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.

The Future of Medical Education in Canada

Introduction and Update

Monday, May 5, 2008Nick Busing, MD

President and CEOThe Association of Faculties of Medicine of Canada

A Project Funded by Health Canada

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

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

Main Activities

• Environmental Scan

Literature reviewKey stakeholder interviewsSynthesis paper

Environmental Scan

Thematic ClustersA. Curriculum Content

B. Pedagogical Issues Affecting the Medical Education System

C. The Culture (s) of Medicine and Medical Education

D. External Issues Affecting the Medical Education System

E. Higher Order Constructs

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 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

• 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 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 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’ 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’ 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 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 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: 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 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

Questions?