Medical Council of Canada - Le Conseil médical du Canada
Transcription
Medical Council of Canada - Le Conseil médical du Canada
Finding opportunities in collaboration 2010 Annual Report Medical Council of Canada vision STRIVING FOR THE HIGHEST LEVEL OF MEDICAL CARE FOR CANADIANS THROUGH E XC E L L E N C E I N E VA LUAT I O N O F P H YS I C I A N S . mission Wi t h t h e k e y s t a k e h o l d e r s, t h e M e d i c a l Co u n c i l o f C a n a d a : • D E V E LO P S , VA L I DAT E S A N D I M P L E M E N T S TO O L S A N D S T R AT E G I E S TO E VA LUAT E P H YS I C I A N S’ CO M P E T E N C E ; and • MA I N TA I N S A N AT I O N A L R E G I S T RY O F P H YS I C I A N S A N D T H E I R Q UA L I F I C AT I O N S THROUGHOUT THEIR PROFESSIONAL CAREERS. Finding opportunities 2010 Annual Report in collaboration Medical Council of Canada 4 5 6 10 14 18 24 25 29 30 32 38 57 M essage from t h e Pre s i d e nt M essage from t h e E xe c u t i ve D i re c to r About the MCC M otions from t h e 9 8 t h An n u a l M e e t i n g O c t. 2 4 - 2 6 , 2 0 1 0 O fficers and M e m b e r s o f Co u n c i l Central Examin at i o n Co m m i t te e a n d te s t co m m i t te e m e m b e r s Examination st at i s t i c s 2010 H ighlight s MCC Staff S er v i ce Awa rd s Awards List of presentat i o n s Financial Statem e nt s 2010 Licentiate s 2010 Annual Report B L ELOE F CO T AT A B ON TFE N TCS O Medical Council of Canada MEDICAL COUNCIL OF CANADA PRESIDENT Message from the President D r. O s c a r C a s i r o President Medical Council of Canada M y j o u r n e y in medicine has often intersected Moving forward, it is vital that the MCC continues to work with others to improve what it does. As Chair of the Assessment Review Task Force, I am collaborating with my peers in other faculties, fellow members of Council, colleagues at the medical regulatory authorities and other partners to review and enhance the MCC’s assessments. Twenty years later, I became the University of Manitoba’s representative on Council. I was reappointed by the University of British Columbia. Now I conclude my term as President of the MCC. What a rich journey it has been so far. As Council develops the Application for Medical Registration in Canada project, it will continue to draw on the knowledge and expertise of its constituents and partners. Together they will enhance the process for physicians to apply for a medical licence in Canada. with the Medical Council of Canada (MCC). As an international medical graduate, my first encounter with the Canadian medical system was when I took the Medical Council of Canada Evaluating Examination. The MCC is unique since it brings together medical regulators, educators, students, residents and public members. The Council is strengthened by the many viewpoints of its members – whether concerned about public safety, shaping young doctors, assessing physicians’ knowledge and skills or creating enriched medical curriculum. The Council is a successful example of a collaboration among key members of the medical community and the public. Its members are committed to providing outstanding assessment resources, testing and support services for the profession. From simplifying the evaluation process for foreign-trained physicians to exploring options for reducing the testing burden on family medicine residents, the Council is working with its partners to develop concrete solutions to important issues. It is fitting that this year’s theme for the Annual Report is Finding opportunities in collaboration. I know that Council members, researchers, staff, representatives from partner organizations and other members of the MCC community will continue to join forces to enhance the mission and vision of Council. I look forward to continuing my journey in the medical profession and working with the Assessment Review Task Force to table its report on the future of MCC evaluations. I urge Council to get as involved as possible and embrace the many collaborations that will allow the MCC to become even more effective. MCC 2010 Annual Report | p 4 MEDICAL COUNCIL OF CANADA E X E C U T I V E DIR Message from the Executive Director D r. I a n B o w m e r Executive Direc tor Medical Council of Canada postgraduate project to foreign credential recognition focus groups for the Government of Canada. These types of collaborations allow our people to contribute their knowledge and skills to initiatives that are driving the medical profession forwards. One of the most exciting aspects of these collaborations is the opportunity to learn from our colleagues in partner organizations. For the second year in a row, the Medical Council of Canada (MCC) was selected as one of Ottawa’s top 10 employers. Being an Employees’ Choice Awards recipient is a special honour. Our employees took the time to participate in the survey and their votes earned the MCC this distinction. I think employees value the MCC for a variety of reasons. One of them is that the MCC respects the contributions of each individual. When an employee has a special talent or an area of interest, the MCC will do whatever it can to accommodate it. Our employees also gain from the large number of volunteers and committee members from across Canada who constitute our governance and working groups. Three hundred medical practitioners, who are experts in their fields, along with members of the public, residents and students bring a vital energy to the MCC and create the national and international credibility that we enjoy. We use the strengths of our people and forge collaborations to leverage those skills across the organization. The same philosophy applies to our external partnerships. The MCC is pleased to contribute to collaborations led by other organizations. In the past year, we have participated in initiatives ranging from the Association of Faculties of Medicine of Canada’s Future of Medical Education in Canada We also benefit from our partners when they participate in initiatives spearheaded by the MCC. This year, we committed to launching the Application for Medical Registration in Canada. This new application process will change the way physicians apply for a medical licence. While it will benefit physicians from across Canada, the new application process will be even more useful for foreign-trained physicians. They will see a simplified process to get their credentials reviewed and recognized. It would be impossible for the MCC to launch the Application for Medical Registration in Canada on its own. We depend on our partners: Human Resources and Skills Development Canada and the Federation of Medical Regulatory Authorities of Canada. Their funding and support in establishing requirements for the medical regulatory authorities are invaluable. In 2010, we also expanded the reach and scope of the National Assessment Collaboration’s clinical exam. It is thanks to our partners, and in particular the provincial programs charged with assessing international medical graduates, that the examination successfully ran in three jurisdictions. As we move forward, we realize more and more the interconnectedness between partner organizations in the medical community. We thrive on these collaborations and value these opportunities to share and contribute to each other’s initiatives. These are very exciting times for the medical profession. I am convinced that through our collaborative efforts, we will meet the challenges of the day by building our strengths and leveraging our work within and across organizations. MCC 2010 Annual Report | p 5 MEDICAL COUNCIL OF CANADA ABOUT About the MCC T h e M e d i c a l Council of Canada (MCC) is unique since it is composed of members from both the regulatory authorities and the faculties of medicine. We offer exams to Canadian and international medical graduates. Every year, we conduct more than 12,000 exams in both official languages in Canada and around the world. When physicians successfully complete MCC exams, they are awarded the Licentiate of the Medical Council of Canada. Medical regulatory authorities are responsible for granting a physician a licence to practise medicine within that province or territory. One of the requirements they ask of applicants is the Licentiate of the Medical Council of Canada. A holder of the Licentiate of the Medical Council of Canada demonstrates that he or she meets certain standards expected of all physicians across the country regardless of medical specialty. This standard facilitates physician mobility across the country. The MCC is also very active in facilitating the process for foreign-trained physicians to become licensed in Canada. The MCC runs the Physician Credentials Repository, which allows physicians to submit copies of their credentials prior to their arrival in Canada. The Repository verifies the documents, and creates an electronic portfolio for the physician. The foreign-trained physician can then share this portfolio with as many licensing and qualifying organizations as he or she chooses. The MCC offers the Medical Council of Canada Evaluation Examination to international medical graduates in 80 countries. As a result, physicians can begin to fulfill the requirements for a medical licence before arriving in Canada. Once here, they can take an exam, the NAC OSCE, that is specifically designed for foreign-trained physicians and can make them more competitive for a residency position. The MCC plays an integral role in developing the NAC OSCE through the National Assessment Collaboration. MCC 2010 Annual Report | p 6 MEDICAL COUNCIL OF CANADA AABBOOUUTT Examinations T h e M CC o f fe r s t h re e d i f fe re n t exams that lead to the Licentiate of the Medical Co u n c i l o f C a n a d a : • • • M e d i c a l Co u n c i l of Canada Evaluating E x a m i n a t i o n ( M CC E E ) M e d i c a l Co u n c i l of Canada Qualifying E x a m i n a t i o n Pa r t I ( M CCQ E Pa r t I ) M e d i c a l Co u n c i l of Canada Qualifying E x a m i n a t i o n Pa r t I I ( M CCQ E Pa r t I I ) MCCEE Canadian medical schools and American medical schools are accredited through a joint process. No such joint process exists for medical schools outside of North America and some medical schools do not follow an accreditation process. As a result, graduates from these programs are required to demonstrate a minimal standard and must first take the MCCEE. The MCCEE is also a good predictor of how the candidate will fare on subsequent exams. Since the candidate can take the exam in 80 countries, he or she can use its results as an indicator of the likely success of passing subsequent exams in Canada. The MCCEE consists of 175 multiple-choice questions focused on child, maternal, adult and mental health as well as population health and ethics. In 2010, 3,074 candidates attempted this computer-based exam in 50 countries. M C C Q E Pa r t I The MCCQE Part I is a computer-based test that asks candidates to respond to multiple-choice and short-answer questions. It is offered in Canada at all the faculties of medicine