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CanMEDS 2015:
Evolving the CanMEDS Framework
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Prelude: CBD and CanMEDS 2015
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Our Fellows tell us that we
do a good job, but that we
can always do better to

ensure competence in the
next generation; and

provide high quality
training programs.


Prelude: CBD and CanMEDS 2015
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One of these is not like the others
Time-based Achievement Achievement
Prelude: CBD and CanMEDS 2015
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How can we ensure our graduates are
competent in all needed domains?

The Answer: CBD
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Competence by Design (CBD) is
focused on the learning continuum from the
start of residency to retirement;
based on a competency model of education
and assessment; and
designed to address societal health needs
and patient outcomes.
Why CBD? Why Now?
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The CBD program will:
Align medical education with the evidence-based
recommendation developed by the Future of
Medical Education in Canada Postgraduate
(FMEC-PG) project.
Support the development, implementation, and
evaluation of competency-based,
learner-focused education to meet the
diverse learning needs of residents and
the evolving health care needs of Canadians.
Reflect, and respond to, the world-wide movement
towards competency-based medical education.

Why CBD? Why Now? cont
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By focusing on learning rather than time,
CBD will enable our MedEd system to
assess for competence, but teach for excellence;
ensure physicians skills and abilities evolve throughout
practicepotentially reducing medical errors;
respond to changing patient and societal needs;
address gaps in the current system, like the failure to
fail culture of resident education;
reduce burden on Faculties, promoting smoother
credentialing and accreditation; and
increase accountability and promote transparency in
training.
Connecting CBD and CanMEDS
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As part of the Competence By Design (CBD)
program, the Royal College has launched a
project to update the existing CanMEDS
Framework entitled CanMEDS 2015.
CanMEDS 2015:
Planned Updates
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Introduce new element milestones to
mark the progression of a competence
Emphasis on the continuum
Integrate new content and themes
(e.g. patient safety)
Create new faculty development
resources and tools


CanMEDS 2015:
Planned Updates
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CanMEDS 2015:
Desired Outcomes
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Practical framework to
support competence
across the continuum
of a physicians career.
Robust implementation
plan to support Fellows
and medical educators
with the roll-out of
CanMEDS 2015.
Planned Updates:
Milestones and CBD
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Reflect advances of the past
decade, ensuring teaching
methods address the realities of
today (e.g. patient safety).
Introduce milestones across the
continuum of medical education
(from residency to retirement).

By updating the framework, CanMEDS 2015 will:
CanMEDS 2015:
What Are the Benefits?
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Educators will be able to:
Identify progress of learners at different stages of training;
Provide guidance to address identified gaps in learning;
Employ better standards for assessment; and
Benefit from newly created faculty development tools
and resources.

Learners will be able to:
Follow a clear and transparent roadmap that promotes
learning and growth at each stage of training and
throughout practice.

CanMEDS 2015:
How the Changes Will Happen
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CanMEDS 2015:
Who Will Lead these Changes
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CanMEDS 2015:
Who Will Lead these Changes
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Expert Working Groups (EWGs):
Assembled around the seven CanMEDS Roles.
Group formed to develop new Patient Safety content.
Integration Committee:
Formed to integrate EWGs output into cohesive drafts.
Drafts to be used during consultation and review.
Will incorporate feedback into final, updated Framework.

National Advisory Committee:
Provides strategic direction and input on overall initiative.
Includes representatives from wide range of key
stakeholders and partner organizations, including
international.

Changes to the CanMEDS Framework will impact all levels of
medical education. Weve begun a comprehensive
consultation process to ensure we get it right.
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CanMEDS 2015:
Whats Been Done
Data analysis is underway and will shape the work of the CanMEDS
2015 EWGs.
Consultations to date include:
National Online Survey
Conducted in May-June to gather feedback on the current
CanMEDS Framework.
Release of the data gathered will begin in November 2013.
ICRE Town Hall:
Town Hall held at the International Conference on Residency
Education (ICRE) in September 2013.
Attendees learned about the proposed changes
and provided input through an interactive setting.
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CanMEDS 2015:
Whats Been Done cont
CanMEDS 2015:
You Can Still Provide Input
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CanMEDS 2015 Webinars
Sessions will provide CBD and CanMEDS 2015 overview and give
participants the chance to ask questions and offer input.
Letters
Feedback was requested from key partners (including all those
represented on the CanMEDS 2015 NAC).

Social Media
Share feedback and get the latest news and updates via
twitter.com/Royal_College and at facebook.com/TheRoyalCollege.
E-mail
Have a comment? Send it to canmeds@royalcollege.ca.

Further formal consultations
Additional consultations will occur in winter/spring 2014,
when the draft framework is released for review.




CanMEDS 2015: Next Steps
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In the coming months:
The CanMEDS 2015 EWGs will release preliminary
reports to their respective ePanels, to gather input
and ensure they are on the right track.
The release of the final results from the
National Online Survey will begin in November 2013.
Final reports from the EWGs will be submitted to the
Royal College Integration Committee and 2015
National Advisory Committee in December 2013.
Input information on release of next draft and input
will begin in February 2014.

CanMEDS 2015: Next Steps
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By 2015:
Final production, translation and
publication of framework.
Launch CanMEDS 2015 and faculty
support tools in September.
CanMEDS 2015: Next Steps
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Beyond 2015:
By its nature, the CanMEDS Framework
is evergreen, and it will continue to be
reviewed and revised beyond 2015 to
ensure it meets the needs and realities
of physicians.
We are committed to providing ongoing
support, including in areas such as
specialty-specific implementation and
faculty development.
Your Input Matters
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You can still have your say!

Share your input with the Royal College via:

canmeds@royalcollege.ca
www.facebook.com/TheRoyalCollege
https://twitter.com/Royal_College

Plus, stay tuned for more information on the next
round of form consultations.