CBD Update #4 - ITER vs ITAR

Jul 25, 2019
Heather McDonald-Blumer

End of Rotation summative assessments are an important component of resident feedback.

This year, faculty will be filling out ITERs for some residents and ITARs for others. The process for both is similar. 


  • Notification for completion will come from POWER
  • Assessment tools are available on POWER (same username/password as usual)
  • Assessments are rotation specific, resident specific, block specific
  • Assessments should be based on the resident’s level/stage of training
  • Residents must be evaluated overall at “3” or above to pass the rotation

In-training Evaluation Reports will continue to be completed for residents who are in programs that have not yet launched CBD. As with all end-of-rotation assessments, the assessment is based on the resident’s level of training. Comments are extremely helpful - be detailed and specific.
In-training Assessment Reports are the new end-of-rotation summary documents for residents in programs that have started their CBD Curriculum. 

While similar to an ITER in purpose, there are a few new issues.

  1. What information is being used to inform the assessor’s opinion?
    • Overall consideration of all activities while on the rotation
    • Clinical knowledge and judgement
    • Presentations (formal and informal)
    • Teaching (if applicable
    • Direct observation for EPAs or otherwise
  2. Scale for the Medical Expert section
    • 5 point scale (as with an ITER)
      • A “pass” for the rotation is a 3 (as with an ITER)
      • Scores of 1 or 2 will be flagged for the PD
  3. NEW “Learner Handover” Section
    • This is an assessment of the intrinsic CanMEDS competencies
    • The scale required this year is a “yes/no” scale
    • If a resident is not meeting expectations – this will get flagged to the PD
      • The PD will be responsible for ensuring suitable follow up and action
  4. Overall Assessment and Comments
    • Comments are critical to providing meaningful, actionable feedback especially if concerns were identified.

For the full newsletter, please click here.