MPAR is a multi-source performance assessment and feedback program that provides physicians with a view of their medical practice through the eyes of their medical colleagues, co-workers and patients. Feedback is presented to physicians in a confidential report that contains individualized data and comparisons to the average scores of physicians with a similar practice.


The College of Physicians & Surgeons is charged with ensuring that every physician continues to meet and advance the high standards of practice required to work effectively within the Manitoba medical community.  MPAR is designed to promote a culture of continuous quality improvement among Manitoba physicians and to offer a link between assessment and more focused professional development activity.  MPAR provides individualized feedback to physicians completing the review process to assist in their ongoing efforts to improve their medical practices while recognizing that excellence in medical practice requires abilities that extend beyond the traditional measures of clinical skills and knowledge.

Through patient involvement, MPAR provides public accountability for physician continuous practice enhancement and professional development

Who participates in MPAR?

Manitoba Regulation requires eligible physicians in the province to participate in MPAR once every 7 years. About 350 physicians are reviewed in a year.  Each of them, in turn, asks 8 physician colleagues, 8 non-physician healthcare co-workers and 25 patients to assist in the review by completing a questionnaire.

Physicians in an active clinical practice that is sufficient to provide adequate data for assessment and who have practised for at least 3 years in Manitoba are required to participate when selected.

Physicians not in clinical practice (for example, those in fulltime administration or research) may qualify for an exemption or deferral (based on unavailability of tools for this assessment at the present time). Those who recently returned to practice after an extended period of time off may also be deferred.

There are currently 9 versions of MPAR. Each version uses surveys that have been designed and modified to suit the unique needs of each of the 9 categories of physicians:

General/Family Physicians
Episodic Care Physicians
Laboratory Medicine Physicians
Medical Specialists
Surgical Specialists

Medical Specialties

The following are included in the “medical specialty” version of MPAR:

  • Cardiology
  • Clinical Immunology and Allergy
  • Clinical Immunology
  • Dermatology
  • Endocrinology and Metabolism
  • Gastroenterology
  • Geriatric Medicine
  • Hematology
  • Hematology/Oncology
  • Infectious Diseases
  • Internal Medicine
  • Medical Genetics
  • Medical Oncology
  • Neurology
  • Nephrology
  • Physical Medicine and Rehabilitation
  • Radiation Oncology
  • Respiratory Medicine
  • Rheumatology

Surgical Specialties

The following are included in the “surgeon” version of MPAR:

  • Cardiac Surgery
  • Cardiovascular and Thoracic Surgery
  • Cardiovascular Surgery
  • Cardiothoracic Surgery
  • Thoracic Surgery
  • General Surgery
  • Neurosurgery
  • Obstetrics and Gynecology
  • Ophthalmology
  • Orthopedic Surgery
  • Otolaryngology
  • Pediatric Surgery
  • Plastic Surgery
  • Urology
  • Vascular Surgery

What does MPAR assess?

MPAR is designed to provide feedback in a variety of practice areas. The assessed attributes differ depending upon the type of reviewer (medical colleague, co-worker or patient).

MPAR questionnaires cover 15 attributes of practice performance:

  • Medical Colleague
    • Medical Management
    • Psychosocial Management of Patients
    • Medical Colleague – Patient Interaction
    • Professional Self Management
    • Consultation Communication
  • Co-worker
    • Patient Interaction
    • Co-worker Collegiality
    • Co-worker Communication
  • Patient
    • Patient Interaction
    • Phone Communication
    • Information for Patients
    • Personal Communication
    • Office Staff
    • Physical Office
    • Appointments

Several questions explore each attribute. Those groups of questions are both statistically and logically linked, adding credence to the findings. The specific topics covered by each responding group vary slightly to capture the differing insights gleaned by patients, co-workers and colleagues.