Please complete the “Supplemental Information for Assessment“ document, and submit it by the date indicated in your notification letter. If you are a Pathologist, please complete the “Supplemental Information for Assessment for Pathology; and review the Case Selection for Pathology.Note: this form may not work with a Mac or Apple product.To complete the form, right-click on the appropriate “Supplemental Information”as noted, then right-click on the document which appears. Choose “Save as” or “Save target as” and a directory (usually the ‘Downloads” directory) will appear. Save the document under a name of your choosing; then open the document and complete the required information. When you have finished, choose “Save” and/or “Print” to keep a copy for your records. Attach the completed document to an email to us at: info@pac.cpsnb.org.

When your practice has been assigned, we will notify you of the name of the assessor who will be visiting you. Although we make every effort to complete the assessment process promptly, scheduling for both assessors and physicians can be complicated, and it may be several months before the actual onsite visit. We recognize the anxiety this delay may sometimes cause, but trust you will understand the logistics of matching  physicians and assessors, both of whom are busy practising physicians.

The assessor will need to select between fifteen and twenty patient records to review as a part of the assessment process. Please have your day book, diary or appointment schedule available to assist in making this selection. If you are in a hospital-based practice, it is your responsibility to make arrangements with the appropriate supervisor in the hospital’s records department to have access to your charts for specific dates when you were on duty.  PAC assessors are aware that confidentiality oaths or records access codes may be required in some health facilities, and they too will be in touch with the appropriate medical records department. It is not necessary for you to be present during the chart review, but it is important that you set aside about an hour to meet with the assessor prior to the conclusion of the visit. This time provides an opportunity to discuss any questions regarding records or patient care, and allows you to provide any information you consider pertinent to the assessment process.

After the site visit, please complete and submit the “Post-Visit Questionnaire”, which tells us about your experience with the assessment visit and the assessor. 

Following receipt of your final results and the copy of the assessor’s report, we would also encourage you to complete and submit the “Physicians’ Evaluation of Peer Assessment” which helps us to continue to modify and improve the assessment process. 

To complete these form, right-click on “Post-Visit Questionnaire” or  “Physicians’Evaluation of Peer Assessment”  below, then right-click on the document which appears. Choose “Save as” or “Save target as” and a directory (usually the ‘Downloads” directory) will appear. Save the document under a name of your choosing; then open the document and complete the required information. When you have finished, choose “Save” to keep a copy for your records; email it to the PAC as an attachment, at info@pac.cpsnb.org.

• Post-Visit Questionnaire
• Physicians’ Evaluation of Peer Assessment

Thank you for your participation!

If have been selected for offsite assessment, you will need to submit the following to us by the date indicated in your notification letter:

• A completed “Supplemental Information for Assessment“ document. Note: this form may not work with a Mac or Apple product.  To complete the form, right-click on “Supplemental Information for Assessment” as previously noted, then right-click on the document which appears. Choose “Save as” or “Save target as” and a directory (usually the ‘Downloads” directory) will appear. Save the document under a name of your choosing; then open the document and complete the required information. When you have finished, choose “Save”  to keep a copy for your records.  Print a copy and forward it to the PAC along with the charts as required below.
• Copies of five charts as specified in the “Instructions to Physicians” below; please choose the instructions which apply to you:
• Instructions to Physicians – Family Medicine or Paediatrics
• Instructions to Physicians – Cardiology, Internal Medicine or Obstetrics & Gynaecology

Please copy and mail the charts to the Moncton office via courier or other secure mail.

For your information, the following documents will be utilized in the Offsite Assessment Process:

• Demographics Form
• Chart Review
• Management of Specific Disease Entities: Cardiology    Family Medicine    Internal Medicine     Obstetrics & Gynaecology     Paediatrics

Following receipt of your final results and the copy of the assessor’s report, we would also encourage you to complete and submit the “Physicians’ Evaluation of Offsite Assessment” which helps us to continue to modify and improve the assessment process. To complete this form, right-click on “Physicians’Evaluation of Offsite Assessment”  as previously noted, then right-click on the document which appears. Choose “Save as” or “Save target as” and a directory (usually the ‘Downloads” directory) will appear. Save the document under a name of your choosing; then open the document and complete the required information. When you have finished, choose “Save”  to keep a copy for your records; attach a copy and email it to the PAC at info@pac.cpsnb.org.

Thank you for your participation!