and in some additional sites. The multiple-choice component adapts to suit the candidate’s skill level. The short-answer component is designed to evaluate the candidate’s clinical decision-making skills. This second half of the exam is composed of approximately 60 medical cases. In 2010, 5,356 candidates took the MCCQE Part I. M C C Q E Pa r t I I The MCCQE Part II is a clinical exam that tests candidates on their interactions with individuals who are trained to simulate patients with illnesses or problems. A physician examiner observes the interaction between the candidate and patient in each station and assesses the candidate based on standardized scoring instruments. The MCCQE Part II is offered in the spring and fall each year in sites across Canada. In 2010, 3,961 physicians attempted the MCCQE Part II examination. MCC 2010 Annual Report | p 7 MEDICAL COUNCIL OF CANADA AABBBOOUUTT A A Pbhoyusti cti ahne CMr eCdCe n t i a l s R e p o s i t o r y The MCC offers the services of its Physician Credentials Repository to international medical graduates who need to have their foreign credentials recognized in Canada. These candidates send in copies of their medical credentials, which are then transferred into an electronic account. Using a process known as source verification, the Repository authenticates the credentials. Once verified, the physician can choose to share the credentials electronically with medical regulatory authorities and other medical organizations. The Repository greatly facilitates a physician’s application process. International medical graduates often apply to several medical regulatory authorities when they arrive in Canada. The Repository is helpful to them since they can share the credentials in their portfolio with as many stakeholders as they wish at no extra cost. As of December 31, 2010, the Repository had 16,106 international medical candidate users with credentials issued from organizations spanning 173 countries. MCC 2010 Annual Report | p 8 MEDICAL COUNCIL OF CANADA AABBOOUUTT Research & Development The MCC has invested in expanding the research capacity in Canada in medical education and assessment. In 2004, it further reinforced its research investments by establishing the Research and Development department. With an expanded mandate that included designing new assessment tools, the department has conducted studies in a variety of areas related to the examinations including validity, response time and scoring methodologies. With the arrival this year of Dr. Krista Breithaupt at the helm of the department, a review of the department’s research priorities was conducted. The MCC’s Research and Development Committee endorsed a plan to focus efforts on the following areas: • test content analysis and blueprinting • test development and scoring • standard setting • test fairness • longitudinal outcome evaluation The Research and Development department also provides grants to external researchers and to medical schools to fund postdoctoral fellow positions. All grant applications are peer-reviewed by a committee of experts. In 2010, the MCC awarded $327,912 in research grants, fellowship funding and bursaries. MCC 2010 Annual Report | p 9 MEDICAL COUNCIL OF CANADA MEETING Motions from the 98th Annual Meeting Oct. 24-26, 2010 Fee changes Council reaffirmed the fees for 2011 that were proposed at the 2009 Annual Meeting. As such, the 2011 fee for the MCCQE Part I is C$780 and the fee for the MCCQE Part II is C$1,950. It was moved by Dr. Dennis Kendel and seconded by Dr. Cameron Little that the 2012 MCCQE Part I fee be set at $900 and that the 2012 MCCQE Part II fee be set at $2,150 as presented. M C C ’s 2 0 1 0 A n n u a l M e e t i n g MCC 2 0 1 0 A n n u a l R e p o r t | p 10 MEDICAL COUNCIL OF CANADA MEETING Motions from the 98th Annual Meeting Bylaw changes T h e fo l l o w i n g s e c t i o n s h a ve b e e n r e wo rd e d. A l l o f t h e u p - t o - d a t e M CC b y l a w s a re a v a i l a b l e online at h t t p : / / m c c. c a / p d f / bylaws_en.pdf Oct. 24-26, 2010 Section 6.01 The business and affairs of the Council shall be managed by a board of directors (the “Executive Board”) composed of seven members elected by the members of Council at the Annual Meeting from among the members of Council. Section 7.02 The members of Council at an Annual Meeting shall, after nomination, elect the Immediate Past-President, the President, the Vice-President, the Chair of the Finance Committee, and members of the following Standing Committees: 7.02.01 7.02.02 7.02.03 7.02.04 Legislation Finance Appeals Research and Development The Immediate Past-President, the President, the Vice-President and the Chair of the Finance Committee shall be elected from among the membership of the Executive Board. Section 9.02.02 (e) Finance Committee The committee shall monitor estimates of revenues and expenses for fiscal periods. Section 9.02.06 (c) Committee for the Selection of Members of test committees The committee shall select and nominate members, corresponding members, and consultant members of the test committees. No member of Council shall be selected and no individual shall be nominated to serve in any capacity on more than one test committee. Individuals may be re-appointed to test committees. MCC 2 0 1 0 A n n u a l R e p o r t | p 11 MEDICAL COUNCIL OF CANADA MEETING Motions from the 98th Annual Meeting Bylaw changes Oct. 24-26, 2010 Section 10.12 The Central Examination Committee shall be responsible for: 10.12.01 the overall content and quality of the examinations, including; a) a determination of the Pass or Fail standard to be applied to candidates who have attempted each administration of the Medical Council of Canada’s Qualifying Examination Part I (“MCCQE Part I”) and who are to be awarded Standing; b) a determination as to whether a No Standing shall be given to a candidate where procedural irregularities in the examination process may have affected the performance of the candidate and may have prevented a reliable assessment of the candidate’s demonstrated knowledge and abilities. 10.12.02 determining the examination status of the candidates, including: a)whether a Denied Standing shall be given to a candidate who has committed or is suspected of having committed an infraction during the conduct of the examination and whether such candidates shall be denied entry to future examinations, including such terms and conditions precedent as may apply to any entry to future examinations; b)whether a No Standing shall be given to a candidate where procedural irregularities in the examination process may have affected the performance of the candidate and may have prevented a reliable assessment of the candidate’s demonstrated knowledge and abilities; Section 10.13 The Central Examination Committee shall: 10.13.01 award to each candidate at the latest administration of the MCCQE Part I a Pass or Fail Standing on the results of the MCCQE Part I as a whole, except for those who receive a No Standing or a Denied Standing. MCC 2 0 1 0 A n n u a l R e p o r t | p 12 MEDICAL COUNCIL OF CANADA MEETING Motions from the 98th Annual Meeting Bylaw changes Oct. 24-26, 2010 10.13.02 award to each candidate at the latest administration of the MCCQE Part II a Pass or Fail Standing on the results of the MCCQE Part II as a whole, except for those who receive a No Standing or a Denied Standing. Section 10.15 (d) A candidate may appeal a decision by the Central Examination Committee to the Appeals Committee of the Council on the following grounds: where the candidate considers that a Fail Standing on the results of an examination has been prejudiced by the conduct, but not the content, of the examination. Section 11.07 (a) To be eligible for the MCCQE Part II a candidate must: have successfully completed the Qualifying Examination prior to 1 January 1992 and not yet be awarded the LMCC or the MCCQE Part I thereafter, and Section 17.01 The Council may continue to maintain or establish appropriate liaison with agencies responsible for assessment, accreditation and credentialing. MCC 2 0 1 0 A n n u a l R e p o r t | p 13 MEDICAL COUNCIL OF CANADA COUNCIL Officers and Members of Council Members of the Executive Board with the Executive Direc tor From left to right: Dr. Michael Marrin, Dr. Dennis Kendel, Dr. Trevor Theman, Dr. Oscar Casiro, Dr. Anne-Marie MacLellan, Dr. Joyce Pickering, Ms. Nancy MacBeth and Dr. Ian Bowmer, Executive Director MCC 2 0 1 0 A n n u a l R e p o r t | p 14 MEDICAL COUNCIL OF CANADA COUNCIL Officers and Members of Council Council Members Ms. Rose Carter Members at Large Ms. Gwen Haliburton Ms. Nancy MacBeth Ms. Evelyn Shapiro Dr. Dan Small 2010-2011 Council members and Central Examination Committee Chair and Vice-Chair MCC 2 0 1 0 A n n u a l R e p o r t | p 15 MEDICAL COUNCIL OF CANADA COUNCIL Officers and Members of Council Council Members Medical Regulatory Authorities of Canada Members Dr. Robert Young Dr. William Moulton Dr. Cyril A. Moyse Dr. Geraldine Johnston Dr. Cameron Little Dr. William Lowe Dr. Edmund G.A. Schollenberg Dr. John C. McCrea Newfoundland Prince Edward Island Nova Scotia New Brunswick Dr. Anne-Marie MacLellan Dr. Markus C. Martin Quebec Dr. Rocco Gerace Dr. Geoffrey Bond Ontario Dr. William Pope Dr. Robert Menzies Manitoba Dr. Dennis A. Kendel Dr. Edward Tsoi Saskatchewan Dr. Trevor Theman Dr. Donald Chadsey Alberta Dr. Heidi Oetter Dr. Morris VanAndel British Columbia Dr. Bruce Beaton n/a Dr. Theresa Farrell Dr. Shawn Mattas Dr. Alexander Macdonald Dr. Patricia DeMaio Yukon Northwest Territories Nunavut MCC 2 0 1 0 A n n u a l R e p o r t | p 16 MEDICAL COUNCIL OF CANADA COUNCIL Officers and Members of Council Council Members University Members Dr. Cathy Vardy Memorial Dr. Simon Field Dalhousie Dr. Joan Glenn (observer) Laval Dr. Daniel J. Côté Sherbrooke Dr. Joyce Pickering McGill Dr. Christian Bourdy Montréal Dr. Geneviève Moineau Ottawa Dr. Anthony Sanfilippo Queen's Dr. Jay Rosenfield Toronto Dr. Michael L. Marrin McMaster Dr. Chris Watling Western Ontario Dr. Maureen Topps Northern Ontario Dr. Bruce Martin Dr. Gill White Manitoba Saskatchewan Dr. Kent Stobart Alberta Dr. Bruce Wright Calgary Dr. Oscar Casiro British Columbia Student & Resident Members Ms. Navdeep Bhullar Student Mr. Sébastien Lachance Student Dr. Frédérick D’Aragon Resident Dr. Andrew Toren Resident MCC 2 0 1 0 A n n u a l R e p o r t | p 17 MEDICAL COUNCIL OF CANADA COUNCIL Central Examination Committee and test committee members Central Examination Committee Chair Dr. Ramses Wassef, Quebec Vice-Chair Dr. Claire Touchie, Ontario Members Chairs of each test committee C l i n i c a l D e c i s i o n M a k i n g Te s t C o m m i t t e e Chair Dr. Pierre Plourde, Manitoba Secretary Dr. Asifjehan Khan, Ontario Members Dr. Karima Addetia, Newfoundland Dr. Marie-Josée Bédard, Quebec Dr. Sarah Bellemare, Quebec Dr. Michael Chiasson, Nova Scotia Dr. Thomas P. Crichton, Ontario Dr. Donald M. McConnell, Alberta Dr. Ronald K. Siemens, Saskatchewan Dr. Timothy