
faculty development programs and workshops for
program directors and administrators, as well as the
Accredited Providers Conference that provides
education support sessions for the accredited
providers of continuing professional development
programs in Canada.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
2006 Annual Conference—exploring leadership in
specialty medicine
CanMEDS is an initiative designed to
improve patient care by articulating a
comprehensive definition of the
competencies needed for medical
education and practice. The CanMEDS
framework is organized around seven
Roles: Medical Expert (central Role),
Communicator, Collaborator, Health
Advocate, Manager, Scholar and
Professional. The CanMEDS
competencies have been integrated
into the Royal College’s accreditation
standards, objectives of training, final
in-training evaluations, exam blueprints
and the Maintenance of Certification
program, and adapted around the
world and in other professions.
More than 700 participants attended the 2006 Annual Conference, which offered a wide
variety of practical and inspiring sessions under the theme of Leadership in specialty medicine:
Enhancing and assessing physician competencies. Participants discussed leadership skills and
learned to integrate them into their daily routines. Educators gained new tools for assessing
CanMEDS competencies as well as tips for training tomorrow’s leaders. Highlights included
Royal College lecturer Sister Elizabeth Davis, an award-winning speaker and expert on
leadership, who shared her vision of what a leader should be—a visionary, prophet, decisionmaker, inspirer, facilitator, partner, implementer and evaluator. The closing presentation—
delivered by Royal College incoming president Louise Samson, MD, FRCPC, and Louise
Nasmith, MD, FCFP, president of the College of Family Physicians of Canada—focused on
collaboration between health professionals, a key element to achieving high-quality patient care.
Read the transcripts of the plenary sessions:
http://rcpsc.medical.org/meetings/2006/index.php.
The opening plenary session at the 2006 Annual Conference included presentations by (L to R)
Victor Neufeld, MD, FRCPC; Peter Minich, MD, FRCSC; Sister Elizabeth Davis, RSM; and was
chaired by then-president Stewart Hamilton, MD, FRCSC; and moderated by William Fitzgerald,
MD, FRCSC.
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NAVIGATING THE WAY FORWARD
Recognizing and supporting physicians through awards
and grants
The Royal College, with the support of medical schools, national specialty societies, other
organizations and individual donors, helps Fellows and Resident Members further their
continuing education through a program of national and regional awards and grants. By
providing recipients with opportunities to obtain advanced expertise and training, honouring
the contributions of our physicians, and acknowledging excellence in the profession, the
awards and grants program supports physicians in their careers. In 2006, we distributed over
$768,000 in awards, grants, fellowships, visiting professorships, clinical traineeships, continuing
medical education and medical research for the benefit and advancement of specialty
medicine. These were funded in part through the generosity of our donors who, in 2006,
contributed more than $71,600 to the College’s Educational Endowment Fund.
Complete descriptions of all awards and grants, as well as recipient biographies, are available
online at http://rcpsc.medical.org/awards/index.php.
Jeff Reiss, MD, FRCPC (right) presented the Prix d’excellence
for Region 2—Manitoba and Saskatchewan—to Rudy
Danzinger, MD, FRCSC (left).
2006 recipients
Honorary—National
James H. Graham Award of Merit
Mentor of the Year
Dr. Samuel O. Freedman, Montreal, Que.
Dr. Piotr M. Czaykowski, Winnipeg, Man.
Dr. Simon Davidson, Ottawa, Ont.
Dr. André Denault, Longueuil, Que.
Dr. Paul Kneafsey (deceased), Calgary, Alta.
Dr. Akbar Panju, Hamilton, Ont.
Dr. Gerald Sparkes, Saint John, N.B.
Duncan Graham Award
Dr. Ian Hart, Ottawa, Ont.
Honorary—Regional
Prix d’excellence
John Steeves, MD, FRCSC (right), presented the Mentor of
the Year award for Region 5—Atlantic Canada—to
Gerry Sparkes, MD, FRCSC (left), a plastic surgeon with
Atlantic Health Sciences Corporation.
Dr. David Allan (deceased), Huntsville, Ont.
Dr. Robert Baillie, Sydney, N.S.
Dr. Rudy Danzinger, Winnipeg, Man.
Dr. Jamie D. Graham, Corner Brook, N.L.
Dr. Ken Grant, Charlottetown, P.E.I.
Dr. Philip Gordon, Toronto, Ont.
Dr. Elizabeth MacDonald, Saint John, N.B.
Dr. Conrad Pelletier, Montreal, Que.
Dr. Ted Wilkins, Vancouver, B.C.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Competitive—National
Medical Education Research Grants
Visiting professorships
Royal College Medal Awards
Dr. Hema Patel, Westmount, Que.
Dr. Ashley Vergis and Dr. Lawrence Gillman,
Winnipeg, Man.
Mr. Luc Côté, Quebec, Que.
Dr. Peter J. McLeod, Montreal, Que.
Dr. Martin Friedlich, Ottawa, Ont.
Dr. Tara J.T. Kennedy, Toronto, Ont.
Dr. Mackenzie Quantz and Dr. Pavan Koka,
London, Ont.
Dr. Adam Dubrowski, Toronto, Ont.
McLaughlin-Gallie Visiting Professorship
Medicine: Dr. Mark Loeb, Hamilton, Ont.
