Six essential elements of CBME

  1. Assessment requirements, as defined by the Specialty committee, and inclusive of:

    • EPAs, as defined by the Specialty Committee
    • CanMEDS-based milestones, as defined by the Specialty Committee
  2. Increased emphasis on direct and indirect observation

  3. Many low-stakes observations of focused clinical tasks

  4. Narrative, actionable, timely, concrete recorded feedback

  5. Curation, collation, and group decision-making by a Competence Committee

  6. Stages and progression of increasing entrustment, facilitated by group entrustment decisions at the Competence Committee level