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Competency based medical education has become the new standard for medical education which shifts the focus of training toward a competency, rather than time-based in framework known in Canada as ‘Competence by Design’ (CBD). CBD assesses a physician trainee’s ability to demonstrate competence in CanMEDS roles via entrustable professional activities (EPAs). EPAs utilize the O-SCORE as the metric for assessing competence. This score was developed and validated for surgical/procedural subspecialties; however, CBD currently coopts this scale for both procedural and non-procedural (cognitive) EPAs. Assessor expertise has also been shown to have an important role in performance assessments, but has not been studied in the context of CBD.

Our study aims to assess for differences in O-SCORE utilization between cognitive and procedural …