Dr. Roy: Adjunct Professor, Department of Innovation in Medical Education, University of Ottawa, Ottawa, Ontario, Canada. Dr. Kain: Program Manager, Research & Evaluation Unit, College of Physicians and Surgeons of Alberta, Edmonton, Alberta, Canada. Dr. Touchie: Professor, Department of Innovation in Medical Education, University of Ottawa, Canada, Chief Medical Education Advisor, Medical Council of Canada, Ottawa, Ontario, Canada, and Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

Correspondence: Marguerite Roy, PhD, Department of Innovation in Medical Education, University of Ottawa, Faculty of Medicine, 850 Peter Morand Crescent (Room 102), Ottawa, ON K1G 5Z3, Canada; e-mail: [email protected].

Disclosures: The authors declare no conflict of interest.

The University of Alberta's Health Research Ethics Board approved the MSF+ quality improvement program (Study number Pro00065137). The Ottawa Health Science Network Research Ethics Board approved the study (Study number 20180909-01H).