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

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Update on Areas of Focused Competence (Diploma) AFC (Diploma) Program 1 Acute Care Point of Care Ultrasonography (Acute Care POCUS) Emergency Medicine Paediatric Emergency Medicine Canadian 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 Accreditation, credentialing and on the website once the 2 Addiction Medicine Adolescent Medicine Anesthesiology Emergency Medicine Gastroenterology Internal Medicine Obstetrics & Gynecology Pain Medicine Public Health & Preventive Medicine Physical Medicine & Rehabilitation Psychiatry Palliative Medicine Rheumatology Canadian of Addiction Medicine Approved by Committee On Spring 2015 after national consultation (January 2015 February 2015) Approved by Education Committee (EdC) Spring 2015 Accreditation, credentialing and on the website once the 3 Adolescent and Young Adult Oncology Adult Hematology Medical Oncology Paediatric Hematology/Oncology Radiation Oncology Canadian Task Force on Adolescents and Young Adults with Cancer (No national specialty society) Approved by Committee On April 2013 after national consultation (December 2012 February 2013) Approved by Education Committee (EdC) April 2013 website ( Information by ) includes (February 2016): Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 1

4 Adult Cardiac Electrophysiology Adult Cardiology ( or equivalent certification) Canadian Cardiovascular Canadian Heart Rhythm Approved by Committee On Fall 2011 after national consultation (September October 2011) Approved by Education Committee (EdC) Fall 2011 website ( Information by ) includes (2012): Queen s University University of Calgary University of Ottawa University of Western Ontario 5 Adult Echocardiography Cardiology Anesthesiology Cardiac Surgery Critical Care Medicine Diagnostic Radiology Internal Medicine ( or equivalent certification) Canadian Cardiovascular Canadian Association of Interventional Cardiology Approved by Committee On Spring 2012 after national consultation (September October 2011) Approved by Education Committee (EdC) Spring 2012 website ( Information by ) includes (2013): Université de Montréal University of Alberta University of Ottawa Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 2

6 Adult Hepatology Program Gastroenterology Hepatology (U of Manitoba, U de Montréal) Hepatology specialty committee will consider international Gastroenterology credentials Canadian Association for the Study of Liver Approved by Committee On April 2013 after national consultation (December 2012 February 2013) Approved by Education Committee (EdC) April 2013 website ( Information by ) includes (March 2015): University of Western Ontario 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) Canadian Cardiovascular Canadian Association of Interventional Cardiology Approved by Committee On Fall 2011 after national consultation (September October 2011) Approved by Education Committee (EdC) Fall 2011 website ( Information by ) includes (2013): Dalhousie University Université de Montréal University of Alberta University of Manitoba University of Ottawa University of Western Ontario Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 3

8 Adult Thrombosis Medicine Internal Medicine Emergency Medicine Thrombosis Interest Group of Canada Canadian of Hematology Thrombosis Unit, Ottawa Hospital (U of Ottawa) Approved by Committee On Spring 2014 after national consultation (January March 2014) Approved by Education Committee (EdC) Spring 2014 website ( Information by ) includes (2016): McGill University University of Ottawa 9 Advanced Heart Failure and Cardiac Transplantation Cardiology Canadian Cardiovascular Canadian Heart Failure Canadian Cardiac Transplant Network Approved by Committee On Spring 2015 after national consultation (January 2015 February 2015) Approved by Education Committee (EdC) Spring 2015 website ( Information by ) includes (Nov 2016): 10 Aerospace Medicine 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 Approved by Committee On September 2012 after national consultation (May August 2012) Approved by Education Committee (EdC) November 2012 website ( Information by ) includes (June 2014): Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 4

11 Brachytherapy Program Radiation Oncology ( certification) Canadian Brachytherapy Group Approved by Committee On Spring 2014 after national consultation (January March 2014) Approved by Education Committee (EdC) Spring 2014 website ( Information by ) includes (May 2015): 12 Child Maltreatment Pediatrics Paediatrics Canadian Paediatric Approved by Committee On Fall 2012 after national consultation (December 2011 February 2012) Approved by Education Committee (EdC) November 2012 website ( Information by ) includes (May 2015): 13 Clinician Educator Program Any MD of Physicians and Surgeons of Canada Approved by Committee On Spring 2012 after national consultation (December 2011 February 2012) Approved by Education Committee (EdC) Spring 2012 website ( Information by ) includes (2013): Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 5

