Competence by Design

Competence by Design (CBD) is the Royal College of Physicians and Surgeons of Canada’s major change initiative to reform the training of medical specialists in Canada. It is based on a global movement known as Competency-based medical education (CBME) and is led by the medical education community. The objective of CBD is to ensure physicians graduate with the competencies required to meet local health needs. It aims to enhance patient care by improving learning and assessment in residency. CBD incorporates frequent observations and coaching [operationalized by assessment of Entrustable Professional Activities (EPA’s)] specific to stages of residency, Required Training Experiences (RTE’s) as well as other supporting documentation (e.g. exams).

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Whether you are new to Competence by Design (CBD) or already starting your journey to a competency-based training program, use this at-a-glance listing of materials to help orient you in your role. These resources have been curated to help you easily identify key information that can be used over time to build capacity in understanding the various elements and impacts of CBD within the resident learning environment.

Click here to access orientation packages