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Peer Assisted Review

The Peer Assisted Review (PAR) component of the QA Program aims to assess knowledge, skill and judgment through a comprehensive review of one’s practice conducted by a CPBAO-appointed Assessor. PARs are intended to support practice improvement through a collaborative, collegial approach rather than serve as an investigative tool. Assessors are trained to facilitate a supportive and educational process.

Review Selection

Registrants may be selected to participate in a PAR by:

  • Random or stratified random sampling;
  • Failing to participate in Self-Assessment and submit a Declaration of Completion; or
  • Targeted selection to follow up on concerns identified during a previous audit or assessment

Review Domains

Reviews may be conducted in-person or virtually and will include a structured interview, which covers up to 7 domains based upon a registrant’s professional services and activities:

  1. Practice Setting
  2. Professional Services
  3. Ethical Conduct
  4. Indirect Service Provision
  5. Record Keeping
  6. File Review
  7. Self-Assessment and Continuing Professional Development

After the Review

Following the review meeting, the Assessor will submit a written report to CPBAO with an opinion on whether the registrant meets professional standards across the relevant domains.

The Reviewee will also receive a copy of the report and may prepare a written submission in response, for consideration by the QA Committee. After reviewing the report and any submissions from the Reviewee, the Committee may take steps to address any outstanding concerns, as appropriate.

If you have any questions about the PAR process, please contact the QA team at qualityassurance@cpbao.ca.

Related FAQS
Who can be reviewed?
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All registrants with an Autonomous or Academic certificate of registration are eligible to be reviewed.

How are registrants selected?
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There are several ways you may be selected for a PAR. The QA Committee may select registrants via random or stratified random sampling using its own criteria. Additionally, registrants who fail to complete their Self-Assessment requirements and make their QA Declaration of Completion or have had concerns identified in a previous audit or assessment process, may be selected.

Who will conduct the review?
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A fellow registrant who has been approved and trained will be appointed by CPBAO as an Assessor to conduct the review. Efforts will be made to match Assessors and Reviewees by area(s) of practice, client group(s), and practice setting(s), as appropriate.

The Reviewee will be permitted to indicate whether they believe that there is any reason a CPBAO-appointed Assessor should not conduct their review.

Additionally, the Reviewee may choose to involve a Peer-Nominated Reviewer to support them in the review process. This individual must be another CPBAO registrant and may be a colleague or associate, but may not have a connection or relationship which poses a conflict of interest.

All Assessors and Peer Nominated Reviewers are required to sign an Undertaking and Attestation.

Where will the review take place?
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Most reviews occur virtually via secure videoconferencing from the Reviewee’s primary practice location. There may be situations where the review is required to take place in person.

When will the review take place, and how long will it last?
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Reviews are expected to be complete within 3-4 months of initiation.

Interviews typically take three to four hours, at a mutually convenient time determined by the Assessor, Reviewee and Peer Nominated Reviewer (if applicable).

How will the review be conducted?
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The assessor and reviewer will together observe the member’s place of practice, interview the member using a structured interview form and review some of the member’s clinical records.

What happens after the review?
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The Assessor will submit a report to the QA Committee and the Reviewee. The Reviewee may choose to make a written submission to the Committee within 14 days of receipt of the report.

The Committee will review the report and any submissions made by the Reviewee to determine whether further action is required.

What are the potential outcomes of the review?
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In most cases, registrants are found to meet professional standards without concern, and the PAR process is concluded.

Occasionally, improvement opportunities may be identified, and the Committee may

  • endorse the Assessor's recommendations,
  • direct that its own recommendations be implemented, or
  • take further steps to address concerns.
Related Resources
PAR Pre-Review Questionnaire
PAR Report Form (Sample Completed)
PAR Report Form
PAR Assessor Undertaking
PAR Reviewer Undertaking