Competency-based education (CBE) has become common practice for postsecondary education institutions that facilitate medical training in Canada and the U. S. (Campbell, 2020). In terms of theoretical framework, pedagogical delivery and effectiveness, the CBE approach has evolved over time, and so have students. During the rise of CBE approximately 7-10 years ago, it was common for higher education programs to largely consist of students of the millennial generation. It will be analyzed and determined whether CBE can in fact account for establishing a distinct relationship between its methodology and students. This literature-based study out of the University of Toronto defines and examines features of competency-based models while exploring characteristics and preferences in accordance with millennial learners in the medical setting. To do so, CBE teaching and learning theories will elucidate specific methods of student engagement. The findings will be assessed in consideration with classroom application, to determine whether the efficacy of CBE is the ideal strategy for millennial learners is supported or nuanced.