Surgery: Dr. Sandro B. Rizoli, Toronto, Ont.
Canadian Research Award for Specialty
Residents
Medicine: Dr. Sean McMurtry, Edmonton, Alta.
Surgery: Dr. Bradley Jacobs, Toronto, Ont.
K.J.R. Wightman Award for Research in Ethics
Dr. Sarita Verma, Kingston, Ont.
Grants
Faculty Development Grants
Royal College Visiting Professorship in
Medical Research
Dr. William A. Ghali, Calgary, Alta.
Janes Visiting Professorship in Surgery
Dr. James T. Rutka, Toronto, Ont.
Fellowships
RCPSC Kilborn Memorial Visiting
Professorships
Royal College Fellowship for Studies in
Medical Education
Dr. Allen Finley, Halifax, N.S.
Dr. Marisa Finlay, Toronto, Ont.
Dr. Ayelet Kuper, Toronto, Ont.
Dr. Nicole Tenn-Lyn, Toronto, Ont.
Wightman Visiting Professorship
in Medicine
Dr. Jason Park, Winnipeg, Man.
RCPSC/AMS Donald Richards Wilson Award
Dr. José Guillem, New York
Dr. Nancy Dudek, Ottawa, Ont.
Dr. Blye Frank, Halifax, N.S.
Dr. Franco A. Carnevale, Montreal, Que.
Medical Education Travelling Fellowship
RCPSC/AMS CanMEDS Research and
Development Grants
Walter C. MacKenzie-Scotiabank Fellowship
in Surgery
Dr. Véronique Godbout, Calgary, Alta.
Dr. Éric Drouin, Montreal, Que.
Dr. Roger Wong, Vancouver, B.C.
Dr. Peter C.W. Kim, Toronto, Ont.
Dr. Peter Minich, Toronto, Ont.
Detweiler Travelling Fellowship
Dr. Shawn Aaron, Ottawa, Ont.
Dr. Sumit Agrawal, London, Ont.
Dr. Carla S. Coffin, Calgary, Alta.
Dr. Paul W.M. Fedak, Toronto, Ont.
Dr. Philip Jong, Toronto, Ont.
Dr. Gilaad Kaplan, Calgary, Alta.
Dr. Warren Lee, Toronto, Ont.
Dr. Paul Renfrew, Calgary, Alta.
International Travelling Fellowship
Dr. Elizabeth Hillman and Dr. Donald Hillman,
Manotick, Ont.
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NAVIGATING THE WAY FORWARD
Dr. William Geerts, Toronto, Ont.
Honouring outstanding contributions to health care
The Royal College awards Honorary Fellowship to distinguished physicians, surgeons and laypersons in
recognition of their outstanding contributions in health care and related areas. In 2006, five Honorary
Fellows were admitted to the College.
Her Excellency the Right Honourable Michaëlle Jean, CC, CMM, COM, CD, Governor General and
Commander-in-Chief of Canada
In recognition of our royal patronage, the College bestows Honorary Fellowship on Her Majesty the
Queen’s representatives in Canada. Madame Jean was recognized for her role as a great humanitarian and
advocate for women and children in crisis.
Lorne A. Babiuk
Professor, Colleges of Agriculture, Medicine, School of Public Health; Vice-President of Research, University
of Alberta
In recognition for his contribution as an international authority of veterinary virology and immunology to
ensure the safety of Canada’s food supply.
Lieutenant-General the Honourable Roméo Dallaire, OC, CMM, GOQ, MSC, CD (Ret’d), Senator
In recognition for his work as a tireless promoter of human rights and dignity for all and as an advocate for
those affected by conflict.
Dr. Philip B. Berger
Chief, Department of Family and Community Medicine, Medical Director, Inner City Health Program, St.
Michael’s Hospital, Toronto; Associate Professor, Department of Family and Community Medicine,
University of Toronto
In recognition of his exceptional example of leadership, compassion and advocacy for the disadvantaged
in our society.
Stewart Hamilton, MD, FRCSC, Dr. Lizo Ebden Mazwai
then-president of the Royal College, with
President of the College of Medicine of South Africa; Professor of General Surgery, Chief Specialist,
Lieutenant-General the Honourable
Chairman of the Division of Surgery, and Dean of Health Sciences, Walter Sisulu University of Technology
Roméo Dallaire, OC, CMM, GOQ, MSC, CD
and Science—Eastern Cape, South Africa
(Ret’d), Senator, FRCPSC, who was inducted
In recognition for his contributions to developing educational capacity in the Republic of South Africa and
as an Honorary Fellow in 2006.
his leadership in the medical and surgical communities of South Africa.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Celebrating the achievements of new Fellows
Royal College Council members, past-presidents and
representatives of sister colleges from around the
world lined the stage at the 2006 Convocation
ceremony to welcome new Fellows into the College.
Each year, the College holds a Convocation
ceremony at the Annual Conference to officially
induct recently certified specialists who have
accepted the College’s invitation to Fellowship. The
ceremony is a celebration of a significant milestone
in the professional life of these new specialists. It is
also an opportunity to officially welcome them as
new Fellows, and recognize the support that their
spouses, family members and friends have provided
them throughout their medical education and
training. During this event we also recognize the
College’s Honorary Fellows and commemorate the
achievements of our award winners for the year.
