Abstract
The Royal College of Physicians and Surgeons of Canada (RCPSC) is embarking on a multi-year, transformational, educational effort entitled Competence by Design (CBD). General Internal Medicine (GIM) will be part of the 2016 cohort for Competence by Design. One of the first questions is, “What should each graduate be able to do on their first day in practice?” This paper outlines the key educational concepts behind CBD. It was presented in workshop format at the Canadian Society of Internal Medicine Meeting in September 2014. The workshop provided the authors with an opportunity to gather the perspectives and perceptions of more than 40 participants. The authors believe CBD will be an excellent format to ensure our GIM graduates are well prepared for a changing health care system.
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