Competency-based medical education
Turn competency-based education into everyday clinical training practice
Curriculum reform, EPA and assessment design, and faculty development for medical faculties, hospitals and regulators, grounded in published evidence.
The gap
Reform is easy to approve and hard to carry out
Deans, GME directors and regulators are asked to modernize clinical training, often without the faculty capacity or a proven path to do it. Tessera fills that gap.
Policy
The usual wayA competency framework approved on paper, with no one assigned to make it run on the ward.
With TesseraA framework translated into the daily work of trainees, supervisors and program leads.
Assessment
The usual wayEnd-of-rotation forms and exam scores that say little about what a trainee can be trusted to do.
With TesseraEPA-based assessment that records observed performance and supports real entrustment decisions.
Faculty
The usual wayOne-off workshops, then clinicians return to old habits without support.
With TesseraFaculty development that continues alongside implementation, with practice and feedback.
Support
The usual wayA report delivered, then silence while your team works out the hard parts alone.
With TesseraLong-term implementation partnership, not a hand-off at the end of a contract.
Services
Four ways we work with your institution
- I
Curriculum reform
Review and redesign of undergraduate and postgraduate programs so that outcomes, teaching and assessment point the same way.
Medical faculties, residency programs
- II
EPAs and assessment design
Entrustable professional activities, workplace-based assessment tools and the decision processes that turn observations into entrustment.
GME directors, hospital education leads
- III
Faculty development
Practical programs that prepare clinical teachers to observe, give feedback and assess within a competency-based model.
Teaching hospitals, specialty departments
- IV
Licensed materials
Peer-reviewed teaching and assessment materials your institution can license and adapt to its own context.
Societies, regulators, institutions
Our position
We pair peer-reviewed pedagogy with long-term implementation support, so competency-based education becomes daily practice.
How we work
An engagement that stays past the report
Timing and scope depend on your institution. We agree them with you at the start.
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Listen and diagnose
We start with your context: the program, its people, current assessment practice and what policy requires. Nothing is prescribed before we understand it.
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Design with your faculty
Curriculum maps, EPAs and assessment tools are drafted with your clinicians, grounded in published evidence and fitted to your setting.
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Prepare the teachers
Faculty development builds the observation, feedback and entrustment skills the new model depends on.
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Implement alongside you
We stay while the new practice meets real wards and real timetables, adjusting what does not work.
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Review and hand over
We review what the evidence from your own program shows and leave your team able to sustain and extend the work.
Questions
What leaders ask before they begin
Who do you work with?
Medical faculties, hospitals, professional societies and health regulators that need to modernize clinical training and want a proven path to do it.
What does competency-based education mean in practice?
Trainees progress on demonstrated ability rather than time served. That requires clear outcomes such as EPAs, observed assessment, and faculty able to make entrustment decisions.
Do you only advise, or do you help implement?
We stay through implementation. Curriculum, assessment design and faculty development are delivered together, with long-term support as the new practice takes hold.
Is your work based on evidence?
Yes. Our approach is grounded in peer-reviewed pedagogy, and we adapt it to your institution rather than applying a fixed template.
Can we license your materials without a full engagement?
Licensed teaching and assessment materials are one of our four services. Get in touch with your needs and we will discuss what fits.
Start a conversation
Tell us what your program needs to change
Describe your institution and the reform you are facing. We will reply to discuss whether and how we can help.