More than 400 people (family and friends of our new Fellows, Royal College Council members, pastpresidents and representatives of sister colleges from around the world) attended the 2006 Convocation
ceremony where 68 physicians and surgeons received their certificates as Fellows of the College. The
convocation address delivered by Lieutenant-General the Honourable Roméo Dallaire and the presentation
of Honorary Fellowships and awards that followed were inspiring reminders of the successes and
accomplishments that can be attained by dedicated professionals.
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NAVIGATING THE WAY FORWARD
Providing leadership in specialty medical education
and practice
Practical tools to teach, assess and personify CanMEDS
The CanMEDS physician competency framework has changed the landscape of medical education over the
past decade. Officially adopted in 1996 to support the College’s mission of ensuring the highest quality of
health care for Canadians, this framework has since become a national standard for specialty medicine.
Other health professions in Canada and in several countries around the world have adopted and tailored the
CanMEDS framework for their own use.
The number of requests, from within Canada and around the world, for CanMEDS resources, workshops,
copyright permissions and collaboration in joint endeavours has increased in recent years. In 2006, more than
40 CanMEDS workshops and presentations were delivered to medical educators, practising physicians and
specialty committees across Canada to address this demand for knowledge.
In September 2006, The CanMEDS Assessment Tools Handbook: An Introductory Guide to Assessment
Methods for the CanMEDS Competencies was officially launched at the Royal College Annual Conference.
Since then more than 1,900 copies have been distributed worldwide. The handbook provides medical
educators, clinical teachers and those using the CanMEDS framework for assessing physician competencies
with a map and compass to help them meet the needs and expectations of the medical students and
residents they are training.
The handbook includes a brief overview of contemporary tools—from written tests to encounter cards—for
each of the CanMEDS Roles and highlights key references that educators will find helpful. The development
of this handbook is another step forward in standardizing and facilitating the full integration and
implementation of the CanMEDS competencies into Canadian medical education and practice.
Additional CanMEDS information and resources are available on the College website:
http://rcpsc.medical.org/canmeds/index.php.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Enhancing patient care through CanMEDS
In addition to the creation and dissemination of CanMEDS teaching and assessment tools for medical
educators and practising physicians, several projects are in progress to help medical educators teach the
CanMEDS Roles and to help Fellows link their professional development activities to the CanMEDS Roles.
These projects, which will ultimately enhance the way physicians care for their patients, include
• train-the-trainer faculty development workshops to provide educators with the skills and knowledge to
teach and assess each of the CanMEDS Roles,
• revising specialty standards documents to incorporate the CanMEDS competencies into the training
requirements for all 60 specialities, and
• embedding CanMEDS Roles and competencies within continuing professional development so that
physicians can develop learning activities to expand their knowledge about the efficacy and assessment
of CanMEDS competencies in practice.
Developing competency-based education for better patient care
Another example of the influence of CanMEDS on patient care is a new project with the Canadian Patient
Safety Institute (CPSI). CPSI has enlisted the expertise of the Royal College’s CanMEDS team to coordinate
the development of a safety competencies framework that will cross multiple health professions. The
groundwork for this initiative began in 2006 with the formation of the project steering committee and the
establishment of project goals, objectives and timelines. Future deliverables include recruiting working
groups to define the patient safety competencies and the preliminary publication of a bilingual safety
competencies framework. This project is key to ensuring patient safety competencies are integrated into all
levels of national training standards and continuing professional development.
Examining the effectiveness of postgraduate medical education
through the Core Competency project
The Royal College and the College of Family Physicians of Canada have embarked on the Core Competency
project in an effort to enhance the quality and effectiveness of postgraduate medical education (PGME) in
Canada, specifically as it applies to quality of the PGME system, early career decision-making and flexibility
in training. At the centre of this study is the question of whether a common educational foundation, through
a logical progression of training that covers the breadth of knowledge and experience, is required for
Canadian specialists.
To gain a better understanding of the functionality of the existing PGME system, its alignment with the
needs of residents, medical students and society, and to explore the strengths and weaknesses of the
proposed approach, the project initiated an extensive literature review and is collecting commentaries from
a targeted group of key stakeholders about their views on the issues that affect the success of PGME in
Canada and on areas for improvement.
More information is available online at http://rcpsc.medical.org/residency/competency/index.php.
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NAVIGATING THE WAY FORWARD
Addressing physician shortages: enhancing alternate routes to
certification
In 2006, the Royal College
assessed the training
and credentials of
approximately 2,500
medical graduates to
determine their eligibility
to take the Royal College
certification examinations.
In 2000, the Royal College—recognizing there was a shortage of medical specialists in Canada—created
alternate routes to certification to help integrate international medical graduates into the Canadian medical
workforce. The Royal College awards certification through the traditional route to physicians who
successfully complete their residencies in Canadian Royal College-accredited training programs and pass the
College’s certification examination in their respective specialities. The College also offers alternate routes to
ensure a fair and transparent process for the verification of credentials and assessment of training for
qualified international medical graduates (IMGs) to obtain full Royal College certification.
