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Competence by Design – Will it Improve Patient Care?

      The overall goal of competency-based education (CBE) is to improve patient outcomes through the design, implementation, and assessment of a learner-based education model organized around competencies. In this issue, Dr. Bentley et al. have generated a thoughtful article that describes the challenges of implementation of The Royal College of Physicians, and Surgeons of Canada (RCPSC) Competence by Design project that will be required in all Canadian radiology program starting in July 2022 (
      • Bentley H
      • Darras K
      • Forster BB
      • et al.
      Review of challenges to the implementation of Competence by Design in post-graduate medical education: what can diagnostic radiology learn from the experience of other specialty disciplines?.
      ). The authors describe the known problems and offer potential solutions through the lens of the literature that has been generated on competency-based education and specifically the Competence by Design initiative.
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      REFERENCES

        • Bentley H
        • Darras K
        • Forster BB
        • et al.
        Review of challenges to the implementation of Competence by Design in post-graduate medical education: what can diagnostic radiology learn from the experience of other specialty disciplines?.
        Acad Radiol. 2022; 29: 1887-1896
        • Glass JM
        Competency based training is a framework for incompetence.
        Bmj Br Medical J. 2014; 348: g2909
        • Mador B
        • Daniels VJ
        • Oswald A
        • et al.
        Learner phenotypes in competency-based medical education.
        Medical Sci Educ. 2021; 31: 2061-2064
        • Hodges BD
        A tea-steeping or i-doc model for medical education?.
        Acad Med. 2010; 85: S34-S44