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Competence by Design (CBD)Session

Speaker, Date

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•This presentation has been developed for your use:• Share and/or incorporate these slides as

needed, simply source the Royal College• All text, images and logos contained herein

are the property of Royal College of Physicians and Surgeons of Canada

•Questions? Email cbd@royalcollege.ca

What is Competence by Design(CBD)?

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• 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.

Why CBD? Why Now?

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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.

Principles for Implementation

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• 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;

Principles for Implementation con’t

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• 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.

Overall Approach to CBD

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Multi-year program

1. RC Strategic Plan

2. Develop the CBD

To-Be Plan

3. Strategic Consultatio

n

4. Execution

Phase 1Complete

Phase 2 Complete

Phase 3 & 4• 3 & 4 run concurrently• Stakeholder feedback &

engagement essential• Consultations will

support implementation• Implementation will

feed consultations

CBD Roadmap: 2013 - 2018 and Beyond

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CBD Identified Initiatives

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CanMEDS 2015

Assessment

Lifelong Learning

Create Competency Framework & Milestones

(Generic & Speciality-Specific)

In-Training Competency-Based

Assessment

In-Practice Competency-Based

Assessment

Accreditation Credentialing

ePortfolio

Redesign Policy: Outcome-Based

Focus

Faculty Development and Faculty/Education Support

Redesign Policy: Competency-Based

Focus

CBMERe-Engineer Accreditation

Process

Re-Engineer Credentialing

Process

Deliver Cohorted Roll-Out

Change Exam Governance

Re-Engineer Exam Delivery

Develop Exam Content

For Residents For Fellows

Affirmation of Continued Competence

CBD Priority Initiatives

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• 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

CBD Priorities Initiatives con’t

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• Plan reengineering of exams, credentialing and accreditation;

• Build multi-year plan and detailed plan for 2014-15; and

• Consult, communicate, continuously improve.

Your Input Matters

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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