Meantime Guide: Sharing the “Big”
Picture
Develop a vision of competency based medical education – the “big picture” by
defining what Competence by Design means locally for your learning program.
Rationale
Competence by Design is the Royal College’s change initiative to transform residency education
and assessment practices including the exam process, the residency accreditation and
credentialing system, and continuing professional development. This competency-based
approach is not only transforming the way we teach medical education, it is changing our
performance expectations of learners. CBD is intended to enhance the abilities of graduates and
the patient care they provide in residency and throughout their practice lifetime. In order to
inspire our colleagues to give time, support and energy to a change initiative as complex and as
challenging as CBD, we must promote understanding and embracing the vision for the change.
This action will help you define a local vision of CBD that shows why CBD is necessary and what
the benefits are for you, your staff and colleagues personally and for your residency program
overall.
Steps
1. Start a dialogue

Invite local CBD champion(s) to host a face-to-face CBD dialogue and share the rationale for
CBD:
o
What is competency based medical education (CBME) and how does
Competence by Design (CBD) support this educational concept?
o
Why change? What needs to change?
o
What outcomes do we want?
o
What are the impacts on people and the program?
o
Who are the target audiences?

Invite colleagues to develop talking points about CBME and to engage in discussions about
how CBD supports physicians learning throughout their career

Tweet your findings or post talking points on LinkedIn & Facebook
2. Improve your knowledge and skills as a CBD Champion

Read our CBD Rationale

Attend a free CBD webinar

Download the Big Pictures from Collaborating to Draw the Big Picture: Discussions around
Competency-Based CPD

Watch the Video: What excites you about CBD?
o

Identify one aspect of CBD that excites you to take action for change
Invite an expert to rounds
© 2015 The Royal College of Physicians and Surgeons of Canada. All rights reserved.
Page 1 of 2
Meantime Guide: Sharing the “Big” Picture
3. Facilitate peer-to-peer conversations about the coming changes

Champion how CBD/CBME can better address the educational needs of learners

Help others understand the need for change by sharing examples from CBD champions
4. Build your CBD network

Develop forums/mechanisms to build your local CBD network

Create a series of CBD dialogues (meetings, town halls, web discussions, blogs, videos) that
disseminate concepts of CBME and CBD throughout your residency program

Incorporate facilitated breakout sessions (or online equivalent) to allow people to interact
with CBD and to provide feedback
5. Become an advocate for CBME and CBD

Coach people about CBME (in collaboration with local CBD champions supported by the
Royal College):
o
To personalize the change
o
To embody and share the CBD vision
o
To enrol and engage others
6. Practise new behaviours

Share and make explicit the CBD Design directions, emphasizing and role modelling new
behaviours for others

Tap into Royal College resources to encourage people to begin practising these new
behaviours now and to share any current practices which are aligned with the new
behaviours
Resources

Royal College leaders and champions as coaches and mentors

CBD tools and resources

CBD Community Touchpoint

Webinars

Video: What is the value of CBD?

Video: How will the Royal College implement CBD?

Competence by Design info sheet

Competence by Design speaking points

Discussions on Competency based CPD

Faculty Development presentations for Cohort 1 (available soon)
© 2015 The Royal College of Physicians and Surgeons of Canada. All rights reserved.
Page 2 of 2