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