Samir C. Grover, MD, MEd, FRCPC is a gastroenterologist, Executive Vice-President, Academics at Scarborough Health Network (SHN), and the Pialis Family Chair in Education at SHN Research Institute.
In 2017, the Royal College of Physicians and Surgeons of Canada launched Competence by Design, the most consequential reform of Canadian residency training in a generation.
The premise was simple: we can define all the elements that a graduating physician should know or do in practice, and we should only graduate them when a supervisor has actually watched them do the work competently and safely. The framework broke training into discrete clinical tasks, such as managing a patient with chest pain, that a trainee must be observed performing before a supervisor signs off.
Nearly a decade later, the architecture is in place. The observation is not.
byRishi BansalRishad KhanMichael ScaffidiNikko GimpayaSamir C. Grover