Accreditation - November 2019

New Accreditation Standards

All residency training programs at Western are accredited by the Royal College of Physicians & Surgeons of Canada and/or the College of Family Physicians of Canada.

On July 1, 2017 the Canadian Residency Accreditation Consortium (CanRAC; a partnership of the Royal College of Physicians and Surgeons of Canada (RCPSC), the College of Family Physicians of Canada (CFPC) and the College des Medecins du Quebec) released new accreditation standards for both Universities and Programs:

These new accreditation standards came into effect July 1st, 2018 and are applicable to all residency training programs accredited by the RCPSC and CFPC. All Schulich School of Medicine & Dentistry residency training programs will be held to the new standards at the next on-site accreditation survey. All Program Directors and Administrators were sent a copy of the new standards.

Where we are in the accreditation cycle?

We have completed the internal review portion of our current accreditation cycle. Programs are working on follow-up internal reviews, written reports, and continuous improvements of educational experiences, in their residency programs. Throughout the internal review cycle all Specialty, Subspecialty, Family Medicine and Areas of Focused Competence (AFC) programs were reviewed. The PGME Office was also reviewed in February 2018, in order to determine compliance with the new accreditation standards.

The next CanRAC on-site survey for Western University will take place on November 25th-29th, 2019. All Specialty, Subspecialty, Family Medicine, Areas of Focused Competence (AFC) programs, and the PGME Office will be reviewed. The new accreditation standards will be in place at the time of the on-site survey.

The Accreditation Management System (AMS)

CanRAC built a new online Accreditation Management System (AMS) to help facilitate the process for standards tracking and document sharing between programs, institutions, colleges, and review teams. The system is in place and all programs were granted full access on Monday September 24th, 2018 ( The PGME office used the system during its internal review, along with programs requiring follow-up reviews this fall. A system demonstration was provided by the RCPSC and CFPC during their first on-site visit on June 12th, 2018. If you are having difficulties accessing the system, please email

Transitioning to Competence By Design (CBD)

Programs will be in various stages of Competence by Design planning and implementation at the time of the 2019 on-site survey. This will add complexity to program documents if they have dual streams of trainees (i.e. junior residents in CBD, and senior residents in the traditional time based system). PGME will continue to work with programs on a case by case basis to ensure that the documentation provided for your accreditation visit reflects the status of your program.

Institutional Review Process

A new institutional review process will be in place for the on-site accreditation survey in 2019. The PGME Office will be reviewed against, and held to, the General Standards of Accreditation for Institutions with Residency Programs. CanRAC is in the process of developing new accreditation status categories that will be assigned following institutional reviews. We will continue to post updated information on our website as it is made available.

Areas of Focused Competence (AFC) Programs

The Areas of Focused Competence (AFC) Diploma Programs are a new category of program accredited by the Royal College of Physicians and Surgeons of Canada. AFC Programs ordinarily represent either supplemental competencies that enhance the practice of physicians in an existing discipline, or a highly specific and narrow scope of practice that does not meet the criteria of a subspecialty. In addition to residency training programs, all AFC programs will be reviewed during the accreditation on-site survey in the Fall 2019.

Future College Visits

Please note, the second on-site visit by the RCPSC and CFPC will take place on April 10th, 2019 for Program Directors and Administrators. These meetings will prepare programs for the on-site visit and will provide a detailed plan of how the review day will be organized. Times and locations will be provided as they become available.


For all accreditation related matters and questions, please email Courtney Newnham ( in the PGME office.

Resource Materials