Competency Based Medical Education

About Competence by Design

The Royal College of Physicians and Surgeons of Canada (RCPSC) describes Competence by Design (CBD) as a, “Royal College initiative to improve physician training and lifelong learning. The CBD initiative will transition specialist medical education from a traditional time-based model to a hybrid form of competency-based medical education (CBME). CBD does not discount or adjust time spent in training; instead, it re-conceptualizes time as a resource for acquiring competencies.

CBD is a multi-year, transformational change initiative. It focuses on outcomes, asking the question, 'What abilities do physicians need at each stage of their career?' It organizes physician training around desired outcomes and looks at the needed competencies.

The greater goal of CBD is to enhance patient care by improving learning and assessment across the continuum from residency to retirement. This will ensure that physicians continue to demonstrate the skills and behaviours needed to meet evolving patient needs.”

Competence by Design Roll-Out Timelines & Cohorts

The RCPSC will be implementing CBD in phases and developed a roll-out schedule of seven cohorts. The first medicine adopters are medical oncology in cohort one and internal medicine and gastroenterology in cohort two. The Royal College of Physicians and Surgeons of Canada provides up to-to-date information on the roll-out schedule and cohorts.

Competence by Design & Accreditation

The Postgraduate Medical Education Office and the Royal College of Physicians and Surgeons of Canada provide up-to-date information on how CBD will impact the internal and external accrediation processes.

General Competence by Design Supports, Tools & Resources

Royal College of Physicians and Surgeons of Canada CBD resources:

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