Medical Council of Canada

MCC 360: History and governance


MCC 360 is a national program undertaken by the Medical Council of Canada (MCC) that incorporates a common, robust Multi-Source Feedback (MSF) tool and process into physician quality improvement programs across the country. The future aim is to see MCC 360 used for in-practice quality improvement across the continuum, from undergraduate medical education, to the postgraduate context into professional practice.

The program builds on an evaluation tool known as the Physician Achievement Review (PAR), developed in 1999 by the College of Physicians & Surgeons of Alberta (CPSA) with the University of Calgary. The project phase of this initiative involved several partner organizations.

In 2016, when the idea of a national multi-source feedback program began to take hold, the CPSA transferred administration of the MSF program to the MCC as a registered charity and nationally-recognized, trusted authority for physician assessment. This included the transfer of the intellectual property of the PAR program. The project included:

  • the development of national guidelines
  • enhancements to the PAR MSF surveys and reporting, including both quantitative and qualitative (narrative) feedback
  • development of feedback tools, and survey service delivery to support immediate and ongoing in-practice change
  • development of a research agenda that will use aggregate data to support further improvements to program tools and processes

Under the guidance of the MCC 360 Steering Committee, much of 2017 was spent refining surveys, creating new reporting tools, holding focus groups with physicians, along with the development of a new Survey Service Delivery (SSD) process ahead of an August 2017 proof-of-concept launch in partnership with the CPSA. 2018 saw further enhancements to program materials such as comprehensive feedback support tools aimed at helping physicians make the most of their assessment results through action plans.

Members of the Steering Committee included quality assurance and quality improvement programs, certification colleges, regulatory authorities, representatives from undergraduate and postgraduate medical education and continuing professional development and other stakeholders.

In fall 2019, the Committee transitioned to an advisory group that assists with the MCC’s goal to maintain sustainable MSF tools and processes that are nationally accepted, centrally managed, standardized, and evolvable.

MCC 360 is now operational as a national program.