%0 Journal Article
%T Delivering on the promise of competency based medical education ¨C an institutional approach
%A Damon Dagnone
%A Denise Stockley
%A Laura McEwan
%A Leslie Flynn
%A Richard Reznick
%A Richard van Wylick
%A Ross Walker
%A Rylan Egan
%J Archive of "Canadian Medical Education Journal".
%D 2019
%X 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
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445322/