Table 4:

Description of Certificate of Added Competence organizational models of care

Organizational modelDescription
Enhanced scope of services

  • The enhanced-skill family physician provides an extended set of services to his/her own patients without referral or consultation

Shared care

  • The enhanced-skill family physician works with the referring family physician but does not take over the role of primary family physician

Family-physician–aligned transfer of care

  • The care of the patient is temporarily or permanently transferred to the enhanced-skill family physician at the request of the referring family physician

  • The patient is referred to the enhanced-skill family physician, who takes over the care of the patient for the specific referred issue and performs the services

  • In some cases, the patient will return to the referring family physician; in others, the enhanced-skill family physician will take over the care of the patient

Specialist-aligned transfer of care

  • This model is similar to the family-physician–aligned transfer of care model insofar that it involves the enhanced-skill family physician’s providing care for the patient at the request of the referring family physician

  • What distinguishes this model is that the transfer of care is from a family physician to a specialist service, and the enhanced-skill family physician sees the patient because of a formal relationship within the particular specialist context