Clinical Competency Portfolio Review (from September 2026)

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The Clinical Competency Portfolio Review (CCPR) assessment is a holistic and programmatic approach that evaluates a candidate’s competence through multiple assessment data points over time, conducted by multiple assessors. This process determines whether the candidate meets the end of Stage 3 standards across all CanMEDs domains and relevant Fellowship competencies.

The CCPR decision on progression is based on a thorough review of end-of-rotation In-Training Assessments (ITAs), Observed Clinical Activities (OCAs), and Independent Observed Clinical Activities (IOCAs), including the feedback provided in these assessments.

Structure and format

The following assessments will be included in the CCPR:

The three most recent end-of-rotation In-Training Assessments (ITAs).
Observed Clinical Activities (OCAs).
Independent Observed Clinical activities (I-OCAs).

Qualitative data such as supervisor feedback and narrative comments for the above assessments will also be considered.

Eligibility

The CCPR eligibility criteria is as follows:

Trainees

SIMGs (partially comparable only)

Three (3) most recent end-of-rotation ITAs available for review, comprising completed training time of a minimum of 15 months FTE duration across Stage 2 and Stage 3. For part-time trainees, more than 3 end-of-rotation ITAs may be required to cover the 15-month FTE training time.
Two of these recent end-of-rotation ITAs must be Stage 3 ITAs of at least nine months FTE in duration.
Must have completed a Stage 2 I-OCA assessed by an external supervisor / independent assessor to the end of Stage 2 standard.
Must have completed a Stage 3 OCA assessed by Principal Supervisor to the end of Stage 3 standard.
Must have completed a Stage 3 I-OCA assessed by an external supervisor / independent assessor to the end of Stage 3 standard.

Three (3) most recent end-of-rotation ITAs available for review, comprising completed training time of a minimum of 12 months FTE duration in Stage 3. If three end-of-rotation ITAs are not available for the Portfolio Review, two ITAs from Stage 3 rotations will be accepted.
Must have completed two Stage 3 I-OCA assessed by an external supervisor/independent assessor to the end of Stage 3 standard.
Must have completed at least one Stage 3 OCA assessed by Principal Supervisor to the end of Stage 3 standard.

Note:

SIMGs: For SIMGs applying for the CCPR in September 2026, completing one Stage 3 I-OCA and one Stage 3 OCA will be acceptable.
Trainees: The eligibility criteria for candidates applying for the September 2026 CCPR will exclude the requirement of a Stage 2 I-OCA. This change aims to accommodate applicants in the initial cohort of the CCPR who may not have completed the Stage 2 I-OCA by that time.

The requirement to complete a Stage 2 IOCA will not apply for trainees commencing Stage 3 in August 2025 or earlier. Trainees who are on an approved Break in Training (BIT) in 2025 after completing their final Stage 2 rotation will also be exempted from the Stage 2 IOCA requirement when applying for the CCPR later.

Other requirements for eligibility

All trainee and SIMG candidates must have a current medical registration.
Trainees must have completed any required ‘Commencement of Targeted Learning’ documentation.
SIMG candidates must be enrolled on the partial comparability pathway and have current comparability status.

Frequently asked questions

Frequently asked questions pertaining to the CCPR and I-OCAs.

Contact

assesshelp@ranzcp.org