title: The Future of Postgraduate Medical Education in Canada.
abstract: The Future of Medical Education in Canada Postgraduate (FMEC PG) Project was launched in 2010 by a consortium of four organizations: the Association of Faculties of Medicine of Canada, the Collège des Médecins du Québec, the College of Family Physicians of Canada, and the Royal College of Physicians and Surgeons of Canada. The FMEC PG study set out to review the state of the Canadian postgraduate medical education (PGME) system and make recommendations for improvements and changes. The extensive process included literature reviews, commissioned papers, stakeholder interviews, international consultations, and dialogue with the public and learners. The resulting key findings and 10 recommendations, published in a report in 2012, represent the collective vision of the consortium partner organizations for PGME in Canada. Implementation of the recommendations began in 2013 and will continue beyond 2016.In this article, the authors describe the complex process of developing the recommendations, highlight several recommendations, consider implementation processes and issues, and share lessons learned to date. They reflect on the ways in which the transformation of a very complex and complicated PGME system has required many stakeholders to work together on multiple interventions simultaneously. Notwithstanding the challenges for the participating organizations, changes have been introduced and sustainability is being forged. Throughout this process, the consortium partners and other stakeholders have continued to address the social accountability role of all physicians with respect to the public they serve.
authors.affiliation: N. Busing is project lead, Future of Medical Education in Canada Postgraduate (FMEC PG) Project, and a practicing family physician, Ottawa, Ontario, Canada. K. Harris is executive director, Office of Specialty Education, Royal College of Physicians and Surgeons of Canada, Ottawa, Ontario, Canada. A.-M. MacLellan is director of medical education and assistant registrar, Collège des Médecins du Québec, Montréal, Québec, Canada. G. Moineau is president and chief executive officer, Association of Faculties of Medicine of Canada, and a practicing emergency medicine pediatrician, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada. I. Oandasan is director of education, College of Family Physicians of Canada, Mississauga, Ontario, Canada, and a practicing family physician, Toronto, Ontario, Canada. J. Rourke is dean of medicine and professor of family medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada. A. Saxena is associate dean, Postgraduate Medical Education, College of Medicine, University of Saskatchewan, and a practicing hematopathologist, Saskatoon, Saskatchewan, Canada.
authors.forename: Nick
authors.initials: N
authors.lastname: Busing
authors.forename: Ken
authors.initials: K
authors.lastname: Harris
authors.forename: Anne-Marie
authors.initials: AM
authors.lastname: MacLellan
authors.forename: Geneviève
authors.initials: G
authors.lastname: Moineau
authors.forename: Ivy
authors.initials: I
authors.lastname: Oandasan
authors.forename: James
authors.initials: J
authors.lastname: Rourke
authors.forename: Anurag
authors.initials: A
authors.lastname: Saxena
mesh_terms: D000068:Accreditation; D002170:Canada; D002983:Clinical Competence; D032921:Consensus; D004503:Education, Medical, Graduate / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D017408:Guidelines as Topic; D006301:Health Services Needs and Demand; D006280:Health Workforce; D006801:Humans