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An iterative and adaptive approach to CBD implementation

There is no “one size fits all” approach to CBD implementation. We understand that each program and faculty has its own unique challenges, opportunities and timeframe. We commit to an iterative and thoughtful implementation approach which enables co-creation and mutual learning with our partners and Fellows.

“When I think of the future, I want a physician who is knowledgeable, self-reflective and self-motivated; adept with technology tools, a good communicator and an advocate for my needs — that’s the kind of doctor I want looking after me and my family. CBD will help educators incorporate these competencies into the intrinsic roles and expertise of physicians of the future.”

Tamara Shenkier, MDCM, FRCPC; member of the Royal College Specialty Committee in Medical Oncology; medical oncologist at the BC Cancer Agency


Proposed CBD Adoption Schedule

We anticipate that all specialty and subspecialty programs in Canada will adopt CBD in gradual phases. All disciplines (divided into seven Cohorts) will begin their transition to CBD each year until 2022.


First CBD adopters


Cohort One

Medical Oncology and Otolaryngology – Head and Neck Surgery will be field testing many aspects of CBD in 2016.

We anticipate that they will integrate CBD in July 2017*, which means that residents entering into these programs in July 2017 and beyond will likely experience CBD based training and assessment.

* The full integration of CBD into residency training will only occur when the Specialty Committee, program/university representatives and the Royal College agree that the discipline is ready for the change. If the discipline is not ready, the partners will discuss adjusting the implementation timelines. The date of full implementation will be broadly shared with all residents, faculty and programs.


Cohort Two

The disciplines scheduled as part of Cohort Two (Anesthesiology, Forensic Pathology, Gastroenterology, Internal Medicine, Surgical Foundations, and Urology) will also integrate CBD into their teaching and assessment practices in 2017.

  • Residents entering into these programs in July 2017 and beyond will likely experience CBD based training and assessment (contingent upon the sign-off of the discipline Specialty Committee, program/university reps. and the Royal College).

Work of CBD adopters

Adoption of CBD starts with the specialty committee of each discipline (along with program directors, clinician educators, continuing professional development experts and invited guests). For approximately two-years, they collaborate with the Royal College to

Once these activities are complete (about two-years after the specialty committees begin working on CBD) residents entering into the program begin experiencing aspects of the CBD model of assessment and learning.

  • Medical Oncology and Otolaryngology – Head and Neck Surgery – began collaborating with Royal College in 2014.
    • In 2016 they will field test aspects of CBD.
    • In 2017, we anticipate they will integrate CBD into their programs for year one residents and all residents thereafter.

As each discipline adopts CBD, they’ll showcase what works – and more importantly – what doesn’t work. This information will let us validate our implementation approach with our partners, ensure it works for each specific context – and adjust and refine as needed.

To share your thoughts on implementation, contact cbd@royalcollege.ca.