The last C: centred in family medicine.

The College of Family Physicians of Canada (CFPC) has endorsed the recommendation from the Section of Teachers’ Working Group on Postgraduate Curriculum Review that residency training programs develop and implement a competency-based curriculum that is • comprehensive, • focused on continuity of education and patient care, and • centred in family medicine. Together, these recommendations form the Triple C Competency-based Curriculum (Triple C).1 This article is the fifth in a series explaining the Triple C initiative2-4 and highlights the last C: the curriculum must be centred in family medicine. The term family medicine–centred is new; the description and the definition relate to the focus of the experience, the primary setting, the teachers for training, the amount of time spent in individual clinical settings, and the learning processes that are emphasized. If family medicine is to meet the expectations inherent in competencybased education—that is, to graduate physicians who can provide expert care for all Canadians in diverse settings, adapt to dynamic and complex practice environments, and develop the skills for maintaining competence—the curriculum must be centred in family medicine.