In 2006, we modified our assessment process for IMGs to better meet their needs and to facilitate the
certification of qualified IMGs to address Canada’s current shortage of medical specialists. The existing
process of assessing the international PGME systems in which an IMG applicant trained was replaced with a
new system centred on the individual competency assessment of IMGs. Over the past year, we developed—
and in fall 2006 adopted—a new set of criteria for the assessment of an international medical graduate’s
individual training, practice activities and clinical competence.
The criteria include
• completion of an undergraduate medical degree deemed acceptable by the Foundation for
Advancement of International Medical Education and Research;
• specialist certification in the country of origin with a minimum of three years of training;
• a comprehensive screening evaluation conducted through the auspices of the provincial regulatory
authority including oral and written examinations, an assessment of the applicant’s practice activities
and a CanMEDS competency review;
• completion of at least two years in an accredited Canadian residency program with at least one year at
a senior residency level (PGY 3-5);
• a passing grade on one of three examinations—Medical Council of Canada Evaluating Examination,
Medical Council of Canada Qualifying Examination I and II or the United States Medical Licensing
Examination parts I to III; and
• proficiency in either English or French.
Information about the College’s pathways to certification is available online at
http://rcpsc.medical.org/residency/certification/img_e.php.
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The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Promoting sound health policy for optimal patient care
Achieving responsible self-sufficiency: statement on physician HR
The College is addressing
ethical questions about
reliance on international
medical graduates,
educational opportunities in
Canada and Canada’s ability
to meet its own medical
workforce requirements.
Fluctuations in the supply and distribution of physicians and surgeons in Canada impede access to care,
unduly strain the existing workforce and potentially threaten patient safety. Measures implemented at the
provincial/territorial and regional levels to address medical workforce shortages at times include the
recruitment of doctors from outside the country. In April 2006, the College issued a statement on
appropriate physician resources for Canada, focused on achieving responsible self-sufficiency. The College is
addressing the ethical questions about reliance on international medical graduates (IMGs), educational
opportunities in Canada and Canada’s ability to meet its own medical workforce requirements.
Our statement advocates
• achieving balance between domestic education and training of medical professionals and immigration
policies;
• encouraging the return of Canadians who train outside Canada with opportunities for fair assessment of
credentials and access to post-MD training;
• developing ethical policies for including IMGs into the Canadian medical workforce when domestic
education and training do not provide an adequate number of medical professionals—policies that do
not interfere with free, legitimate movement of individuals throughout the world;
• developing a national approach to recruitment, regulation and access to licensure to create a more level
playing field across Canada;
• paying greater attention to the education and practice infrastructure to redress workforce shortages;
and
• designing practice models and work environments that support interdisciplinary collaboration, mutual
respect and trust as solutions to the problems of medical workforce shortages in Canada.
Read the full statement at http://rcpsc.medical.org/publicpolicy/physician-resources/Workforce-Selfsufficiency_e.pdf.
PAG E 1 6
NAVIGATING THE WAY FORWARD
Fostering collaborative relationships among health care professionals
The need for strong, collaborative relationships among health care professionals to improve patient care,
patient safety and professional satisfaction is more pressing today than ever as Canada’s health care
environment continuously evolves. In 2006, the Royal College and the College of Family Physicians of
Canada paid renewed attention to the challenges created by physician human resource shortages and other
factors impacting physician working relationships: the doctor’s lounge where physicians once conferred has
all but disappeared and, with increased workloads, physicians have less time to talk to each other about their
patients’ needs. In addition, the referral and consultation mechanisms between family physicians and other
specialists need to be reviewed to optimize patient care.
In August 2006, the Royal College and the College of Family Physicians of Canada released the
discussion paper Family Physicians and Other Specialists: Working and Learning Together. The paper outlines
13 recommendations that form the basis for a long-term action plan to foster and support desired behaviours
and best practices for the current and next generation of physicians. The plan will also help physicians
optimize their intraprofessional relationships for the benefit of patients and physicians alike.
For more information, visit
http://rcpsc.medical.org/publicpolicy/FamilyPhysicians_and_other_specialists_e.php.
Advancing quality specialty care through
lifelong learning
Providing a framework for professional development
The practice of every medical specialty offers a tremendous capacity for growth and discovery that
ultimately enhances the care and services medical specialists provide to their patients. Professional
development is part of the foundation of maintaining excellence in practice and encompasses learning
across a range of areas including clinical education, practice management, ethical decision-making, evidencebased care and managed-care principles.
As a self-regulated profession, physicians and surgeons are expected to maintain their knowledge and skills
throughout their careers. The Royal College’s professional development program, Maintenance of
Certification (MOC), supports the continuing professional development of Fellows throughout their careers
by providing a framework that helps them maximize their efforts: it helps them plan practical needs-based
professional development activities and document the outcomes of those activities in a convenient and
efficient way.
PAG E 1 7
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Promoting learning outcomes and practice improvements
In 2006, significant changes were made to the MOC program to help Fellows link their participation in
continuing professional development activities to identifying, assessing and documenting learning outcomes
that address their professional needs. By documenting learning outcomes, not just learning activities, Fellows
can demonstrate how they enhanced their knowledge, skills or performance over time and assess whether
the learning activity was efficient and effective for their needs. The new requirements also focus on applying
learning outcomes to practice, identifying and implementing practice improvements and promoting learning
that incorporates the CanMEDS competencies.
