Abstract
Adult Cardiology residency programs across the country made the formal transition to Competency by Design (CBD) in July 2021. This transition has led to an increase in formal assessments for residents and new roles and responsibilities for faculty and administrative staff. CBD has brought successes including more organized learning, flexibility in rotations, along with increased direct observation and feedback. The associated administrative burden is cumbersome and has contributed to increase stress, anxiety and a negative impact on health and wellness for residents. Despite several positive changes to date, ongoing efforts are needed to better navigate this curriculum change.
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