The CanMEDS initiative: implementing an outcomes-based framework of physician competencies

Abstract

Background: Outcomes-based education in the health professions has emerged as a priority for curriculum planners striving to align with societal needs. However, many struggle with effective methods of implementing such an approach. In this narrative, we describe the lessons learned from the implementation of a national, needs-based, outcome-oriented, competency framework called the CanMEDS initiative of The Royal College of Physicians and Surgeons of Canada.

Methods: We developed a framework of physician competencies organized around seven physician “Roles”: Medical Expert, Communicator, Collaborator, Manager, Health Advocate, Scholar, and Professional. A systematic implementation plan involved: the development of standards for curriculum and assessment, faculty development, educational research and resources, and outreach.

Lessons learned: Implementing this competency framework has resulted in successes, challenges, resistance to change, and a list of essential ingredients for outcomes-based medical education.

Conclusions: A multifaceted implementation strategy has enabled this large-scale curriculum change for outcomes-based education.

Additional information

Notes on contributors

Jason R. Frank

JASON R. FRANK MD MA(Ed) FRCPC is the Associate Director of Education at the Royal College of Physicians and Surgeons of Canada, and Director of Education, Department of Emergency Medicine, University of Ottawa, Canada.

Deborah Danoff

DEBORAH DANOFF MD FRCPC is the Director of Education at the Royal College of Physicians and Surgeons of Canada, and McLaughlin Professor of Medical Education at the University of Ottawa, Canada.