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The Future of Medical Education in Canada Introduction and Update Monday, May 5, 2008. Nick Busing, MD President and CEO The Association of Faculties of Medicine of Canada A Project Funded by Health Canada. An historical update … What brought us to where we are today.

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The future of medical education in canada introduction and update monday may 5 2008

The Future of Medical Education in CanadaIntroduction and UpdateMonday, May 5, 2008

Nick Busing, MD

President and CEO

The Association of Faculties of Medicine of Canada

A Project Funded by Health Canada


An historical update what brought us to where we are today
An historical update … What brought us to where we are today

"[Medical Schools have] the obligation to direct their education, research and service activities towards addressing the priority health concerns of the community, region, and/or nation they have a mandate to serve. The priority health concerns are to be identified jointly by governments, health care organizations, health professionals and the public."

World Health Organization, 1995


The future of medical education in canada goal of the project
The Future of Medical Education in CanadaGoal of the Project

To conduct a thorough review of medical education in Canada in order to promote excellence in patient care by reforming the medical education system (across the continuum) where necessary and essential


Steering committee membership

Nick Busing, MD, Chair

David Gass, MD

Anne Marie McLellan, MD

Jay Rosenfield, MD

W. Todd Watkins, MD

Deborah Danoff, MD

Angela Towle, MD

Susan Dalton, MD

Jonathan DellaVedova

Marie-Andrée Girard, MD

Mathieu Moreau

Ex-Officio Members

Sue Maskill

Steve Slade

Irving Gold

Project Staff

Catherine Moffatt

Claire de Lucovich

Steering Committee Membership


Main activities
Main Activities

  • Environmental Scan

    • Literature review

    • Key stakeholder interviews

    • Synthesis paper


Environmental scan
Environmental Scan

Thematic Clusters

  • Curriculum Content

  • Pedagogical Issues Affecting the Medical Education System

  • The Culture (s) of Medicine and Medical Education

  • External Issues Affecting the Medical Education System

  • Higher Order Constructs


Literature review emerging trends
Literature Review Emerging Trends

  • Interprofessional education and practice

  • Challenges in the learning milieu / the hidden curriculum

  • A population health perspective

  • Balancing ambulatory and acute care experiences

  • The need to reevaluate our admission processes

  • Time based vs. competency based curricula

  • Quality of life for students and residents


Main activities1
Main Activities

  • Data Needs and Access Group

    • Discuss recommendations with data users and suppliers

    • Develop a plan to meet the data needs associated with the recommendations


Data needs and access group emerging trends
Data Needs and Access Group Emerging Trends

  • Measure reciprocal (bidirectional) linkages between changes in medical education and in health care delivery.

  • Determine which health care indicators are relevant to the inputs and outputs of medical education.

  • Develop and implement tools to measure objective-driven standardized outcomes and competencies across a variety of learning environments.

  • Determine how sites and teachers are currently selected, prepared and evaluated. con’t…


Data needs and access group emerging trends1
Data Needs and Access GroupEmerging Trends

  • Assess characteristics of applicants and non-applicants that predict career choice.

  • Measure why and how admissions filters impact outcomes re: discipline choice, quality of care, practice location, retention, etc.

  • Determine impact of financial accessibility issues on applicant pool and medical career choices.

  • Measure integration of CanMEDS into current curriculum.


Main activities2
Main Activities

  • Young Leaders’ Forum

    • Convene future leaders of the Canadian health care system

    • Give input into future vision of the future health care system


Young leaders forum emerging trends
Young Leaders’ ForumEmerging Trends

  • Emphasize life-long learning

  • Foster team-based, holistic approach to education

  • Allow multiple entry-points into health care and education systems (“laddering”)

  • Include social accountability in career choice

    con’t…


Young leaders forum emerging trends1
Young Leaders’ ForumEmerging Trends

  • Embrace emerging technologies/innovations

  • Fund research/work in CBT

  • Include mandatory component fostering IP competence and collaboration

  • Build relations with marginalized communities


Main activities3
Main Activities

  • International Comparisons (UK, US, Australia/NZ)

    • Generate an overview of the current landscape in British medical education

    • Identify current issues / trends that impact upon or should impact upon medical education

    • Explore whether / if undergraduate medical school programs are engaging / responding to societal shifts

    • Identify innovations in British medical education


Uk consultations emerging trends
UK ConsultationsEmerging Trends

Strong partnerships between universities and NHS

Education Institutes rather than departments

Authentic Clinical Skills Labs

Vertical Integration of Basic Sciences

Support for all Transitions

European Option

con’t…


International consultations uk emerging trends
International Consultations: UKEmerging Trends

Portfolio Assessments

Links with Public and International Health

High % of community-based teaching

Few full-time staff, multiple individual contracts for teaching


Main activities4
Main Activities

  • Blue Ribbon Panel

    • Representing a pan-national community perspective


Blue ribbon panel

Honorable James K. Bartleman

Dr. Judith Hall

Ms. Judith Wolfson

Dr. Malcolm King

Ms. Mary Jo Haddad

Dr. Penny Ballem

Dr. Robert A. Gordon

Mr. Stephen Owen

Dr. A. Wayne MacKay

Mr. Rob McLean

Ms. Pat Atkinson, MLA

Mr. Claude Castonguay

Mrs. Helene Desmarais

Blue Ribbon Panel



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