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      Seven ways to get a grip on implementing Competency-Based Medical Education at the program level Translated title: Sept façons à prendre en main la mise en œuvre de la formation médicale fondée sur les compétences au niveau des programmes

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          Abstract

          Competency-based medical education (CBME) curricula are becoming increasingly common in graduate medical education. Put simply, CBME is focused on educational outcomes, is independent of methods and time, and is composed of achievable competencies. 1 In spite of widespread uptake, there remains much to learn about implementing CBME at the program level. Leveraging the collective experience of program leaders at Queen’s University, where CBME simultaneously launched across 29 specialty programs in 2017, this paper leverages change management theory to provide a short summary of how program leaders can navigate the successful preparation, launch, and initial implementation of CBME within their residency programs.

          Translated abstract

          Les programmes de formation médicale fondée sur les compétences (FMFC) sont de plus en plus répandus dans les études supérieures en médecine. En termes simples, la FMFC est centrée sur les résultats scolaires, elle est indépendante des méthodes et du temps, et est constituée de compétences réalisables. 1 Malgré cette adoption généralisée, il reste encore beaucoup à apprendre sur la mise en œuvre de la FMFC au niveau des programmes. Tirant profit de l’expérience collective des responsables de programmes à l’Université Queen, où la FMFC a été lancée simultanément dans 29 programmes de spécialité en 2017,le présent article s’appuie sur la théorie de la gestion du changement pour produire un court résumé de la manière dont les responsables de programmes peuvent gérer avec succès la préparation, le lancement et la mise en œuvre initiale de la FMFC au sein de leurs programmes de résidence.

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          Implementing competency-based medical education: Moving forward

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            It’s a Marathon, Not a Sprint: Rapid Evaluation of Competency-Based Medical Education Program Implementation

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              Delivering on the promise of competency based medical education – an institutional approach

              The Royal College of Physicians and Surgeons of Canada (RCPSC) adopted a plan to transform, over a seven-year horizon (2014-2021), residency education across all specialties to competency-based medical education (CBME) curriculum models. The RCPSC plan recommended implementing a more responsive and accountable training model with four discrete stages of training, explicit, specialty specific entrustable professional activities, with associated milestones, and a programmatic approach to assessment across residency education. Embracing this vision, the leadership at Queen’s University (in Kingston, Ontario, Canada) applied for and was granted special permission by the RCPSC to embark on an accelerated institutional path. Over a three-year period, Queen’s took CBME from concept to reality through the development and implementation of a comprehensive strategic plan. This perspective paper describes Queen’s University’s approach of creating a shared institutional vision, outlines the process of developing a centralized CBME executive team and twenty-nine CBME program teams, and summarizes proactive measures to ensure program readiness for launch. In so doing, Queen’s created a community of support and CBME expertise that reinforces shared values including fostering co-production, cultivating responsive leadership, emphasizing diffusion of innovation, and adopting a systems-based approach to transformative change.
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                Author and article information

                Journal
                Can Med Educ J
                CMEJ
                Canadian Medical Education Journal
                Canadian Medical Education Journal
                1923-1202
                20 April 2020
                23 September 2020
                September 2020
                : 11
                : 5
                : e92-e96
                Affiliations
                [1 ]Queens University, Ontario, Canada
                Author notes
                Correspondence: Dr. Damon Dagnone, Associate Professor, Department of Emergency Medicine, Queen’s University. 76 Stuart Street, Victory 3-KGH, Kingston, Ontario, K7L 2V7; email: damon.dagnone@ 123456queensu.ca
                Article
                CMEJ-11-e092
                10.36834/cmej.68221
                7522884
                a7071d1a-543e-41c6-b80e-e0ca6936e424
                © 2020 Dagnone, Taylor, Acker, Bouchard, Chamberlain, DeJong, Dos-Santos, Fleming, Hall, Jaeger, Mann, Trier, McEwen; licensee Synergies Partners

                This is an Open Journal Systems article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited

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