Jayasinghe Saroj
Emeritus Professor of Medicine, Department of Clinical Medicine, University of Colombo, Sri Lanka.
Can Med Educ J. 2025 Feb 28;16(1):106-114. doi: 10.36834/cmej.79246. eCollection 2025 Feb.
The CanMEDS-2015 Framework outlines seven key roles expected of practicing physicians: communicator, collaborator, manager, health advocate, scholar, and professional. Critics have expressed concern about the omission of a proposed eighth role, 'Physician as Person' relevant to humane qualities and personal resilience of the physician. Upon further analyses, the Framework has included several virtuous attributes in the roles of a physician as professional and communicator. However, it addresses certain virtues like creativity, love, and spirituality inadequately. Drawing on literature from Positive Psychology, the author categorizes and additional set of virtues into six classes: wisdom, courage, humanity, justice, temperance, and transcendence. Based on these, the author lists virtues and concepts relevant to a 'Virtuous Role' for physicians. The CanMEDS Framework should integrate these virtues as a foundational or overarching role and draw from Virtue Ethics in religious and philosophical traditions. This approach is timely, giving ongoing efforts to update and develop CanMEDS2025. By adopting a Virtuous Role within CanMEDS, we aim to train physicians who are technically skilled and deeply humane, meeting society's expectations for compassionate and virtuous healthcare professionals.
《2015年加拿大医学教育专业人员角色框架》概述了执业医师应具备的七个关键角色:沟通者、合作者、管理者、健康倡导者、学者和专业人员。批评者对遗漏了提议的第八个角色“作为个体的医师”表示担忧,该角色与医师的人文品质和个人适应能力相关。经过进一步分析,该框架在医师作为专业人员和沟通者的角色中纳入了若干美德属性。然而,它对创造力、爱和灵性等某些美德的阐述不够充分。作者借鉴积极心理学的文献,将另一组美德分为六类:智慧、勇气、人性、正义、节制和超越。基于这些,作者列出了与医师“美德角色”相关的美德和概念。《加拿大医学教育专业人员角色框架》应将这些美德整合为一个基础或总体角色,并借鉴宗教和哲学传统中的美德伦理学。这种方法很及时,有助于持续努力更新和发展《2025年加拿大医学教育专业人员角色框架》。通过在《加拿大医学教育专业人员角色框架》中采用美德角色,我们旨在培养技术熟练且极具人文关怀的医师,满足社会对富有同情心和美德的医疗保健专业人员的期望。