Competence by Design (CBD) Session Speaker, Date

1. Competence by Design (CBD)SessionSpeaker, Date

2. Help Us Spread the News • 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

3. 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.

4. 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.

5. 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;

6. Principles for Implementation con’t • Streamline workload: focus on reducing ineffective activities freeing time and resources; • Continuous improvement: continuousadjustments 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.

7. Overall Approach to CBD Multi-year program • Phase 3 & 4 • 3 & 4 run concurrently • Stakeholder feedback & engagement essential • Consultations willsupport implementation • Implementation willfeed consultations Phase 2 Complete Phase 1 Complete

8. CBD Roadmap: 2013 - 2018 and Beyond

9. CBD Identified Initiatives ePortfolio For Fellows For Residents Assessment In-Training Competency-Based Assessment In-Practice Competency-Based Assessment Change Exam Governance Re-EngineerExam Delivery Develop Exam Content CBME Credentialing Accreditation Redesign Policy: Outcome-Based Focus Re-Engineer Accreditation Process Redesign Policy: Competency-Based Focus Re-Engineer Credentialing Process CanMEDS 2015 Create Competency Framework & Milestones (Generic & Speciality-Specific) Deliver CohortedRoll-Out Affirmation of Continued Competence Faculty Development and Faculty/Education Support Lifelong Learning

10. CBD Priority Initiatives • Define Milestones: • CanMEDS 2015 Framework • Specialty-specific milestones 2014-2018 • Build supporting tools and enablers which integrate across all systems: • ePortfolioand 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

11. 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.

12. 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