D. M. Stultz, Prince Edward Island M e d i c i n e Te s t C o m m i t t e e Chair Dr. Brent Kvern, Manitoba Secretary Dr. Katina Tzanetos, Ontario Members Dr. Sharon Card, Saskatchewan Dr. Kathryn Dong, Alberta Dr. Charles H. Duffy, Prince Edward Island Dr. Ginette Lalonde-Kontio, Ontario Dr. Anne-Marie Mansour, Quebec Dr. Debra Pugh, Ontario Corresponding Members Dr. Anthony Kerigan, Ontario Dr. Melad Shawush, Saskatchewan Dr. William J. Westwick, Ontario MCC 2 0 1 0 A n n u a l R e p o r t | p 18 MEDICAL COUNCIL OF CANADA COUNCIL Central Examination Committee and test committee members O b s t e t r i c s a n d G y n e c o l o g y Te s t C o m m i t t e e Chair Dr. Johanne Lacelle, Newfoundland Secretary Dr. Sandra Biem, Quebec Members Dr. Sandra de la Ronde, Alberta Dr. Duncan Farquharson, British Columbia Dr. Anne Gravelle, Ontario Dr. Barbara Lent, Ontario Dr. Angela Poirier, Nova Scotia Dr. Renée Soucy, Quebec Corresponding Members Dr. Paul Bessette, Quebec Dr. Marie-Claude Leduc, Quebec Dr. John Thiel, Saskatchewan Objective Structured Clinical E x a m i n a t i o n ( O S C E ) Te s t C o m m i t t e e Chair Dr. Joan Fraser, British Columbia Secretary Dr. Lynne Harrigan, Nova Scotia Members Dr. Marie-Ève Bélanger, Quebec Dr. Susan Chafe, Alberta Dr. Alain Couet, Quebec Dr. Lawrence Elliot, Manitoba Dr. Kendrick Lacey, New Brunswick Dr. Alan Neville , Ontario Dr. Barbara Power , Ontario Dr. Philip Tibbo, Alberta Dr. Jonathan White , Alberta MCC 2 0 1 0 A n n u a l R e p o r t | p 19 MEDICAL COUNCIL OF CANADA COUNCIL Central Examination Committee and test committee members P e d i a t r i c s Te s t C o m m i t t e e Chair Dr. Julian Midgley, Alberta Secretary Dr. Hema Patel, Quebec Members Dr. John Grant, Nova Scotia Dr. Elske Hildes-Ripstein, Manitoba Dr. Sharon M. Leibel, Saskatchewan Dr. Peter Jamieson, Alberta Dr. Mohsin Rashid, Nova Scotia Corresponding Members Dr. Jan Kotarba, Ontario Dr. Julie Loignon, Quebec Dr. Bich-Hong Nguyen, Quebec Population Health, Ethical, Legal and Organizational A s p e c t s o f M e d i c i n e ( P H E LO ) Te s t C o m m i t t e e Chair Dr. Florin Padeanu, Manitoba Secretary Dr. Susan Phillips, Ontario Members Dr. Fiona Bergin, Nova Scotia Dr. Christopher J. Doig, Alberta Dr. Jean-Pierre Gagné, Quebec Dr. Philip Hébert, Ontario Dr. Carey A. Matsuba, British Columbia Dr. Martha McCarthy, British Columbia Dr. Sue Swiggum, Ontario Corresponding Members Dr. Marie-Denise Donovan, Quebec Dr. Janet E. Gordon, Nova Scotia Dr. Michael Gordon, Ontario Dr. Arnaud Samson, Quebec MCC 2 0 1 0 A n n u a l R e p o r t | p 20 MEDICAL COUNCIL OF CANADA COUNCIL Central Examination Committee and test committee members P s y c h i a t r y Te s t C o m m i t t e e Chair Dr. Nancy Brager, Alberta Secretary Dr. Jean-François Trudel, Quebec Members Dr. Leslie-Anne Bailliu, Ontario Dr. Stella L. Blackshaw, Saskatchewan Dr. Anne Harley, Ontario Dr. Andrew Harris, Nova Scotia Dr. Theodore Kolivakis, Quebec Dr. David Ross, New Brunswick Corresponding Members Dr. Mark D. Hanson, Ontario Dr. Henry Leung, Ontario Dr. Susan E. Stewart, Prince Edward Island Dr. Lauren Zanussi, Alberta S u r g e r y Te s t C o m m i t t e e Chair Dr. William Hall, Alberta Secretary Dr. Ken Kontio, Ontario Members Dr. Howard M. Clarke, Ontario Dr. Émilie Comeau, Quebec Dr. Stephen DiTommaso, Quebec Dr. Robert T.C. Farrell, Newfoundland and Labrador Dr. John Graham, Alberta Dr. Paul Robert Hayes, Saskatchewan Corresponding Member Dr. Jill A. Watts, New Brunswick MCC 2 0 1 0 A n n u a l R e p o r t | p 21 MEDICAL COUNCIL OF CANADA COUNCIL Evaluating Examination committee members Evaluating Examination Composite Committee Chair Dr. Donald Studney Members Dr. Céline Bouchard, Quebec Dr. Hilary K. Writer, Ontario Dr. Frances Galvon, British Columbia Dr. Sharman Robertson, Ontario Dr. Ken Taguchi, Ontario Dr. Ann Spence, Ontario M C C E E P s y c h i a t r y Te s t C o m m i t t e e Chair Dr. Sharman Robertson, Ontario Vice-Chair Dr. Si-Ann Woods, Ontario Members Dr. Praful Chandarana, Ontario Dr. Gary Kay, Ontario Dr. Anthony J. Levinson, Ontario Dr. Kathryn Macdonald, Ontario Dr. Karen Ferguson, Ontario Dr. Beata Wiatrowska, Ontario M C C E E S u r g e r y Te s t C o m m i t t e e Chair Dr. Ken Taguchi, Ontario Vice-Chair Dr. Leslie Scott, Ontario Members Dr. Darren Beiko, Ontario Dr. Frank Chi, Ontario Dr. Ronald Fenton, Ontario Dr. Veronica Mohr, Ontario Dr. Dimitri Petsikas, Ontario M C C E E P o p u l a t i o n H e a l t h & E t h i c s Te s t C o m m i t t e e Chair Dr. Frances Galvon, British Columbia Vice-Chair Dr. Ian Johnson, Ontario Members Dr. Lynn Gail Beck, British Columbia Dr. Denise Donovan, New Brunswick Dr. Edward Ellis, Ontario Dr. Ian McDowell, Ontario Dr. Susan Swiggum, Ontario Dr. Gordon Wallace, Ontario MCC 2 0 1 0 A n n u a l R e p o r t | p 22 MEDICAL COUNCIL OF CANADA COUNCIL Evaluating Examination committee members M C C E E P e d i a t r i c s Te s t C o m m i t t e e Chair Dr. Hilary K. Writer, Ontario Vice-Chair Dr. Moyez Ladhani, Ontario Members Dr. David Creery, Ontario Dr. Mark A. Duncan, British Columbia Dr. Ann E. Hawkins, Nova Scotia Dr. Angelo Mikrogianakis, Alberta Dr. Carolyne Roy, Ontario Dr. Kent Stobart, Alberta M C C E E O b s t e t r i c s & G y n e c o l o g y Te s t C o m m i t t e e Chair Dr. Céline Bouchard, Quebec Vice-Chair Dr. Ann Spence, Ontario Members Dr. Martine Bernard, Quebec Dr. Jennifer Blake, Ontario Dr. Joan Crane, Newfoundland Dr. Marie-Josée Dupuis, Quebec Dr. David McCoubrey, Ontario Dr. Roger Turnell, Alberta M C C E E M e d i c i n e Te s t C o m m i t t e e Chair Dr. Donald Studney, British Columbia Vice-Chair Dr. Elizabeth A. MacKay, Alberta Members Dr. Barry A. Cohen, Manitoba Dr. Vonda Hayes, Nova Scotia Dr. Tzu Kuang Lee, Alberta Dr. Mary O’Shea, British Columbia Dr. Debbie Rosenbaum, British Columbia MCC 2 0 1 0 A n n u a l R e p o r t | p 23 MEDICAL COUNCIL OF CANADA Examination statistics Examination statistics 2008 | 2009 | 2010 # tested Pa s s rate (%) # tested Pa s s rate (%) # tested Pa s s rate (%) 2148 76 2347 83 2573 86 702 46 511 46 501 50 To t a l 2850 69 2858 77 3074 80 1st time CMG* takers 2111 97 2317 97 2429 98 82 71 89 69 75 71 Evaluating Examination 1st time takers Repeat takers M CCQ E Pa r t I Repeat CMG* takers 1st time IMG ** takers 1566 57 1387 52 1607 62 Repeat IMG ** takers 1251 29 1286 23 1245 34 To t a l 5010 67 5079 66 5356 72 1st time CPG† takers 1990 95 2092 96 2329 93 84 77 100 85 109 81 M CCQ E Pa r t I I Repeat CPG takers † 1st time IPG †† takers 763 49 646 59 741 48 Repeat IPG †† takers 506 42 474 60 419 42 1st time MPG ††† takers 222 77 271 82 253 72 Repeat MPG ††† takers 82 65 94 64 110 53 3647 76 3677 83 3961 76 To t a l Number of licentiates issued 2799 | 3053 | 3014 * CMG denotes Canadian medical graduates. These candidates are graduates of Canadian medical schools. ** IMG denotes international medical graduates. These candidates are graduates of medical schools outside of Canada. † CPG denotes Canadian postgraduate. These candidates are graduates of Canadian medical schools and are enrolled in a Canadian postgraduate program. †† IPG denotes international postgraduate. These candidates are graduates of medical schools outside of Canada and have pursued at least one year of postgraduate training in a postgraduate program outside of the country. ††† MPG denotes mixed postgraduate. These candidates are graduates of medical schools from outside Canada and are enrolled in a Canadian postgraduate program. MCC 2 0 1 0 A n n u a l R e p o r t | p 24 MEDICAL COUNCIL OF CANADA HIGHLIGHTS 2010 Highlights Highlights Application for Medical Registration in Canada The Honourable Jason K e n n e y, M i n i s t e r o f Citizenship, I mmigration and Multiculturalism, announcing Fo r e i g n C r e d e n t i a l P r o g r a m funding for the Application for Medical Registration in Canada project. Human Resources and Skills Development Canada, the Federation of Medical Regulatory Authorities of Canada (FMRAC) and the Medical Council of Canada (MCC) announced that they are developing a single application system to allow physicians, especially international medical graduates, to apply for a medical licence to multiple medical regulatory authorities at the same time. The project is funded by the Government of Canada’s Foreign Credential Recognition Program and was announced on Sept. 1, 2010. Medical regulatory authorities will be working through FMRAC to create a set of standards for full and provisional licensure. These standards will form the foundation upon which the application system will be built. The MCC will develop the application system based on the infrastructure of its Physician Credentials Repository (PCRC). Physicians seeking licensure will benefit from the new system since they will be asked to apply through a common process instead of undergoing very different processes when they apply to more than one provincial/territorial jurisdiction. Candidates’ electronic applications will also be pre-populated based on information they have provided over time in their PCRC account. In addition, physicians will be able to share verified, electronic copies of their credentials with stakeholders in the medical community. Each medical regulatory authority will review the applications submitted electronically through the new system and decide whether or not the candidate is eligible for licensure in its jurisdiction. The application system is expected to launch towards the end of 2012 or at the beginning of 2013. MCC 2 0 1 0 A n n u a l R e p o r t | p 25 MEDICAL COUNCIL OF CANADA HIGHLIGHTS 2010 Highlights Highlights Assessment R e v i e w Ta s k Fo r c e D r. O s c a r C a s i r o , C h a i r o f the Assessment Review Ta s k Fo r c e , a t t h e M C C ’s 2010 Annual Meeting. The Medical Council of Canada (MCC) struck an assessment review task force in 2009 to explore new assessment techniques and look at MCC examinations within the context of the current, continually evolving medical environment. A significant portion of the 2010 Annual Meeting was dedicated to the Task Force in order for its members to report on progress, consult with Council members and seek feedback. Council members provided input into the core competencies that should be assessed throughout a physician’s career. The MCC will host focus group sessions in 2011 to seek additional input on potential Task Force recommendations. The full report will be presented to Council at the 2011 Annual Meeting. MCC 2 0 1 0 A n n u a l R e p o r t | p 26 MEDICAL COUNCIL OF CANADA HIGHLIGHTS 2010 Highlights National Assessment Collaboration A candidate attempting the National Assessment C o l l a b o r a t i o n’s clinical exam. The National Assessment Collaboration (NAC), which reports to the MCC’s Council, was established to streamline the evaluation process for international medical graduates applying for a licence to practise medicine in Canada. Building on past accomplishments that contributed tools and training for use in residency programs, the NAC focused its