Accreditation and CBD alignment
Why do we need to change the accreditation process?
The current accreditation system is time based. Competence by Design (CBD), the Royal College’s iteration of a competency-based approach to medical education (CBME), goes beyond assessment at the end of residency to create an environment where all aspects of a learner’s performance are continually evaluated.
What happens when you change to CBME?
As we transition to CBD, we must also reform accreditation to ensure the system runs smoothly.
Why not just change at happens when you change to CBME?
CBD is outcomes-based education so it requires outcomes-based accreditation. Both the standards and the process need to evolve to ensure faculties of medicine and programs can continually improve the quality of Canadian residency education.
Like CBD, why don’t you change accreditation by cohorts/discipline?
Changing accreditation by cohort/discipline would mean both the new and old systems running concurrently. This would mean a lot more work.
Why is phased implementation by institution better?
Phasing in accreditation by university is better because it will be less complex. It will mean less work and potential for confusion for stakeholders. The new accreditation system works with both CBD and non-CBD models. It will also support universities by providing new tools to enhance the quality of their programs as they transition to a competency-based approach to medical education.