Competence by Design: Progress and next steps
Steady progress since 2013
- Launch of Competence by Design (CBD), aligning with recommendations of the Future of Medical Education in Canada Postgraduate (FMEC-PG) Project.
- Formation of 13 expert working groups, one National Advisory Committee, one Integration Committee and one International Advisory Committee to gather feedback and revise the 10-year-old CanMEDS Framework.
- Launch of a national online survey examining the strengths and weaknesses of the existing CanMEDS Framework. More than 1,200 responses received.
- Town hall session on CBD and CanMEDS 2015 held at the International Conference on Residency Education (ICRE) 2013 to answer questions and provide information.
- Launch of CBD and CanMEDS 2015 webinar series. More than 1,000 people have registered.
- Launch of eDiploma (the first step toward creating MAINPORT ePortfolio) for pilot testing with Area of Focused Competence (Diploma) trainees in Transfusion Medicine.
February – September 2014
- Three drafts of the updated CanMEDS Framework and two drafts of the new Milestones Guide released for national consultation via three online surveys, 13 e-panels, eight focus groups, and direct requests for feedback.
- Senior executives began visiting medical schools (video) to discuss CBD face to face with deans, program directors, program administrators residents and postgraduate medical education offices.
September – November 2014
- The specialty committees in Medical Oncology and Otolaryngology — Head and Neck Surgery, including all the program directors, began working with the Royal College to tailor CBD to their disciplines, including designing specialty-specific milestones, entrustable professional activities (EPAs), and competency-based training standards, and identifying faculty development needs and assessment strategies.
- A second group of disciplines was confirmed to begin working to adopt CBD: Anesthesiology, Forensic Pathology, Gastroenterology, Internal Medicine, Surgical Foundations, and Urology.
- Launch of MAINPORT ePortfolio working groups to examine automation and data exchange standards, privacy and legal concerns, and systems integration issues.
- Release of proposed CBD adoption schedule to all specialties and subspecialties.
- Royal College Council approved core content of the new CanMEDS Framework (aka Series IV) and evergreen CanMEDS Milestones Guide.
- Anesthesiology, Internal Medicine and Surgical Foundations began the iterative process of creating specialty-specific milestones, entrustable professional activities (EPAs), new training standards and assessment models with the Royal College.
- Posted a CBD overview and roll-out schedule to the Canadian Resident Matching Services (CaRMS) website and provided all Cohort One and Two disciplines with information about CBD, which can be added to their CaRMS program descriptions.
- Discussed the best ways for engaging and involving resident leaders in CBD during a number of meetings with Resident Doctors of Canada (RDocs). Future meetings are scheduled with RDocs and Fédération des médecins résidents du Québec so we can continue the conversation.
- Launched the revitalized CanMEDS 2015 Physician Competence Framework at ICRE (which includes new content like patient safety, handovers and eHealth); the accompanying generic milestones (applicable to all disciplines) across each CanMEDS Role and a series of supporting faculty development tools.
- Initiating plans for more interactive CBD outreach visits to speak with hospital authorities, and focus on engaging and connecting with department chairs and chiefs. This has already commenced with a productive exchange with the Canadian Association of Professors of Medicine (CAPM).
- Continued to work on the design and build of MAINPORT ePortfolio, focusing on data exchange functionality and system-to-system integration.
- Listen to and seek input from our stakeholders and respond by adjusting and adapting CBD implementations plans as needed.
- Share the progress, processes and developments of all CBD adopters.
- Continue visits to Canadian medical schools and begin meeting with national specialty societies.
- Release tangible tools to help disciplines and institutions begin preparing for CBD implementation.
- Develop faculty development tools and resources for schools and programs
- Continue to work on the design and build of MAINPORT ePortfolio, focusing on data exchange functionality and system-to-system integration.
- Engage the continuing professional development (CPD) community, including experts, Fellows, medical regulatory authorities, ministries of health and other key stakeholders, and collaborate to develop a roadmap for competency-based CPD which identifies options for implementation.
- Provide additional faculty support resources to help faculty understand and teach CanMEDS.
- CBD Community Touchpoint
- Why Fellows should take a closer look at CanMEDS 2015 (Dialogue, May 2015)
- Benefits of CBD
- Milestones and EPAs
- Get involved
Dr. Kenneth A. Harris, MD, FRCSC, Executive Director of Specialty Education at the Royal College, encourages you to get involved and have your say in CBD implementation.
The Royal College can’t implement Competence by Design (CBD) without the involvement of the medical education community.