CPD External Accreditation Application Form (updated Oct2025)

CAEP Royal College Accreditation Application Form
Important Directives

To ensure timely review and approval, this CPD Accreditation/Certification Application form—along with all required supporting documents—must be submitted at least 8 weeks prior to the start date of the activity. Please note the following:
- Accreditation/certification approval is not retroactive.
- No references to the Royal College of Physicians and Surgeons of Canada (RCPSC), MOC Section 1, or MOC Section 3 credit approval may be made until official approval is granted. Phrases such as “credits pending” or “applied for” are not permitted.
- Incomplete or late submissions may result in delayed or denied approval, potentially affecting your ability to receive accreditation before the first session.
- All application materials must be submitted together. If any documents are received less than 8 weeks before the activity start date, late fees will apply.
- If revisions or additional information are requested, they must be submitted within 5 business days of the request. The review process will not proceed until all required updates are received. Failure to meet this deadline may result in a non-approval status.
- Submit PowerPoint presentations with no hidden slides, as a .pdf. Accreditation is based on the submitted materials, including any required modifications. Any changes to content or format after submission must be approved in advance; unapproved changes will void the accreditation.
Note: If you are unable to complete the application in one sitting, you can save your progress by clicking the "Save" button at the end of the page. You will be prompted to create an account and will receive a link to return and complete your submission later.
Name of CPD Program*
Submission Contact*
Email*
example@example.com

PART A - Administrative Standards
Contact information for physician organization requesting accreditation.*
Name and contact information for Scientific Planning Committee Chair (if different from above)
Was this activity co-developed with another organization?*

YesNo
Name and contact information for organization co-developing the activity (only applicable if activity was co-developed): *
Is the co-developing organization a physician organization?*

YesNo
Was the content developed by the applying physician organization?*

YesNo
If no, who developed the content? *
Will the physician organization maintain attendance records for 5 years?*

YesNo
Scientific Planning Committee (SPC) Members*

PART B - Educational Standards
Who is the intended target audience of the activity? *
What needs assessment strategies were used to identify the learning needs (perceived and/or unperceived) of the target audience?*
Examples might include: surveys of potential participants, literature reviews, healthcare data, and assessment of knowledge, competence or performance of potential participants.
What learning needs or gap(s) in knowledge, attitudes, skills or performance of the intended target audience did the scientific planning committee identify for this activity?*
How were the identified needs of the target audience used to develop the overall and session-specific learning objectives?*
For example, did the SPC share the needs assessment results with the speakers who are responsible for developing the learning objectives?; did the SPC use the needs assessment results to define the learning objectives for the speakers?
CanMEDS Role(s) relevant to this activity (select all that apply):*

Medical ExpertCommunicatorCollaboratorLeaderHealth AdvocateProfessionalScholar
What opportunity do learners have to identify and evaluate the CanMEDS Role(s)?*
Describe the key knowledge areas or themes assessed by this self-assessment program.*
Describe the key knowledge areas or themes assessed by this simulation activity.*
State the sources of information selected by the planning committee to develop the content of this activity (e.g. scientific literature, clinical practice guidelines, etc).*
What learning methods were selected to help the CPD activity meet the stated learning objectives? Describe the rationale for the selected format (e.g. multiple-choice questions, short answer questions, etc.) to enable participants to review their current knowledge or skills in relation to current scientific evidence.*
Describe the process that that allows participants to demonstrate or apply knowledge, skills, clinical judgment or attitudes. (e.g. through the creation of an answer sheet and scoring or web based assessment tools) and record their answers?*
Supporting documentation required (file upload for supporting documentation at end of form): Attach a copy of the answer sheet for the assessment tool that allows participants to demonstrate knowledge, skills, clinical judgment or attitudes and shows how feedback will be provided to the participants.
How will feedback be provided to participants on their performance to enable the identification of any areas requiring improvement through the development of a future learning plan? *
Does the program provide participants with references justifying the appropriate answer?*

YesNo
Describe how references are provided to participants:*
How will the overall learning activity and each individual module (if applicable) be evaluated by participants?*
What learning methods were selected to incorporate a minimum of 25% interactive learning?*
How will the overall group learning activity and individual sessions be evaluated by participants?*
What simulation methods were selected to enable participants to demonstrate their abilities, skills, clinical judgment or attitudes? (e.g. Role playing, standardized patients, theatre-based simulation, task trainers, virtual patients etc.)*
How will learners participate in the simulation?*
How will learners provide responses to on-line simulation? (e.g. through an online response sheet or web-based assessment tools)*
Supporting documentation required (file upload for supporting documentation at end of form): Attach a copy of the answer sheet of assessment tool.
How will learners receive feedback after the completion of an online simulation?*
How will learners receive feedback (debrief) after the completion of a live simulation?*
Supporting documentation required (file upload for supporting documentation at end of form): Attach a copy of the answer sheet if applicable.
How will feedback (debrief) be provided to learners on their performance to enable the identification of any areas requiring improvement through the development of a future learning plan?*
How will the simulation activity be evaluated by the learners?*
(Optional) If the evaluation strategy intends to measure changes in knowledge, skills or attitudes of learners, please describe:
(Optional) If the evaluation strategy intends to measure improved health care outcomes, please describe:
(Optional) If participants will receive feedback related to their learning, please describe the tools or strategies used.

