The Life Cycleof Health Professionals:

a CPD Perspective

• Professor Roger Strasser, Dean• Northern Ontario School of Medicine

Disclosure:I am a full time employee of:

• Northern Ontario School of Medicine (NOSM) which is funded by the Government of Ontario

I sit on the board of directors for the following organizations:

• NOSM (CEO of NOSM Corporation)

• Thunder Bay Regional Health Sciences Centre

• Advanced Medical Research Institute of Canada

• Thunder Bay Regional Research Institute

Doctor’s Life Cycle

• high schools program• premed programs • undergraduate program• postgraduate programs• CME/professional development• graduate studies

NOSM Academic Activities• MD Program• Residency Programs• Continuing Education• Health Sciences - Dietitians, Physician Assistants & Occupational / Physiotherapy• Interprofessional Education• Digital Library Services• Research

Origins of Medicine

• early humans cared for each other• foresight of mortality• first specialist in hunter gatherer groups was medicine man• privilege of not having to hunt• medicine is a response to a social need

Primary Care and Health:Evidence-Based Summary

• Countries with strong primary care- have lower overall costs- generally have healthier populations

• Within countries- areas with higher primary care physician- availability (but NOT specialist availability)- have healthier populations- more primary care physician availability reduces

adverse effects of social inequality

Social Accountability

“Social Accountability of medical schools is the obligation to direct education, research and service activities towards addressing the priority health concerns of the community, region and/or nation they have a mandate to serve” WHO,1995

Priority Health Concerns

People’s needs

Policy-makers

Health professionals

Academic institutionsCommunities

Health managers

The PDSA/PDCA Cycle

learn as you go small tests, not (necessarily) small

changes

Learning Collaboratives

Support

SPREAD

LW0

LW1

LW2

LW3

Pre- work

Select Topic Participants Reference Panel

Identify Change Concepts

Health Professional CPD• needs assessment

- societal needs- health service system needs- health professional learner needs

• plan and deliver education• assess what learned• evaluate program

References• Strasser R., et al. Transforming health professional education through social

accountability: Canada’s Northern Ontario School of Medicine. Medical Teacher 2013; 35: 490-496

• Strasser RP. (1991) ‘The origins of general practice,’ Med J Aust, 155: 609-611

• World Health Report: Primary Health Care - Now More Than Ever. WHO; Geneva, 2008

• Starfield B. Toward international primary care reform. CMAJ. 2009; 180(11):1091-2.

• Frenk J, Chen L, Zulfiqar A B, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet 2010; 376: 1923-1958

• Deming, W.E. The New Economics, MIT Press, 1994.