Issue No. 6 -  Competency-Based Curricula 
                      & Assessment Systems
November 4, 2015
Moving from Time towards Competency: Competency-Based Curricula & Assessment Systems

"In their own words":  FMEC PG's
recommendations 4 and 6

" The Royal College's transformational initiative to introduce competency based medical education to speciality training and practice reflects and supports the recommendations of the FMEC PG project. Through this initiative, called Competence by Design (CBD), we are working collaboratively with our partners in medical education to create a system which better prepares 
residents for independent practice, better supports 
practicing physicians to maintain and enhance their clinical skills and, ultimately, improves performance and patient care. The foundation of CanMEDS 2015, launched at ICRE this year, will facilitate the introduction of a competency based system of medical education ans assessment."

- Ken Harris, Royal College 
@ ka_harris1

"The College of Family Physicians of Canada has implemented its Triple C Competency based curriculum in each of the 17 medical schools in Canada. Embedded within Triple C is the implementation of a program-wide in-training assessment process. This process supports progressive measurement of assessment enabling decisions to be made on readiness to practice using the evaluation objectives in Family Medicine and CanMEDS-FM. The CFPC has committed to  r igorously evaluating Triple C through its program evaluation plan and our in-training assessment and certification processes through an international expert review."

- Pamela Eisener-Parsche, CFPC
About the FMEC PG Implementation Project
The Future of Medical Education in Canada Postgraduate (FMEC PG) Implementation Project is helping to ensure that medical residents in this country continue to receive the best training possible and are able to meet the changing healthcare needs of Canadians.

The FMEC PG Implementation Project is funded by Health Canada and a consortium of four organizations: The Association of Faculties of Medicine of Canada (AFMC), The College of Family Physicians of Canada (CFPC), Le Collège des médecins du Québec (CMQ) and The Royal College of Physicians and Surgeons of Canada (The Royal College).

To see the full recommendation and transformative actions, please consult the FMEC PG Collective Vision.
Reflections from  Dr. Nick Busing, Project Lead

The implementation of competency based medical education (CBME) is in full swing, under the leadership of CFPC (Triple C Curriculum) and the Royal College (CBD).  This is a bold move, with the ultimate goal of producing a fully competent physician who can learn at his/her pace and will not necessarily be tied to only a time based curriculum. I say "not necessarily be tied to only a time based curriculum" because the reality going forward is that likely we will have to strive for a hybrid- one that recognizes learners can move through their education at different rates, but one which also recognizes that the time based rotation will likely have to be preserved to some extent in order to meet both the service and education roles of our learners and to provide continuity of care to our patients.
The full impact of the changes that CBME introduces will not be realized for a number of years. Many unanswered questions will persist while implementation occurs. Will it lengthen training? Will it lend itself to more effective evaluation tools and strategies? Will it produce a more competent physician? Will it maintain the right balance of skills in our graduates, ones that reflect all the CanMEDS and CanMEDS-FM roles? Will it drive us towards a new model of care delivery in our hospitals?
If we provide a careful rollout of CBME we can hopefully address all these issues as we move along. It will take a huge collective effort.

D r. Nick Busing led transformative change from 2005-2013 as President and CEO of the Association of Faculties of Medicine of Canada. Prior to joining AFMC, Dr. Busing spent 20 years at the University of Ottawa's Faculty of Medicine. He is a past president of the CFPC and a past chair of the Canadian Medical Forum.