Abstract Manager

Facilitated and Dedicated Poster

P6 - 02

no

General Call (Workshop, Oral Presentation, Poster Presentation)

Oral

Education Research

Other

Medical educator

yes

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

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?

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

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.

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.

social contract

CBD

accountability

Post Graduate

Teaching and learning

Competency-Based Education

Professionalism

Postgraduate

Leadership

Yes

Yes

Yes

Yes

Yes