Competence by Design (CBD)
Session
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What is Competence by
Design(CBD)?
• Multi-year, transformational change initiative
in specialty medical education;
• 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 need
and patient outcomes.
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Why CBD? Why Now?
We need a system that:
• Assesses competence, but teaches for
excellence;
• Ensures competencies in all domains evolve
across the continuum of medical education
(residency to retirement)
• Addresses changes to patient and societal
needs; and
• Enables flexibility; allows physicians to identify
when and how changes apply to practice.
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Principles for Implementation
• Engagement: discussion, input and
feedback from you, our stakeholders;
• Pilot testing: small pilot initiatives to
determine best practices for all aspects of
CBD integration;
• Communication: bidirectional
communication to ensure you are aware and
prepared for CBD;
• Support: development of resources, tools
and training to help implement CBD in your
faculty;
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Principles for Implementation
con’t
• Streamline workload: focus on reducing
ineffective activities freeing time and resources;
• Continuous improvement: continuous
adjustments and modifications based on
your needs and recommendations; and
• Work-flow integration: develop
tools/resources to ensure implementation is
smooth and as work-flow neutral as possible
for faculties.
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Overall Approach to CBD
Multi-year program
1. RC Strategic
Plan
2. Develop
the CBD
To-Be Plan
3. Strategic
Consultation
4. Execution
Phase 1
Complete
Phase 2
Complete
Phase 3 & 4
• 3 & 4 run concurrently
• Stakeholder feedback &
engagement essential
• Consultations will
support implementation
• Implementation will
feed consultations
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CBD Roadmap:
2013 - 2018 and Beyond
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CBD Identified Initiatives
ePortfolio
For Residents
For Fellows
Assessment
In-Training
Competency-Based
Assessment
In-Practice
Competency-Based
Assessment
Accreditation
Redesign Policy:
Outcome-Based
Focus
Change Exam
Governance
CBME
Re-Engineer
Accreditation
Process
Create Competency
Framework & Milestones
(Generic & Speciality-Specific)
Re-Engineer
Exam Delivery
Develop
Exam Content
Credentialing
Redesign Policy:
Competency-Based
Focus
CanMEDS 2015
Re-Engineer
Credentialing
Process
Deliver Cohorted
Roll-Out
Affirmation of Continued Competence
Faculty Development and Faculty/Education Support
Lifelong Learning
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CBD Priority Initiatives
• Define Milestones:
• CanMEDS 2015 Framework
• Specialty-specific milestones 2014-2018
• Build supporting tools and enablers which
integrate across all systems:
• ePortfolio and eLog
• Faculty development and educational tools
• Pilot processes/tools with early adopter
specialties and medical schools
• Create the specialty-specific milestones
• Build and test infrastructure
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CBD Priorities Initiatives con’t
• Plan reengineering of exams, credentialing
and accreditation;
• Build multi-year plan and detailed plan for
2014-15; and
• Consult, communicate, continuously
improve.
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Your Input Matters
How can we improve the CBD Program?
Let us know at:
• cbd@royalcollege.ca
• www.facebook.com/TheRoyalCollege
• https://twitter.com/Royal_College
Want more information? Visit:
• www.royalcollege.ca
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