Developing programs and tools to support lifelong learning
To support these program changes, the Maintenance of Certification (MOC) Program Guide was updated to
reflect and explain the new program requirements and provide answers to frequently asked questions.
Innovative online tools and features within MAINPORT—the College’s online portal for documenting
continuing professional development (CPD) activities—were developed to help Fellows plan their learning
activities, track their total learning hours, and document their learning outcomes and specific learning
activities in a simple and convenient way. The portal’s new Pro-File feature (previously known as Web Diary)
also includes new ways to report learning. The CanMEDS framework was also incorporated within Pro-File to
enable Royal College members to link their learning to CanMEDS Roles.
Explore the MOC program and tools offered in MAINPORT at
http://rcpsc.medical.org/opd/index.php.
Learning on the run
The Royal College’s Centre for Learning in Practice is creating a series of booklets on lifelong learning for
physicians. Each booklet contains detailed examples that illustrate how the concepts, tools and strategies
integrated within the MOC program can facilitate and support learning stimulated within complex, busy
practices. Learning on the run is based on the premise that learning takes place in the office, the operating
room, the emergency room—wherever physicians practise. It may occur with or without a previously
identified need. Learning can be an individual activity or can be supported and enhanced by participating in
a group or interprofessional health care team. It provides opportunities for sharing practical knowledge and
experiences, and is a prime example of the way adults learn through discovery and inquiry.
PAG E 1 8
NAVIGATING THE WAY FORWARD
Enhancing our services and infrastructure
Business transformation for improved efficiencies and service
The Item Bank will facilitate
secure online collaboration for
the College’s exam board
members who develop the
certification exam questions.
One of the College’s key assets is its knowledge base, which is only valuable if it can be managed and
disseminated efficiently and appropriately. The College has continued its work to update its information
management practices and information technology systems to support efficiencies in serving our members.
This is a major undertaking that integrates our organizational structure, business processes, website, internal
networks, other digital and communication technologies and applications that are required to support and
enhance the day-to-day operations of the College.
Much of the past year was spent assessing and ensuring that the infrastructure and resources required to
support the information technology (IT) portion of the business transformation initiative are firmly in place.
We also began to identify and prioritize our technological and business requirements. The ultimate goal of
this review is to assure the integrity and functionality of the final product and minimize potential risk to the
organization. Next steps, which will span 2007–08, include finalizing our requirements and selecting and
integrating IT solutions that meet those requirements.
In addition to the IT review, we continued to develop the Item Bank, an application that will facilitate secure
online collaboration between exam board members in the development of exam questions. Traditionally,
exam board members travel to Ottawa from all corners of the country to meet and develop examination
questions. The Item Bank, to be launched early in 2007, will enable our volunteers to participate remotely
without taking time away from home or practice. This will make the process of developing exam questions
more convenient and cost-effective. Since the application ensures version control, exam question
development will become more secure, maintaining the integrity of the examinations.
New membership category introduced
Recognizing that not all Fellows benefit from the same services and benefits of membership, depending on
their practice status and location, the College offers different categories of membership and fee structures.
For example, the College offers reduced fee and benefit packages to Fellows residing and practising outside
Canada, those engaged in further postgraduate training, and retired Fellows. In 2006, the College introduced
a part-time membership category to meet the needs of the approximately 500 members who work less than
20 hours per week or less than six months of the year in any medical or health related professional activity.
PAG E 1 9
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Convenient access and enhanced member services
In 2006, more than 2,000
Fellows, Resident Members
and newly certified
specialists shared their
feedback through our
membership surveys.
The Royal College is committed to delivering its services in ways that are effective, efficient and convenient
for our members. Recognizing that our members lead busy lives and work outside traditional business hours,
we introduced and expanded several support and service options to meet their needs at their convenience.
For example, the Education Support Centre offered extended hours to assist Fellows with the submission of
their Maintenance of Certification (MOC) program credits and credit validation requirements. A 24-hour dues
line and online services such as membership application and renewal provide secure and expedient methods
for members to keep their membership information and status up to date. Electronic confirmation of status
letters and online ordering of replacement certificates make it easier and timelier for members to receive,
forward and provide documentation when required.
Communicating effectively
Listening to and learning from our members
In order to recruit, retain and serve our members, it is important that we understand the needs and interests
of our current and prospective members, conditions and trends in the environments in which they work, and
whether our products and services address those needs and conditions. In 2006 we conducted three
targeted surveys of current and prospective members.
A print and online survey for Fellows in Canada and the U.S. sought to better understand their satisfaction
levels with the College and the services we provide. Key findings indicated that Fellows
• perceive the Royal College in a positive light;
• are generally satisfied with the work and level of service offered; and
• strongly agree that being a Fellow of the Royal College enhances their credibility as a
physician/surgeon, is expected by their peers and increases public confidence.
However, survey results also identified a need to increase awareness of the College’s mandate and the value
for membership.
An online survey for residents and another for newly certified specialists sought to determine their
satisfaction with the level of our customer service and benefits, their needs and interests, and their intent
and motivation to join the College. Key findings from both of these surveys indicated that while these
potential Fellows are generally satisfied with College’s customer service, the benefits and services offered to
these groups need to be enhanced and better promoted. The College also needs to promote its role and
initiatives to these groups and provide clearer information regarding the examination process.
