Rogoza Christina, Fasih Sijyl, Kwan Benjamin Y M
Department of Diagnostic Radiology and Postgraduate Medical Education, Queen's University, Kingston Health Sciences Centre, Kingston General Hospital, 76 Stuart Street, Kingston, ON, Canada, K7L 2V7.
Department of Diagnostic Radiology and Postgraduate Medical Education, Queen's University, Kingston Health Sciences Centre, Kingston General Hospital, 76 Stuart Street, Kingston, ON, Canada, K7L 2V7; Queen's University School of Medicine, 80 Barrie St, Kingston, ON, Canada, K7L 3N6.
Curr Probl Diagn Radiol. 2025 Jan 23. doi: 10.1067/j.cpradiol.2025.01.012.
In 2014, The Royal College of Physicians and Surgeons of Canada (RCPSC) began a national initiative to rollout Competency-Based Medical Education (CBME) for all postgraduate medical programs. This represents a paradigm shift in the approach to resident training and transformative changes on many levels. In 2017, the department of Diagnostic Radiology at Queen's University became an early adopter of the CBME training model. The department began curricular planning using program specific Entrustable Professional Activities (EPAs), milestones based on the CanMeds roles, and an assessment framework. Associated processes were created to support implementation, with formation of a new competence committee, structure and process for academic advisors, and faculty development. In July 2018, the model was implemented using an electronic portfolio system, Elentra. In July 2022, the RCPSC launched the national implementation of their CBME CBD model, which was implemented for the incoming cohorts in the department of Diagnostic Radiology. Drawing from CBME implementation in the department of Diagnostic Radiology at Queen's University, we highlight the challenges encountered at our institution, methods for addressing these challenges, and corresponding outcomes. From our experience, we aim to provide a roadmap for the reader that will aid in planning for CBME implementation at other institutions.
2014年，加拿大皇家内科医师与外科医师学院（RCPSC）启动了一项全国性倡议，为所有研究生医学项目推行基于能力的医学教育（CBME）。这代表着住院医师培训方法的范式转变以及多个层面的变革性变化。2017年，女王大学诊断放射学系成为CBME培训模式的早期采用者。该系开始使用特定项目的可托付专业活动（EPA）、基于加拿大医学教育角色的里程碑以及评估框架进行课程规划。创建了相关流程以支持实施，包括成立新的能力委员会、学术顾问的结构和流程以及教师发展。2018年7月，该模式通过电子档案系统Elentra实施。2022年7月，RCPSC启动了其CBME CBD模式的全国实施，该模式在诊断放射学系应用于新入学的学员群体。借鉴女王大学诊断放射学系CBME实施的经验，我们突出了本校遇到的挑战、应对这些挑战的方法以及相应的成果。基于我们的经验，我们旨在为读者提供一份路线图，以帮助其他机构规划CBME的实施。
