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Competency-Based Medical Education (CBME)

  • CBME Conference 2017
    Queen's executive team, program leaders, residents, and other stakeholders share the Queen's experience with
    CBME: the Good & the Bad, the Challenges & the Opportunities.
  • Designing Competency at Queen’s
    The CBME model shifts the emphasis of training from one focused on time-based learning and measurement
    to one based on competency at the skills required.
A new look at assessment

A new look at assessment

A completely new assessment system built specifically for the CBME initiative.

What does CBME mean to you?

What does CBME mean to you?

CBME will have an affect on all of us.

How CBME Works

Designing Competency at Queen’s

Until now, residency programs were time-based. This meant that as a resident, you spent one full year in each Postgraduate Year (PGY) before you could move up to the next level.

Promotion was based on the successful completion of a year of learning comprised of thirteen equal rotation blocks, and this was the same for all residents. CBME reduces the emphasis of learning based on units of time and instead shifts the basis for promotion to the demonstration of competence.

Read more »

"All the evidence points to using a competency-based approach as the fundamental and logical next step in medical education" Read more »

Damon Dagnone, CBME Lead at Queen’s University

The Benefits of CBME

The shift to a competency-based system at Queen’s, and indeed across the rest of Canada, is being undertaken primarily for one reason. It will help the next generation of learners become better physicians. Specifically, a competency-based curriculum will provide a better educational experience to residents in many different ways.


Individualized Learning

All residents will receive more supervision, assessment, and mentorship from faculty supervisors and dedicated academic advisors, who will ensure that competencies are being met for each stage. Residents and their advisors will have the opportunity to identify areas of strengths and weaknesses at regular intervals and be able to develop individualized learning plans.

Increased Flexibility

Residents who have been able to demonstrate competency at an accelerated pace may pursue additional opportunities for enrichment. Instead of finishing their program earlier than others, these residents will have more time available in areas such as electives and research.

Innovative Assessments

A new assessment system has been designed specifically at Queen’s for our residents. It features personalized electronic portfolios, competency-based assessment tools, and increased frequency of assessment by physicians, allied health professionals, and patients.

Preparedness for Practice

It is anticipated that residents will sit their RCPSC examinations six months to one year earlier than usual, allowing them greater time in the final phase of their program to work more independently in preparation for practice.

What's an Entrustable Professional Activity?

Learn more about Entrustable Professional Activities from Dr. Jena Hall at Queen's University.

Dr. Jena Hall
Resident, Obstetrics and Gynaecology

CBME at Queen's University - An Overview

An Introduction to Competency-Based Medical Education

The Benefits of Competency-Based Medical Education

Assessment in the new comptence-based curriculum at Queen's University