Perceptions of Canadian radiology residents regarding competence by design

Purpose: This study sought to evaluate the perceptions of Canadian Radiology residents on Competence by Design (CBD) and to identify areas in which further information and guidance is required.Methods: Radiology residents at five Western Canadian Radiology programs were eligible to participate in this online survey. The survey contained an assortment of question formats, including 5-point Likert-scale responses, multiple-choice questions, and free-text response. The questions assessed understanding of resident perspectives on feedback and coaching, learning and gaps in knowledge, and quality of training and preparedness within the CBD model.Results: Twenty-one residents from each of the five radiology residency programs and across each year of training participated in the survey. The majority of residents reported they disagreed (43%) or strongly disagreed (19%) that the CBD model will be more beneficial compared to the traditional training model. 90% reported their overall perspective of CBD as indifferent or negative. Entrustable professional activities (EPAs), milestones and promotions decisions and committee review were the top 3 areas residents required further information on. Residents identified timely and direct feedback as a positive aspect of CBD but expressed concern over time management within the new curriculum.Conclusion: This study identified specific areas of concern that may contribute to the overall negative or indifferent perception towards CBD by residents. Addressing resident concerns and gaps in knowledge during the early stages of CBD implementation may encourage long-term engagement and provide an opportunity to address the overall negative or indifferent perception of CBD.