Internal Medicine - CBD

Welcome to the Internal Medicine Competence by Design page.

Overview 

Competence by Design (CBD) is a Royal College of Physicians and Surgeons of Canada (RCPSC) initiative to transition postgraduate medical education and professional practice in Canada into a model of competency-based medical education.

What does that mean to you? There is a shift towards a coaching model of training in lieu of the current performance model. In the coaching model residents will be required to complete formative assessments called Entrustable Professional Activities (EPAs). EPAs are tasks of the discipline that can be delegated to a resident and observed by a supervisor. These are low-stakes assessments. You will learn more on EPAs in the Assessment Section. Here is a link to a CBD Terminology Page for more information

CBD Stages

Residency will continue being 3 years. The final stage will be part of the first year of subspecialty training. It will be split into 4 stages:

  • Transition to Discipline (TTD) 4 Blocks in PGY 1
  • Foundations of Discipline (FOD) 9 Blocks in PGY 1
  • Core of Discipline (COD) 2 years PGY 2-PGY3
  • Transition to Practice (TTP) 1 year PGY 4 (first year of subspecialty year)

The Royal College Exam will take place after the Core stage at the end of PGY3. 

Assessments, Primers and Resources

Accessing Elentra & Resources - IM CBD (PowerPoint presentation)

 

EPA Primers

All documents are in PDF format. 

    Core of Discipline (PGY2 & 3)

    EPA Assessments Mapped to Rotations

    EPA Primers

    Resident Primer

    Rotation Cards

    Rotation Transition to Discipline Foundation of Discipline Core of Discipline
    Cardiology Click here Click here N/A
    CCU N/A N/A Click here
    Clinical Allergy and Immunology  N/A N/A Click here

    Clinical Pharmacology & Toxicology 

    N/A N/A Click here 
    Critical Care Medicine (MS-ICU) N/A N/A Click here
    Dermatology  N/A N/A Click here 
    Endocrinology Click here Click here Click here
    Gastroenterology Click here Click here Click here
    Geriatric Medicine Click here Click here Click here
    GIM - Ambulatory  N/A N/A Click here
    GIM - Community  N/A N/A Click here
    GIM - CTU Click here

    FOD - Early in the stage

    FOD - Late in the stage

    COD - Early in the stage

    COD - Late in the stage

    GIM - ED Admit N/A N/A Click here
    GIM - Internal Medicine THP N/A N/A Click here
    GIM - Medical Consults N/A N/A Click here
    Haematology  Click here Click here Click here
    Infectious Diseases Click here Click here Click here
    Medical Oncology Click here Click here Click here
    Nephrology  Click here Click here Click here
    Neurology Click here Click here Click here
    Obstetrical Medicine N/A N/A Click here
    Palliative Medicine N/A N/A Click here
    Respirology Click here Click here Click here
    Rheumatology Click here Click here Click here