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

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