Competence by Design
Resources

Whether you are new to Competence by Design (CBD) or already starting your journey to a competency-based training program, use this at-a-glance listing of materials to help orient you in your role. These resources have been curated to help you easily identify key information that can be used over time to build capacity in understanding the various elements and impacts of CBD within the resident learning environment.


■ The following resources are based on the selected role
Resource Description Group Learning Self Learning - 10 minutes + 10 minutes
INTRODUCTION TO COMPETENCE BY DESIGN
CBD Competence Continuum (PDF) Document (1 page) ● ●
CBD Launch Schedule Webpage ● ●
CBD Essential Requirements (May 2023) Document (5 pages) ● ●
Program Directors' Handbook eBook ● ●
Competence by Design for Program Directors: A practical resource Online module ● ●
Ready to Teach CBD: A Resident's Orientation to CBD Powerpoint ● ●
The Role of Time in CBD Document (6 pages) ● ●
6 Ways CBME Leads Support You Document (1 page) ● ●
ASSESSMENT
CBD Observation Templates, EPA Pathway Documents Webpage ● ● ●
CBD for Program Directors: Develop an Assessment Plan Online module ● ●
Milestones and Entrustable Professional Activities (EPAs) (updated October 2024) Powerpoint ● ●
Workplace-based assessment (Chapter 26 of the Program Directors' Handbook) eBook ● ●
Workplace-Based Assessment Practical Implications (updated November 2024) Powerpoint ● ●
Entrustability Scales: WBA Rating Anchors to Trust Online module ● ●
COMPETENCE COMMITTEES
Introduction to Competence Committees Powerpoint ● ●
Technical Guide: Competence Committees (updated December 2022) Document (4 pages) ● ●
Residents: Top Ten Things to Know about Competence Committees Document (4 pages) ● ●
Understanding Competence Committees (Chapter 23 of the Program Directors' Handbook) eBook ● ●
CBD for Program Directors: Set up a competence committee Online module ● ●
Competence Committee Case Scenarios Online module ● ●
COACHING AND FEEDBACK
CBD Coaching Model PowerPoint ● ●
CBD Coaching Model Document (2 pages) ● ●
Role modelling in residency education (Chapter 24 of the Program Directors' Handbook) eBook ● ●
The role of coaching in residency education (Chapter 25 of the Program Directors' Handbook) eBook ● ●
Coaching to Competence: RX-OCR Online module ● ●
Coaching Over Time Online module ● ●
First Coaching over Time Meeting: Setting the Stage for Success Online module   ● ●
Co-Creating Resident Learning Plans Online module   ● ●
POLICIES AND GUIDELINES
The Application of ‘Overlap Training’ in Competence by Design (double-counting) Royal College policy ● ●
Applying new versions of specialty-specific standards (EPA versioning) Royal College policy ● ●
Technical Guide: Applying standards when a program has both time-based and CBD trainees Policy guidance ● ●
Technical Guide: Transfers Policy guidance ● ●
Technical Guide: Exam Readiness (updated December 2022) Policy guidance ● ●
Technical Guide: Leaves Policy guidance ● ●
Storage of CBD assessment data Policy guidance ● ●

Anything missing? If you’re looking for a particular resource that is not listed here, let us know and we will send it to you by email and add it to this page. Thanks for helping us serve you better.

Acknowledgements:

The Royal College would like to thank the following individuals for their assistance in developing this resource: Jolanta Karpinski, MD, FRCPC, Adelle Atkinson, MD, FRCPC Anna Oswald, MD, MMEd, FRCPC, Linda Snell MD, MHPE, FRCPC and Jason R. Frank, MD, MA (Ed.), FRCPC.