Royal College to announce adaptations to Competence by Design in 2023
The Royal College of Physicians and Surgeons of Canada launched Competence by Design (CBD) in 2017 to deliver on our mandate to the Canadian public to oversee the system that produces competent specialist physicians who can deliver the highest standards of care.
As we reach year five of implementation, our evaluation activities and conversations with systems partners provide clear signals about persistent challenges related to CBD. While we remain confident in the merits of embracing competency-based medical education (CBME) in Canada and are committed to the implementation across all specialties, we also accept and acknowledge that significant unintended impacts and administrative burdens are being experienced by many in the system. We will be looking at adaptations to address these while also considering the current challenging care delivery models and shortages in health human resources.
Taking action to alleviate pressures
Early in 2023, we will work towards clearly specifying the minimum necessary design requirements for accreditation purposes while clarifying where programs and institutions have flexibility in the implementation of CBME.
We also acknowledge that additional changes in the model are required to improve the learner experience and address the impact on programs and faculty. We will be convening a national dialogue in the new year with our health care partners to further address the issues identified and modify our approach so that our colleagues are better supported in their implementation of CBME. In the meantime, we continue to review our emerging data to identify any immediate improvements that may be helpful.
Working in collaboration with you
Going forward, we will work with key participants to intensify data collection and interpretation to make meaningful change in a thoughtful and deliberate manner. We look forward to this important part of the CBD program.
We welcome your feedback and participation in a series of virtual town halls that we will be holding on CBD to review the most urgent challenges that require resolution and work together to define a collaborative approach to implement the changes that need to occur.
We would like to recognize the extensive work that has been done to date in collaboration with thought leaders across the country who have made significant contributions to the design of CBD and to the ongoing conversation of what it means to be a specialist in the 21st century and how to ensure that educational requirements adapt to evolving societal expectations.
We remain committed to collaboration in the ongoing improvement of the residency training experience for all.