1. CBME and CanMEDS 2015 Susan Glover Takahashi, MA, PhD Laura Leigh Murgaski, MScCH Lisa St. Amant Jesse Montgomery Kim O’Hearn

2. OVERVIEW 2 1.Welcome & Introductions 2.Competency Based Medical Education 101 3.CanMEDS 2015 Roles 4.Roles Worksheet 5.CanMEDS 2015 Tools 6.Tools Worksheet

3. OBJECTIVES Orientation to Competency Based Medical Education Explore CanMEDS 2015 roles Become familiar with the CanMEDS Teaching and Assessment Tools Guide Identify opportunities for and the logistical implications of integrating CanMEDS tools into residency training 3

4. CBME 101 Competency Based Medical Education 4

5. 5 MAP VIEW FROM 30,000 FEET What is REALLY different in CBE or CBD?

6. 6 WHAT IS COMPETENCY-BASED EDUCATION (CBE)? CBE is an educational model that is: oriented to outcomes tracks learners progress and performance based on the needs of the learner, more accountability and flexibility focused on achieving skills and performance (vs. time spent in training)

7. 7 CANMEDS 2015 – WHAT’S NEW 80 – 90% SAME 10 – 20% changes Simpler, more direct language Competence as a continuum Overlapping areas minimized Added SAMPLE ‘milestones’ toward competencies Leader (vs Manager) More emphasis on patient safety, physician health, leadership

8. 8 WHAT IS COMPETENCY BY DESIGN (CBD)? Royal College application of CME principles A hybrid model of CME Specialty by specialty roll out

9. CBD Competence Continuum 13

10. 10 MILESTONES Milestones are descriptions of the abilities expected of a trainee or physician at a defined stage of professional development. PURPOSE Marking the progression of competence Defined targets to guide learning and assessment Can be used to develop benchmarks for progress or promotion

11. 11 ENTRUSTABLE PROFESSIONAL ACTIVITIES (EPAS) ‘a critical part of professional work that can be identified as a unit to be entrusted to a trainee once sufficient competence has been reached’ (ten Cate, 2006)

12. 12 CONCEPTS FOR CBD 1. ROLE OF ASSESSMENT ASSESSMENTS FOR LEARNING ASSESSMENTS OF LEARNING 2. COACHING AND FEEDBACK

13. 13 Cases Orthopedic Surgery Palliative Medicine Psychiatry Diagnostic Radiology ObGYN Surgical Foundations Family Medicine

14. 14 Implementation at U of T 1.Communication- residents, faculty, PGME office 2.Policy review- 3.Support to program- 4.Faculty development & admin support 5.Alignment & refinement

15. 15 6 MOST ESSENTIAL FEATURES OF SUCCESSFUL CURRICULAR CHANGES 15 Bland et al, June 2000

16. CANMEDS 2015 CanMEDS 2015 Roles 16

17. WHAT YOU WILL FIND … Connection to what you already know Improvements not reinvention Emphasis on overall coherence Simpler, more direct, language to help clarify what is being taught and what is being assessed Some concepts are re-framed or changed i.e. Manager to Leader, focus on stewardship

18. WHAT YOU WILL FIND … Integration of New Themes: Focus on outcomes Clinical and health system quality improvement Patient Safety E-Health Handover and care-transition competencies

19. Standardized Chapter Anatomy 19 1.Why the Role matters 2.What the Role looks like in daily practice 3.Preparing to teach the Role 4.Hints, tips, and tools for teaching the Role 5.Hints, tips, and tools for assessing the Role 6.Suggested resources 7.Other resources 8.Sample tools (directory of teaching and assessment Tools)

20. What you will find Ready-to-use resources: Photocopy information and tools Need a different context? Quickly customize through accessing word documents on the Royal College website

21. The Start of your Journey

22. CANMEDS 2015 ROLES WORKSHEET CanMEDS 2015 Roles 22

23. WORKSHEET 1 INSTRUCTIONS 23 1.Review your assigned role in the CanMEDS 2015 Framework and the summary sheet provided. 2.Select a recorder from your group to take notes. 3.Complete the handout with 2-3 points in each section 4.Present back to the larger group

24. QUESTIONS? CanMEDS 2015 24

25. TEACHING AND ASSESSMENT TOOLS CanMEDS 2015 Tools 25

26. TOOLS RESOURCES 26 Teaching and assessment tools organized by role Teaching vs. Assessment tools Encounter Forms Multisource Feedback Forms Case reports OSCEs Coaching Tools Guided reflection

27. TOOLS RESOURCES 27 Teaching and assessment tools organized by role Teaching vs. Assessment tools Mix and match roles in one tool

28. TOOLS RESOURCES 28 Entrustable Professional Activities will require new and more frequent assessments Assessments will occur at specific points Collection of data to make promotion decisions

29. TOOLS WORKSHEET CanMEDS Teaching & Assessment Tools Guide 29

30. WORKSHEET 2 INSTRUCTIONS 30 1.Review samples & instructions 2.Brainstorming questions 3.Present your ideas to the larger group

31. QUESTIONS? 31

32. Thanks! 32 Questions about accreditation contact pgmecoordinator@utoronto.ca Questions about CBME contact cbme.pgme@utoronto.ca cbme.pgme@utoronto.ca