Issue No. 9 - Governance
December 3, 2015
Making our postgraduate medical education system stronger with a solid, collaborative governance

"In their own words":  FMEC PG's Recommendation 9

" The Canadian PGME Collaborative Governance Council will provide a structure for ongoing collaboration among organizations with a stake in postgraduate medical education as FMEC PG recommendations continue to be implemented. The Council, which will be formally launched in April 2016, will enable constructive movement toward resolution of contentious issues through the development of consensus-based recommendations. "

- Carol Herbert
Western University


About the FMEC PG Implementation Project

The Future of Medical Education in Canada Postgraduate (FMEC PG) Implementation Project is helping to ensure that medical residents in this country continue to receive the best training possible and are able to meet the changing healthcare needs of Canadians.

The FMEC PG Implementation Project is funded by Health Canada and a consortium of four organizations: The Association of Faculties of Medicine of Canada (AFMC), The College of Family Physicians of Canada (CFPC), Le Collège des médecins du Québec (CMQ) and The Royal College of Physicians and Surgeons of Canada (The Royal College).
To read about all ten recommendations and their transformative actions, please consult the FMEC PG Collective Vision.

Reflections from Dr. Nick Busing, Project Lead

How can we make our very strong PGME system in Canada even stronger, with more effective and efficient decision making among all those who have responsibility for the training of our resident doctors? This longstanding challenge has led to the formation of the Canadian PGME Collaborative Governance Council, a bold new structure that brings all the major decision makers in PGME in Canada together to try to solve common problems in a more timely and effective manner.
Collaborative governance, the model chosen for the PGME Council is both a challenge and a potential strength. As we go forward and the Council starts to make consensus based recommendations, we need to respect the autonomy and decision making of the individual organizations and committees at the table, while crafting recommendations on issues that are shared across stakeholders. It is not the way we are used to making decisions and requires us to successfully integrate the priorities of individual organizations and committees with the goals of the collective. It will take our adherence to good governance and our willingness to make compromises to ensure that the Council is successful and is value added to the decision making processes in PGME.
Our plans to collectively and collaboratively problem solve the tough issues in PGME can be a model for others, both within Canada and abroad. Let's hope we have the collective will to make it a success.

Dr. Nick Busing led transformative change from 2005-2013 as President and CEO of the Association of Faculties of Medicine of Canada. Prior to joining AFMC, Dr. Busing spent 20 years at the University of Ottawa's Faculty of Medicine. He is a past president of the CFPC and a past chair of the Canadian Medical Forum.