Competency-based medical education is gaining traction as a solution to address the challenges associated with the current\ntime-based models of physician training. Competency-based medical education is an outcomes-based approach that involves\nidentifying the abilities required of physicians and then designing the curriculum to support the achievement and assessment\nof these competencies. This paradigm defies the assumption that competence is achieved based on time spent on rotations and\ninstead requires residents to demonstrate competence. The Royal College of Physicians and Surgeons of Canada (RCPSC) has\nlaunched Competence by Design (CBD), a competency-based approach for residency training and specialty practice. The first\nresidents to be trained within this model will be those in medical oncology and otolaryngology-head and neck surgery in July,\n2016. However, with approval from the RCPSC, the Department of Anesthesiology, University of Ottawa, launched an innovative\ncompetency-based residency training program July 1, 2015. The purpose of this paper is to provide an overview of the program and\noffer a blueprint for other programs planning similar curricular reform. The program is structured according to the RCPSC CBD\nstages and addresses all CanMEDS roles. While our program retains some aspects of the traditional design, we have made many\ntransformational changes.
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