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Cohort transformation under CBD

Each discipline officially begins their transition to Competence by Design (CBD) by attending the first of three workshops at the Royal College during their assigned cohort year. The workshops are facilitated by a Royal College Clinician Educator.

Each discipline’s specialty committee members including, program directors are expected to participate. With the approval of the Royal College’s Specialties Unit, the specialty committee may invite other participants, to ensure all needed perspectives are represented. Examples may include: a Department Chair, a faculty member within the specialty who represents an important patient group, a faculty member within the specialty who has a particular area of expertise.

Each discipline’s needs will vary depending on where they are in the transition process. No matter when your official start date is, it’s never too early to start preparing for the shift to CBD. The sooner you begin preparing, the smoother the process will be. The CBD Meantime Guide is a detailed resource to help get you started.


Competence by Design Workshop One: Thinking Ahead to Implementation

Competence by Design Workshop Two: Starting on Implementation

Competence by Design Workshop Three: Focusing on Implementation


Cohort 1

Anesthesiology and Otolaryngology – Head and Neck Surgery.

2014

Specialty Committee begins working with Royal College to prepare discipline for CBD

2016

Field testing aspects of CBD

2017* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 1 discipline from this year forward will likely experience CBD-based learning and assessment (full scale integration will be contingent upon the sign-off of the discipline Specialty Committee, program/university reps. and the Royal College). As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Cohort 2

Medical Oncology, Urology, Internal Medicine, Gastroenterology, Forensic Pathology and Surgical Foundations.

2015

Specialty Committee begins working with Royal College to prepare discipline for CBD

2017* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 2 discipline from this year forward will likely experience CBD-based learning and assessment. As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Cohort 3

Neurosurgery, Cardiac Surgery, Pediatrics, Anatomical Pathology, General Pathology, Radiation Oncology, Emergency Medicine, Critical Care Medicine, General Internal Medicine and Nephrology.

2016

Specialty Committee begins working with Royal College to prepare discipline for CBD

2018* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 3 discipline from this year forward will likely experience CBD-based learning and assessment. As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Cohort 4

General Surgery, Plastic Surgery, Obstetrics and Gynecology, Physical Medicine and Rehabilitation, Nuclear Medicine, Psychiatry, Respirology, Cardiology, Rheumatology, Geriatric Medicine, Neonatal-Perinatal Medicine and Clinical Immunology and Allergy.

2017

Specialty Committee begins working with Royal College to prepare discipline for CBD

2019* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 4 discipline from this year forward will likely experience CBD-based learning and assessment. As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Cohort 5

Orthopedic Surgery, Vascular Surgery, Neuropathology, Neurology, Hematological Pathology, Hematology, Pediatric Hematology/Oncology, Pediatric Surgery, Clinical Pharmacology and Toxicology, Forensic Psychiatry, Child and Adolescent Psychiatry, Geriatric Psychiatry and Adolescent Medicine.

2018

Specialty Committee begins working with Royal College to prepare discipline for CBD

2020* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 5 discipline from this year forward will likely experience CBD-based learning and assessment. As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Cohort 6

Dermatology, Ophthalmology, Diagnostic Radiology, Medical Genetics, Public Health and Preventive Medicine, Pediatric Emergency Medicine, Gynecologic Reproductive Endocrinology and Infertility, Maternal-Fetal Medicine, Gynecologic Oncology, Infectious Diseases, Medical Microbiology and Medical Biochemistry.

2019

Specialty Committee begins working with Royal College to prepare discipline for CBD

2021* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 6 discipline from this year forward will likely experience CBD-based learning and assessment. As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Cohort 7

Colorectal Surgery, General Surgical Oncology, Thoracic Surgery, Interventional Radiology, Palliative Medicine, Pain Medicine, Developmental Pediatrics, Neuroradiology, Pediatric Radiology, Occupational Medicine and Endocrinology and Metabolism.

2020

Specialty Committee begins working with Royal College to prepare discipline for CBD

2022* and on

Residents will likely enter into a CBD-based program

*Residents entering a Cohort 7 discipline from this year forward will likely experience CBD-based learning and assessment. As each discipline adopts CBD, the overall model for implementation will be refined and enhanced to better reflect stakeholder needs.

Seven cohorts

To optimally support the CBD transition, we have carefully grouped each discipline into one of seven cohort groups. Your cohort refers to the year that you start the CBD workshops, it does not change if your CBD launch is accelerated or delayed. Each cohort of disciplines will begin their official CBD transition over the next several years in planned waves.