The response rates for the surveys ranged from 25–30 per cent, well within industry standards. The beneficial
information they provided will help us enhance value for membership. This information is also being used to
adapt our membership and communication strategies and to inform the governance review and strategic
planning processes and program/service development.
PAG E 2 0
Read the survey results online at http://rcpsc.medical.org/membership/2006surveys/index.php.
NAVIGATING THE WAY FORWARD
Exchanging ideas with members
In 2006, the College continued to publish four main publications: a quarterly magazine, Royal College
Outlook; a quarterly members’ newsletter, Dialogue; a newsletter for educators, OE News; and the annual
report. However, while the College’s publications and website provide practical routes to share information
with our members and key stakeholders, truly effective communication requires two-way participation.
In fall 2006, the College’s CEO initiated regular e-mail messages to members through which he shared his
vision and ideas for the organization, as well as relevant news and developments. More significantly, these
messages invited members to share their thoughts on these topics. Both the nature and volume of
responses indicate members’ appreciation for the opportunity to weigh in on topics that affect them as
members and as medical specialists. Whether positive or critical, the feedback received about our programs,
initiatives and services has been shared with the College’s leadership for consideration when reviewing our
operations. Regular two-way dialogue with members will continue to be a focus of the College’s
communication strategy in 2007.
Refining our communications to meet members’ needs
In this age of instant communication, organizations are challenged to find effective ways to communicate
with their members. Print publications, while still popular, are giving way to electronic formats that offer
greater efficiency, cost-saving opportunities and more frequent communications. Following this trend,
2006 marked the end of the print version of our newsletter, Dialogue; in 2007 an electronic version will be
e-mailed to members and posted on our members-only section of our website. A campaign to capture
members’ e-mail addresses resulted in more members making use of electronic channels to stay up-to-date
on College news and interact with our service areas.
What satisfied our members yesterday may not capture their interests or reflect their needs today; therefore,
we must continually monitor and refine our communications accordingly. Royal College Outlook is an
example of a product we are refining to better serve our members. Survey results collected in 2006
indicated that although highly regarded, the magazine competed unsuccessfully for members’ time. At the
end of 2006, publication was suspended while we explore the viability of other publication options.
Our communication focus over the next few years will be on maximizing member satisfaction through
targeted and consistent messages, awareness building and enhancing our external relations. To support these
priorities, and realizing that a strong marketing and image strategy is integral to providing value to our
members over the long-term, we have started the groundwork for a branding initiative. The research and
audit phase will take place in 2007 and development of the brand will continue through 2008.
PAG E 2 1
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Our governance
Council
The Council is responsible for the policies,
decisions and actions of the organization. Its
members include 24 elected Fellows, representing
each of the Royal College’s five electoral regions,
and one Resident Member. Up to five public
members and three Fellows-at-large may also be
appointed.
The College’s electoral regions
Region 1
British Columbia, Alberta, the Yukon and
Northwest Territories
Region 2
Saskatchewan and Manitoba
New committee appointments typically come
into effect at the time of the Annual Business
Meeting held every fall. This list of Council
members reflects those who held office until the
end of September 2006.
President
Dr. Stewart M. Hamilton, FRCPC
Region 3
Ontario and Nunavut
Region 4
President-elect
Dr. Louise Samson, FRCPC
Quebec
Region 5
New Brunswick, Nova Scotia,
Prince Edward Island, and
Newfoundland and Labrador
Members
Region 1
Dr. Máire Duggan, FRCPC
Dr. Louis Hugo Francescutti, FRCPC
Dr. Euan Malcolm S. Frew, FRCSC
Dr. Gerry Todd, FRCSC
Region 2
Dr. George John Garbe, FRCPC
Dr. Jeffrey Perry Reiss, FRCPC
Dr. Brian Ulmer, FRCSC
Left to right
Back: Jerry O’Hanley, Jeffrey Reiss, Valérie Leblanc,
David McKnight, Louise Samson, Markus Martin,
André Robidoux, Richard Johnston, Sharon Peters,
Louis Francescutti, Euan Frew, George Garbe, Máire Duggan,
Ken Romanchuck, Michael Sharpe, Richard Reznick,
Andrée Boucher, John Fuller, William Fitzgerald
Front: Brian Ulmer, Jean Gray, Stewart Hamilton, John
McDonald*, Vincent Bernier, Cecil Rorabeck
Not shown: Gerry Todd, Dominique Dorion, Sister
Elizabeth Davis, Bernard Shapiro
* Term ended September 2005
PAG E 2 2
NAVIGATING THE WAY FORWARD
Region 3
Dr. John Fuller, FRCPC
Dr. Richard Uren Johnston, FRCSC
Dr. David McKnight, FRCPC
Dr. Richard Keith Reznick, FRCSC
Dr. Cecil Rorabeck, FRCSC
Dr. Michael David Sharpe, FRCPC
Region 4
Dr. Vincent Bernier, FRCPC
Dr. Andrée Boucher, FRCPC
Dr. Dominique Dorion, FRCSC
Dr. Markus C. Martin, FRCSC
Dr. André Robidoux, FRCSC
Region 5
Dr. William Fitzgerald, FRCSC
Dr. Jean Gray, FRCPC
Dr. Jerry O’Hanley, FRCSC
Dr. Sharon Douglas Peters, FRCPC
Fellows-at-large
Dr. Ken Romanchuk, FRCSC
Public members
Sister Elizabeth Davis
Mr. Bernard Shapiro
Resident member
Dr. Valérie LeBlanc
Our leadership
Executive Committee
Regional Advisory Committees
Chief Executive Officer
The Executive Committee makes
recommendations to Council on major policy
issues and oversees the implementation of
policies and the general functions of the College.
