Read the results of national consultations!

Download the results

Learn more about the proposed changes to the residency accreditation system!

We encourage you to watch the webinars to learn more about residency accreditation reform in Canada. Access the webinar recordings that outline the proposed changes to the residency accreditation by following the links below:

English Webinar:

Webinaire en français:


After significant discussion and work by the CanRAC and its advisory and integration committees over the past several months, national consultations have ended in February 2017. National consultations were done in a staggered approach to solicit stakeholder feedback on the draft standards and process components for the new residency education accreditation system.

We welcome input from all interested stakeholders within the postgraduate medical education community (see contact information below).

We want to hear from you

Your feedback, and that of all postgraduate medical education stakeholders, is of the highest value to us. A tremendous amount of work and expertise has brought us to this point. A number of volunteers, including yourself as well as your peers, have been contributing their thoughts and ideas to these changes since 2013: leaders of the three colleges, as well as a large number of dedicated volunteers for six standards working groups (50+), the Standards Integration Committee (13), and the Accreditation Process Advisory Committee (17). In addition to this, members of the postgraduate medical education community have been consulted throughout the development process, such as during one of our three Residency Accreditation Summits. The proposed changes reflect the feedback received over these three years.

CanRAC welcomes your expert feedback as work continues on this iterative process to ensure the excellence of our collective accreditation system. If you have any questions or comments, please contact, or contact your respective college.

Reform Changes

Current System

  • Systematic rigorous process
  • Peer review
  • Manual, paper-based
  • Episodic, “snap-shot in time” site visit
  • Process-based standards
  • Opportunities to clarify decision-making processes, including resident input

Proposed System

  • Systematic rigorous process
  • Peer review
  • Digital platform
  • More continuous cycle of accreditation
  • New, more explicit standards that align with competency-based medical education and have an increased focus on outcomes
  • Revised categories of accreditation
  • Enhanced system for resident involvement and input
  • Increased emphasis on continuous improvement and the learning environment

What is staying the same?

The proposed plan aims to preserve the strengths of the current system, including national standards, onsite visits conducted by peer reviewers, and input from specialists in the discipline. There will still be general accreditation standards that apply at both the institutional and program level, as well as specialty specific standards, where available.

We recognize that many aspects of the accreditation process remain pertinent, and will remain the same as the new system rolls out. For example, standards will still be used to determine accreditation status, and surveyors will still go onsite to gather data.

How will standards change?

The new general standards will:

  • Provide greater clarity, without being overly prescriptive
  • Ensure alignment with the CanMEDS 2015 Framework
  • Support the transition to competency-based medical education (CBME)
  • Place greater emphasis on the learning environment and outcomes


How will the accreditation process change?

The proposed changes aim to:

  • Shift the focus of effort from manual, paper-based work to a digital platform that helps programs be prepared for accreditation at any time.
  • Provide programs and postgraduate deans with the systems and tools to promote continuous evaluation
  • Reward continuous quality improvement
  • Integrate innovative practices into the accreditation system


There are ten components to the proposed change:

  1. New Standards for programs and institutions;
  2. A new evaluation framework of standards for residency programs, including Exemplary ratings and best practices;
  3. A new eight-year cycle of regular accreditation visits supported by continuous data integration;
  4. Introduction of a digital Accreditation Management System (AMS);
  5. Increased emphasis on self-study, outcomes and continuous quality improvement;
  6. Enhanced onsite review processes, such as tracer methods;
  7. A new institutional review process, standard system, and status category;
  8. A renewed emphasis on the quality and safety of learning environments;
  9. New decision categories with thresholds to improve consistency of decision-making;
  10. A systematic approach to evaluation, research, and continuous improvement of the system.

Learn more about how the new system will be rolled out.