Accreditation Forms and Templates

Explore our CPD Activity Planning Guide to walk you through the process of developing and accrediting a CPD activity.

National Standard for Support of Accredited CPD Activities

All applications must comply with the National Standard for Support of Accredited CPD Activities. All application forms and templates provided below are updated periodically to ensure compliance with the standard. If you have questions about the National Standard, please get in touch with us!

Temporary Accreditation Measures for COVID-19 Related Educational Activities 

The RCPSC has announced a temporary streamlined accreditation process for COVID-19 related educational activities. The streamlined process for MOC Section 1 and 3 activities will require completion of a short checklist which will allow expedited accreditation. Completed checklists must be submitted to Accreditation Services for formal approval. No supporting documentation will be required. The RCSPC is also allowing retroactive accreditation for COVID-19 activities that have already been delivered. The accreditation fee for all COVID-19 related educational activities is $450.00.

Contact cpd.credits@schulich.uwo.ca for more information and to obtain the application checklist. The usual accreditation process will apply to all activities not related to COVID-19.

Webinars and Online Learning Activities

If you are interested in changing a currently accredited activity to a webinar or online format, please contact Accreditation Services so this change in delivery method can be reported to the CFPC and RCPSC. For self-approved rounds programs, contact the RCSPC directly to update your delivery method.

Are you interested in developing a new accredited activity that will be offered to participants by webinar or online? Review the CPD Activity Planning Guide and the forms and templates below for information about the accreditation process.

If developing an accredited webinar or synchronous online learning activity, there must be a system that:

  • allows you to track attendance and send a certificate of attendance;
  • provides the opportunity for participants to interact with the group and participate in discussions (the usual 25% interactivity requirement still applies);
  • enables participants to complete an evaluation form (i.e. Qualtrics or Survey Monkey could be used, etc.)

If developing an accredited asynchronous online learning activity, there must be a system that:

  • allows you to track attendance and send a certificate of attendance;
  • provides a means for the participant to interact with the faculty/facilitator and see any questions from other participants. This could be in the form of a discussion forum or an “Ask the Expert” where learners can email questions to be answered by the faculty and then posted for the other learners to access.
  • enables participants to complete an evaluation form (i.e. in the online platform at the end of the module).

Questions? Please contact Accreditation Services (cpd.credits@schulich.uwo.ca) for guidance.

Application Forms

One-credit-per-hour Application Forms

Please send either ONE or BOTH Application Forms depending on the target audience for your group learning event:

CFPC Mainpro+ (credits for Family Physicians)  Standards | Application

RCPSC MOC Section 1 (credits for Specialists) Standards | Application

MOC Section 3 Application Forms

Self-Assessment Program (SAP) Standards | Development Template | Application

Simulation-based Learning Activities Standards | Application

MOC Section 1 Self Accreditation

Rounds, Journal Clubs and Small Group Learning Activities under Section 1 of the RCPSC MOC Framework can be 'self-accredited' by the organizing "Physician Organization" institution. Application Process

Supporting Documentation

Application Checklist ( PDF)

Agenda - Requirements ( PDF) and Template ( DOCX )

Budget Template ( XLS)

Certificate of Attendance Template ( DOCX )

COI Disclosure Form ( DOCX )

SPC Chair Agreement ( PDF)

Evaluation Form Template ( DOCX )

Speaker Communication Template ( DOCX )

Sponsorship Agreement ( DOCX )

Optional: NEW Commitment to Change Templates  - Personal Reflection Form (to be included with the Evaluation Form) ( PDF) - Sample Post-Activity Follow-Up Questions ( PDF)

Additional Requirements for Mainpro+ Applications

Conflict of Interest Disclosure Slides

The College of Family Physicians of Canada (CFPC) now requires a 3 slide disclosure at ALL Mainpro+ certified events. These include:

  • Full disclosure of sponsorship funding received for the program.
  • Outline of how potential conflicts of interest resulting from sponsorship funding or relations between speakers/planning committee members and industry have been resolved.
  • Conflict of interest disclosure for each speaker and planning committee member.

Additional Resources

3-slide COI Disclosure template

Quick Tips Tool a step-by-step tool on how planning committees can disclose and manage conflicts of interest

Mainpro+® Certification Standards: Standards for CPD Program Providers

Content Review for Programs on Opioids and/or Medical Marijuana/Dried Cannabis

A review process is in place to apply for Mainpro+ credits for programs or presentations on topics related to prescribing opioids and medicinal marijuana/dried cannabis. This process does not apply to MOC applications.

