Competence By Design (CBD)

Competence by Design (CBD) is the Royal College of Physicians and Surgeons of Canada’s major change initiative to reform the training of medical specialists in Canada, based medical education (CBME).

The objective of CBD is to ensure physicians graduate with the competencies required to meet local health needs. It aims to enhance patient care by improving learning and assessment in residency. You can learn more on the RCPSC website.

CBD Stages

Stages	Duration
Transition to Discipline (TOD)	~13 blocks
Foundations of Discipline (FOD)	TBD
Core of Discipline (COD)	TBD
Transition to Practice (TTP)	TBD

Roll-out of CBD for the Diagnostic Radiology program at the University of Toronto commences for incoming PGY1s on July 1, 2022.

Entrustable Professional Activities (EPAs)

Transition to Discipline (TTD)

Foundations of Discipline (FOD)

Core of Discipline (COD)

Transition to Practice (TTP)

EPA Primers

Transition to Discipline (TTD)

Foundations of Discipline (FOD)

Core of Discipline (COD)

Transition to Practice (TTP)

Rotation Cards

Rotation Plans

Transition to Discipline

Quick Links

The University of Toronto uses Elentra for logging all EPAs. If you are having issues with Elentra, please contact PGME here.

The University of Toronto PGME office has created an excellent resource for CBME/CBD resources including:

Please see the most recent Competence by Design Faculty Development workshop recording at the link here (passcode: 0h*rgE6=@6)