Table 1 Initial Program Theory for CBME as it relates to rivalries for attention [2, 18]

Context (C)

Specialty training programs

 + Mechanisms (M)

 1. Team and Resources

  a. Learning about CBD using a variety of resources

  b. Develop a team and connect with other people in your institution to learn about policies and practices

  c. Develop a QI plan

 2. Capacity Building

  a. Pilot entrustable professional activities (EPAs)

  b. Conduct faculty and resident development

  c. Promote a culture of feedback and coaching

  d. Develop resident-friendly resources

 = Outcomes (O)

 1. Outcome competencies are clearly articulated

 2. Competencies and their developmental markers are sequenced progressively

 3. Learning experiences facilitate the developmental acquisition of competencies

 4. Teaching practices promote the developmental acquisition of competencies

 5. Assessment practices support & document the developmental acquisition of competencies