CanMEDS 2015:
Evolving the CanMEDS Framework
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Prelude: CBD and CanMEDS 2015
Our Fellows tell us that we
do a good job, but that we
can always do better to
• ensure competence in the
next generation; and
• provide high quality
training programs.
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Prelude: CBD and CanMEDS 2015
One of these is not like the others …
Time-based
Achievement
Achievement
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Prelude: CBD and CanMEDS 2015
How can we ensure our graduates are
competent in all needed domains…?
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The Answer: CBD
Competence by Design (CBD) is
• focused on the learning continuum from the
start of residency to retirement;
• based on a competency model of education
and assessment; and
• designed to address societal health needs
and patient outcomes.
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Why CBD? Why Now?
The CBD program will:
• Align medical education with the evidence-based
recommendation developed by the Future of
Medical Education in Canada Postgraduate
(FMEC-PG) project.
• Support the development, implementation, and
evaluation of competency-based,
learner-focused education to meet the
diverse learning needs of residents and
the evolving health care needs of Canadians.
• Reflect, and respond to, the world-wide movement
towards competency-based medical education.
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Why CBD? Why Now? con’t
By focusing on learning rather than time,
CBD will enable our MedEd system to
• assess for competence, but teach for excellence;
• ensure physician’s skills and abilities evolve throughout
practice—potentially reducing medical errors;
• respond to changing patient and societal needs;
• address gaps in the current system, like the “failure to
fail” culture of resident education;
• reduce burden on Faculties, promoting smoother
credentialing and accreditation; and
• increase accountability and promote transparency in
training.
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Connecting CBD and CanMEDS
• As part of the Competence By Design (CBD)
program, the Royal College has launched a
project to update the existing CanMEDS
Framework entitled CanMEDS 2015.
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CanMEDS 2015:
Planned Updates
• Introduce new element – milestones to
mark the progression of a competence
• Emphasis on the continuum
• Integrate new content and themes
(e.g. patient safety)
• Create new faculty development
resources and tools
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CanMEDS 2015:
Planned Updates
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CanMEDS 2015:
Desired Outcomes
• Practical framework to
support competence
across the continuum
of a physician’s career.
• Robust implementation
plan to support Fellows
and medical educators
with the roll-out of
CanMEDS 2015.
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Planned Updates:
Milestones and CBD
By updating the framework, CanMEDS 2015 will:
• Reflect advances of the past
decade, ensuring teaching
methods address the realities of
today (e.g. patient safety).
• Introduce milestones across the
continuum of medical education
(from residency to retirement).
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CanMEDS 2015:
What Are the Benefits?
Educators will be able to:
•
•
•
•
Identify progress of learners at different stages of training;
Provide guidance to address identified gaps in learning;
Employ better standards for assessment; and
Benefit from newly created faculty development tools
and resources.
Learners will be able to:
• Follow a clear and transparent roadmap that promotes
learning and growth at each stage of training and
throughout practice.
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CanMEDS 2015:
How the Changes Will Happen
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CanMEDS 2015:
Who Will Lead these Changes
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CanMEDS 2015:
Who Will Lead these Changes
Expert Working Groups (EWGs):
• Assembled around the seven CanMEDS Roles.
• Group formed to develop new Patient Safety content.
Integration Committee:
• Formed to integrate EWGs output into cohesive drafts.
• Drafts to be used during consultation and review.
• Will incorporate feedback into final, updated Framework.
National Advisory Committee:
• Provides strategic direction and input on overall initiative.
• Includes representatives from wide range of key
stakeholders and partner organizations, including
international.
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CanMEDS 2015:
What’s Been Done
Changes to the CanMEDS Framework will impact all levels of
medical education. We’ve begun a comprehensive
consultation process to ensure we get it right.
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CanMEDS 2015:
What’s Been Done con’t…
Data analysis is underway and will shape the work of the CanMEDS
2015 EWGs.
Consultations to date include:
National Online Survey
• Conducted in May-June to gather feedback on the current
CanMEDS Framework.
• Release of the data gathered will begin in November 2013.
ICRE Town Hall:
• Town Hall held at the International Conference on Residency
Education (ICRE) in September 2013.
• Attendees learned about the proposed changes
and provided input through an interactive setting.
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CanMEDS 2015:
You Can Still Provide Input
CanMEDS 2015 Webinars
• Sessions will provide CBD and CanMEDS 2015 overview and give
participants the chance to ask questions and offer input.
Letters
• Feedback was requested from key partners (including all those
represented on the CanMEDS 2015 NAC).
Social Media
• Share feedback and get the latest news and updates via
twitter.com/Royal_College and at facebook.com/TheRoyalCollege.
E-mail
• Have a comment? Send it to canmeds@royalcollege.ca.
Further formal consultations
• Additional consultations will occur in winter/spring 2014,
when the draft framework is released for review.
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CanMEDS 2015: Next Steps
In the coming months:
• The CanMEDS 2015 EWGs will release preliminary
reports to their respective ePanels, to gather input
and ensure they are on the right track.
• The release of the final results from the
National Online Survey will begin in November 2013.
• Final reports from the EWGs will be submitted to the
Royal College Integration Committee and 2015
National Advisory Committee in December 2013.
• Input information on release of next draft and input
will begin in February 2014.
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CanMEDS 2015: Next Steps
By 2015:
• Final production, translation and
publication of framework.
• Launch CanMEDS 2015 and faculty
support tools in September.
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CanMEDS 2015: Next Steps
Beyond 2015:
• By its nature, the CanMEDS Framework
is evergreen, and it will continue to be
reviewed and revised beyond 2015 to
ensure it meets the needs and realities
of physicians.
• We are committed to providing ongoing
support, including in areas such as
specialty-specific implementation and
faculty development.
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Your Input Matters
You can still have your say!
Share your input with the Royal College via:
• canmeds@royalcollege.ca
• www.facebook.com/TheRoyalCollege
• https://twitter.com/Royal_College
Plus, stay tuned for more information on the next
round of form consultations.
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