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 (IOCAs).
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)

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 at least one Stage 3 OCA assessed by Principal Supervisor to the end of Stage 3 standard.
Must have completed a Stage 3 IOCA assessed by an external supervisor / independent assessor to the end of Stage 3 standard.
Must have completed a Stage 2 IOCA assessed by an external supervisor / independent assessor to the end of Stage 2 standard.*

*Not required for candidates applying for the CCPR in September 2026.

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 at least one Stage 3 OCA assessed by Principal Supervisor to the end of Stage 3 standard.
Must have completed two Stage 3 IOCA assessed by an external supervisor/independent assessor to the end of Stage 3 standard.**

**For SIMG candidates applying for the CCPR in September 2026, completing one Stage 3 IOCA is acceptable.

Notes about IOCAs

Changes to timelines: It was previously communicated that trainees will be able to apply to sit an IOCA starting in November 2024. The Education Committee has extended the timelines for implementing IOCAs to August 2025, and the CCPR will be introduced in September 2026. The IOCAs will be launched in two phases:

The Stage 3 IOCA will commence in August 2025
The Stage 2 IOCA will commence in August 2026

This phased approach will support the supervisors' burden and health services, while allowing more time for trainee transition and for supervisor training, ensuring sufficient availability of independent assessors for the IOCA implementation.

Trainees: Trainees applying for the September 2026 CCPR will not be required to complete the Stage 2 IOCA to be eligible to apply.

Trainees who completed their Stage 2 training before the implementation of Stage 2 IOCAs in August 2026 are not required to complete the Stage 2 IOCA to be eligible to apply for CCPR later.

SIMGs: For SIMGs applying for the CCPR in September 2026, completing one Stage 3 IOCA and one Stage 3 OCA will be acceptable.

Other eligibility requirements

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 about the CCPR and IOCAs.

Contact

assesshelp@ranzcp.org