efforts in 2010 on offering a national clinical examination to assess in a standardized manner international medical graduates’ readiness for postgraduate training. The NAC clinical examination was held in 2010 in British Columbia, Quebec and Manitoba. MCC 2 0 1 0 A n n u a l R e p o r t | p 27 MEDICAL COUNCIL OF CANADA HIGHLIGHTS Highlights photo: Photos by Rej 2010 Highlights Director of Research & Development D r. K r i s t a B r e i t h a u p t T h e M e d i c a l C o u n c i l of Canada (MCC) said good-bye to Dr. David Blackmore, who retired from the MCC after an illustrious 19-year tenure, and welcomed Dr. Krista Breithaupt in March as the new Director of Research and Development. Dr. Breithaupt developed a research validity agenda that was endorsed by the Council’s Research and Development Committee in October 2010. The new agenda focuses in-house research efforts and the MCC’s grant program towards exploration of test content analysis and blueprinting, test development and scoring, standard setting, test fairness and longitudinal outcome evaluation. MCC 2 0 1 0 A n n u a l R e p o r t | p 28 MEDICAL COUNCIL OF CANADA AWA R D S MCC Staff Ser vice Awards 5 years Janet Babalola, Finance and Administration 5 years Suzanne Bissonnette, Repository and Registration Centre Lauren Copp, Research and Development Yves Lafortune, Evaluation Bureau Tyler MacDonald, Information Technology Kim Nguyen, Evaluation Bureau Josée Wojcik, Evaluation Bureau 1 0 years 10 years Don Nguyen, Finance and Administration Michelle Brunette, Repository and Registration Centre Jocelyne Boyer-Richer, Evaluation Bureau Hélène Desormeaux, Information Technology 1 5 years 2 0 years 15 years André-Philippe Boulais, Evaluation Bureau 20 years Paul Bourdeau, Repository and Registration Centre Sydney Smee, Evaluation Bureau MCC 2 0 1 0 A n n u a l R e p o r t | p 29 MEDICAL COUNCIL OF CANADA AWA R D S Outstanding Achievement Award in the Evaluation of Clinical Competence T h e O u t s t a n d i n g A c h i e v e m e n t A w a r d is an internationally peer-reviewed award bestowed on individuals who have made a significant and vital achievement in the field of assessment and evaluation of clinical and professional competence in the health professions. The 2010 Outstanding Achievement Award was presented to Dr. Daniel Klass. Dr. Klass recently retired from his position as Associate Registrar and Quality Management Director of the College of Physicians and Surgeons of Ontario (CPSO). Dr. Klass worked with the CPSO since 2001. He championed a movement within the organization from a purely discipline-based system for clinical deficiencies toward a system based on education and remediation. Previously, Dr. Klass had a lengthy career practising and teaching medicine as well as conducting research in physiology and performance evaluation. Throughout his medical career, Dr. Klass has been involved in efforts to improve the way doctors’ performance is assessed. He has said that some highlights of his career were his collaboration with the National Board of Medical Examiners to develop a standardized patient (SP) program used across the United States, in addition to developing what was one of the first SP examinations used to formally evaluate students in a Canadian medical school as part of their curriculum. MCC President D r. O s c a r C a s i r o (left) presenting D r. D a n i e l K l a s s the Outstanding Achievement Award. Dr. Klass graduated from the Faculty of Medicine at McGill University in 1967 after completing undergraduate degrees in both English Literature and Physiology at the University of Manitoba. He completed his postgraduate medical training at the Winnipeg General Hospital, the University of California, San Francisco, and Oxford University in England. He has held university appointments at the University of Manitoba, Hebrew University in Jerusalem, the University of Pennsylvania, the University of Toronto, York University and Griffith University in Australia. He was recently awarded an Honorary Diploma from the Michener Institute in Toronto. MCC 2 0 1 0 A n n u a l R e p o r t | p 30 MEDICAL COUNCIL OF CANADA Dr. Louis Levasseur AWA R D S Distinguished Service Award T h e D r. L o u i s L e v a s s e u r A w a r d is named for the former Chair of the Medical Council’s Central Examination Committee, Dr. Louis Levasseur, who for 26 years personified an unwavering commitment to the objectives of the Council. The Dr. Louis Levasseur Award is presented to a Council, staff or committee member, past or present, or to a person whose collaboration has contributed in an extraordinary manner to the mission and vision of the Medical Council of Canada. The 2010 recipient of the Dr. Louis Levasseur Award is Dr. David Blackmore. Dr. David Blackmore recently retired after 19 years with the Medical Council of Canada (MCC). Dr. Blackmore joined the MCC in 1991 as Director of the Evaluation Bureau. One of his first challenges was to integrate the results of the Q4 project, which was looking to improve how candidates were tested on their clinical decision-making skills, into the Medical Council of Canada Qualifying Examination (MCCQE) Part I. He also worked on establishing the Evaluation Bureau, creating the first set of Objectives for the Qualifying Examination, changing the examinations’ normative-referenced pass/fail decision process to a criterion-referenced process, rebuilding the entire multiple-choice question bank, and setting up a national clinical examination – the MCCQE Part II. Dr. Blackmore’s notable accomplishments as Director of the Evaluation Bureau also include moving the MCC towards computer-based testing. Another significant change that occurred under Dr. Blackmore’s tenure was establishing testing centres at the faculties of medicine – starting with the Medical Council of Canada Qualifying Examination (MCCQE) Part II . Later in his career, Dr. Blackmore helped found the Research and Development directorate in 2006 to increase the MCC’s ability to conduct in-house research on medical assessment processes. With the help of Council, the department has also been able to provide grants to other researchers in the field. D r. D a v i d B l a c k m o r e (middle) accepting the D r. L o u i s L e v a s s e u r Distinguished Service Award from MCC President D r. O s c a r C a s i r o ( l e f t ) a n d D r. I a n B o w m e r ( r i g h t ) . MCC 2 0 1 0 A n n u a l R e p o r t | p 31 MEDICAL COUNCIL OF CANADA List of Presentations M C C - R E L AT E D A C T I MCC-related activities Published papers Eva, K.W., Wood, T.J., Riddle, J., Touchie, C., Bordage G. (2010). How clinical features are presented matters to weaker diagnosticians. Medical Education, 44, 775-785. MacLellan, A.M., Rainsberry, P., Bowmer, I., & Desrochers, M. (2010). Examination outcomes for international medical graduates pursuing or completing family medicine residency training in Quebec. Canadian Familiy Physician, 56(9), 912-918. Tamblyn, R., Abrahamowicz, M., Dauphinee, D., Wenghofer, E., Jacques, A., Klass, D., Smee, S., Eguale, T., Winslade, N., Girard, N., Bartman, I., Buckeridge, D.L., Hanley, J.A. (2010). Influence of physicians’ management and communication ability on patients’ persistence with antihypertensive medication. Arch Intern Med, 28; 170: 1064-72. Wood, T.J., St-Onge, C., Boulais, A.P., Blackmore, D.E., & Maguire, T.O. (2010). Identifying the Unauthorized Use of Examination Material. Evaluation and the Health Professions, 33, 96-108. Presentations Banner, S., Bowmer, M.I., Breithaupt, K., (2010) Canadian Resident Matching Services/Medical Council of Canada: Selecting international graduates: Are you collecting all the information you need? Talk presented at CaRMS International Medical Graduate Information Symposium: Toronto, Canada. Bartman, I., Smee, S., Fraser, J., (2010). Traditional Objective Structured Exams (OSCE) Checklist vs. key features: what psychometrics tell us about how assessment methods relate to items. Talk presented at the Canadian Association for Medical Education Annual Meeting: St. John’s, Canada. Bartman, I., Lafortune, Y., (2010). Do the International Medical Graduates (IMG) who enroll in the Computer Based Testing (CBT) version of the Medical Council of Canada Evaluating Examination (MCCEE) differ from those who enrolled in the Paper and Pencil (PP) version of the exam? Poster presented at the Canadian Association for Medical Education Annual Meeting: St. John’s, Canada. Bartman, I., Smee, S., Fraser, J., (2010). Traditional Objective Structured Exams (OSCE) Checklist vs. key features: what psychometrics tell us about how assessment methods relate to items. Talk presented to the Academy for Innovation in Medical Education (AIME) 3rd Annual Medical Education Day: Ottawa, Canada. Beardall, S., Murray, K., Bergeron, D., Bowmer, M.I., Zajac, Y., (2010). Foreign Credential Assessment and Recognition - Information, Tools and Processes that Begin Overseas. Talk presented at the Metropolis Pre-Conference Session on foreign credential recognition (FCR): Montreal, Canada Bowmer, M.I., (2010). The Canadian Response to the H1N1 Outbreak. Talk presented at the Special Operations Medical Association (SOMA): Tampa, USA. MCC 2 0 1 0 A n n u a l R e p o r t | p 32 MEDICAL COUNCIL OF CANADA List of Presentations M C C - R E L AT E D A C T I MCC-related activities Bowmer, M.I. Presentation to the House of Commons Standing Committee on Health. Evidence, No. 7, 3rd Session, 40th Parliament, April 1, 2010: Ottawa, Canada. Bowmer, M.I., Blackmore, D., Wood, T., Smee, S., Breithaupt, K., (2010). The National Assessment Collaboration objective structured clinical examination (OSCE) for entrance into postgraduate year 1 (PGY1). 