• Rick Penciner, Robert A Woods, Jill McEwen, Richard Lee, Trevor Langhan, Glen Bandiera, and Canadian Association of Emergency Physicians Undergraduate Education Committee.
• Division of Emergency Medicine, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada. rick.penciner@utoronto.ca
• Can J Emerg Med. 2013 Jan 1;15(1):24-33.

ObjectivesThere is no consensus on what constitutes the core competencies for emergency medicine (EM) clerkship rotations in Canada. Existing EM curricula have been developed through informal consensus and often focus on EM content to be known at the end of training rather than what is an appropriate focus for a time-limited rotation in EM. We sought to define the core competencies for EM clerkship in Canada through consensus among an expert panel of Canadian EM educators.MethodsWe used a modified Delphi method and the CanMEDS 2005 Physician Competency Framework to develop a consensus among expert EM educators from across Canada.ResultsThirty experts from nine different medical schools across Canada participated on the panel. The initial list consisted of 152 competencies organized in the seven domains of the CanMEDS 2005 Physician Competency Framework. After the second round of the Delphi process, the list of competencies was reduced to 62 (59% reduction). A complete list of competencies is provided.ConclusionThis study established a national consensus defining the core competencies for EM clerkship in Canada.

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