Physician assessment process

There are seven steps to the physician assessment process.

PPEP physician assessments steps

Step 1: Pre-assessment

Physicians selected to participate in an assessment will receive an email to complete a Pre-visit Questionnaire (PVQ)

Information provided on the PVQ will

  • allow program staff to determine whether a physician is eligible to proceed with the assessment process, and
  • provide the peer assessor with an initial understanding of the physician’s work environment and scope of practice.

If a physician works in a multi-physician clinic, the clinic’s medical director will complete a Pre-visit Questionnaire for Office Assessment PVQ-OA). Physicians working in a solo practice will complete the PVQ-OA themselves.

Eligible physicians will start the assessment process with the multi-source feedback (MSF) and office assessment (OA) components.

Physician assessments step 1

Step 2: MSF and OA components

Eligible physicians start the assessment process with the multi-source feedback and office assessment components.

Physician assessments step 2
Multi-source feedback component (MSF)

The multi-source feedback (MCC 360) component provides a 360-degree perspective of the physician’s practice and is administered by the Medical Council of Canada (MCC).

In addition to a self-assessment survey questionnaire that the physician must complete, the MCC will provide various survey tools to the following people:

  • the physician’s medical colleagues
  • the physician’s non-physician co-workers
  • the physician’s patients

The MCC will contact the physician directly with detailed instructions about the MSF process.

Learn more about MSF

Office assessment component

PPEP staff will review the completed Pre-visit Questionnaire (PVQ-OA). The review is to ensure the clinic is adhering to the requirements and best practices outlined in the PPEP assessment standards and relevant College practice standards and professional guidelines.

PPEP staff will also review the requested photographs to identify potential areas for improvement. The clinic is required to address deficiencies that are noted through an action plan process.

Learn more about office assessments

Step 3: Assessor assigned

A peer assessor will be assigned once the multi-source feedback and office assessment components are completed. Every effort is made to match the assessor’s scope of practice and experience with that of the physician.

An assessment package will be sent to the physician. The package will include:

  • instructions for selecting ten patient records
  • a copy of the assessment report template
  • a three-month practitioner prescription profile
  • a multi-source feedback report and a multi-source feedback reflection tool

The assessor will contact the physician after they receive the assessment package.

Learn more about the assessors

Step 4: Peer practice assessment and physician interview

Peer practice assessment (chart review)

The peer assessor will contact the physician to discuss and schedule the peer practice assessment. The peer practice assessment involves reviewing a sample of the physician's patient records or charts.

The assessor may conduct the patient chart review by

  • accessing the EMR system remotely (with the assistance of clinic staff),
  • visiting the clinic in-person, or
  • reviewing paper copies of charts (submitted by the physician to the College).

Physicians should refer to the Patient Record Selection Instructions and Guidelines document to assist with pre-selecting charts that are most representative of their practice.

Learn more about peer practice assessment

Physician interview

The assessor will schedule a one-hour interview with the physician once the peer practice assessment is completed. The purpose of the interview is for the physician to provide context regarding their practice.

The physician interview is an opportunity for both the assessor and physician to:                                 

  • discuss questions or concerns
  • clarify chart review issues
  • review the practitioner prescription profile
  • review MSF report and MSF reflection tool
  • discuss opportunities for practice improvements and continuing professional development

Learn more about the physician interview

Step 5: Medical advisor review

The peer assessor will submit the physician’s assessment documentation to the PPEP once their evaluation is complete.

A PPEP medical advisor will review the practice assessment report to identify opportunities for improvement. The medical advisor will also review the following supporting information:

  • pre-visit questionnaire (PVQ)
  • pre-visit questionnaire for office assessment (PVQ-OA)
  • practitioner prescription profile (PPP)
  • MSF feedback report
  • MSF reflection tool

Step 6: Performance review and action plan

Every physician who has been assessed will receive a Performance Review and Action Plan (PRAP) report. The PRAP is to help them with their professional development.

The majority of physicians assessed are meeting the current standards of practice in BC. In some situations, physicians may be required to complete additional steps:

  • participating in educational activities to enhance their practice
  • receiving additional guidance to meet documentation and clinical standards

The PRAP report may also include specific instructions, such as:

  • submitting a selection of patient charts to demonstrate needed improvements
  • attending the College’s Medical Record Keeping or communication courses
  • scheduling an appointment to speak with a PPEP medical advisor

Medical advisors will often include educational materials in the PRAPs. These materials may help physicians with maintaining a high level of quality care or improving work-life balance.

You can visit the page detailing what happens after an assessment to learn more about this step.

Learn more about PRAP

Step 7: Program evaluation

Physicians are invited to give their feedback at several points in time after their peer assessment through online feedback surveys. A link to an online post-assessment questionnaire will be emailed to physicians.

Physician feedback provides the PPEP and the College with valuable information to guide future program developments.

Learn more about the evaluation and ongoing development of PPEP