• Background: Competency-based medical education (CBME) is being widely adopted as a model of training for future physicians. The Royal College of Physicians and Surgeons of Canada (RCPSC) has developed the CanMEDS framework, which set the heart of the CBME. The US equivalent of the Canadian CanMEDS framework is the Accreditation Council for Graduate Medical Education (ACGME) competencies, and the UK uses outcomes for graduates through the General Medical Council (GMC) and the Royal Colleges.

• Problem: While traditional medical school curricula has been organized around knowledge objectives, CBME which is increasingly gaining ground, is centered on an outcome-based approach. While the former was laser-focused on instructional processes, CBME is driven by outcomes which -in turn-guides all curriculum decisions. Traditional curricula do not facilitate integration of learning across the continuum. CBME uses competencies as the organizing framework, and curricular components must build upon each other. The challenge for educators in CBME curricula is to design effective and resource-efficient learning experiences that continuously incorporate prior learning elements and emphasize observable abilities.

• Proposed solution/approach: The crux of CBME is that it emphasizes a shift from knowledge, skills, attitudes and their synthesis into observable competencies (entrustable professional activities/observations. Team-based learning (TBL) fits in the CBME paradigm through aligning with another core principle of CBME i.e. enhancing learner-centeredness. TBL develops critical competencies including the ability to effectively collaborate, communicate and solve problems. Its active-learning and small group collaborative structure presents an instructional method that ensures portability of training is available for wide-scale implementation. The structured phases of TBL - pre-class preparation, readiness assurance testing and application exercises- create natural assessment milestones that track learner progress. In this workshop, we will learn how TBL design, can align with teaching core abilities and best practice model of physicians.