Physician Performance
The primary function of the Physician Performance Department is to assess competence through work-place based assessments within our Peer Review and Supervision Programs, or upon the request of an investigation committee or the Registrar. In some circumstances, our assessments call for a physician to undergo remediation. Our department continues to develop resources and foster partnerships in this area, to help identify appropriate remediation and link educational supports for physicians.
The need for assessments and supervision as directed by our committees has expanded. With the College’s strategic priority to support access to care, committees seek valid methods to understand a physician’s competence upon entering practice, as well as for those who have reached the end of their timelines for ongoing licensure. In all cases, the goal is to keep competent physicians in practice. If gaps in a physician’s performance exist, committees may direct that a physician undertake remediation or engage in educational supports to address identified deficiencies — the goal being to raise their performance to the expected standards of care.
This has prompted a variety of assessment and supervision approaches to meet these objectives. In 2019, the College administered two Comprehensive Clinical Assessments of Practice (CCAP). These assessments examined the practices of physicians on a conditional licence who had been unable to achieve Full licensure through certification. These physicians were able to demonstrate competence in their current work environments and have been issued renewable licences, without the requirement for ongoing sponsorship and supervision, restricted in scope to the competencies identified in the assessment. These physicians continue to practice within the province.
Supervision
Our Supervision Program’s main purpose is providing quality assurance to the College, for physicians on a Defined licence. This licence type provides a pathway for (primarily) internationally trained physicians to practice in Nova Scotia as the most responsible physician while preparing to challenge their certification examinations.
A key component of the program, as directed by the Medical Act, relies on the engagement and training of supervisors. The contribution of fully licensed physicians to provide supervision is a critical ingredient in the successful implementation of this program. In 2019, we onboarded 12 new physicians on a Defined licence, with 10 new supervisors. In total, the program monitored 79 physicians on a Defined licence in 2019.