14 Cytopathology General Pathology Anatomical Pathology ( or equivalent certification) Canadian of Cytopathology Canadian Association of Pathologists Approved by Committee On Spring 2012 after national consultation (December 2011 February 2012) Approved by Education Committee (EdC) Spring 2012 website ( Information by ) includes (2013): McGill University University of Calgary University of Western Ontario 15 Hematopoietic Stem Cell Transplantation Hematology Pediatric Hematology/Oncology Sponsor: Canadian Blood and Marrow Transplant Group (CBMTG) and the Hôpital Maisonneuve- Rosemont Canadian Hematology (CHS) Canadian Blood and Marrow Transplant Group (CBMTG) Approved by Committee On November 2017 after national consultation (August 2017 September 2017) Approved by Committee on Specialty Education Committee December 2017 Accreditation, credentialing and on the website once the 16 Hyperbaric Medicine Any licensed MD with or CFPC certification Canadian Chapter of the Undersea and Hyperbaric Medical Approved by Committee On April 2013 after national consultation (December 2012 February 2013) Approved by Education Committee (EdC) April 2013 website ( Information by ) includes (2017): - Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 6

17 Medical and Surgical Retina Ophthalmology Canadian Retina Approved by Committee On Specialties (COS) Part I in Fall 2016 National consultation (January 2017 February 2017) A new national consultation will be issued, following review by relevant Specialty Committees 18 Neuromusculoskeletal Ultra Sound Rheumatology Physical Medicine and Rehabilitation Neurology Canadian Rheumatology Association Approved by Committee On 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, at the COS meeting of Fall 2018 19 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) Canadian Patient Safety Institute (CPSI) Approved by Committee On Spring 2016 (with minor clarifications requested from the applicant) after national consultation (January 2016 February 2016) Approved by Education Committee (EdC) Accreditation, credentialing and on the website once the 20 Pediatric Urology certification in Urology or its equivalent Pediatric Urologists of Canada (PUC), an affiliate of the Canadian Urological Association (CUA) Approved by Committee On Spring 2017 after national consultation (January 2017 February 2017) Accreditation, credentialing and on the website once the Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 7

21 Prehospital and Transport Medicine (Formerly Emergency Medical Services ) Emergency Medicine CFPC Special Competence in Emergency Medicine (CCFP-EM) A nationally recognized Emergency Medicine residency program leading to eligibility to write the certification examinations in Emergency Medicine in that country//region 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) Approved by Education Committee (EdC) Accreditation, credentialing and on the website once the 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 22 Sleep Disorder Medicine Developmental Paediatrics Neurology Otolaryngology Paediatric Neurology Paediatric Respirology Psychiatry Respirology Canadian Sleep (CSS) Approved by Committee On Spring 2016 (with minor clarifications requested from the applicant) after national consultation (January 2016 February 2016) Approved by Education Committee (EdC) website ( Information by ) includes (2018): ( certification) Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 8

23 Solid Organ Transplantation Cardiac Surgery Cardiology Gastroenterology General Surgery Infectious Diseases Nephrology Respirology Thoracic Surgery Urology ( certification) Canadian Transplant Approved by Committee On Fall 2013 after national consultation (June August 2013) Approved by Education Committee (EdC) Fall 2013 website ( Information by ) includes (March 2015): University of Ottawa 24 Sport and Exercise Medicine Emergency Medicine Internal Medicine Orthopaedic Surgery Paediatrics Physical Medicine and Rehabilitation Rheumatology Canadian Academy of Sports and Exercise Medicine Approved by Committee On Fall 2011 after national consultation (August October 2011) Approved by Education Committee (EdC) Fall 2011 website ( Information by ) includes (January 2018): Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 9

25 Transfusion Medicine Anesthesiology General Pathology Hematological Pathology Hematology Internal Medicine Paediatrics ( certification) n/a Bypassed national consultation process because this formerly AWC specialty chose the diploma route Approved by Education Committee (EdC) Spring 2011 website ( Information by ) now includes: * Dalhousie University University of British Columbia * Status of program changed to New Accredited Program by the Royal College, effective July 1, 2012 26 Trauma General Surgery General Surgery Trauma Association of Canada Canadian 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) Approved by Education Committee (EdC) November 2012 website ( Information by ) includes (January 2016): Areas of Focused Competence (AFC-Diploma) Update August 17, 2018 10