Within the authority delegated by Council, the
Executive Committee acts on Council’s behalf
between Council meetings.
Regional Advisory Committees (RACs) represent
each of the College’s five electoral regions. RACs
function as a vehicle for two-way communication
and consultation with the College and offer a
regional perspective to discussions, acting as a
sounding board and advising in the development
of College policies and programs where
appropriate. RAC membership is composed of
Fellows, Resident Members, Council members and
representatives from faculties of medicine and
other medical organizations.
Dr. Andrew Padmos, FRCPC
Standing and other committees
Director, Human Resources
Standing committees report directly to Council
and oversee the work of more than 60 other
committees, sub-committees and task forces.
Standing committees include the Audit
Committee, Nominating Committee, Education
Committee, Professional Development
Committee, Fellowship Affairs Committee and
Corporate Affairs Committee.
Ms. Bonnie Seidman, CHRP
This lists reflects those who held office until the
end of September 2006.
President
Dr. Stewart M. Hamilton, FRCSC
President-elect
Dr. Louise Samson, FRCPC
Vice-president, Corporate Affairs
Dr. Brian Ulmer, FRCSC
Vice-president, Education
Director, Education
Dr. Deborah Danoff, FRCPC, FACP
Director, Fellowship Affairs
Dr. James E. Hickey, FRCPC
Director, Financial and Administrative
Services
Mr. Tim Julien, CA, CAE
Director, Information
Management/Information Technology
Ms. Christine O’Connor
Director, Professional Development
Dr. Craig Campbell, FRCPC
Dr. Cecil Rorabeck, FRCSC
Vice-president, Fellowship Affairs
Dr. Jean Gray, FRCPC
Vice-president, Professional
Development
Dr. Vincent Bernier, FRCPC
Chief Executive Officer
Dr. Andrew Padmos, FRCPC
PAG E 2 3
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Message from the CEO
In 2006, the Royal College found itself navigating a sea of corporate change and
challenges in the health system. With change comes opportunities for rejuvenation,
renewal and refocus. Such changes at the College included the creation of two new
director positions and replacing two directors following their retirement, as well as
my appointment as CEO in September 2006. In addition, the “business transformation
initiative”, which has its roots in information technology upgrades, continues to be an
intense and comprehensive enterprise affecting all corners of the College. This
important initiative will allow the College to advance itself as a high-performing
organization and be more responsive to the needs of our members.
The College is built on a strong foundation, which has enabled it to successfully
navigate these waters and thus successfully launch the governance review and
strategic planning processes at the end of 2006. Throughout these changes, the
College has steadfastly carried out its regular work in support of our long-standing
priorities—medical education that meets societal health needs, member engagement,
leadership for the effective delivery of specialty medicine and sound health policy—
and did so while maintaining the high standards for which the College is known.
In this year of transition, the navigational image that permeates this annual report is
fitting. Our members are our home base, our point of origin. The best health for
Canadians and leadership in specialty medicine is our destination. The many ways we
provide value to members throughout their professional life cycles and the many
ways we work for the best health of Canadians on behalf of our members are the
routes to our destination.
In 2006, we followed through on our commitment to listen to and engage our
members by conducting three targeted member surveys and initiating two-way
communication channels. The feedback we received is evidence of the passion and
loyalty our members feel for their vocation as medical specialists and their affiliation
with their College. This feedback will greatly enhance and influence our work at the
Royal College.
PAG E 2 4
NAVIGATING THE WAY FORWARD
Rejuvenation and renewal to advance our mission
In 2006, we provided leadership in medical education and practice with the launch of new CanMEDS resources to assist physicians
and educators in applying and assessing the essential physician competencies. With the College of Family Physicians of Canada,
we’ve committed to fostering optimal intraprofessional relationships for the benefit of physicians and patients alike. We also
advanced quality specialty care through our professional development program that promotes learning outcomes and practice
improvement throughout our professional life cycles, for optimal patient care.
I’d like to thank Council and its Executive Committee for their vision, guidance and support during this time of transition. Of course,
our success is achieved through the efforts of many staff, members and volunteers; however, I’d like to especially acknowledge the
dedication and leadership of our past-president, Dr. Stewart Hamilton, FRCSC, whose term ended in September 2006. Of his many
accomplishments, he will be best remembered for his role in taking the College outside of Ottawa through the Presidential
Outreach program.
At this time, I would like to welcome our 39th and first female president, Dr. Louise Samson, FRCPC, who, with her passion and
enthusiasm, has been instrumental in the launch of the governance review and strategic planning processes and whose focus on
collaboration and interprofessionalism will greatly contribute to the College’s future successes. And, certainly, none of our
achievements would be possible without the ongoing and substantial contributions of our Resident Members and Fellows and our
committed staff who carry out this work.
