The Future of Medical Education in Canada

There needs to be a radical new approach to the training of doctors – with more emphasis on patient-centred care, preventive health care and working in teams with other health professionals, according to a much-anticipated new report. — from The Globe and Mail, January 29, 2010: MD schools call for radical rethink of doctor training

This is the report that was endorsed by all 17 Canadian medical schools:
Association of Faculties of Medicine of Canada (AFMC). The Future of Medical Education in Canada: A Collective Vision for MD Education. Ottawa: AFMC, 2010.

Just as Abraham Flexner’s report did 100 years ago, The Future of Medical Education in Canada (FMEC) project looks at how the education programs leading to the medical doctor (MD) degree in Canada can best respond to society’s evolving needs. In turn, the FMEC project is rooted in the Association of Faculties of Medicine of Canada’s (AFMC’s) articulated social accountability mission for medical schools.

The 10 FMEC recommendations for MD education are, according to this report,  “grounded in evidence and emerge from a broad and rigorous consultative process”. They are:

1. Address Individual and Community Needs
2. Enhance Admissions Processes
3. Build on the Scientific Basis of Medicine
4. Promote Prevention and Public Health
5. Address the Hidden Curriculum (influences affecting the nature of learning, professional interactions and clinical practice)
6. Diversify Learning Contexts
7. Value Generalism
8. Advance Inter- and Intra-Professional Practice
9. Adopt a Competency-Based and Flexible Approach
10. Foster Medical Leadership

These recommendations are accompanied by five enabling recommendations that will facilitate the implementation of the FMEC recommendations:
A. Realign Accreditation Standards
B. Build Capacity for Change
C. Increase National Collaboration
D. Improve the Use of Technology
E. Enhance Faculty Development

Knowledge Translation – CMAJ series

This series began in 2009, when CMAJ was still an Open Access journal.  Link to free full text for Parts 1-5 below at

  • Part 1:
    Straus SE, Tetroe J, Graham I. Defining knowledge translation. CMAJ 2009;181(3-4):165-8.
  • Part 2:
    Brouwers M, Stacey D, O’Connor A. Knowledge creation: synthesis, tools and products. CMAJ 2009 Nov 2. [Epub ahead of print]
  • Part 3:
    Kitson A, Straus SE. The knowledge-to-action cycle: Identifying the gaps.  CMAJ 2009 Nov 30. [Epub ahead of print]
  • Part 4:
    Harrison MB, Légaré F, Graham ID, Fervers B. Adapting clinical practice guidelines to local context and assessing barriers to their use.  CMAJ 2009 Dec 7. [Epub ahead of print]
  • Part 5:
    Wensing M, Bosch M, Grol R. Developing and selecting interventions for translating knowledge to action.  CMAJ 2009 Dec 21  [Epub ahead of print]
  • Part 6:
    Davis D, Davis N.  Selecting educational interventions for knowledge translation. CMAJ 2010 Jan. 5 [Epub ahead of print; subscribers only]

CME articles: Academic Medicine January 2010; 85 (1)

The January 2010 issue of Academic Medicine contains a number of articles of interest to CME  providers. The publisher is providing some of these these free of charge (for now).
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