1. Click to edit Master subtitle style CanMEDS 2015: Evolving the CanMEDS Framework

2. Help Us Spread the News 2 This presentation has been developed for your use: Share and/or incorporate these slides as needed, simply source the Royal College All text, images and logos contained herein are the property of Royal College of Physicians and Surgeons of Canada Questions? Email canmeds@royalcollege.cacanmeds@royalcollege.ca

3. Prelude: CBD and CanMEDS 2015 3 Our Fellows tell us that we do a good job, but that we can always do better to ensure competence in the next generation; and provide high quality training programs.

4. Prelude: CBD and CanMEDS 2015 4 One of these is not like the others … Time-based Achievement Achievement

5. Prelude: CBD and CanMEDS 2015 5 How can we ensure our graduates are competent in all needed domains…?

6. The Answer: CBD 6 Competence by Design (CBD) is focused on the learning continuum from the start of residency to retirement; based on a competency model of education and assessment; and designed to address societal health needs and patient outcomes.

7. Why CBD? Why Now? 7 The CBD program will: Align medical education with the evidence-based recommendation developed by the Future of Medical Education in Canada Postgraduate (FMEC-PG) project. Support the development, implementation, and evaluation of competency-based, learner-focused education to meet the diverse learning needs of residents and the evolving health care needs of Canadians. Reflect, and respond to, the world-wide movement towards competency-based medical education.

8. Why CBD? Why Now? con’t 8 By focusing on learning rather than time, CBD will enable our MedEd system to assess for competence, but teach for excellence; ensure physician’s skills and abilities evolve throughout practice—potentially reducing medical errors; respond to changing patient and societal needs; address gaps in the current system, like the “failure to fail” culture of resident education; reduce burden on Faculties, promoting smoother credentialing and accreditation; and increase accountability and promote transparency in training.

9. Connecting CBD and CanMEDS 9 As part of the Competence By Design (CBD) program, the Royal College has launched a project to update the existing CanMEDS Framework entitled CanMEDS 2015.

10. CanMEDS 2015: Planned Updates 10 Introduce new element – milestones to mark the progression of a competence Emphasis on the continuum Integrate new content and themes (e.g. patient safety) Create new faculty development resources and tools

11. CanMEDS 2015: Planned Updates 11

12. CanMEDS 2015: Desired Outcomes 12 Practical framework to support competence across the continuum of a physician’s career. Robust implementation plan to support Fellows and medical educators with the roll-out of CanMEDS 2015.

13. Planned Updates: Milestones and CBD 13 Reflect advances of the past decade, ensuring teaching methods address the realities of today (e.g. patient safety). Introduce milestones across the continuum of medical education (from residency to retirement). By updating the framework, CanMEDS 2015 will:

14. CanMEDS 2015: What Are the Benefits? 14 Educators will be able to: Identify progress of learners at different stages of training; Provide guidance to address identified gaps in learning; Employ better standards for assessment; and Benefit from newly created faculty development tools and resources. Learners will be able to: Follow a clear and transparent roadmap that promotes learning and growth at each stage of training and throughout practice.

15. CanMEDS 2015: How the Changes Will Happen 15

16. CanMEDS 2015: Who Will Lead these Changes 16

17. CanMEDS 2015: Who Will Lead these Changes 17 Expert Working Groups (EWGs): Assembled around the seven CanMEDS Roles. Group formed to develop new Patient Safety content. Integration Committee: Formed to integrate EWGs output into cohesive drafts. Drafts to be used during consultation and review. Will incorporate feedback into final, updated Framework. National Advisory Committee: Provides strategic direction and input on overall initiative. Includes representatives from wide range of key stakeholders and partner organizations, including international.

18. Changes to the CanMEDS Framework will impact all levels of medical education. We’ve begun a comprehensive consultation process to ensure we get it right. 18 CanMEDS 2015: What’s Been Done

19. Data analysis is underway and will shape the work of the CanMEDS 2015 EWGs. Consultations to date include: National Online Survey Conducted in May-June to gather feedback on the current CanMEDS Framework. Release of the data gathered will begin in November 2013. ICRE Town Hall: Town Hall held at the International Conference on Residency Education (ICRE) in September 2013. Attendees learned about the proposed changes and provided input through an interactive setting. 19 CanMEDS 2015: What’s Been Done con’t…

20. CanMEDS 2015: You Can Still Provide Input 20 CanMEDS 2015 Webinars Sessions will provide CBD and CanMEDS 2015 overview and give participants the chance to ask questions and offer input. Letters Feedback was requested from key partners (including all those represented on the CanMEDS 2015 NAC). Social Media Share feedback and get the latest news and updates via twitter.com/Royal_College and at facebook.com/TheRoyalCollege. E-mail Have a comment? Send it to canmeds@royalcollege.ca.canmeds@royalcollege.ca Further formal consultations Additional consultations will occur in winter/spring 2014, when the draft framework is released for review.

21. CanMEDS 2015: Next Steps 21 In the coming months: The CanMEDS 2015 EWGs will release preliminary reports to their respective ePanels, to gather input and ensure they are on the right track. The release of the final results from the National Online Survey will begin in November 2013. Final reports from the EWGs will be submitted to the Royal College Integration Committee and 2015 National Advisory Committee in December 2013. Input information on release of next draft and input will begin in February 2014.

22. CanMEDS 2015: Next Steps 22 By 2015: Final production, translation and publication of framework. Launch CanMEDS 2015 and faculty support tools in September.

23. CanMEDS 2015: Next Steps 23 Beyond 2015: By its nature, the CanMEDS Framework is evergreen, and it will continue to be reviewed and revised beyond 2015 to ensure it meets the needs and realities of physicians. We are committed to providing ongoing support, including in areas such as specialty-specific implementation and faculty development.

24. Your Input Matters 24 You can still have your say! Share your input with the Royal College via: canmeds@royalcollege.ca www.facebook.com/TheRoyalCollege https://twitter.com/Royal_College Plus, stay tuned for more information on the next round of form consultations.