SubmissionId 60826

Accepted Type
Facilitated and Dedicated Poster

Code
P6 - 02

Was this work accepted for CCME 2020?
no

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Research

Will the presenter be a:
Other

Presenter Other
Medical educator

Affiliation

Considered for Poster
yes

Title
Building a New Social Contract in Canadian Medical Practice through Competence by Design

Length of Presentation

Background/Purpose
We examine the emerging social contract between doctors and society in the context of Competence by Design (CBD). Three seminal events define medical specialty training: the union of barber-surgeons and apothecaries in the 19th century (Porter, 2002); the Flexner Report (1910); and, competency-based education nowadays. Each event produced specific medical professional identities and associated social contracts based on understandings of population needs and rights. CBD promises to create scientifically informed and socially responsive doctors. CBD entails a new professionalism and a new social contract, but how is this reproduced in specialty training, which occurs in a dialogic relationship between clinical practice and social accountability?

Methods
We conducted a comprehensive literature search of competency-based medical education approaches, Competence-by-Design, and the sociological literature on social reproduction and education.

Results
We examined CBD through the vantage point of social reproduction theory providing tools to understand the roles of both education and practice in the re-making of professional worlds. Education is one key locus of social reproduction (Bourdieu, 1972; Freire, 1970), yet this is mediated by structural constraints in various forms (Collins, 2009), including contexts of practice.

Conclusion
We found that, beyond the parameters of scientific medicine, CBD creates a medical professional identity entangled with contemporary social and contextual factors, including pandemic conditions, thus creating a new social contract.

Keyword 1
social contract

Keyword 2
CBD

Keyword 3
accountability

Level of Training
Post Graduate

Abstract Themes
Teaching and learning

Teaching and Learning
Competency-Based Education

Additional Theme (First choice)
Professionalism

Additional Theme (Second Choice)
Postgraduate

Additional Theme (Third Choice)
Leadership

Authors
Presenter
    Fernanda Claudio

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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