MEDICC Rev. 2008 Oct;10(4):15-9. doi: 10.37757/MR2008.V10.N4.5.
The Northern Ontario School of Medicine (NOSM) was established as a not-for-profit medical education corporation in November 2002 with a social accountability mandate to provide "undergraduate and post graduate medical education programs that are innovative and responsive to the individual needs of students and to the healthcare needs of the people in Northern Ontario."[1] NOSM is not only the first new medical school in Canada in 30 years; it is also the first medical school established in, for and about the Northern Ontario region; and the first Canadian dual university medical school. In practice, these "firsts" constitute community-engaged medical education programs distributed in 70 communities across Northern Ontario, made possible by partnerships with universities, advisory groups, community organizations, hospitals and clinics. It is through these partnerships that NOSM works to fully achieve its social accountability mandate with a diverse, multilingual population, dispersed over a wide geographic area. Northern Ontario is a mostly rural, densely forested area of 820,000 square kilometers (approximately the size of France and Germany combined) with a population of just over 800,000, including First Nations (Aboriginal), Francophone and Anglophone groups. In general, the largest First Nation populations are located on reserves in the Northwest, while Francophone populations are generally concentrated in the Northeast. In April 2007, the Ministry of Health and Long-Term Care designated 37 Northern Ontario communities (including some larger communities such as North Bay and Thunder Bay) as medically "underserviced" with a total shortage of 132 family physicians.[2] In addition, 14 Northern Ontario communities were designated as underserviced in specialists with a total shortage of 129.[3].
安大略省北部医学院（NOSM）于 2002 年 11 月成立为一家非营利性医学教育公司，其社会责任是提供“创新的本科和研究生医学教育计划，以满足学生的个人需求和安大略省北部人民的医疗保健需求”。[1] NOSM 不仅是加拿大 30 年来第一所新医学院；它也是第一所针对安大略省北部地区而设立的医学院；也是第一所加拿大双重大学医学院。实际上，这些“第一”构成了分布在安大略省北部 70 个社区的以社区为中心的医学教育计划，这些计划通过与大学、顾问小组、社区组织、医院和诊所的合作得以实现。正是通过这些合作伙伴关系，NOSM 致力于与多元化、多语言的人口充分实现其社会责任，这些人口分布在广阔的地理区域。安大略省北部是一个面积为 82 万平方公里（约为法国和德国的总和）的以农村为主、森林茂密的地区，人口略多于 80 万，包括第一民族（原住民）、法语和英语群体。一般来说，最大的第一民族人口位于西北部的保留地，而法语人口通常集中在东北部。2007 年 4 月，安大略省卫生部和长期护理部指定安大略省北部 37 个社区（包括北湾和桑德贝等一些较大的社区）为医疗服务不足的社区，总共短缺 132 名家庭医生。[2] 此外，14 个安大略省北部社区被指定为专科医生服务不足的社区，总共短缺 129 名专科医生。[3]。
