Competency Based Medical Education (CBME)
Explore resources supporting Competency-Based Medical Education (CBME), an approach to physician development that focuses on the process and outcomes of training, and makes the achievement of competencies more visible and measurable.
Competency by Design (CBD) Training Materials

How to Give Constructive Coaching Feedback (PDF)
This resource provides language examples and advice for preceptors offering constructive comments to residents in the Competency By Design coaching model.

Competency By Design (CBD): A Coaching Approach to Feedback Slide Deck
This presentation slide deck is available for those teaching learners who already familiar with at least the basic concepts of Competency By Design, including EPAs and Competence Committees. It is designed to be delivered in 1.5 hours, and has prompts for facilitators to customize areas of the presentation based on the program’s needs and experience.
Download Competency By Design (CBD): A Coaching Approach to Feedback Slide Deck
Faculty can receive MOC credits for attending a program-led session based on the “CBD: A Coaching Approach to Feedback” slides. Attendees are required to fill out the completion certificate survey and an evaluation survey linked here.
Presentation content may be adjusted and personalized to programs as needed. However, for the purpose of MOC accreditation credits, presenters cannot modify the title or objectives within the presentation.

Competency by Design (CBD): Resident Training & Assessment Online Module
This online, synchronous module introduces clinical teachers to the national Competency-Based Medical Education (CBME) system to train and assess residents called Competency by Design (CBD).
The module covers what CBD is, the rational for its implementation, and how it changes your role as a medical educator. Intended for faculty new to CBD, this module is most beneficial to those implementing it within their program.
Postgraduate Medical Education Website Resources
Competency Based Medical Education (CBME) Website
UBC’s Postgraduate Medical Education CBME website lists key resources regarding the implementation of CBME within programs, including Entrada user guides, past relevant presentations, and Royal College documentation.
Competency by Design Orientation Packages
Created by the Royal College of Physicians and Surgeons of Canada, these resources are accessed through the Royal College learning page (free account creation & sign-in required). Some key resources are linked below for your convenience.
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- Coaching to Competence
- Coaching Over Time (This includes The Role of Coaching Over Time in CBD, First Coaching Over Time Meeting: Setting the Stage for Success, and Co-Creating Resident Learning Plans)
- Learn the Basics of Competency by Design (CBD)
- Develop an Assessment Plan
- Entrustability Scales Module
- Set up a Competence Committee
- Mock Competence Committee Cases
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Competency Based Medical Education (CBME) Feedback & Coaching Trainer Resources
Feedback resources for CBME are also available for download from the University of Toronto.