PART D - Declaration
As the chair of the scientific planning committee (or equivalent), I accept responsibility for the accuracy of the information provided in response to the questions listed on this application, and to the best of my knowledge, I certify that the CMA’s guidelines, entitled, CMA Policy: Guidelines for Physicians in Interactions with Industry (2007), and National Standard for Support of Accredited CPD Activities have been met in preparing for this event.*

I agree (by clicking "I agree", you are agreeing to the declaration stated above.
Name
Date

MonthDayYear
Date

PART E - CPD Accreditation Agreements
The Royal College has several international CPD accreditation agreements. These agreements allow physicians and/or other health professionals to claim or convert select Royal College MOC credits to other CPD system credits. Details about the specific agreements are available on the Royal College website.
Should you wish for this CPD activity to be eligible for credit within any of these systems, please check all that apply:

American Medical Association (AMA) PRA Category 1Credit™European Union of Medical Specialists (UEMS)Qatar Council for Healthcare Practitioners(QCHP)European Board for Accreditation in Cardiology (EBAC)

Part F - Supporting Documentation
Please upload documentation to support that you are a physician organization. *

Please refer to the details provided on the Important Information document at the beginning of this form as well as the Royal College website: https://www.royalcollege.ca/en/standards-and-accreditation/cpd-accreditation/defining-physician-organizations
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Please upload the final program/brochure.*

Final program or brochure must include the following: activity schedule, topics, timing of sessions, demonstration of a minimum of 25% interactivity, activity learning objectives for the overall activity and individual sessions (if applicable), and calculation of CME hours for the overall activity.
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Please upload the learning objectives.*

Include overall and session-specific learning objectives, written from the learner's perspective.
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Please upload any other materials to promote or advertise the activity.

For example, invitations, email announcements (if applicable).
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Please upload the needs assessment results.*

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Please upload a document that outlines the SPC and all confirmed faculty.*

Include an outline of the process for the collection, management, and disclosure of conflicts of interests which includes a description of how this information is collected and disclosed to participants.
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Please upload the completed Conflict of Interest (COI) forms for all SPC members and confirmed faculty.*

Please upload a single, combined document. Incomplete or missing COI forms will result in the application being rejected until all required information is provided in full.
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Please upload the speaker invitation template.*

Include communication of the National CPD standards including discussion of off label drugs.
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Please upload the overall evaluation and feedback form.*

Include a question on whether each of the learning objectives were met, a question for participants to identify potential impact to their practice, a question for participants to identify if the session was balanced and free from bias, and a question on which CanMEDs roles were addressed during the activity.
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Please upload any session evaluation and feedback forms (if applicable).

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Please upload the template certificate of attendance that will be provided to all participants.*

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Please upload the sponsorship and/or exhibitor prospectus developed to solicit sponsors/exhibitors for the activity (if applicable).

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Please upload the written sponsorship (financial and in-kind) agreements (if applicable).

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Please upload the activity budget.*

Include a list of all sources of revenue, a list of expenditures, and the expected number of registrants.
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Please upload the Scientific Planning Committee (SPC) meeting minutes, correspondence, etc.*

Upload one single, combined file and documentation should be listed in chronological order.
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Please upload the course content (PowerPoint slide set, link to online modules, etc).

Please upload the slide set as a .pdf document.
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Please upload a copy of the answer sheet for the assessment tool (Section 3: Self Assessment Program (SAP).

The assessment tool should allow participants to demonstrate knowledge, skills, clinical judgement or attitudes and shows how feedback will be provided to the participants.
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Please upload a copy of the answer sheet or assessment tool (Section 3: Simulation Activity).

The assessment tool should allow participants to demonstrate knowledge, skills, clinical judgement or attitudes.
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Please upload any other supporting documentation.

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Part G - Payment

CAEP charges a non-refundable accreditation fee to review all MOC applications. This fee covers the administrative costs associated with reviewing the program. A $500 expedited fee will be applied to applications received less than 8 weeks prior to the start of activity. Applications received without payment will not be processed.

Accreditation Fees

Section 1 Accreditation

$1,200.00CAD Quantity

Section 3 Accreditation

$1,500.00CAD Quantity

Expedited FeeApplicable if application is submitted less than 8 weeks prior to the start of activity.

$500.00CAD Quantity

Total

$0.00CAD

Credit Card

Please allow up to 6 weeks for processing. Applications submitted less than 8 weeks prior to the start of the educational activity will incur a late fee and will only be considered based on the availability of the accreditation team. Applications submitted 4 weeks or less before the activity start date will not be accepted.

For questions, please contact Danielle De Castro at ddecastro@caep.ca.

Thank you.
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CAEP Royal College Accreditation Application Form

Important Directives

Accreditation Type

PART A - Administrative Standards

PART B - Educational Standards

PART C - Ethical Standards

PART D - Declaration

PART E - CPD Accreditation Agreements

Part F - Supporting Documentation

Part G - Payment

Credit Card