CBD – Adult Critical Care Medicine

Welcome to our Critical Care Western Competence by Design (CBD) website!

We transition to a competency-based medical education system (CBME) in July 2019, a change that occurs for all critical care residency programs across Canada.

CBD is a wide sweeping cultural shift in medical education that touches almost every facet of a residency training program. It will impact consultants in their daily interactions and require them to act like coaches for senior residents, and will eventually change the way we approach Continuing Professional Development (CPD) for practicing consultants.

Key Differences in Critical Care Residency with CBD
  1. Teacher-learner relationship more of one of coaching with expectation that the resident will request assessments and feedback
  2. Residents as adult learners will drive their learning
  3. The notion of stages (e.g. Transition to Discipline) as opposed to strictly time-based clinical rotations
  4. More low-stakes observations of resident performance aiming at enhancing resident learning with completion of task-based assessments. This lies in contrast with high-stakes evaluation that are often based on general impression and are less likely to guide resident learning
  5. The Competence Committee will review each resident and their progress, collating all of the assessment data provided by frontline physicians, and will decide as a group whether a resident progresses to the next stage or requires an individual learning plan
  6. The ability for multi-source feedback/360 assessments from physicians, nurses, respiratory therapists, and other allied health care workers