Application forms and fees

Academic route

Physicians choosing the Academic route must have:

 

  1. Five years of senior or executive health care leadership experience with a focus on the LEADS realms of Developing Coalitions and Systems Transformation
  2. Proof of completion of any of the CSPL-approved leadership activities listed on the 2019 Academic route form (p. 3)
  3. A cache of leadership accomplishments and education experience supported by evidence
  4. Membership in CSPL
  5. Good standing with one’s provincial/territorial licensing body
  6. A minimum of 2 years’ experience in the Canadian health care system

Practice eligibility route

Physicians choosing the Practice route must have:

 

  1. Ten or more years of progressive leadership in senior or executive positions with a focus on the LEADS realms of Developing Coalitions and Systems Transformation
  2. Documented evidence of leadership contributions that are significant and broad in scope, as well as continuing educational achievements
  3. Membership in CSPL
  4. Good standing with one’s provincial/territorial licensing body
  5. A minimum of 2 years’ experience in the Canadian health care system

 

Once you have selected your chosen route, download and complete the appropriate forms, including the 2019 Assessment form. You will be assessed through a peer-review process against a set of leadership capabilities.

 

These leadership capabilities are described in the widely endorsed LEADS in a Caring Environment Framework. Using this framework, a three-pronged approach to the leadership assessment is employed: physicians self-assess, their referees assess and a physician peer assessment panel makes the final decision. Download and complete these forms:

 

2019 Academic route application form or

2019 Practice eligibility route application form and

2019 Assessment form

 

Choose and confirm three referees. Referees must attest to your leadership capabilities (skills, knowledge, ability) as observed in your work environment. They must include:

 

  • the individual to whom you currently report
  • a physician colleague
  • an individual of your choosing who is in a position to comment on your leadership capabilities as related to the LEADS framework

 

Pay the application/assessment fee: $1,050 + applicable taxes

 

Upon receipt of your initial application documents, we will send an invoice with a link to online payment by Visa, MasterCard or AMEX, or you can make a cheque payable to the Canadian Society of Physician Leaders, and send to:

 

 

CCPE Secretariat

c/o Canadian Society of Physician leaders

875 Carling Avenue, Suite 323

Ottawa ON K1S 5P1

 

Submit application package by October 31

Each spring the latest cohort of CCPE recipients will assemble, celebrate and receive public recognition at the Canadian Conference on Physician Leadership, held in a major Canadian city.

 

© Canadian Society of Physician Leaders 2019

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