Competence by Design Launch Schedule

When is your specialty targeted to launch CBD?

2022 Launch Status:

COVID-19 is impacting every aspect of medical education and the Royal College recognizes the significant efforts that our educators are taking to support the best interest of our residents. Deciding what disciplines will launch Competence by Design has always been a tripartite decision between the Royal College, the Specialty Committees and the Faculties of Medicine, and following detailed consultations this spring, collectively we have agreed on the following:

Disciplines that will launch Competence by Design on July 1, 2022

  • Dermatology
  • Diagnostic Radiology
  • Gynecologic Oncology
  • Hematological Pathology
  • Hematology
  • Maternal-Fetal Medicine
  • Medical Genetics and Genomics
  • Neuropathology

This agreement builds on our previous launch cohorts:


  • Anesthesiology
  • Otolaryngology — Head and Neck Surgery


  • Emergency Medicine
  • Forensic Pathology
  • Medical Oncology
  • Nephrology
  • Surgical Foundations
  • Urology


  • Critical Care Medicine
  • Gastroenterology
  • General Internal Medicine
  • Geriatric Medicine
  • Internal Medicine
  • Radiation Oncology
  • Rheumatology
  • Cardiac Surgery
  • Neurosurgery
  • Obstetrics and Gynecology
  • Anatomical Pathology
  • General Pathology


  • General Surgery
  • Neurology (adult and pediatrics)
  • Nuclear Medicine
  • Orthopedic Surgery
  • Pediatric Cardiology
  • Physical Medicine and Rehabilitation
  • Plastic Surgery
  • Psychiatry


  • Adult Cardiology
  • Adolescent Medicine
  • Child and Adolescent Psychiatry
  • Clinical Immunology and Allergy (adult and pediatrics)
  • Clinical Pharmacology and Toxicology
  • Forensic Psychiatry
  • Geriatric Psychiatry
  • Neonatal-Perinatal Medicine
  • Pediatric Hematology/Oncology
  • Pediatrics
  • Pediatric Surgery
  • Respirology (adult and pediatrics)
  • Vascular Surgery

This announcement is another important step in our journey to transform specialty medical education to a competency-based model.

We sincerely appreciate the time and effort of faculty members, committee members and stakeholders, who are diligently working through the process and engaging their communities to define their new national standards. Change is always challenging, and we appreciate your commitment to enabling the necessary time to make sure the end results are effective for advancing specialty medical education and patient care.

When is your specialty targeted to launch CBD?

Even if your discipline falls into one of the later cohorts, it makes sense to start planning today. Looking for a great resource to help you get started? Check out the CBD Meantime Guide.


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