2010 International Conference on Residency Education: Ottawa, Canada. Bowmer, M.I., Roy, M., Wood, T.J., (2010). How do Canadians studying abroad (CSAs) compare to other examinees on a high-stakes licensure examination? Talk presented at the 14th Ottawa Conference on Medical Education: Miami, USA. Breithaupt, K., Wood, T. J., Bowmer, M.I., (2010). The National Assessment Collaboration OSCE. Talk presented at the International Conference on Residency Education: Ottawa, Canada. McConnell, M.M., (2010). Self-Monitoring and Its Relationship to Medical Knowledge. Academy of Innovation in Medical Education (AIME), University of Ottawa: Ottawa, Canada. McConnell, M.M., Wood, T.J., Boulais, A.P., (2010). The Impact of Item and Examinee Characteristics on Response Times for Multiple-Choice Question Tests. Talk presented to the Canadian Conference on Medical Education: St. John’s, Canada. McConnell, M.M., Wood, T.J., Boulais, A.P., (2010). The Relationship between Item and Examinee Characteristics and Response Times. Talk presented to the Academy for Innovation in Medical Education (AIME) 3rd Annual Medical Education Day: Ottawa, Canada. Roy M., Wood, T.J, Smee, S., (2010). The effects of OSCE station sequencing on performance outcomes. Talk presented at the annual Canadian Conference on Medical Education: St. John’s, Canada. Roy M., Wood, T.J, Smee, S., (2010). The effect of experience with objective structured clinical examination (OSCE) format on the presence of sequencing. Poster presented to the Annual conference on Research in Medical Education (RIME): Washington D.C., USA. Smee, S., Roy, M., (2010). Assessing professionalism: One small piece. AIME Rounds, University of Ottawa: Ottawa, Canada. Smee, S., (2010). OSCE: It’s all about the scores. Talk presented to the Pharmacy Examining Board of Canada Trainers meeting. Smee, S., St-Onge, C., Bartman, I., (2010). Using difficulty indicators to create comparable Objective Structured Clinical Examinations (OSCE) test forms. Talk presented at the 14th Ottawa Conference on Medical Education: Miami, USA. Wood, T.J., McConnell, M., Roy, M., & Lafortune, Y., (2010). Do examinee characteristics influence the MCC 2 0 1 0 A n n u a l R e p o r t | p 33 MEDICAL COUNCIL OF CANADA List of Presentations M C C - R E L AT E D A C T I MCC-related activities allocation of response times on a multiple-choice question examination? Talk presented at the 14th Ottawa Conference on Medical Education: Miami, USA. Wood, T.J., Roy, M., & Lafortune, Y., (2010). Validation of the new computer-based Medical Council of Canada Evaluating Examination (MCCEE). Talk presented at the annual Canadian Conference on Medical Education: St. John’s, Canada. I n v i t e d Ta l k s Bowmer, M.I. (2010). Canadians Studying Abroad: MCCEE to MCCQE Part I. Talk presented at the Ottawa Conference: Miami, USA. Bowmer, M.I. (2010). Examination Day: All you need to know about the MCCEE and MCCQE Part I. Talk presented at CaRMS International Medical Graduate Information Symposium: Toronto, Ontario. Bowmer, M.I. (2010). Getting Started: An Overview of MCC Applications, Credentialing and Eligibility. Talk presented at CaRMS International Medical Graduate Information Symposium: Toronto, Ontario. Bowmer, M.I., Smee, S. (2010). Accreditation and Medical Education: a Perspective from Canada. Talk presented at the Taiwan Medical Faculties/Taiwan Medical Council. Breithaupt, K. (2010). The National Assessment Collaboration Objective Structured Clinical Examination. Talk presented at the 2011 International Medical Graduate (IMG) Information Symposium: Toronto, Canada. Lemay P. (2010). The Application for Medical Registration in Canada (AMRC): Business Development. Talk presented to the Canadian Network of National Association of Regulators (CNNAR). Lemay P. (2010). The Application for Medical Registration in Canada (AMRC): Business Analysis. Talk presented to the Registration Working Group – Hosted by FMRAC. Lemay P. (2010). The Application for Medical Registration in Canada (AMRC): Business Development. Talk presented to Health Match BC. Lemay P. (2010). The Medical Identification Number for Canada (MINC): Business Analysis / Lessons Learned. Talk presented to the Canadian Medical Protective Association (CMPA). Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Alberta Health Services. Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Canadian Conference on Medical Education (CCME). MCC 2 0 1 0 A n n u a l R e p o r t | p 34 MEDICAL COUNCIL OF CANADA List of Presentations M C C - R E L AT E D A C T I MCC-related activities Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Centre for the Evaluation of Health Professionals Educated Abroad (CEHPEA). Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the College of Physicians and Surgeons of Alberta (CPSA). Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the College of Physicians and Surgeons of Manitoba (CPSM). Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Federation of Medical Regulatory Authorities of Canada (FMRAC) AGM: Vancouver, Canada. Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to Human Resources and Skills Development Canada (HRSDC). Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Foreign Credentials Referral Office (FCRO), Citizenship and Immigration Canada (CIC). Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Analysis and Best Practices. Talk presented to the CaRMS International Medical Graduate Information Symposium. Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Medical School at Deakin University: Melbourne, Australia. Lemay P. (2010). The Physicians Credentials Registry of Canada: Business Development. Talk presented to the Royal College of Physicians and Surgeons of Canada (RCPSC). Wo r k s h o p s Smee, S. (2010). Case writing for High Stakes OSCE: The Medical Council of Canada’s Approach. Invited workshop presented to the Taiwan Medical Faculties and the Taiwan Medical Council. Wood, T.J., & McConnell M. (2010). Elements of a Grant Proposal. Invited workshop presented to the Centre for Medical Education, Faculty of Medicine, McGill University. Wood, T.J., Taguchi, K., & McConnell, M. (2010). Developing High Quality Multiple-Choice Questions. Invited workshop presented to the Faculty of Health Sciences, Queens University. MCC 2 0 1 0 A n n u a l R e p o r t | p 35 MEDICAL COUNCIL OF CANADA List of Presentations NON-MCC R E L AT E Non-MCC related activities Published papers Touchie, C., Humphrey-Murto, S., Ainslie, M., Myers, K., & Wood, T.J. (2010). Two models of raters in a structured examination: Does it make a difference? Advances in Health Sciences Education, 15, 97-108. Presentations Breithaupt, K., Brittingham, P. (2010). Risks and Controls in the Automated Scoring of Accounting Tasks. Talk presented to the annual meeting of the National Council on Measurement in Education: Denver, USA. Chi, M.T.H., & Roy, M. (2010). How adaptive is a human expert? In J. Kay & V. Aleven (Eds.), Intelligent Tutoring Systems, 10th International Conference, (ITS’10) (pp. 401-412). Pittsburgh, USA, June 14-18. Desjardins, I., Touchie, C., Pugh, D., & Wood, T.J. (2010). "Why didn’t I think of that?” – The impact of cueing compared to test learning. Poster presented to the Annual conference on Research in Medical Education (RIME): Washington D.C., USA. Dudek, N.L., Marks, M.B., Wood, T.J, Dojieji S., Bandiera G., Hatala R., Cooke L., & Sadownick L. (2010). Completing a quality clinical evaluation report: Can we influence the demonstrated skills of clinical supervisors – A multi-site study. Poster presented to the Annual conference on Research in Medical Education (RIME): Washington D.C., USA. Dudek, N., & Wood, T.J. (2010). The completed clinical evaluation report rating (CCERR) – Validation for use with research assistants. Talk presented at the annual Canadian Conference on Medical Education: St. John’s, Canada. Dudek, N., Marks, M., Wood, T.J., Dojeiji, S., Bandiera, G., Hatala, R., Cooke, L., & Sadownik, L. (2010). Completing a quality ITER: Can we influence the demonstrated skills of clinical supervisors? – A multisite study. Talk presented to the Academy for Innovation in Medical Education 3rd Annual Medical Education Day: Ottawa, Canada. Hallman, S., Humphrey-Murto, S., Pugh, D., Wood, T.J., & Touchie, C. (2010). Are we really measuring communication skills in the OSCE? Talk presented to the Academy for Innovation in Medical Education 3rd Annual Medical Education Day: Ottawa, Canada. MCC 2 0 1 0 A n n u a l R e p o r t | p 36 MEDICAL COUNCIL OF CANADA List of Presentations GRANTS Research in Clinical Assessment Grants Esther Breton, "Évaluation de l’utilité de la simulation à haute fidélité pour améliorer la communication interprofessionnelle aux soins intensifs : étude expérimentale à double insu" Christopher Watling, “An exploration of medical learners’ receptivity to feedback within the context of clinical assessment” Meredith Young, “Measures of Diagnostic Pattern Recognition: Relation to Individual Differences and Expertise” MCC 2 0 1 0 A n n u a l R e p o r t | p 37 MEDICAL COUNCIL OF CANADA Independent Auditors’ Report To the Board of Directors of the Medical Council of Canada We have audited the accompanying financial statements of Medical Council of Canada, which comprise the statement of financial position as at December 31, 2010, the statements of operations, changes in net assets and cash flows for the year then ended, and notes, comprising a summary of significant accounting policies and other explanatory information. Management’s Responsibility for the Financial Statements Management is responsible for the preparation and fair presentation of these financial statements in accordance with Canadian generally accepted accounting principles, and for such internal control as management determines is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. Auditors’ Responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on our judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, we consider internal control relevant to the Council’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Council’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion, the financial statements present fairly, in all material respects, the financial position of Medical Council of Canada as at December 31, 2010, and its results of operations and its cash flows for the year then ended in accordance with Canadian generally accepted accounting principles. As required by the Canada Corporations Act, we report that, in our opinion, these principles have been applied on a basis consistent with that of the preceding year. KPMG LLP Chartered Accountants Chartered Accountants, Licensed Public Accountants March 29, 2011 Ottawa, Canada MCC 2 0 1 0 A n n u a l R e p o r t | p 38 Fina ncial Position MEDICAL COUNCIL OF CANADA Assets Statem ent o f December 31, 2010 with comparative figures for 2009 Current assets: Cash Accounts receivable Prepaid expenses $ 2010 | 2009 2,847,587 562,690 333,143 3,743,420 $ 2,001,148 141,352 136,258 2,278,758 Investments (note 3) 18,123,904 17,168,449 Capital assets (note 4) 4,707,777 3,952,224 Pension asset (note 6) 871,000 708,000 $ 27,446,101 $ 24,107,431 901,512 6,273,502 7,175,014 $ 1,035,060 5,376,724 6,411,784 Liabilities and Net Assets Current liabilities: Accounts payable and accrued liabilities $ Deferred examination fees Pension liability (note 6) Net assets: Unrestricted Invested in capital assets Internally restricted $ 482,000 710,000 12,040,728 4,707,777 3,040,582 19,789,087 9,739,159 3,952,224 3,294,264 16,985,647 27,446,101 $ 24,107,431 See accompanying notes to financial statements. MCC 2 0 1 0 A n n u a l R e p o r t | p 39 MEDICAL COUNCIL OF CANADA Statem ent o f O p e ratio ns Year ended December 31, 2010 with comparative figures for 2009 2010 2010 Budget (Unaudited - note 2(i)) Revenue: Qualifying examination fees Part I Qualifying examination fees Part II Evaluating examination fees Forfeited fees Repository fees Investment Federal government grants Service fees Administration fees Rental EE self-administered examination QEI self-administered examination Other $ Expenses (see schedule): Salaries and consulting services Office administration Examination production Examination conduct and administration Source verification Council governance Special projects Research and development