Petersdorf R G
Association of American Medical Colleges, Washington, DC 20037-1126.
CMAJ. 1993 May 1;148(9):1550-3.
Undergraduate medical education in Canada and the United States is remarkably similar, except for the fact that Canadian medical schools are supported by their provincial governments. However, the systems diverge sharply at the postgraduate level. In Canada, the number and specialty mix of residents are negotiated by medical schools in response to educational and social needs; in the United States, these factors are largely determined by hospital service needs. The Canadian systems of accreditation, certification and payment for medical education after graduation are much simpler than those of the United States, and the accreditation and certification systems are more objective. In addition, the US system promotes subspecialization and a costly specialty imbalance, whereas Canada's system has achieved an appropriate balance of specialists and generalists. In general, Canadian medical education appears to be simpler, more accountable and more socially responsive.
加拿大和美国的本科医学教育非常相似，只是加拿大的医学院由其省政府提供支持。然而，两国的体系在研究生阶段有很大差异。在加拿大，医学院会根据教育和社会需求协商住院医师的数量和专业组合；在美国，这些因素很大程度上由医院服务需求决定。加拿大毕业后医学教育的认证、资格证书颁发和支付体系比美国的要简单得多，而且认证和资格证书颁发体系更客观。此外，美国的体系促进了亚专业发展以及代价高昂的专业失衡，而加拿大的体系在专科医生和全科医生之间实现了适当的平衡。总体而言，加拿大的医学教育似乎更简单、更具问责性且对社会需求更有响应。
