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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.

Following two years of national consultations and collaboration with experts from across the medical education community, we released the following:

Congratulations CanMEDS 2015 video

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

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.

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