Update on Royal College Areas of Focused Competence (Diploma) Programs. Application Sponsor: National Body / Specialty Society

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1 Update on Areas of Focused Competence (Diploma) AFC (Diploma) Program 1 Acute Care Point of Care Ultrasonography (Acute Care POCUS) Emergency Paediatric Emergency of Point-of-care Ultrasonography EM Fellowships Approved by Committee on Fall 2016 after national consultation (May 2015 July 2015) and a targeted consultation (September 2016) regarding a revised scope of practice on the website once the 2 Addiction Adolescent Anesthesiology Emergency Gastroenterology Internal Obstetrics & Gynecology Pain Public Health & Preventive Physical & Rehabilitation Psychiatry Palliative Rheumatology of Addiction Spring 2015 after national consultation (January 2015 February 2015) Committee (EdC) Spring 2015 on the website once the 3 Adolescent and Young Adult Oncology Adult Hematology Medical Oncology Paediatric Hematology/Oncology Radiation Oncology Task Force on Adolescents and Young Adults with Cancer (No national specialty society) April 2013 after national consultation (December 2012 February 2013) Committee (EdC) April 2013 by ) includes (February 2016): Areas of Focused Competence (AFC-Diploma) Update February 27,

2 4 Adult Cardiac Electrophysiology Adult Cardiology ( or equivalent certification) Cardiovascular Heart Rhythm Fall 2011 after national consultation (September October 2011) Committee (EdC) Fall 2011 by ) includes (2012): Accredited : Queen s University University of Calgary University of Ottawa University of Toronto University of Western Ontario 5 Adult Echocardiography Cardiology Anesthesiology Cardiac Surgery Critical Care Diagnostic Radiology Internal ( or equivalent certification) Cardiovascular Association of Interventional Cardiology Spring 2012 after national consultation (September October 2011) Committee (EdC) Spring 2012 by ) includes (2013): Accredited : Université de Montréal University of Alberta University of Ottawa Areas of Focused Competence (AFC-Diploma) Update February 27,

3 6 Adult Hepatology Gastroenterology Hepatology (U of Manitoba, U de Montréal) Hepatology specialty committee will consider international Gastroenterology credentials Association for the Study of Liver April 2013 after national consultation (December 2012 February 2013) Committee (EdC) April 2013 by ) includes (March 2015): 7 Adult Interventional Cardiology Cardiology ( certification or eligibility for examinations in Cardiology or its equivalent; internationally-trained cardiologists will require demonstration of equivalency for entrance) Cardiovascular Association of Interventional Cardiology Fall 2011 after national consultation (September October 2011) Committee (EdC) Fall 2011 by ) includes (2013): Accredited : Dalhousie University McMaster University Université de Montréal University of Alberta Université of Ottawa University of Toronto University of Western Ontario 8 Adult Thrombosis Internal Emergency Thrombosis Interest Group of Canada of Hematology Thrombosis Unit, Ottawa Hospital (U of Ottawa) Spring 2014 after national consultation (January March 2014) Committee (EdC) Spring 2014 by ) includes (2016): Areas of Focused Competence (AFC-Diploma) Update February 27,

4 9 Advanced Heart Failure and Cardiac Transplantation Cardiology Cardiovascular Heart Failure Cardiac Transplant Network Spring 2015 after national consultation (January 2015 February 2015) Committee (EdC) Spring 2015 by ) includes (Nov 2016): 10 Aerospace The trainee must be a physician licensed to practice in Canada, with two years of clinical experience post-certification in a primary specialty Royal Canadian Air Force Institute of Aviation September 2012 after national consultation (May August 2012) Committee (EdC) November 2012 by ) includes (June 2014): 11 Brachytherapy Radiation Oncology ( certification) Brachytherapy Group Spring 2014 after national consultation (January March 2014) Committee (EdC) Spring 2014 by ) includes (May 2015): Accredited : University of Toronto Areas of Focused Competence (AFC-Diploma) Update February 27,

5 12 Child Maltreatment Pediatrics Paediatrics Paediatric Fall 2012 after national consultation (December 2011 February 2012) Committee (EdC) November 2012 by ) includes (May 2015): 13 Clinician Educator Any MD of Physicians and Surgeons of Canada Spring 2012 after national consultation (December 2011 February 2012) Committee (EdC) Spring 2012 by ) includes (2013): Accredited : McMaster University Areas of Focused Competence (AFC-Diploma) Update February 27,

6 14 Cytopathology General Pathology Anatomical Pathology ( or equivalent certification) of Cytopathology Association of Pathologists Spring 2012 after national consultation (December 2011 February 2012) Committee (EdC) Spring 2012 by ) includes (2013): Accredited : McGill University University of Calgary University of Toronto University of Western Ontario Areas of Focused Competence (AFC-Diploma) Update February 27,

