Peer and Practice Assessment

The peer and practice assessment (PPA) component of the Quality Assurance Program is an educational, structured interview conducted by peer assessors. The PPA assesses kinesiologists’ knowledge, skill and judgement, and helps them identify areas of strength and opportunities for improvement within their practice. Each year, kinesiologists are randomly selected to participate in PPA to help ensure their continued competence.

What to expect

The peer assessor will ask the kinesiologist situation-based questions (relating to a recent event or situation) and/or cased-based questions (relating to a recent patient or client case). The kinesiologist is asked to describe the situation and/or case, her or his actions, and the results and/or patient or client outcomes. 

Kinesiologists in clinical or mixed practice (i.e. working directly with patients or clients) are asked one set of situation-based questions and one set of case-based questions. Kinesiologists in non-clinical practice (i.e. not working directly with patients or clients) are asked two sets of situation-based questions. The questions are based on the Essential Competencies of Practice for Kinesiologists in Ontario and the College’s practice standards.

For kinesiologists in clinical or mixed practice, the peer assessor will also review patient/client records and discuss record keeping practices. The kinesiologist will need to bring 10 recent patient records. This may include original copies of records or printed copies of electronic records.

Timing and location

PPAs occur in the spring and fall. The PPA must take place within 90 days of receipt of the notice of selection. Kinesiologists who are selected to participate will work with the College to determine the most suitable date and time for the assessment.

For kinesiologists in clinical or mixed practice, the PPA will occur at their place of work and the process will take approximately four hours. For kinesiologists in non-clinical practice, the PPA will be conducted over the telephone and the process will take approximately two and half hours.

Access to patient/client information and records

For the purpose of carrying out a PPA, a peer assessor, or the College, may review any records related to the care of a patient or client. The College’s right to access this information is in the Regulated Health Professions Act, 1991 and the Personal Health Information Protection Act, 2004. Employers can review the access to patient/client records letter from the College to help better understand the process.

Preparing for the PPA

Kinesiologists are strongly encouraged to review the Essential Competencies of Practice for Kinesiologists in Ontario and the practice standards and guidelines to self-assess whether they are meeting the practice standards.

Hint: Webinars on consent and professional boundaries are available.

Read the Guide to the Peer and Practice Assessment.

After the PPA

The peer assessor will write a report that is provided to the kinesiologist after the assessment. The kinesiologist will then have an opportunity to send a written response to the report, offering additional information that was not communicated during the interview.


The College will not notify the kinesiologist’s employer of their participation in the PPA or the outcome. It is the kinesiologist’s responsibility to advise their employer if they must be notified to obtain patient records.