Competence by Design and CanMEDS
CanMEDS: The foundation of CBD
To kick off the Competence by Design (CBD) initiative, the Royal College launched a project known as CanMEDS 2015. The idea was to update the 10-year-old CanMEDS Physician Competency Framework and align it with a competency-based approach to medical education.
- The CanMEDS 2015 Physician Competency Framework: Updated to eliminate redundancies, clarify language and include new content on issues like handovers and patient safety.
- The CanMEDS milestones: Developed to introduce meaningful markers of progression within each CanMEDS Role.
CBD implementation builds on CanMEDS
CBD will integrate the updated CanMEDS Physician Competency Framework and CanMEDS milestones into the programming, teaching and assessment of each specialty and subspecialty. Support for faculty development will come from the Royal College.
Using the structure provided by the CanMEDS Framework and milestones, each CBD adopter (see the proposed CBD rollout schedule) will
- separate their discipline into stages of training,
- integrate new themes like patient safety and handovers into their programs, and
- develop specialty-specific milestones and entrustable professional activities (EPAs) for each stage of training.
Implementation of CanMEDS
Changes introduced as part of CanMEDS 2015 will lead to better trained physicians and improved patient care. For this reason, it is important to incorporate CanMEDS content into training and practice as rapidly as possible.
Discipline adopting CBD as part of Cohorts One and Two (see the proposed CBD rollout schedule) are already integrating CanMEDS content into their programs.
Rather than waiting for the remaining disciplines to implement CanMEDS as they gradually adopt CBD, the Royal College has developed a practical approach to CanMEDS implementation which consists of a Special CanMEDS 2015 Objective of Training Requirements (OTR) Addendum.
Special CanMEDS OTR Addendum
Disciplines adopting CBD in 2016 or later (Cohorts Three and beyond) will received an addendum to their OTR which incorporates the new CanMEDS content.
The OTR addendum will
- be released on July 1, 2016; with the expectation that it will become part of the programs’ standard educational practice thereafter; and
- feature only the major NEW CanMEDS content areas to limit burden on the system.
- CanMEDS Introduction for Clinical Teachers — Video Series
- CanMEDS Diagram
- Proposed CBD rollout schedule
- Seeing CanMEDS differently — learn how it fits into your practice: Video
- Celebrating the launch of CanMEDS 2015 – what our partners are saying (Part 1 of 2)
- Celebrating the launch of CanMEDS 2015 – what our partners are saying (Part 2 of 2)
- CanMEDS 2015: From Manager to Leader
- CanMEDS 2015 Symposium at ICRE provides clarity around key areas of proposed change (Dialogue, November 2014)
- CanMEDS 2015 NAC Summit brings about unprecedented collaboration within the MedEd community (Dialogue, October 2014)
- The year ahead: Outlining the final steps for CanMEDS 2015 (Dialogue, August 2014)