The Future of Medical Education in Canada Introduction and Update Monday, May 5, 2008

1. 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

2. 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

3. 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

4. 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

5. Main Activities • Environmental Scan • Literature review • Key stakeholder interviews • Synthesis paper

6. 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

7. 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

8. 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

9. 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…

10. 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.

11. 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

12. 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…

13. 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

14. 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

15. 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…

16. 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

17. Main Activities • Blue Ribbon Panel • Representing a pan-national community perspective

18. 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

19. Questions?