Internal Medicine - CBD

Welcome to the Internal Medicine Competence by Design page.

Overview 

Competence by Design (CBD) is a Royal College of Physicians and Surgeons of Canada (RCPSC) initiative to transition postgraduate medical education and professional practice in Canada into a model of competency-based medical education.

What does that mean to you? There is a shift towards a coaching model of training in lieu of the current performance model. In the coaching model residents will be required to complete formative assessments called Entrustable Professional Activities (EPAs). EPAs are tasks of the discipline that can be delegated to a resident and observed by a supervisor. These are low-stakes assessments. You will learn more on EPAs in the Assessment Section. Here is a link to a CBD Terminology Page for more information

CBD Stages

Residency will continue being three years. The final stage will be part of the first year of subspecialty training. It will be split into four stages:

  • Transition to Discipline (TTD) 2 Blocks in PGY 1
  • Foundations of Discipline (FOD) 11 Blocks in PGY 1
  • Core of Discipline (COD) 2 years PGY 2-PGY3
  • Transition to Practice (TTP) 1 year PGY 4 (first year of subspecialty year)

The Royal College Exam will take place after the Core stage at the end of PGY3. 

Assessments, Primers and Resources

CTU Roles & Responsibilities 

IM Resident Safety Policy 

CPSO Professional Responsibilities in PGME 

LACT Paper Evaluation Form

 

Elentra Guides

Accessing Elentra & Resources - IM CBD (PowerPoint presentation)

Elentra Procedure Log User Guide

Learner Dashboard Guide

 

 

EPA Primers

All documents are in PDF format. 

    Core of Discipline (PGY2 & 3)

    EPA Assessments Mapped to Rotations

    EPA Primers

    Resident Primer

    Rotation Cards

     

     

    Rotation Transition to Discipline Foundation of Discipline Core of Discipline Transition to Practice
    Cardiology Click here Click here N/A N/A
    CCU N/A N/A Click here N/A
    Clinical Immunology & Allergy  N/A N/A Click here N/A
    Clinical Pharmacology & Toxicology  N/A N/A Click here  N/A
    Critical Care Medicine (MS-ICU) N/A N/A Click here Click here
    Dermatology  N/A N/A Click here  N/A
    Endocrinology Click here Click here Click here N/A
    Gastroenterology Click here Click here Click here N/A
    Geriatric Medicine Click here Click here Click here N/A
    GIM - Ambulatory  N/A N/A Click here Click here
    GIM - Community  N/A N/A Click here Click here
    GIM - Community  Elective N/A N/A N/A Click here
    GIM - CTU Click here FOD - Early in the stage FOD - Late in the stage COD - Early in the stage COD - Late in the stage N/A
    GIM - ED Admit N/A N/A Click here N/A
    GIM - Internal Medicine THP N/A N/A Click here N/A
    GIM - Medical Consults N/A N/A Click here Click here
    Haematology  Click here Click here Click here N/A
    Infectious Diseases Click here Click here Click here Click here
    Longitudinal Clinic N/A N/A N/A Click here
    Medical Oncology Click here Click here Click here N/A
    Nephrology  Click here Click here Click here N/A
    Neurology Click here Click here Click here Click here
    Obstetrical Medicine N/A N/A Click here Click here
    Palliative Medicine N/A N/A Click here N/A
    PGY4 Lead Competence Committee N/A N/A N/A Click here
    QI Project N/A N/A N/A Click here
    Respirology Click here Click here Click here N/A
    Rheumatology Click here Click here Click here N/A

     

     

    Rotation Plans

     

    Rotation Plan
    Cardiology Click here
    CCU Click here
    Clinical Immunology & Allergy Click here
    Clinical Pharmacology & Toxicology Click here
    Critical Care Medicine (MS-ICU) Click here
    Dermatology Click here
    Elective Click here
    Emergency Medicine Click here
    Endocrinology Click here
    Gastroenterology Click here
    Geriatric Medicine Click here
    GIM - Community Click here
    GIM - CTU - Junior Click here
    GIM - CTU Senior / Consults Experience Click here
    GIM - ED Admit / Ambulatory Click here
    GIM - Hospitalist Click here
    GIM - Internal Medicine THP Click here
    GIM - Medical Consults Click here
    Haematology Click here
    IM4 Ambulatory Click here
    IM4 Critical Care Click here
    IM4 GIM Community Click here
    IM4 Infectious Diseases Click here
    IM4 Longitudinal Clinic Click here
    IM4 Medical Consults Click here
    IM4 Neurology Click here
    IM4 Obstetrical Medicine Click here
    Infectious Diseases Click here
    Medical Oncology Click here
    Nephrology Click here
    Neurology Click here
    Obstetrical Medicine Click here
    Palliative Care Click here
    Research Click here
    Respirology Click here
    Rheumatology Click here