Reflections from Dr. Nick Busing, Project Lead
The needs of the Canadian population are ever-changing and beg the question of whether we are training our doctors in the right venues and in the right disciplines to meet these needs. We have a wonderful PGME system in Canada, but one which may be too aligned with traditional ways of training and venues of training to see that needs and expectations are changing. We need to be training all of our residents in environments that reinforce the social accountability mandate of our profession. The social accountability missions of our medical schools and our certifying bodies may be interpreted in many ways, depending on location, population needs and health priorities.
Is the current training exposing residents to the needs of all Canadians, including the marginalized, the underserved and the aboriginal? Is training flexible enough to help residents learn in all environments, not just in tertiary and quaternary centres? Is the training system providing mentors that reflect the huge and variable needs of Canadians? If the answers to any of these questions is no, then we still have much to do to change the learning environment to one that is more socially accountable. It is a formidable, but not immovable, task.
r. 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.