Other Amortization of capital assets Loss on disposal of investments Loss on disposal of capital assets Excess (deficiency) of revenue over expenses $ 3,830,890 7,094,750 3,640,000 10,000 2,324,925 574,390 65,000 82,800 450,114 40,000 84,000 50,000 36,300 18,283,169 $ $ 8,814,257 2,105,521 645,580 4,185,151 532,143 271,972 931,812 395,611 63,075 645,812 68,092 18,659,026 9,050,530 1,958,599 753,832 4,320,154 452,210 388,187 105,000 456,817 109,845 493,565 100,000 18,188,739 94,430 3,989,660 7,435,950 3,798,350 43,056 3,173,390 631,844 994,569 103,788 347,198 34,235 90,020 193,380 149,976 20,985,416 | $ 2,326,390 2009 3,681,400 6,149,700 2,951,100 32,579 2,631,053 598,578 40,011 103,265 349,481 32,297 74,500 660 76,272 16,720,896 8,232,116 2,157,029 619,978 4,138,971 465,025 238,672 238,641 600,380 115,535 528,841 213,436 15,300 17,563,924 $ (843,028) See accompanying notes to financial statements. MCC 2 0 1 0 A n n u a l R e p o r t | p 40 Statem ent o f Cha nges in MEDICAL COUNCIL OF CANADA N et As s ets Year ended December 31, 2010 Balance, beginning of year Unrestricted Invested in capital assets Internally restricted: Research and development Examination development Centennial project Insurance reserve Reserve for appeals $ Excess (deficiency) of revenue over expenses Adjustments for unrealized gains on investments (note 3(b)) Transfers to (from) Balance, end of year 9,739,159 $ 3,588,267 $ 477,050 $ (1,763,748) $ 12,040,728 3,952,224 13,691,383 (998,195) 2,590,072 477,050 1,753,748 (10,000) 4,707,777 16,748,505 1,995,181 939,083 160,000 50,000 150,000 3,294,264 (268,877) 5,195 (263,682) - 10,000 10,000 1,726,304 944,278 170,000 50,000 150,000 3,040,582 $ 16,985,647 $ 2,326,390 $ 477,050 $ - $ 19,789,087 See accompanying notes to financial statements. MCC 2 0 1 0 A n n u a l R e p o r t | p 41 MEDICAL COUNCIL OF CANADA Statem ent o f Ca s h Fl ows Year ended December 31, 2010 with comparative figures for 2009 2010 | 2009 2, 326,390 $ (843,028) Cash provided by (used in): Operations: Excess (deficiency) of revenue over expenses Items not involving cash: Amortization of capital assets Amortization of examination content development costs Loss on disposal of capital assets Loss on disposal of investments Pension expense Employer contributions to pension plan Change in non-cash operating working capital $ 645,812 352,383 Cash, beginning of year Cash, end of year (546,497) (1,753,748) (2,300,245) (577,073) (676,678) (1,253,751) - Investments: Additions to investments Acquisition of capital assets Increase in cash 68,092 617,000 (1,008,000) 145,007 3,146,684 528,841 352,416 15,300 213,436 451,000 (568,000) 2,177,044 2,327,009 $ 846,439 1,073,258 2,001,148 927,890 2,847,587 $ 2,001,148 See accompanying notes to financial statements. MCC 2 0 1 0 A n n u a l R e p o r t | p 42 1. Purpose of the Organization: The Medical Council of Canada (the “Council”) was established in 1912 under the Canada Medical Act. The Council was subsequently incorporated without share capital under the Canada Corporations Act as the Medical Council of Canada (the “Council”). The Council is a registered charity under subsection 149(1) of the Income Tax Act. No tes to Year ended December 31, 2010 The Council’s original purpose was to establish and promote a qualification in medicine, known as the Licentiate of the Medical Council of Canada, such that holders thereof are acceptable to provincial licensing authorities for the issuance of a licence to practise medicine. At the time of incorporation, its role expanded to include the initiation and promotion of research and development in the evaluation of medical knowledge and competence of undergraduate and graduate medical students and practitioners of medicine and of other health sciences. Its Visio n : Striving for the highest level of medical care for Canadians through excellence in evaluation of physicians. Its M i s s i o n : Financial Statements MEDICAL COUNCIL OF CANADA With the key stakeholders, the Council: • Develops, validates and implements tools and strategies to evaluate physicians’ competence; and • Maintains a national registry of physicians and their qualifications throughout their professional careers. 2. Significant accounting policies: These financial statements have been prepared in accordance with Canadian generally accepted accounting principles and include the following significant accounting policies: (a) Basis of presentation: These financial statements reflect the operations of the Council. These financial statements do not include the revenue, expenses, assets and liabilities of the Council’s related entities: The Medical Identification Number for Canada Inc. and Carleton Condominium Corporation No. 517. Related parties are disclosed in notes 7 and 8. MCC 2 0 1 0 A n n u a l R e p o r t | p 43 Financial Statements MEDICAL COUNCIL OF CANADA No tes to Year ended December 31, 2010 2. Significant accounting policies (continued): (b) Financial instruments: (i) Investments: Investments are designated as available for sale and are recorded at fair value. Realized gains and losses and investment income calculated using the effective interest rate method are recorded in the statement of operations. Realized gains and losses on sale of investments are the difference between the proceeds and the average cost of the investments. Unrealized gains or losses from the change in fair value are recorded in the statement of changes in net assets. Fair value is determined at quoted market prices. Sales and purchases of investments are recorded on the settlement date. Transaction costs related to the acquisition of investments are expensed. (ii) Other financial instruments: The Council has classified accounts receivable as loans and receivables and accounts payable and accrued liabilities as other liabilities. Upon initial recognition, these financial assets and liabilities are measured at fair value. Subsequent to initial recognition, these financial assets and liabilities are measured at amortized cost using the effective interest method of amortization. (c) Capital assets: Capital assets are initially recorded at cost and are amortized on a straight-line basis over their estimated useful lives as follows: Asset Useful life Condominium unit Furniture and equipment Computer equipment Computer software Examination content development costs 40 years 10 years 3 years 3 years 3 years A full year’s amortization is taken in the year of acquisition. MCC 2 0 1 0 A n n u a l R e p o r t | p 44 2. Significant accounting policies (continued): (d) Employee future benefits: No tes to Year ended December 31, 2010 Financial Statements MEDICAL COUNCIL OF CANADA The Council participates in a defined benefit pension plan (the Canadian Medical Association Pension Plan) and also provides supplemental pension arrangements to certain employees. Pension benefits are based on length of service and final average earnings. The cost of pension benefits earned by employees is actuarially determined using the projected benefit method pro-rated on service and management’s best estimate of expected return on plan assets, salary escalation and retirement ages of employees. For the purpose of calculating the expected return on plan assets, those assets are recorded at fair market value. The excess of the net actuarial gain (loss) over 10% of the greater of the benefit obligation and the fair value of the plan assets is amortized over the average remaining service period of active employees of the plan of 13 years. The Council amortizes the transitional asset, which occurred when new accounting policies were adopted, on a straight-line basis over the average remaining service period of active employees expected to receive benefits under the plan. The cumulative excess of pension fund contributions over the amount recorded as expense is recorded as a pension asset on the statement of financial position. The cumulative excess of the amount recorded as expense over supplemental benefits paid is recorded as a pension liability. (e) Expenses: In the statement of operations, the Council presents its expenses by function with the exception of salaries and consulting services, loss on disposal of investments, and loss on disposal and amortization of capital assets, which are presented separately. Expenses are recognized in the year incurred and are recorded in the function to which they are directly related. The Council does not allocate expenses between functions after initial recognition. Expenses are disclosed by object for each function in the schedule of expenses. MCC 2 0 1 0 A n n u a l R e p o r t | p 45 2. Significant accounting policies (continued): (f) Net assets: No tes to Year ended December 31, 2010 Financial Statements MEDICAL COUNCIL OF CANADA Net assets are internally restricted to promote research and development as authorized by Council at the 1992 annual general meeting. On an annual basis, an amount equivalent to the revenue from evaluating examination fees forfeited is internally restricted. Net assets are also internally restricted to develop new and/or alternative methods of assessment as authorized by the Finance Committee in 1996, for the centennial project to provide for the 100th year anniversary of the Council, set to occur in 2012, for an insurance reserve to provide for self-insurance in the event of a loss and, for the appeals reserve to provide for a legal court appeal. (g) Revenue recognition: The Council follows the deferral method of accounting for revenue. Restricted contributions are deferred and are recognized as revenue in the year in which related expenses are incurred. Examination fees are recognized as revenue when the examination takes place. All other revenue is recognized as revenue when received or receivable if the amount to be received can be reasonably estimated and collection is reasonably assured. Evaluating examination fees that are inactive for a period of four years are forfeited by candidates and are recorded as revenue. (h) Use of estimates: The preparation of financial statements in conformity with Canadian generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the year. Actual results could differ from these estimates. These estimates are reviewed periodically, and, as adjustments become necessary, they are reported in earnings in the year in which they become known. (i) Budget figures: Budget figures have been provided for information purposes and are derived from the Council’s budget approved by the Members of Council. Budget figures have not been audited. MCC 2 0 1 0 A n n u a l R e p o r t | p 46 Financial Statements MEDICAL COUNCIL OF CANADA No tes to Year ended December 31, 2010 3. Investments: (a) Investments consist of: 2010 | Fair value Equities Bonds and mutual funds $ 9,890,579 8,233,325 $ 18,123,904 Cost $ 9,897,562 7,970,245 2009 Fair value $ 9,920,131 $ 7,248,318 Cost 10,395,700 6,993,702 $ 17,867,807 $ 17,168,449 $ 17,389,402 Investments are managed by investment managers in accordance with an investment policy approved