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New Accreditation Standards

On July 1, 2017 the Canadian Residency Accreditation Consortium (CanRAC: a partnership of the Royal College, the College of Family Physicians of Canada and the Collège des Médecins du Québec) released new accreditation standards for both Universities and Programs.

General Standards of Accreditation for Residency Programs
General Standards of Accreditation for Institutions with Residency Programs

These new accreditation standards come into effect July 1, 2018 and are applicable to all residency training programs accredited by the Royal College and College of Family Physicians (CFPC). All University of Toronto, residency training programs will be held to the new standards at the next on-site accreditation survey, scheduled to take place in the Fall of 2020. Updates to the Family Medicine Red Book and the specific standards of accreditation for Royal College accredited programs are forthcoming.

PGME will offer multiple approaches to help programs familiarize themselves with, and adopt, the new General Standards of Accreditation for Residency Programs. Self-study checklists for programs, PGME run workshops, and updates at All Program Director and Site Directors’ meetings are being prepared. Please see the registration page for current workshop details.

Where we are in the accreditation cycle?

We are nearing the end of 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 are reviewed. The PGME Office will also be reviewed in November 2018, in order to determine compliance with the new accreditation standards. Accreditation Timeline Dial

The next CanRAC on-site survey for the University of Toronto will take place in the Fall of 2020. All Specialty, Subspecialty, Family Medicine and 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 on-site survey in 2020

In addition to the new accreditation standards, there are many new elements (e.g. CanRAC’s online portal for document submission) that will be available at the time of the Fall 2020 on-site survey at the University of Toronto. The PGME Office is planning ways to work with all programs to be ready for these changes by 2020.


The Accreditation Management System (AMS)

CanRAC is building 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 being piloted and will be fully in place in time for the University of Toronto on-site survey in 2020.

The PGME office will continue to keep you updated as we receive more information and details on the new online AMS.


Transitioning to Competence By Design (CBD)

Programs will be in various stages of Competence By Design planning and implementation at the time of the 2020 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.

For additional information on the continued roll out of Competence By Design at the University of Toronto, please visit the CBD website.


Institutional Review Process

A new institutional review process will be in place for the on-site accreditation survey in 2020. 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 Fall 2020.

Additional information related to AFC programs is available on our website.

ITERs and Goals & Objectives

If you would like to update, revise or create new ITERs and Goals & Objectives documents for your program, please contact for assistance. We will arrange for an Orientation Meeting for your program to go over the PGME Minimum Guidelines, review your documents and answer any questions you may have. We will work closely with your program to finalize your files and have them uploaded to POWER. Please see below for a number of sample documents to assist you in this process:


For all accreditation related matters and questions, please email

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