February 2009 DIRECTIONS FOR RESIDENCY EDUCATION, 2009 A FINAL REPORT of the CORE COMPETENCY PROJECT A Collaborative Project of the Royal College of Physicians and Surgeons of Canada and the College of Family THE ROYAL COLLEGE of THE COLLEGE of. [...] Fundamentally, the Core Competency Project (CCP) is a re-examination of three recurring issues in Canadian PGME: 1. Are the structures and processes of the PGME system, within the scope of the Royal College of Physicians and Surgeons of Canada (RCPSC) and the College of Family Physicians of Canada (CFPC), designed for the best possible output of physicians to meet societal needs (“Quality PGME”)? [...] Of note is the recommended Stream 3: an objectives-based transitional training stream that would provide “core training in subject areas common to a number of disciplines and specific training in areas of major disciplines which could be eligible for some credit toward the training requirements of the College of Family Physicians of Canada or of the Royal College of Physicians and Surgeons of Cana [...] It recommended the implementation of a first-year program that would facilitate both generalist training and streaming; the redesign of the undergraduate curriculum for the purpose of facilitating informed career choice; and an examination of ways to partner with the government to meet the needs of society and a flexible PGME system.25 A position paper prepared in 2005 by the OHRC (the Human Resou [...] The family physician views his or her practice as a “population at risk”, and organizes the practice to ensure that patients’ health is maintained whether or not they are visiting the office.30 However, for the purposes of this initiative, the scope of the assessment of societal needs was limited to the observed needs of leaders in medical education, members of the profession and health care exper