by the Members of Council. The Council’s investment policy limits investments to fixed income securities with a rating of BBB or better, short-term investments with a rating of R-1 or better and equity investments that are reasonably liquid. Except for federal and provincial bonds, not more than 10% of the manager’s portfolio can be invested in bonds or shares of a single issuer. Furthermore, no more than 15% of the bond portfolio can be invested in bonds rated BBB. The Council’s bonds have effective interest rates of 4.0% to 6.70% and maturity dates ranging from 2011 to 2022. MCC 2 0 1 0 A n n u a l R e p o r t | p 47 Financial Statements MEDICAL COUNCIL OF CANADA No tes to Year ended December 31, 2010 3. Investments (continued): (b) Cumulative adjustment for unrealized gains (losses) on investments: 2010 $ Balance, beginning of year (220,953) | 2009 $ (1,678,621) Adjustment for realized losses in the year Adjustments for unrealized gains on investments in the year 68,092 408,958 213,436 1,244,232 Change in cumulative adjustment for unrealized gains on investments in the year 477,050 1,457,668 Balance, end of year $ 256,097 $ (220,953) The Council regularly reviews investments to determine whether unrealized losses represent temporary changes in fair value or are a result of other than temporary impairments. The consideration of whether an investment is other than temporarily impaired is based on a number of factors that include, but are not limited to, the financial condition of the issuer and the length and magnitude of the unrealized loss and specific credit events. The Council also considers its intent and ability to hold an investment for a sufficient period of time for the value of the unrealized loss to recover. Based on the evaluation as of December 31, 2010, unrealized losses are considered to be temporary. MCC 2 0 1 0 A n n u a l R e p o r t | p 48 Financial Statements MEDICAL COUNCIL OF CANADA No tes to Year ended December 31, 2010 4. Capital assets: 2010 Cost General Condominium unit Furniture and equipment Computer equipment Computer software Examination content development costs $ 4,718,086 1,604,908 1,594,541 1,230,781 Accumulated amortization $ Net book value $ 3,237,594 601,557 208,854 62,515 2009 Net book value $ 2,702,734 417,249 188,122 119,601 1,079,219 10,227,535 481,962 5,519,758 597,257 4,707,777 524,518 3,952,224 10,643 $ 10,238,178 10,643 5,530,401 4,707,777 -3,952,224 Examination development Furniture and equipment 1,480,492 1,003,351 1,385,687 1,168,266 | $ $ $ Cost and accumulated amortization at December 31, 2009 amounted to $8,484,430 and $4,532,206, respectively. Amortization of examination content development costs of $352,383 (2009 - $352,416) is included in examination content and administration expense on the statement of operations. 5. Capital management: The Council considers its capital to consist of its net assets. The Council’s overall objective with respect to its capital is to fund capital assets, future projects and ongoing operations. The Council manages its capital by establishing restricted funds and appropriating amounts to the restricted funds for anticipated future projects, contingencies and other capital requirements. These allocations are disclosed in the statement of changes in net assets. MCC 2 0 1 0 A n n u a l R e p o r t | p 49 Financial Statements MEDICAL COUNCIL OF CANADA No tes to Year ended December 31, 2010 6. Employee future benefits: The Council is a participating employer in the Canadian Medical Association (CMA) Pension Plan. The CMA Pension Plan is funded by contributions from participating employers and from plan members. The Supplemental Executive Retirement Plans (SERPs) are unfunded arrangements, sponsored by the Council. The CMA Pension Plan and SERPs are defined benefit pension plans. The Council has adopted an annual measurement date for December 31 for estimating the accounting surplus or deficit and establishing benefit costs for the fiscal year. The latest triennial actuarial valuation for accounting purposes was performed as at January 1, 2008. 2010 | CMA Pension Plan Accrued benefit obligation Fair value of plan assets $ (9,035,000) 8,377,000 Other information: Pension expense Employee contributions Benefits paid Settlement payments Employer contributions $ 871,000 $ 421,000 259,000 170,000 584,000 2009 CMA Pension Plan Supplemental Executive Retirement Plans $ (515,000) $(6,635,000) $ (735,000) 7,028,000 - (658,000) (324,000) 66,000 1,787,000 Plan surplus (deficit) Unamortized transitional obligation (asset) Unamortized past service costs Unamortized net actuarial loss Pension asset (liability) Supplemental Executive Retirement Plans (515,000) 33,000 393,000 (364,000) 74,000 605,000 (735,000) 25,000 $ (482,000) $ 708,000 $ (710,000) $ 196,000 $ 32,000 392,000 424,000 371,000 $ 233,000 161,000 536,000 80,000 32,000 32,000 6.90% 6.90% 6.50% 3.00% 6.10% 6.10% – 4.25% The significant actuarial assumptions adopted included: Discount rate - accrued benefit obligation Discount rate - pension expense Expected long-term rate of return on plan assets Rate of compensation increase 5.80% 5.80% 6.50% 3.00% 5.20% 5.20% – 4.25% MCC 2 0 1 0 A n n u a l R e p o r t | p 50 Financial Statements MEDICAL COUNCIL OF CANADA No tes to Year ended December 31, 2010 6. Employee future benefits (continued): Plan assets, at market value, available to provide for plan benefits at the measurement date are invested as follows: 2010 Debt securities Equity securities Cash and short-term securities | 2009 % % 35 59 6 100 33 60 7 100 For the CMA Pension Plan and the Supplemental Executive Retirement Plans, the next required actuarial valuation for funding purposes will be as of January 1, 2011. 7. Related party transactions: The Council exercises significant influence over The Medical Identification Number for Canada Corporation (MINC) by virtue of its ability to appoint 50% of their Board of Directors. The Executive Director of the Council also sits on the Board of Directors of MINC as a Director. MINC is incorporated under the Canada Corporations Act and is a non-profit organization under subsection 149(1)(l) of the Income Tax Act. MINC was created to establish and maintain a unique physician identifier for every individual in the Canadian medical education and practice systems. The Council recorded a $58,000 expense for funding to MINC during the year. MCC 2 0 1 0 A n n u a l R e p o r t | p 51 8. Control over a non-consolidated entity: The Council controls Carleton Condominium Corporation No. 517 (the “Corporation”), a non-profit organization under subsection 149(1)(l) of the Income Tax Act, incorporated under the Condominium Act of Ontario. The Corporation maintains the common elements of the building in which the Council operates. No tes to Year ended December 31, 2010 The Corporation has not been consolidated in the Council’s financial statements. Financial summaries of this unconsolidated entity as at December 31, 2010 and 2009 and for the years then ended are as follows: 2010 Operating fund Reserve fund | 2009 Total Total Financial position Total assets Total liabilities $ 348,380 - $ 37,173 9,782 $ 385,553 9,782 $ 522,759 46,197 Net assets $ 348,380 $ 27,391 $ 375,771 $ 476,562 Total revenue Total expenses $ 47,623 161,249 $ 239,424 226,013 $ 287,047 387,262 $ 337,243 242,854 Net income (loss) $ (113,626) $ 13,411 $ (100,215) $ 94,389 Financial Statements MEDICAL COUNCIL OF CANADA Results from operations The Corporation, as required by the Condominium Act, has established a reserve fund for financing future major repairs and replacements of the common elements. Contributions to the reserve fund must be at least 10% of the amount required for contributions to the common expenses exclusive of the reserve fund. Only major repairs and replacements are charged directly to this fund. Included in the Council’s statement of operations are condominium fees of $279,939 (2009 - $331,578) charged by and paid to the Corporation. MCC 2 0 1 0 A n n u a l R e p o r t | p 52 No tes to Year ended December 31, 2010 Financial Statements MEDICAL COUNCIL OF CANADA 9. Financial instruments: (a) Fair value: The Council’s financial instruments consist of cash, accounts receivable, investments and accounts payable and accrued liabilities. The carrying values of these instruments approximate their fair values due to their immediate or short terms to maturity. Investments are carried at fair value, as disclosed in note 3. (b) Credit risk: The Council is exposed to credit-related losses in the event of non-performance by counterparties to financial instruments. Credit exposure is minimized by dealing mostly with creditworthy counterparties such as governments and public companies. (c) Interest rate risk: The Council is exposed to interest rate risk with respect to its interest-bearing investments as disclosed in note 3. (d) Currency risk: The Council believes that it is not exposed to significant currency risks arising from its financial instruments. 10. Comparative figures: Certain 2009 comparative figures have been reclassified to conform with the financial statement presentation adopted for the current year. MCC 2 0 1 0 A n n u a l R e p o r t | p 53 MEDICAL COUNCIL OF CANADA Expens es S c hedu le o f Year ended December 31, 2010 with comparative figures for 2009 2010 2010 Budget (Unaudited) Salaries and consulting services: Salaries and benefits Consulting services $ $ Office administration: Bank service charges $ Condominium unit Staff development Staff travel and liaisons Office communications Computer equipment rentals and maintenance Computer software Legal General Office supplies Subscriptions and memberships Insurance Audit fees Postage and courier Communications Foreign exchange loss $ Examination production: Test committees Central Examination Committee Revision of Objectives Examination planning $ $ 8,762,030 288,500 9,050,530 $ 309,691 372,650 194,000 308,680 134,904 107,076 129,939 50,000 49,160 75,000 98,574 39,000 37,925 23,500 23,500 5,000 1,958,599 $ 476,094 181, 838 92,900 3,000 753,832 $ $ $ $ | 8,575,235 239,022 8,814,257 $ 497,540 399,250 216,296 199,781 110,474 110,468 96,681 91,455 82,217 81,334 75,661 41,802 39,658 29,046 22,577 11,281 2,105,521 $ 408,632 141,222 95,726 645,580 2009 7,954,574 277,542 8,232,116 $ $ $ $ 444,497 443,901 149,276 191,976 114,480 57,007 134,127 292,255 57,936 63,324 84,141 39,792 35,055 24,362 14,889 10,011 2,157,029 413,067 112,554 94,039 318 619,978 MCC 2 0 1 0 A n n u a l R e p o r t | p 54 MEDICAL COUNCIL OF CANADA Expens es S c hedu le o f Year ended December 31, 2010 with comparative figures for 2009 2010 2010 Budget (Unaudited) Examination conduct and administration: Qualifying examination costs - Part I Qualifying examination costs - Part II Evaluating examination costs Diplomas and certificates Source verification Council governance: Annual Meeting Executive Board and Council meetings MCC awards Council planning initiatives History project Special projects: Application for Medical Registration