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Our Selection Process

Your overall eligibility for participation in the peer review program is reviewed annually through the College’s annual licence renewal process.

To be eligible for participation, you must:

  • have an active clinical component to your medical practice;
  • have been in practice for three years or longer;
  • not have completed a peer review with the College in the last 7 years; and
  • hold a Full or Conditional medical licence.

Eligibility is also contingent on the development of a review process that is appropriate to your scope of practice. Currently, only family physicians are included in the program. In the future, other specialists will be required to participate in peer review.

Participation in the Review Process

Once you are deemed eligible and are selected for participation in peer review, you will be streamed into one of two initial types of reviews – a standard, on-site practice assessment or an off-site review.

A standard, on-site practice assessment involves three main elements:

  1. A site visit that will assess and provide feedback on your practice facility, processes and procedures, documentation and patient care.
  2. A discussion of the various risk and supportive factors, unique in profile to your practice.
  3. A review of your approach to practice improvement, introducing strategies for linking professional development to identified opportunities for improvement in your practice.

In some circumstances, after considering the various factors known to influence quality of practice, the College may offer a physician the option of an off-site screening review in lieu of a full on-site visit.

Where necessary, reviewed physicians will get specific feedback and support to help address identified weaknesses in their practice. In addition, all participants will receive guidance intended to promote ongoing quality improvement. Reviewed physicians will get a written report as well as one-on-one engagement with a physician peer.

Qualifying for an Exemption or Deferral from Participation

You could qualify for an exemption or deferral if you fall into any of these categories:

  • You are undergoing or have undergone a College-directed practice assessment for another purpose within the past calendar year.
  • You have imminent retirement plans and can provide a retirement date not exceeding 1 year from the date of initial contact with the peer review program.
  • You are new in your primary clinical practice location (less than 6 months).
  • You have just recently returned to your clinical practice after an extended absence of more than 6 months because of illness, disability, sabbatical or maternity/paternity leave.

If you fall into any of the above categories, please contact the Peer Review Coordinator at:

Phone: 902-404-8399
Toll-free: 1-877-282-7767 (ask for the Peer Review Coordinator)