British Columbia Physician CPD Requirements (CPSBC)

How CPSBC's continuing competency rules work for BC physicians, including Mainpro+, Royal College MOC credits, and 2026 deadline enforcement.

Learnsignal Education Team
5 min read
Updated

Physicians and surgeons licensed by the College of Physicians and Surgeons of British Columbia (CPSBC) must enrol in, and comply with, a recognised continuing professional development program every year as a condition of licence renewal. Unlike Ontario's CPSO framework, which Learnsignal has covered separately, CPSBC does not run its own in-house CPD credit system for most physicians — instead it recognises credits earned through national and provincial bodies, and has recently tightened how strictly it enforces compliance. Here is what BC physicians actually need to track.

How CPSBC's continuing competency model works

CPSBC requires physicians and surgeons to enrol in and comply with the continuing professional development requirements of a recognised accrediting body in order to renew their licence each year. Rather than issuing its own separate credit scheme for most registrants, CPSBC accepts compliance with any of three recognised programs: Mainpro+, delivered through the College of Family Physicians of Canada (CFPC) for family physicians; the Maintenance of Certification (MOC) Program, delivered through the Royal College of Physicians and Surgeons of Canada (RCPSC) for specialists; and, for physicians trained or registered through Quebec, proof of enrolment and compliance with the Collège des médecins du Québec's own CPD requirements. Which program applies to a given physician depends on their specialty and training pathway, but the underlying principle is the same across all three: ongoing enrolment and demonstrated compliance is a condition of keeping your BC licence active.

Mainpro+ requirements for family physicians

For family physicians, the CFPC's Mainpro+ program sets out specific, verifiable numbers. Practising members must submit a minimum of 250 credits over each five-year cycle, with at least 25 credits submitted every year. Of those 250 credits per cycle, at least 125 must be Certified or Certified Assessment credits — activities such as accredited seminars, conferences, webinars and clinical rounds that have gone through formal CFPC review — and of that 125, at least 10 must specifically be Certified Assessment credits, meaning activities like practice audits, chart reviews or simulation exercises that involve structured feedback and are designed to prompt genuine self-reflection and practice improvement. The remaining credits can be Non-Certified credits: activities that were not formally reviewed by CFPC but still meet its definition of legitimate CPD, meaning they are non-promotional and provide real professional learning value. Physicians who exceed their annual requirement can carry up to 40 credits forward into the next five-year cycle.

Royal College MOC requirements for specialists

Specialists maintaining certification through the Royal College of Physicians and Surgeons of Canada follow the Royal College's Maintenance of Certification (MOC) framework, which likewise runs on a five-year cycle and requires completion of 250 credits across that cycle, drawn from a defined set of eligible CPD categories and activities recognised under the framework. As with Mainpro+, the expectation is continuous participation across the cycle rather than a last-minute push, and CPSBC relies on a physician's good standing with the Royal College as evidence of compliance for licensing purposes.

Podiatric surgeons and other registrant categories

CPSBC's continuing competency expectations are not limited to physicians. Podiatric surgeons registered with CPSBC are required to complete 30 hours of approved continuing professional development annually, and associate physicians and physician assistants follow the CPD requirements set for their respective registration categories. This reflects a broader point worth remembering: continuing competency obligations in BC are tied to your specific registration category, not a single blanket rule for every type of registrant.

Tighter enforcement under the Health Professions and Occupations Act

The framework of accepted programs described above has stayed consistent, but how CPSBC enforces compliance has become materially stricter following changes introduced under BC's Health Professions and Occupations Act (HPOA). Physicians who miss the February 28 annual deadline for submitting compliance documentation now face additional fees, and CPSBC's registrar has explicit authority to issue suspension notices for non-compliance. If the underlying deficiency is not resolved within 60 days of a suspension notice, the licence suspension becomes automatic. This is a meaningfully harder line than a purely administrative compliance check, and it makes tracking your annual CPD submission deadline as important as tracking the credits themselves.

How this compares to Ontario's CPSO model

If you have read Learnsignal's guide to CPSO continuing professional development for Ontario physicians, you will recognise the general shape of physician CPD regulation across Canada, but the specific mechanics differ province by province. CPSBC's reliance on national accrediting bodies (CFPC and RCPSC) rather than a made-in-BC credit system is one clear structural difference, while the HPOA's new February 28 deadline and 60-day suspension window is a distinctly BC enforcement mechanism worth building into any compliance calendar for physicians licensed there.

Building a compliance routine that holds up under CPSBC's stricter enforcement

  • Confirm which of the three recognised programs — Mainpro+, Royal College MOC, or Collège des médecins du Québec — actually applies to your registration, since the credit rules differ between them.
  • Track annual minimums, not just the five-year cycle total: Mainpro+ specifically requires at least 25 credits every single year, not just 250 by the end of year five.
  • Diarise the February 28 documentation deadline well in advance, given CPSBC's registrar now has explicit suspension authority tied to missing it.
  • Keep a running log of Certified versus Certified Assessment versus Non-Certified activity if you are on Mainpro+, since the 125-credit and 10-credit sub-requirements are easy to overlook until close to cycle-end.
  • Use recognised continuing professional development courses to fill specific credit categories rather than relying on a single activity type to meet your whole annual requirement.

Frequently asked questions

Does CPSBC run its own CPD credit system for physicians?

No, not for most registrants. CPSBC requires enrolment in and compliance with a recognised accrediting body's program — Mainpro+ through CFPC for family physicians, or the Royal College's MOC Program for specialists, with a separate route for Quebec-trained physicians.

How many CPD credits does a BC family physician need?

Under Mainpro+, family physicians must submit a minimum of 250 credits per five-year cycle, with at least 25 credits every year, at least 125 of the total as Certified or Certified Assessment credits, and at least 10 of those as Certified Assessment credits specifically.

What happens if a BC physician misses their CPD compliance deadline?

Under the Health Professions and Occupations Act, missing the February 28 deadline for compliance documentation brings additional fees, and CPSBC's registrar can issue a suspension notice; if the deficiency is not resolved within 60 days, the licence suspension becomes automatic.

CPSBC's system rewards physicians who treat CPD as a steady, year-round habit rather than a five-year countdown, and the HPOA's stricter enforcement timeline makes that discipline more important than ever for keeping a BC licence in good standing.

This page was last updated:

Learnsignal Education Team

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