Quality in Practice

Multi-source Feedback+ for Individuals (MSF+)

Building on what we heard from over 2,000 Alberta physicians in focus groups, surveys and face-to-face conversations, we have designed a new competence model that includes multi-source feedback (MSF) as well as other tools and resources to help you improve your practice.

In addition to MSF, selected physicians will receive other information (e.g., prescribing, record review or CPSA standards review data) to provide a more complete picture of the quality of their practice. Trained facilitators – themselves physicians – will provide feedback to help participants interpret their results and identify how they might improve.

Member participation in Continuing Competence programs is confidential under sections 52 and 53 of Alberta’s Health Professions Act.

Physicians told us feedback from their co-workers, colleagues and patients was important in measuring their competence. Phong Van, Director, Physician Practice
Questions regarding MCC 360? Contact the Medical Council of Canada at 1-833-521-6024 or email

The MSF+ Review

The Medical Council of Canada (MCC) offers a national multi-source feedback program to physicians practising in Canada. The MCC 360 gives physicians the opportunity to self-reflect on their role as communicator, collaborator and professional based on feedback collected from their physician colleagues, non-physician co-workers and patients. In addition to quantitative feedback, the MCC 360 also provides physicians with qualitative feedback from colleagues, co-workers and patients.

To help physicians develop and implement meaningful practice improvement changes, the MSF+ review will include the MCC 360 and one of the following:

  • CPSA Standards of Practice (SOP) review, or
  • Peer record review, or
  • Self-administered record review, or
  • Prescribing performance and CPSA registration data.

Every physician who completes MSF+ will explore the data and discuss practice improvement initiatives with a trained MSF+ Physician Facilitator. MSF+ Facilitators are trained using the R2C2 facilitation model.

Physicians who complete MSF+ will be eligible for CPD credits.

Review of patient health context documentation and/or referral consultation documentation according to CPSA standards of practice.

What to Expect:

  • The participating physician will be asked to provide the CPSA with 10 patient records representative of their current clinical practice.
  • A trained reviewer will examine the patient record content, referral consultation (if applicable) and visit notes to help identify any areas of opportunity in documentation.
  • The participating physician will receive a final report with feedback about his or her practice in relation to the CPSA standards of practice and general observations regarding recordkeeping.

Participant Selection

  • Family/General Practitioners and Specialists are randomly selected to participate in MSF+.
  • The data and feedback gathered will be used to further refine MSF+ processes, tools and resources.

You have been selected for MSF+

What to expect

  • Notification from the CPSA via email and/or CPSA physician portal

  • Package notification from the Medical Council of Canada re: MCC 360

  • Complete online self-assessment & list reviewers

    Medical Council of Canada – How to complete your MCC 360 requirements
    Medical Council of Canada – Log into your profile

  • Collect patient questionnaires

  • Physicians may be selected to participate in one of a CPSA Standards of Practice (SOP) Review, a Peer Record Review or a Self-administered Record Review.

  • MSF+ Report

    After a physician has completed the MSF+ requirements, he/she will receive an MCC 360 feedback report along with information from the record review or CPSA data.

  • Facilitation Schedule

    Each physician will receive a phone call from a CPSA facilitator to discuss the reports.

  • Action Plans

    Develop plans for practice improvements. Use this template

  • 6-month Check-in

    Each physician will be contacted to enquire if any additional CPSA support is needed and provide update of their action plan.

Continuing Professional Development (CPD) Credits

Physicians who successfully participate in MSF+ will receive 13.5 MAINPRO+ credits.

Specialists are encouraged to apply for CPD credits with the Royal College of Physicians and Surgeons of Canada (MOC).


PAR was discontinued in 2016 and is no longer a requirement for Alberta physicians.

The College’s new MSF+ process is one of the competency assessment options available for physicians referred or selected for Individual Practice Review (IPR).

One component of MSF+ is MCC 360, developed by the Medical Council of Canada. The MCC 360 requirements and process are similar to the PAR process, but include updated feedback surveys with new questions and new criteria. As part of MSF+, MCC 360 gives physicians the opportunity to engage in a self-assessment process that reflects on their roles as collaborator, communicator and professional. Results are not compared to peer groups, but rather physicians are encouraged to self-reflect within their own practice. The MCC 360 also provides physicians with qualitative feedback from colleagues and co-workers.

Every Alberta physician who completes MSF+ will receive R2C2 facilitation from a peer to explore practice improvement strategies based on feedback data.

Member participation in Continuing Competence programs is confidential under sections 52 and 53 of Alberta’s Health Professions Act.


MSF+ for Individuals

Phone: 780-969-4986 or 1-800-561-3899 Ext. 4986  | Email: