What is Competence by Design?
In the Competence by Design (CBD) continuum, medical trainees and specialists progress from entry to residency, four stages of residency, and independent practice until retirement. The four stages include Transition to Discipline, Foundations of Discipline, Core of Discipline, and Transition to Practice.
The main CBME page on the Royal College website has detailed and helpful information. We recommend that you peruse it for an immersive understanding of the basics of CBD.
- What is CBD?
- History: From 1829 to 2017
- Competence by Design Cheat Sheet
- Rationale for change
- Videos and advice
For a very comprehensive background of CBD and the collective efforts over the decades that have led to the implementation of CBD, read the Royal College Competence by Design: The Future of Canadian Postgraduate Medical Education White Paper Series. This can also be found on the Royal College website.