When submitting an application for a program which includes opioids, please submit the title and overall objectives for the presentation in question. The speaker should also provide a statement confirming if their presentation will include discussion on the prescribing and dosing of opioids. If it does, they should also confirm that they are not recommending dosing higher than the 2017 Guideline for Opioids for Chronic Non-Cancer Pain.

When submitting an application for a program which includes medical marijuana/dried cannabis, please submit the title and overall objectives for the presentation in question. The speaker should also provide a statement confirming if their presentation will address prescribing medical marijuana to patients or if it focuses on recreational use and its side effects.

Once this information is received you will be advised if full content review is required or not.

Should a presentation require content review, it will be reviewed as part of the CFPC peer review process. The full presentation and application material will need to be submitted at least one month prior to the event. If content review is required it must be completed before program accreditation can be granted.

 

Quick Tips & Tools

Conflict of Interest Management Tool

To help manage conflict of interest, CPD has developed a tool to support gathering, disclosure, and proper dissemination of potential conflicts of interest

Conflict of Interest Management Tool


If you'd like a more detailed approach to understanding conflicts of interest please vist our  CPD Activity Planning Guide

Sponsorship Quick Tips Tool

CPD has developed a tool to outline the requirements for sponsorship related to CPD activities.

Sponsorship Quick Tips Tool

If you'd like a more detailed approach to understanding sponsorship related to CPD activities, please vist our  CPD Activity Planning Guide

Learning Objectives Tool

Well formulated learning objectives provide participants with an understanding of the knowledge, skills, behaviours, or attitudes they will gain as an outcome of the activity.

Developing learning objectives can be challenging, and CPD wants to support you in this effort by providing this helpful tool: Learning Objectives Tool

For more information about how and why we use learning objective in developing programs please visit our  CPD Activity Planning Guide

Additional Information

Accreditation Application Review Fees and Financial Notes

Accreditation Application Review Fees – Effective November 1, 2019

Application Type

Internal Applications*

Without Sponsorship

Internal Applications*

With Sponsorship

External Applications

MOC Section 1 OR Mainpro+

$450

$650

$1500

MOC Section 1 only

MOC Section 1 AND Mainpro+

$800

$1200

Not Applicable

MOC Section 3

$650

$850

$2000

MOC Section 3 AND Mainpro+

$1000

$1400

Not Applicable

Late Application   Penalty Fee

4 Weeks Prior to Event

3 Weeks Prior to Event

2 Weeks Prior to Event

1 Week Prior to Event

Additional $150

Additional $250

Additional $350

Unable to Process

*Internal applications include Schulich School of Medicine & Dentistry departments, divisions and units, along with affiliated institutions such as teaching hospitals (including distributed education sites) and research organizations.


Application fees are assessed once an application has been received in full. Fees are collected regardless of the decision on the application.

HST is applicable on all tuition fees and educational grants associated with continuing education events.

All Schulich Medicine continuing educational events must be managed through a Fund 4 project account created through Western University Financial Services. To access the Continuing Education Guidelines and Application Form use Internet Explorer as the file may not be visible in other browsers. View Form

Submission of an Application

Completed application forms and supporting documentation should be submitted electronically to cpd.credits@schulich.uwo.ca

Complete submission packages should be received no later than 4 weeks in advance of your program date. Applications received later than this will incur additional charges (see fee chart in tab above). The application review process can take 2-4 weeks. Ideally, applications should be submitted at least 6 weeks in advance. See the Application Review Process for more information.

Planners cannot advertise that an event has been accredited until an application has been approved.  

Planners cannot state that 'accreditation is pending' on their promotional materials.

CPD cannot accredit activities retroactively.

Planning Committee Members

Planning committees must include a minimum of 3 members of the target audience. Administrative staff cannot be counted as one of these 3, unless administrative staff are included in the target audience. Planning committee composition:

For Mainpro+ certified group learning activities, there must be a minimum of 1 member of the CFPC.

For Mainpro+ certified online programs, there must be a minimum of 3 members of the CFPC.

For MOC Section 1 programs, there must be a minimum of 1 member of the RCPSC. 

Branding

Logos and branding which reflect the acceptable physician organization developing, or co-developing, the program should be used consistently on all documentation.

Programs developed, or co-developed, by a clinical department or educational unit of the Schulich School of Medicine & Dentistry, Western University must comply with the school’s branding guidelines. More information