If you are a resident looking for login access to your PBLP account, please contact us at residencypblp@mcmaster.ca. Please do not complete a registration.

First Name *

Last Name *

Alternate Name/Surname

Salutation Preference (Dr., Mr., Ms., Mx., etc.) *

Please choose one of the following * New Member
Returning Member
New Facilitator

I am: * joining an existing group
forming a new group
joining without a group (as an individual learner)

Who is the Facilitator? *

Myself
Other

Please type in member names for your group *

Who is the facilitator? *

Date of your first group meeting *

In addition to learning individually, are you interested in being matched to an existing group? Note: The FMPE cannot guarantee that an existing group will be available / accepting new members. * Yes
No

Are you interested in a group that is: * In person
Virtual
Hybrid

Designation *

MD
Medical Student
NP/RN (EC)
Other

Language Preference for Modules * English
French

CFPC # * Important: By submitting your CFPC number, you give permission to the FMPE to upload your Mainpro+ credits to your CFPC Mainpro+ account at the conclusion of the membership year. Manual credit entry is not possible.

I am a CFPC Member
I am a Non CFPC Member
I am NOT a CFPC member

Preferred Email * Note: e-mail address required for access to Members Online

Preferred Address * home
work

Address *

City *

Province/State *

Postal/Zip Code *

Country *

Cell Phone *

Alternate Phone

Modules Online (printable)

Paper (mailed)
If choosing paper, please note that a non-refundable $65 Annual Printed Module Fee will be automatically applied.

How many years have you been in practice in Canada? *

How did you hear about us?

Website Word of Mouth Conference Social Media
Other

Comments

Member Fee * Practice-Based Learning Program - CAD $620
* Note: Membership year runs from January 2027 to December 2027

By submitting this registration form, you agree to receive information, updates, and news from the FMPE: Practice Based Learning Program (PBLP) by email.