Organek Andrew J, Tannenbaum David, Kerr Jonathan, Konkin Jill, Parsons Ean, Saucier Danielle, Shaw Elizabeth, Walsh Allyn
Department of Family and Community Medicine, University of Toronto.
Fam Med. 2012 Feb;44(2):90-7.
Despite a record of excellence, Canadian family medicine residency programs must respond to the changing face of health care and the needs of the population. A working group was established by the College of Family Physicians of Canada to review the current curriculum and make recommendations for change.
Literature reviews of current evidence regarding strategies in postgraduate medical education were carried out, and recent developments in medical education internationally were studied. After recommendations for curriculum change were drafted, workshops, presentations, and peer consultations were conducted over a 4-year period to test ideas and obtain stakeholder feedback.
The core recommendation of the working group is: Residency programs in family medicine are to establish a competency-based curriculum that is comprehensive, focused on continuity, and centered in family medicine--The Triple C Competency-based Curriculum. The working group developed a new framework for family medicine competency in Canada, CanMEDS-FM, to support the transition.
The Triple C Competency-based Curriculum was developed to redesign Canadian family medicine residencies based on a solid rationale. Recommendations for curricular change, as well as the competency framework, CanMEDS-FM, have been accepted enthusiastically by stakeholders. Implementation and evaluation phases are underway.
尽管加拿大家庭医学住院医师培训项目成绩斐然，但仍必须应对医疗保健面貌的变化以及民众的需求。加拿大家庭医师学会成立了一个工作组，以审查当前课程并提出变革建议。
对有关研究生医学教育策略的现有证据进行文献综述，并研究国际医学教育的最新发展。在起草课程变革建议后，在4年时间内举办了研讨会、讲座并进行同行咨询，以测试想法并获得利益相关者的反馈。
工作组的核心建议是：家庭医学住院医师培训项目应建立一个基于能力的课程体系，该体系全面、注重连续性且以家庭医学为核心——即“三C”基于能力的课程体系。工作组制定了加拿大家庭医学能力的新框架CanMEDS-FM，以支持这一转变。
“三C”基于能力的课程体系旨在基于坚实的理论依据重新设计加拿大家庭医学住院医师培训项目。课程变革建议以及能力框架CanMEDS-FM已得到利益相关者的热烈认可。实施和评估阶段正在进行中。
