The Royal College of Physicians and Surgeons of Canada (RCPSC) describes Competence by Design (CBD) as a “Royal College initiative to improve physician training and lifelong learning. The CBD initiative will transition specialist medical education from a traditional time-based model to a hybrid form of competency-based medical education (CBME). CBD does not discount or adjust the time spent in training; instead, it re-conceptualizes time as a resource for acquiring competencies.
CBD is a multi-year, transformational change initiative. It focuses on outcomes, asking the question, 'What abilities do physicians need at each stage of their career?' It organizes physician training around desired outcomes and looks at the needed competencies. The greater goal of CBD is to enhance patient care by improving learning and assessment across the continuum from residency to retirement. This will ensure that physicians continue to demonstrate the skills and behaviours needed to meet evolving patient needs.”
University of Alberta PGME website has more information, please check it out!