title: The curriculum for the doctor of the future: messages from the clinician's perspective.
abstract: BACKGROUND
  Medical curricula should focus on the future of health care. Contemporary competency frameworks for curriculum design such as Canadian Medical Education Directions for Specialists (CanMEDS), ACGME and Tomorrow's Doctors share this vision by stressing generic competencies.
  
  
  OBJECTIVE
  The objective of this study was to investigate how well a contemporary competency framework fits in with clinicians' perspectives on future health care.
  
  
  METHODS
  Using a strategic planning approach, a semi-structured open-ended questionnaire on the future of their profession was sent to 102 Dutch gynecologists. Through inductive analysis, a future perspective and its needed competencies were identified and compared to the CanMEDS framework.
  
  
  RESULTS
  The 62 responses showed content validity for the CanMEDS roles. Additionally, two roles were identified: advanced technology user and entrepreneur. Within the role Communicator, the focus will change through more active patient participation. The roles Collaborator and Manager are predicted to change in focus because of an increase of complex interdisciplinary teamwork and leadership roles.
  
  
  CONCLUSIONS
  By studying the Dutch gynecologists' perspective of the future in a strategic planning approach, two additional roles and focus areas within a contemporary competency framework were identified. The perspective of clinicians on future health care provides valuable messages on how to design future-proof curricula.
authors.affiliation: St Lucas Andreas Hospital, The Netherlands. n.vanderlee@slaz.nl
authors.forename: Nadine
authors.initials: N
authors.lastname: van der Lee
authors.forename: Michiel
authors.initials: M
authors.lastname: Westerman
authors.forename: Joanne P I
authors.initials: JP
authors.lastname: Fokkema
authors.forename: Cees P M
authors.initials: CP
authors.lastname: Van Der Vleuten
authors.forename: Albert J J A
authors.initials: AJ
authors.lastname: Scherpbier
authors.forename: Fedde
authors.initials: F
authors.lastname: Scheele
mesh_terms: D002908:Chronic Disease / Q000628:therapy; D002983:Clinical Competence; D003479:Curriculum; D005260:Female; D005851:Geriatric Nursing; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D009426:Netherlands; D009774:Obstetrics; D010817:Physician-Patient Relations; D010820:Physicians / Q000639:trends*; D011050:Policy Making; D011795:Surveys and Questionnaires