How we use your feedback

Your feedback is valuable in helping shape our policies and processes, as well as fulfilling our mandate to serve and protect the public.

One of the most important ways we use your feedback is to strengthen the College’s practice standards and professional guidelines. Both are important in ensuring BC patients receive safe medical care.

  • A practice standard sets out the minimum standard of professional behaviour and ethical conduct by a physician or surgeon on a specific topic.
  • A professional guideline reflects a recommended course of action for physicians and surgeons based on the values, principles, and duties of the medical profession.

Revision process

All practice standards and professional guidelines undergo the following revision process.

Stakeholder engagement and education

Issue identification

The need for a new or revised practice standard or professional guideline may be identified externally by the following:

  • members of the public
  • the BC Public Advisory Network
  • registrants
  • key health partners

The need may also be identified internally by the College Board, committees and staff.

The need to create or revise a practice standard or professional guideline is often guided by the following:

  • patient experiences
  • societal events
  • new or amended legislation relevant to the practice of medicine

All practice standards and professional guidelines are tracked on a three-year review cycle and undergo a comprehensive review at least every three years.


Further research is done during the analysis stage once the need for a new or revised practice standard or professional guideline is identified. This includes a literature review and an environmental scan. This work helps College staff gain an understanding of what information is set out in related policies or publications.

The College often reaches out to other health care regulators to gather information about similar policies and practice standards they have implemented, and what they may have learned from a recent review or engagement process.


The information gathered in the research and analysis stage is then used to draft the new or revised practice standard or professional guideline. At this stage, the College often draws feedback from the following on the proposed edits and engagement plan:

  • Patient Relations, Professional Standards and Ethics (PRPSE) Committee
  • the public
  • registrants
  • key health partners for feedback

Further engagement may be required to gather in-depth understanding if the feedback indicates the topic is controversial or complex. As a last step in the development process, the draft practice standard or professional guideline is shared with the College’s senior management team, registrar and director, communications and public affairs for a final review.


The practice standard or professional guideline is then presented to the Executive Committee or the Board for final approval to publish to the College’s website. Internal and external announcements are made once the practice standard or professional guideline is published. New practice standards and professional guidelines are also highlighted in the College Connector. The College often uses social media, such as Twitter and LinkedIn, to notify stakeholders.


Practice standards and professional guidelines are continuously evaluated to ensure they continue to meet the following:

  • the needs of changing practice environments
  • evolving health-care practices
  • societal events
  • stakeholder values

Evaluations are often in the form of surveys or focus groups with the public and physicians and surgeons. Various committees at the College are also tasked with evaluating current standards and guidelines. Evaluation is a key mechanism for sustainability of the development process and quality improvement.

Stakeholder evaluation

Stakeholder engagement and education

Engagement and educational initiatives are routinely held with the public, the profession, and key interest groups. The timing of the engagement initiative may vary. Sometimes, the College consults stakeholders on a current practice standard or professional guideline. Other times, a new draft may be circulated for feedback.

The level of involvement and the approach taken for the engagement initiative is based on factors such as:

  • urgency
  • organizational readiness
  • volume of people affected
  • knowledge of different stakeholders on the subject matter

The ability to engage and educate at any step in the process ensures that stakeholder perspectives are sought at the right time and that the College’s expectations are regularly reinforced.

Stakeholder engagement

Current engagement opportunities

For registrants

The College sends a link to current engagement opportunities directly to registrants via email.

For the public

Learn more about public engagement opportunities.