in Canada National Assessment Consortium Phase 2A National Assessment Consortium - OSCE C&R/PCRC Amalgamation Exam-related special projects IFRS, VOIP, Workstation & SA Upgrades $ $ $ 396,463 3,352,275 389,083 1,150 4,138,971 452,210 $ 532,143 $ 465,025 219,327 140,460 8,000 20,400 388,187 $ 148,287 115,768 7,191 726 271,972 $ 158,706 74,848 5,133 (15) $ 238,672 576,906 236,735 100,277 17,894 931, 812 $ 41,005 80,033 111,299 6,304 238,641 $ $ $ $ $ $ $ 2009 457,600 3,343,436 380,074 4,041 4,185,151 419,512 3,474,182 419,250 7,210 4,320,154 $ | 65,000 40,000 105,000 $ $ $ $ MCC 2 0 1 0 A n n u a l R e p o r t | p 55 MEDICAL COUNCIL OF CANADA Expens es S c hedu le o f Year ended December 31, 2010 with comparative figures for 2009 2010 2010 Budget (Unaudited) Research and development: 213,500 54,340 25,000 154,977 9,000 456,817 $ $ $ 19,845 10,000 80,000 109,845 Amortization of capital assets $ Loss on disposal of investments and capital assets $ Total expenses $ 18,188,739 Research and development fund Examination development fund Harmonization of Examinations Operational research projects Speaker Series Post Doctorate Fellowship $ $ Other expenses: PCRC Committee expenses Public & Organizational Relationships MINC $ 332,116 24,570 11,142 25,427 2,356 395,611 $ | $ $ 2009 537,543 40,236 974 5,007 16,620 600,380 $ $ 100 4,975 58,000 63,075 $ 12,069 13,466 90,000 115,535 493,565 $ 645,812 $ 528,841 100,000 $ 68,092 $ 228,736 $ 18,659,026 $ 17,563,924 MCC 2 0 1 0 A n n u a l R e p o r t | p 56 Medical Council of Canada 2010 Licentiates A a ABASS, Fuad Abed ABBAS, Fadhel K. A. ABBAS, Harith ABBAS, Wea’am T. ABBASI, Nimrah ABDEL HUSSEIN, Hussein S. ABDEL-HALIM, Mostafa Rabieh El-Said ABDELLATIF, Dalia Mohamed Abdalla ABDELSHAHEED, Rami ABDELSHAHEED, Tamer ABDERAHEM, Atef Saleh Mohamed ABDO, Al’a ABDOLAHPOOR, Madjid ABDUL AMEER, Ameer Kadhim ABDUL KHALIQ, Anas Suhail ABDULHUSSEIN, Rahim ABDULLA, Alym ABDULLAH, Ali Razak ABED SANGANI, Masoud ABEDI MOGHADDAM, Nasim ABO-EL ELLA, Shaimaa M. M. ABOULHAMID, Rachid ABRAHAMYAN, Lusine ABU-ABED, Mohamed Ismail ABUMEESS, Ahmed A. Ragab ABUMIDDAIN, Nisreen ABU-SEIDO, Hussam-El-Din Arif Adwy ABUZINADAH, Ahmad ACEDILLO, Rey ACKER, Matthew Ryan ADABACHI, Nathalie Marie ADAM, Abbas Fadhil Yass ADAM, Marcel ADAM, Safiya ADAMSON, Sandra Coleen ADAMUS, Allison Tanya Kalene ADELAJA, Adefemi Abimbola AGGARWAL, Rohit AHLUWALIA, Ravjit AHMAD, Robina Fauzia AHMAD, Saad AHMAD-ZADEH, Reza AHMED, Bedri Usmael AHMED, Zahir Ud Din AHN, Diane Shinyoung AHN, Eric AHN, Justin AIKEN, Trevor Clifford AILON, Jonathan Isaac AIRD, Lisa Nguit Fong AIVAS, Inge AKHTAR, Naheed Ahmed AKINBIYI, Oluwatomi Opeyemi AKINBIYI, Oluwatosin AKINBIYI, Tolulola Akindiran A. AKINDELE, Olufunmi Olubunmi AL AMEEL, Turki Abdullah AL GAWAHMED, Hussain Mohammed AL GHANIM, Nayef Saleh AL ISMAILI, Mohammed Humoud Said AL KAPTAN, Moayad AL MAAMARI, Ayesha AL MAGHRABY, Hatim AL MANDIL, Majid AL MANFUD, Abdullah AL MEHTHEL, Mohammed Shatrein AL QADHI, Samim AL RAISI, Marwan Saud Dawood AL SAFFAR, Hussain Ali A. AL SHAMI, Haider A-Hameed A-Ameer AL SHANTEER, Suhair AL SHOAIBI, Naeem AL YAHYA, Sirar Kais Ibrahim ALABDOULSALAM, Tareq M. A. M. AL-ATASSI, Talal ALAWASHEZ, Abdulrahim Saeed ALBERT, Jean-Francois Sébastien ALBERT, Khala ALBERTS, Martin Joseph Adriaan ALBIATLY, Abdulhakim Omer Ali ALBUGAMI, Meteb Matar A. ALEYASIN, Seyed Hassan ALHAJ-IMHMED, Hasan A. M. ALHAZZANI, Waleed ALI NEJAD, Shahrokh ALI, Adib Sultana ALI, Kaes Mohammed ALI, Samia Hamid Ahmed ALIE, Tristan MacKay ALIJA, Agron ALIU-BERISHA, Shpresa ALIZADEHRANJBAR, Keysun ALLANACH, Camille Bonnell ALLARD, Christopher Brian ALLARD, Roxanne ALLARD-PIGEON, Marjorie ALLARD-RIOPEL, Miriame ALLEN, Nathan Dominic ALLEN, Shannon AL-MANAHI, Rasha Noori Awad ALMEIDA, David ALOMAR, Abdulaziz Zamil ALQAHTANI, Abdulrahman Mubarak AL-RASHEED, Taiba ALSADOON, Abdulaziz Abdulfattah AL-SARRAF, Sadeq AL-SHAMSI, Humaid Obaid AL-SHAMSI, Saif Jaber ALTMEYER, Ronald Christopher ALVAREZ HIGUERA, Andrea del Pilar AMES, David AMID, Sima AMIN, Muhammad AMINJAVAHERI, Armin AMU-DARKO, Kofi AMYOT, Shawn AMZALLAG, Daniel AMZICA, Traian AN, Hyun Joo AN, Jel La Angela ANANG, Julius Beng-Mbong ANAWATI, Alexandre ANCHAN, Jeffrey John ANDERSON, Jesse ANDERSON, Josdalyne Lee ANDERSON, Keltie ANDERSON, Kim ANDERSON, Tristan Alexander ANDRACHUK, Lara Kathryn MCC 2 0 1 0 A n n u a l R e p o r t | p 57 ANDREWS, Meghan Jane ANGELOPOULOS, John ANJUM, Abdul Hayee ANJUM, Mahjabeen ANJUM, Mahraz ANSSARI, Neda ANWAR, Saifal AOUADI, Adila ARABZADEH, Sepideh ARCHAMBAULT, Jason Patrick AREKAPUDI, Anil Kumar ARIAS SALA, Roxana ARISHENKOFF, Shane ARMANO, Jon ARMSTRONG, Dawn Elizabeth ARMSTRONG, Marika Linn ARNOLD GOMES, Megan ARNOLD, Angela Jayne ARNOLD, Heather Rae ARORA, Danny ARORA, Sarvsheel ARREZAGHI, Mohamed Ahmed ARRUDA, Eric Philip ARVISAIS, Nadine ARYA, Aman Viny ASFOUR, Nabil ASHER, Ayesha ASHTARANI, Peyvand ASINIWASIS, Rachel N. ASRAR, Farhan Muhammad ASSEDOU, Aaron Edgar ASSELIN, Mathieu ATHAIDE, Valerie Cecilia Lynn ATRIE, Damon ATTA, Imran AU, Joyce AUBÉ, Jean-Louis AUBIN, Emmanuelle AUBUT, Catherine AUDET, Marie-Claude AUDETTE-CÔTÉ, Jean-Sébastien AUJLA, Harpreet Kaur AUNG, Phyoe Tun AUSTIN, Janice AVERY, Susan AW, Andrew AWAD, Diane AWAN, Sobia Faisal AYDIN, Cristina AYERS, Ian Barry AZADI, Arezoo AZAM, Nadia Afsheen AZHER, Yasmin B b BADDAR, Faisal BADER, Russell Todd BADRA QUIRION, Karine BAERG, Heather Elizabeth BAGHAEE, Jalal BAHADUR, Randy BAHM, Allison Lesley BAIDWAN, Jatinder Singh BAIG, Mirza Muhammad Waqas BAILEY, Jonathan Glen BAJWA, Amarjit Kaur BAKER, Blair Albert BAKER, Katarzyna BALDERSTON, Rhea Deanne BALDWIN, Corisande Saskia Melody BALLA, Agneta BALMER, Candace BALOUCH, Hamid Mahmood BALTZER, Heather Lucretia BANANDA, Sunil BANIK, Mita BANIK, Rakhee BANKS, Diana Jacqueline BARAN, Iwona BARBER, Claire Louise BARCELÓ-RODRIGUEZ, Enrique BARGH, Gordon James MacGregor BARIL, Catherine BARKLEY, Sarah Elizabeth BARNARD, Cornel BARRETT, Chantel Taryn BARRETT, Kali Alyssa BARRETT, Keith BARRY, Amelia Marie BARTHEL, Jennifer Elizabeth BARTHELEMY, Lucie Andrée Marie-Paule BARTLEMAN, Anne-Pascale Florence BARTUCCI, Michael BASAK, Sanjukta BASHIR, Ayesha BASWICK, Brenda BATHINI, Varunkumar BAWEJA, Reena Kaur BAY, Graham Harrison BAYAT, Muhammad Ridwan Hoosen BAYAT, Roain BAYDA, Michael Christopher BAYOU, Nadia BEATON, Jessica Jean BEATTIE, Erin Dawn BEAUCHAMP, René-Paul BEAUCHEMIN, Dany BEAUCHEMIN, Dave BEAUCHEMIN, Philippe BEAUDOIN, Eve-Léa BEAUDOIN, Olivier Xavier BEAULIEU-GENEST, Laurence BEAUSÉJOUR LADOUCEUR, Virginie BEAUVAIS, Nicole BEAVER, David Jonathan BEDNARSKA, Elzbieta Inez BEHBOUDI FAR, Simin BEHESHTI, Behnam BEKKER, Ian BELABBAS, Yakoub BELAK, Zenon A. BÉLAND, Mathieu BÉLANGER, Julie BELEFQIH, Mounia BELETSKY, Vadim BELEZNAY, Kathryn Mary BELIC, Petru BELIVEAU, Lauren Nicole BELL-DINGWALL, Sarah BELLINGAN, Jacob Cornelis BELLIVEAU, Anne Catherine BELTEMPO, Marc BENBARKAT, Hanane BENHABIB, Larbi BENIDIR, Andreanne BENINI, Ruba BENKELFAT, Rislaine BENNETT, Mark Robert Gerald BENNETT, Stephanie Laurel BENOIT, Simon BENSIMON, Michael Aaron BENZAID, El Mostafa BERG, Amanda Erica BERGERON, Julie BERGERON, Marie-Eve BERNARD, Brandon David BERNARD, Diane BERNARD, Hugo BERNARDI, Jaclyn Christine BERNIER, Rose-Alexie BÉRUBÉ, Andréanne BERUBE, Joel Michel BESHARA, Rafik BESSAIH, Nawal BESSENYEI, Anett BEYERS, Cornelia Elizabeth BHANABHAI, Hitesh BHARAT, Winston Safraz Pradeep BHATIA, Anuj BHATIA, Pankaj BHATTI, Adil BHELLA, Vishal Singh MCC 2 0 1 0 A n n u a l R e p o r t | p 58 BHINDER, Sacha Sahib Singh BHINDI, Bimal BHOGAL, Jagmeet Singh BIENENSTOCK, Leonard BIERNACKI, Carolina BIGRAS, Magali BILLINGHURST, Robert Matthew BILLINGTON, Emma Olive BINDIGANAVILE SRIDHAR, Soumya BINDING, Andrew BINETTE, Nathalie BIRCH, Corey Tyler BIRD, Jeffery Robert BIRDI, Ravdeep Singh BIRO, Laurence Steven BISHOP, Lindsay Lee BISSON, Maude BISSONNETTE, Mélanie BLAINE, William Christopher BLAIS, Jean-Philippe B-LAJOIE, Marie-Renée Isabelle BLAKE, McKenzie Mary BLANC, Mathieu Julien BLANCHARD, Michel BLANCHETTE, Phillip Stanley BLINN, Alain BLOCK, Wesley David BLOUIN, Marie Julie BLY, Eric Bennett BOCK, Erika Rita BOCK, Philip BOCKING, Natalie BODANI, Rachana BODIG, Jessica Elaine BODNARCHUK, Tavis Reid BOGLE, Lee BOHÉMIER BERNARD, Mathieu BOHEMIER, Robert BOHÉMIER, Valérie Renelle Marie BOHUN, Claudine Monique BOISSONEAU, Mary-Lee BOISVENUE, Marc BOISVERT, Émilie BOISVERT, Martin-Pierre BOISVERT, Philippe BOIVIN, Andrée BOIVIN, Catherine BOIVIN, Frederic BOKTOR, Ashraf Gaber Habib BOKTOR, Basem Wahib Hanna BOKTOR, Hanan BOLDUC, Nadia BOLDUC, Sabrina BOLES, Dina Gaber Sos BOLLEGALA, Natasha BOLTON, Gregg Maynard BOND, Jason Anthony BONDER, Lauren BONDY, Lise Catherine BONICARD, Pierre-Alexandre BONIN-CARIGNAN, Andréanne BONN, Victoria Elizabeth BOROWOY, Alan Michael BOSCÁN RUBIO, Alejandra Grabiela BOSE, Rohit BOSHOFF, Johannes Christoffel BOSSÉ, Stéphanie BOTHA, Idelette BOUCHARD, Cindy BOUCHARD, Jasmin BOUCHARD, Julien BOUCHARD, Matthew Ian BOUCHER, Maryse BOUDREAULT, Johannie BOUDREAULT, Katherine BOUDREAULT-LAROCHELLE, Samuel BOUDREAULT-PEDNEAULT, Jean-Samuel BOUFFARD, Audrey BOUGRINE, Amina BOULET, Geneviève BOULVA, Geneviève BOURASSA-FULOP, Caroline BOURGAULT, Rachel BOURGEOIS, Pascale BOURNS, Amy Elizabeth BOUSTANI, Élie BOUTET, Nathalie BOUTHILLIER, Isabelle BOUTIN, Mélina BOYD, Hugh Flexman BOYER, Sandra BOZANOVIC, Radenka BRADSHAW, Scott BRAND, Lukas Johannes BRAR, Balraj BRAULT, David Michael BRAZZINI-POISSON, Véronique BREAULT, Marie Dominic BREDENOORD, Steven BREGA, Elisa Ferreira BREHMER, Larry Emil BRESEE, Natalie BRETON-FORTIN, Julie BRIÈRE, Dominique BROCKERVILLE, Melissa BRODBAKER, Elliott BRODEUR, Jennifer Frances BROMLEY, Sandra Tricia BROOKS LEGAULT, Genevieve BROUILLETTE, Jean-Francois BROUILLETTE, Marie-Hélène BROUSSEAU PROVENCHER, Cynthia BROWN, Erica BROWN, Jodie Susanne BROWN, Kristen Leigh BROWN, Meagan Layne BROWN, Mitchell Spencer BROWN, William Spencer MacDonald BRUNET, Anne-Marie BRZEZINSKI, Jack Joshua BUCATEL, Serghei BUCHKO, Jordan Zachary BUCKLEY, Katherine Elizabeth BUCUR, Mirela Silvia Maria BUDURYAN, Violetta BUKCZYNSKI, Jacob Milosz BUKERA, Bonaventure BULK, Mahamed Abd Al Salam BUREAU, Marie-Ève BURGESS, Stephen Michael BURNETT, Heather Kathryn BURRIDGE, Amber Dawn BURSZTYN, Lulu Liane Catherine Danielle BUSAHMEN, Waleed Emhmed A. BUSCHE, Karen Lee BUSH, Jonathan Willard BUSQUE, Véronique BUSSEY, Angela Susan Dawn BUSSIÈRES, Ariane BUSTAMANTE, Hélène BUTCHER, Shaun Stanley BUTLER, Andrea C c C. HOULE, Olivier CABILIO, Nora Rachel CADILI, Ali CADRIN-TOURIGNY, Julia CALAFATI, Jennifer CALDERON, Pamela CALIN, Dana Nausica CAMERON, Anna CAMORIANO NOLASCO, Gerardo David CAMPBELL, Audrey Clare CAMPBELL, Gregory John CAMPBELL, Kristyn Rae CAMPBELL, Latoya Lenora CANDIA, Pascual CAO, Rui Lily CAON, Julianna CARAGEA, Mara Andrea CARBONNEAU GIROUARD, Maxime MCC 2 0 1 0 A n n u a l R e p o r t | p 59 CARBONNEAU, Louise CARDAN, Robin CARLI, Alberto CARON, François CARRIÈRE, Brigitte CARRIÈRE, Mathieu J. 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