Campbell Craig M, Parboosingh John
Director, Continuing Professional Development, The Royal College of Physicians and Surgeons of Canada; Associate Professor of Medicine, University of Ottawa, Faculty of Medicine.
J Contin Educ Health Prof. 2013 Fall;33 Suppl 1:S36-47. doi: 10.1002/chp.21205.
The Royal College of Physicians and Surgeons of Canada, in 2001, implemented a mandatory maintenance of certification (MOC) program that is required for fellows to maintain membership and fellowship. Participation in the MOC program is one of the recognized pathways approved by provincial medical regulatory authorities in Canada by which specialists can demonstrate their commitment to continued competent performance in practice. This article traces the historical beginnings of the MOC program, highlighting the educational foundation and scientific evidence that influenced its philosophy, goals, and strategic priorities. The MOC program has evolved into a complex system of continuing professional development to facilitate and enable a "cultural shift'' in how we conceptualize and support the continuing professional development (CPD) of specialists. The MOC program is an educational strategy that supports a learning culture where specialists are able to design, implement and document their accomplishments from multiple learning activities to build evidence-informed practices. In the future, the MOC Program must evolve from assisting fellows to use effective educational resources "for credit" to enable fellows, leveraging a competency-based CPD model, to demonstrate their capacity to continuously improve practice. This will require innovative methods to capture learning and practice improvements in real time, integrate learning during the delivery of health care, expand automation of reporting strategies, and facilitate new sociocultural methods of emergent learning and practice change. Collectively, these directions will require a research agenda that will generate evidence for how transformative cultural change in continuing professional education of the profession can be realized.
加拿大皇家内科医师与外科医师学会于2001年实施了一项强制认证维持（MOC）计划，会员和研究员必须参与该计划以维持其会员资格和研究员身份。参与MOC计划是加拿大省级医疗监管机构认可的途径之一，通过该途径专家可以表明他们致力于在实践中持续保持胜任能力。本文追溯了MOC计划的历史起源，强调了影响其理念、目标和战略重点的教育基础和科学证据。MOC计划已演变成一个复杂的持续专业发展系统，以促进和实现我们在如何概念化和支持专家的持续专业发展（CPD）方面的“文化转变”。MOC计划是一种教育策略，支持一种学习文化，在这种文化中，专家能够设计、实施并记录他们从多种学习活动中取得的成就，以建立基于证据的实践。未来，MOC计划必须从协助研究员“为了学分”使用有效的教育资源，转变为利用基于能力的CPD模式，使研究员能够展示他们持续改进实践的能力。这将需要创新方法来实时捕捉学习和实践改进情况，在提供医疗保健服务的过程中整合学习，扩大报告策略的自动化，并促进新的社会文化学习和实践变革方法。总体而言，这些方向将需要一个研究议程，以产生关于如何在该专业的持续专业教育中实现变革性文化变革的证据。
