Canada has been a leader in competency-based medical education for some years. Postgraduate training programs are typically 5 years in duration with opportunities to pursue 2-year subspecialty training after certification in a primary specialty. The introduction of competency-based models in Canada has progressed from a single orthopedic surgery training program at the University of Toronto through the adoption of competency-based medical education in 29 training programs at a single medical school, and the implementation across all 68 disciplines overseen by the Royal College of Physicians and Surgeons of Canada. This article outlines the introduction of competency-based medical education in postgraduate medical education in Canada. (C) 2019 Elsevier Inc. All rights reserved.
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