ED Rounds – September 2018
Competency-based medical education (CBME) is an outcomes-based approach to the design, implementation, assessment, and evaluation of a medical education program using an organizing framework of competencies.
Competence by Design (CBD) is the Royal College’s version of CBME. It is a transformational change initiative designed to enhance CBME in residency training and specialty practice in Canada.
The first stage in residency is known as Transition to discipline. It emphasizes the orientation and assessment of new trainees. Foundations of discipline, the second stage, covers broad-based competencies that every trainee must acquire before moving on to the third stage, which is known as Core of discipline. The third stage covers more advanced, discipline-specific competencies. As part of CBD, the Royal College is also exploring moving the Royal College exam to the end of this stage.5 The fourth and final stage of residency education is known as Transition to practice. During this stage the trainee demonstrates readiness for autonomous practice
RCPSC 2016
Dr. Talbot’s Presentation
Competence by Design – Are You Ready?
Competency by Design Are You Ready? Dr. Jo-Ann Talbot – 2018
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Further Reading
CBD Cheatsheet
Emergency Medicine – Entrustable Professional Activities
Entrustable Professional Activity Guide: Emergency Medicine
EPA-guide-emergency-medicine RCPSC 2018
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