Competence by Design Guidance

Competence by Design (CBD) Guidance provides a compilation of policies, technical guides, and supporting documents that aim to help programs attain clarity around how CBD may impact existing local policy, what the fundamental requirements versus areas of flexibility are in CBD implementation, and how to make choices that work best in a program’s local context.

CBD Policies

How does Competence by Design affect existing local policy? These CBD policy guidelines are documents to help local faculty change their policies to reflect new principles of CBD.


A technical guide clarifies existing policy and answers the question What is required and what is flexible in Competence by Design? Fundamental elements and expectations required to implement a CBD program have been addressed by a series of technical guides.

CBD Guidelines

In some cases, the Royal College does not have a formal policy, but can offer suggestions, guidelines and best practices on various topics.