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An iterative and adaptive approach to CBD implementation

There is no “one size fits all” approach to CBD implementation. We understand that each program and faculty has its own unique challenges, opportunities and timeframe. We commit to an iterative and thoughtful implementation approach which enables co-creation and mutual learning with our partners and Fellows.


Proposed CBD Adoption Schedule

We anticipate that all specialty and subspecialty programs in Canada will adopt CBD in gradual phases. All disciplines (divided into seven Cohorts) will begin their transition to CBD each year until 2022.

  • Proposed CBD rollout schedule – for all specialties and subspecialties

First CBD adopters


Cohort One

Medical Oncology and Otolaryngology – Head and Neck Surgery will be field testing many aspects of CBD in 2016.

We anticipate that they will integrate CBD in July 2017, which means that residents entering into these programs in July 2017 and beyond will experience CBD based training and assessment.


Cohort Two

The disciplines scheduled as part of Cohort Two (Anesthesiology, Forensic Pathology, Gastroenterology, Internal Medicine, Surgical Foundations, and Urology) will also integrate CBD into their teaching and assessment practices in 2017.

  • Residents entering into these programs in July 2017 and beyond will experience CBD based training and assessment.

Work of CBD adopters

Adoption of CBD starts with the specialty committee of each discipline (along with program directors, clinician educators, continuing professional development experts and invited guests). For approximately two-years, they collaborate with the Royal College to

Once these activities are complete (about two-years after the specialty committees begin working on CBD) residents entering into the program begin experiencing aspects of the CBD model of assessment and learning.

  • Medical Oncology and Otolaryngology – Head and Neck Surgery – began collaborating with Royal College in 2014.
    • In 2016 they will field test aspects of CBD.
    • In 2017, we anticipate they will integrate CBD into their programs for year one residents and all residents thereafter.

As each discipline adopts CBD, they’ll showcase what works – and more importantly – what doesn’t work. This information will let us validate our implementation approach with our partners, ensure it works for each specific context – and adjust and refine as needed.

To share your thoughts on implementation, contact cbd@royalcollege.ca.