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Area of Science:

  • Medical Education
  • Program Evaluation
  • Health Professions Education

Background:

  • Transformational educational change requires robust program evaluation.
  • Competence by Design (CBD) is a major initiative for competency-based postgraduate medical education in Canada.
  • Program evaluation was integrated into CBD's design and implementation from inception.

Purpose of the Study:

  • To detail the program evaluation strategy for the Competence by Design initiative.
  • To demonstrate how evaluation insights informed implementation progress, challenges, and outcomes.
  • To provide a framework for evaluating large-scale changes in health professions education.

Main Methods:

  • The evaluation strategy was built on a logic model and three pillars: readiness, fidelity/integrity, and outcomes.
  • Data were collected from internal studies and external partners.
  • A real-time dashboard was developed for transparent monitoring and continuous adaptation.

Main Results:

  • Evaluation findings directly influenced all aspects of CBD implementation.
  • The strategy facilitated partner engagement and supported change management.
  • Understanding of large-scale educational change was enhanced.

Conclusions:

  • The Competence by Design program evaluation strategy proved essential for guiding transformational change.
  • The evaluation framework offers valuable insights for future large-scale educational initiatives in health professions.
  • Continuous evaluation is key to successful implementation and adaptation.