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Educating future physicians for Ontario

V R Neufeld1, R F Maudsley, R J Pickering

  • 1Department of Medicine and Clinical Epidemiology, Faculty of Health Sciences, McMaster University, Hamilton, Ontario.

Academic Medicine : Journal of the Association of American Medical Colleges
|December 3, 1998
PubMed
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Ontario physicians' roles were redefined through a collaborative project, integrating public expectations into medical education. This initiative successfully reformed curricula by identifying eight key physician roles.

Area of Science:

  • Medical Education
  • Public Health Policy
  • Physician Training

Background:

  • A 1987 physician strike in Ontario highlighted a disconnect between public and professional perceptions of physicians.
  • This led to a 1990 collaborative project involving Ontario's five medical schools to align physician roles with public expectations.

Purpose of the Study:

  • To ascertain public expectations of physicians in Ontario.
  • To identify necessary changes in medical education programs to meet these expectations.
  • To reform physician roles and training based on societal needs.

Main Methods:

  • Gathered public views via focus groups and key informant interviews.
  • Conducted extensive literature reviews and surveys, including health professionals.

Related Experiment Videos

  • Developed faculty development, student assessment, and leadership tools through inter-university working groups.
  • Main Results:

    • Identified eight core physician roles: medical expert, communicator, collaborator, health advocate, learner, manager, scholar, and physician as person.
    • Integrated educational strategies for these roles into the curricula of five participating medical schools.

    Conclusions:

    • It is feasible to determine societal expectations of physicians.
    • This knowledge can effectively drive medical education reform.
    • Collaborative, multi-institutional efforts can implement significant curriculum changes.