7 15 Emergency Medical Services Emergency CFPC Special Competence in Emergency (CCFP-EM) A nationally recognized Emergency residency program leading to eligibility to write the certification examinations in Emergency in that country//region certification in a specialty, subspecialty or discipline whose competencies involve knowledge of emergency medical services, prehospital or transport medicine, or formal instruction of health care personnel who provide care in the prehospital or transport setting National Association of Emergency Medical Services Physicians (NAEMSP) Canadian EMS Working Group Approved by Committee on Fall 2016 after national consultation (June 2016 August 2016) Committee (EdC) on the website once the 16 Hematopoietic Stem Cell Transplantation Hematology Pediatric Hematology/Oncology Sponsor: Canadian Blood and Marrow Transplant Group (CBMTG) and the Hôpital Maisonneuve- Rosemont Hematology (CHS) Blood and Marrow Transplant Group (CBMTG) November 2017 after national consultation (August 2017 September 2017) Approved by Committee on Spectialty Education Committee December 2017 Operationalization of the discipline involves organization of a working group responsible for finalizing the standards documents, including the summative portfolio, and the appointment of the AFC committee to oversee the discipline Areas of Focused Competence (AFC-Diploma) Update February 27,

8 17 Hyperbaric Any licensed MD with or CFPC certification Chapter of the Undersea and Hyperbaric Medical April 2013 after national consultation (December 2012 February 2013) Committee (EdC) April 2013 by ) includes (2017): - 18 Interdisciplinary Brain Neurology Neurosurgery Psychiatry Geriatric Psychiatry Geriatric Physical and Rehabilitation Sponsor: Department of Psychiatry, University of Toronto Neurological Psychiatric Association Academy of Geriatric Psychiatrists Neurosurgical Geriatrics Association of Physical and Rehabilitation Specialties (COS) Part I in Spring 2017 National consultation (August 2017 September 2017) Subject to Part II review by Committee On Specialties (COS), including the results of the national consultation 19 Medical and Surgical Retina Ophthalmology Retina Specialties (COS) Part I in Fall 2016 National consultation (January 2017 February 2017) A revised application for AFC discipline recognition is now in preparation. Additional consultation with stakeholders is pending. Areas of Focused Competence (AFC-Diploma) Update February 27,

9 20 Neuromusculoskeletal Ultra Sound Rheumatology Physical and Rehabilitation Neurology Rheumatology Association Specialties (COS) Part I in Fall 2017 National consultation (January 2018 February 2018) Subject to Part II review by Committee On Specialties (COS), including the results of the national consultation 21 Patient Safety and Quality Improvement Any MD (approved training for diploma candidates would likely occur after residency training in completed, but some may choose to integrate advanced patient safety and quality improvement during residency training) Advancing Safety for Patients in Residency Education (ASPIRE) Patient Safety Institute (CPSI) Spring 2016 (with minor clarifications requested from the applicant) after national consultation (January 2016 February 2016) Committee (EdC) on the website once the 22 Pediatric Urology certification in Urology or its equivalent Pediatric Urologists of Canada (PUC), an affiliate of the Canadian Urological Association (CUA) Spring 2017 after national consultation (January 2017 February 2017) on the website once the 23 Sleep Disorder Developmental Paediatrics Neurology Otolaryngology Paediatric Neurology Paediatric Respirology Psychiatry Respirology Sleep (CSS) Spring 2016 (with minor clarifications requested from the applicant) after national consultation (January 2016 February 2016) Committee (EdC) on the website once the ( certification) Areas of Focused Competence (AFC-Diploma) Update February 27,

10 24 Solid Organ Transplantation Cardiac Surgery Cardiology Gastroenterology General Surgery Infectious Diseases Nephrology Respirology Thoracic Surgery Urology ( certification) Transplant Fall 2013 after national consultation (June August 2013) Committee (EdC) Fall 2013 by ) includes (March 2015): Accredited : McMaster University University of Ottawa 25 Sport and Exercise Emergency Internal Orthopaedic Surgery Paediatrics Physical and Rehabilitation Rheumatology Academy of Sports and Exercise Fall 2011 after national consultation (August October 2011) Committee (EdC) Fall 2011 by ) includes (January 2018): Areas of Focused Competence (AFC-Diploma) Update February 27,

11 26 Transfusion Anesthesiology General Pathology Hematological Pathology Hematology Internal Paediatrics ( certification) n/a Bypassed national consultation process because this formerly AWC specialty chose the diploma route Committee (EdC) Spring 2011 by ) now includes: Accredited : * Dalhousie University McMaster University University of British Columbia University of Ottawa/Queen s University(Conjoint Program) University of Toronto * Status of program changed to New Accredited Program by the Royal College, effective July 1, Trauma General Surgery General Surgery Trauma Association of Canada Association of General Surgeons Approved (with revised name, formerly Trauma Surgery ) by Committee On Specialties (COS) Part II in September 2012 after national consultation (May August 2012) Committee (EdC) November 2012 by ) includes (January 2016): Areas of Focused Competence (AFC-Diploma) Update February 27,

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