Reflections from Dr. Nick Busing, Project Lead
There are several vexing and ongoing challenges in trying to ensure a collaborative and supportive learning and work environment. One is to address the hidden curriculum in a meaningful way. Much has been done to date, including a request to UGME and PGME accreditors to introduce standards that explicitly examine how our educational environments are dealing with the issue of the hidden curriculum. As well, there are many initiatives taking place at individual medical schools that are trying to influence the culture to be more supportive of all learners and faculty. Is this enough? Likely not. A full culture shift is needed to truly embrace unconditionally collaborative and supportive learning and work environments. We need to be constantly vigilant and speak out when biases enter into the system. It will take time, but it is an essential step forward.
Another challenge is to ensure patient centered collaborative care through a program of interprofessional education and interprofessional practice. The building blocks to make this happen are in place or are being put into place, but we are not there yet. There is still too much siloed activity in the IPE sandbox and not enough collaborative activity. Again, we have to work on this on a daily basis for it to become a way of the future.
These are critical issues in helping us continually move towards a more socially accountable and responsive medical education system.
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.