As I look ahead to 2007 and beyond, I see the College ready for achievement and leadership in an expanding universe replete with
opportunities to enhance our role and influence in the medical community. Through our organizational renewal (reflected in the
business transformation, governance review and strategic planning processes) we will capitalize on those opportunities and expand
our services to members and to the public they serve by setting the best standards in postgraduate medical education and more
firmly supporting our members in their professional practice and careers.
Andrew Padmos, MD, FRCPC
PAG E 2 5
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
Collins Barrow
Chartered Accountants/Comptables agréés
Auditors’ Report on Summarized Financial Statements
To the Members of
The Royal College of Physicians and Surgeons of Canada
The accompanying summarized statements of net assets, operations and changes in net assets are derived from the complete financial statements
of The Royal College of Physicians and Surgeons of Canada as at December 31, 2006 and for the year then ended on which we expressed an
opinion without reservation in our report dated March 9, 2007. The fair summarization of the complete financial statements is the responsibility of
the College’s management. Our responsibility, in accordance with the applicable Assurance Guideline of The Canadian Institute of Chartered
Accountants, is to report on the summarized financial statements.
In our opinion, the accompanying financial statements fairly summarize, in all material respects, the related complete financial statements in
accordance with the criteria described in the Guideline referred to above.
These summarized financial statements do not contain all the disclosures required by Canadian generally accepted accounting principles. Readers
are cautioned that these statements may not be appropriate for their purposes. For more information on the entity’s financial position, results of
operations and cash flows, reference should be made to the related complete financial statements, which are available from the Director of
Financial and Administrative Services.
Chartered Accountants, Licensed Public Accountants
March 9, 2007
This office is independently owned and operated by Collins Barrow Ottawa LLP.
The Collins Barrow trademarks are used under license.
PAG E 2 6
NAVIGATING THE WAY FORWARD
PAG E 2 7
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
The Royal College of Physicians and Surgeons of Canada
Summarized Statement of Net Assets
December 31 (in thousands)
2006
2005
restated
Assets
Current
Cash and cash equivalents
Accounts receivable
Prepaid expenses
$
6,938
853
329
$
8,120
20,091
15,091
2,464
6,514
Investments
Capital
Deferred pension costs
In trust
7,597
956
230
8,783
17,310
15,514
2,560
5,236
$
52,280
$
49,403
$
2,305
624
38
$
3,066
517
38
Liabilities and Net Assets
Current
Accounts payable and accrued liabilities
Deferred revenue
Unexpended grants
2,967
3,621
1,772
3,570
1,178
1,090
1,703
3,489
1,201
1,016
7,610
7,409
6,514
5,236
12,310
15,091
4,115
2,464
1,209
8,390
15,514
4,035
2,560
2,638
35,189
33,137
Long-term
Deferred rental revenue
Deferred contributions
Employee severance pay
Supplemental employee retirement plan
In trust
Net assets
Unrestricted
Invested in capital assets
Endowments
Pension plan funding differential
Internally restricted
$
PAG E 2 8
NAVIGATING THE WAY FORWARD
52,280
$
49,403
The Royal College of Physicians and Surgeons of Canada
Summarized Statement of Operations
For the year ended December 31 (in thousands)
2006
2005
restated
Revenue
Fellowship dues
Examination fees
Investment
Association Management fees
Assessment fees
External organizations
Rental
$
14,492
5,267
2,550
1,323
1,236
520
440
$
13,602
5,202
1,331
1,192
1,281
654
432
25,828
23,694
9,910
5,884
3,403
3,140
2,118
9,302
4,791
3,615
3,373
2,001
24,455
23,082
Expenses
Education
Corporate Affairs
Fellowship Affairs
Chief Executive Office
Professional Development
Excess of revenue over expenses for the year
$
1,373
$
612
Summarized Statement of Changes in Net Assets
For the year ended December 31 (in thousands)
Net assets, beginning of year, as restated
2006
$
Excess of revenue over expenses for the year
Increase in net assets held for endowment purposes
Net assets, end of year
$
33,815
2005
restated
$
32,522
1,373
612
1
3
35,189
$
33,137
PAG E 2 9
The Royal College of Physicians and Surgeons of Canada 2006 ANNUAL REPORT
This annual report is a publication of the Communications and External Relations office,
The Royal College of Physicians and Surgeons of Canada.
Senior Editor: Karen McCarthy, Director of Communications and External Relations
Managing Editor: Cheryl Smith, Senior Communications Coordinator
Design, Layout and Production: Tracy Noonan R.G.D., Smiling Cat Productions
Photography Credits: Cover image—Getty Images
Printed in Canada by St. Joseph Communications, with 100 per cent vegetable-based inks.
© 2007 The Royal College of Physicians and Surgeons of Canada
ISSN 1199-9950
The Royal College of Physicians and Surgeons of Canada
Charitable number: 119128858RR0001
774 Echo Drive, Ottawa, ON, Canada K1S 5N8
Tel.: 613-730-8177 / 1-800-668-3740
Fax: 613-730-8830
info@rcpsc.edu
An electronic version of this document is available on our website: http://rcpsc.medical.org.
Ce document est également disponible en français.