Redesigned physician assessment tool

The Physician Practice Enhancement Program (PPEP) recently adapted a College of Physicians and Surgeons of Ontario (CPSO) peer assessment tool for use in BC. The new British Columbia Assessment Tool was introduced to family medicine, psychiatry and dermatology in 2018 and PPEP will continue to roll it out to new specialties as it develops.

The CPSO developed its peer assessment tool over the past four years with extensive consultation with physicians. Its redesigned peer assessment tool has the goal of standardizing assessments that promote quality improvement. The British Columbia Assessment Tool adaptation focuses on the assessment of multiple domains of competence, including:

  • History
  • Examination
  • Investigation
  • Diagnosis
  • Management plan
  • Medication 
  • Follow-up and monitoring
  • Documentation for continuity of care

Each domain defines high-quality care and general evaluation criteria are provided to guide assessor evaluations. Assessors look for overall trend in care and consider all information gathered during the patient records review and the physician interview. The tool also provides a framework for narrative feedback following a patient chart review.

The new tool also includes Quality Improvement Resources (QIRs) to provide a quick reference to topics that are of relevance to each specialty and may include information-specific patient populations, conditions, procedures, therapeutic modalities or examples of appropriate documentation formats. They are intended to promote consistency in assessor evaluations and provide educational material for physicians.