Murray T J
Dalhousie University, Halifax, NS.
CMAJ. 1993 May 1;148(9):1589-93.
Despite growing tensions as the Canadian health care system evolves, the system will survive over the next decade and strengthen its societal objectives, sometimes dragging physicians along. With the shift of the intellectual centre away from the universities, research and researchers will find funding security but career insecurity in the private sector. The independent investigator will become rare as "big science" becomes the norm, and basic science departments will have a decade of confusion as they struggle for a new place in the renewed medical schools. The move toward problem-based, community-oriented medical education will be completed, clinical faculty will become salaried and the smaller numbers of graduates will be more controlled in their practices. Medicine as a profession will adopt a renewed philosophical framework and will broaden in its scope to the benefit of Canadians.
尽管随着加拿大医疗保健系统的发展，紧张局势不断加剧，但该系统在未来十年仍将存续，并强化其社会目标，有时还会裹挟着医生一同前行。随着知识中心从大学转移，研究人员在私营部门会获得资金保障，但职业稳定性会受到影响。随着“大科学”成为常态，独立研究者将变得罕见，基础科学系在为重新组建的医学院争取新地位的过程中，将经历十年的混乱期。以问题为导向、面向社区的医学教育转型将完成，临床教师将成为领薪人员，毕业生数量减少，其执业行为将受到更多管控。医学作为一门职业，将采用新的哲学框架，并拓展其范围，以造福加拿大人。
