Dagnone Damon, Stockley Denise, Flynn Leslie, Egan Rylan, van Wylick Richard, McEwan Laura, Walker Ross, Reznick Richard
Queen's University, Ontario, Canada.
Can Med Educ J. 2019 Mar 13;10(1):e28-e38. eCollection 2019 Mar.
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.
加拿大皇家内科医师与外科医师学会（RCPSC）采纳了一项计划，要在七年时间（2014 - 2021年）内将所有专业的住院医师教育转变为基于能力的医学教育（CBME）课程模式。RCPSC的计划建议实施一种更具响应性和问责性的培训模式，该模式具有四个不同的培训阶段、明确的、特定专业的可托付专业活动以及相关的里程碑，并且采用一种针对住院医师教育的系统性评估方法。秉承这一愿景，女王大学（位于加拿大安大略省金斯顿）的领导层向RCPSC申请并获得了特别许可，以走上一条加速的机构发展道路。在三年时间里，女王大学通过制定和实施一项全面的战略计划，将CBME从概念变为现实。这篇观点论文描述了女王大学创建共同机构愿景的方法，概述了组建一个集中的CBME执行团队和29个CBME项目团队的过程，并总结了为确保项目准备好启动而采取的积极措施。通过这样做，女王大学创建了一个支持社区和CBME专业知识体系，强化了包括促进共同生产、培养响应型领导力、强调创新传播以及采用基于系统的方法进行变革性改变等共同价值观。
