Association of Faculties of Medicine of Canada, Ottawa, Ontario, Canada.
Acad Med. 2010 Feb;85(2):340-8. doi: 10.1097/ACM.0b013e3181c8880d.
The Association of Faculties of Medicine of Canada launched the Future of Medical Education in Canada (FMEC) Project in 2007. The FMEC Project's overarching goal was to comprehensively examine the current state of undergraduate medical education, concentrating on its alignment with current and future societal needs. Like Flexner's work, the FMEC Project used a process of reflection and renewal; unlike Flexner's work, the FMEC Project used multiple techniques to gather information, including literature reviews, key informant interviews, international visits, and a series of consultations with stakeholders and expert groups. The project's final report, The Future of Medical Education in Canada: A Collective Vision, put forth 10 recommendations that summarized priority areas for academic medicine and medical training in Canada at the start of the 21st century. The current article reviews FMEC Project recommendations in relation to the priorities set out by Flexner in 1910. In some areas, such as the scientific basis of medical education, there is striking congruence between Flexner's views and today's collective vision. In other areas, such as community-based learning, opinion appears to have shifted markedly over the past century, and concepts such as interprofessionalism may represent distinctly modern domains. While Flexnerian themes tend to center on the notion of medicine as science, present-day priorities converge on the link between academic medicine and societal needs. By looking back on Flexner's work, we can see where his vision has taken us. As well, we see more clearly the new frontiers that academic medicine will continue to explore.
加拿大医学协会于 2007 年启动了未来医学教育在加拿大（FMEC）项目。该项目的总体目标是全面审视本科医学教育的现状，重点关注其与当前和未来社会需求的一致性。与 Flexner 的工作一样，FMEC 项目采用了反思和更新的过程；与 Flexner 的工作不同，FMEC 项目使用了多种技术来收集信息，包括文献综述、关键知情人访谈、国际访问以及与利益相关者和专家组的一系列磋商。该项目的最终报告《加拿大医学教育的未来：集体愿景》提出了 10 项建议，总结了 21 世纪初加拿大学术医学和医学培训的优先领域。本文回顾了 FMEC 项目建议与 Flexner 在 1910 年提出的优先事项之间的关系。在某些领域，例如医学教育的科学基础，Flexner 的观点与今天的集体愿景之间存在惊人的一致性。在其他领域，例如基于社区的学习，观点似乎在过去一个世纪发生了明显的转变，而诸如跨专业主义等概念可能代表着明显的现代领域。虽然 Flexner 主题往往集中在医学作为科学的概念上，但当今的优先事项集中在学术医学与社会需求之间的联系上。通过回顾 Flexner 的工作，我们可以看到他的愿景带我们走了多远。同样，我们也更清楚地看到学术医学将继续探索的新前沿。
