A clinical education futureworth working for.pptVIP

A clinical education futureworth working for Remarks by Angus Rae, M.B.FRCP To the 2009 AGM of the Section of Clinical Faculty, BCMA November 2, 2009 Why clinical teaching is growing and needs to grow For decades CF have taught students with their patients in recognized teaching hospital medical schools in an ‘unwritten amicable gentlemen’s agreement’ Doctor shortage is now critical and growing. Increasing demand on peripheral hospitals and GP offices for mentoring services Clinical faculty do 70% of UBC’s teaching BC is Canada’s heaviest user of clinical teachers Up to 3,000 clinical faculty now devote varying amounts of time to teaching while practicing medicine So what’s the problem? As the student numbers grew, little thought was given to the impact of more learners on CF teachers, their incomes, their office overheads, or their patients. For years UBC has taken CF teachers/mentors for granted without a thought for a formal partnership – nor did any other university as far as I know. Nor in those days did CF consider it. UBC’s track record The FOM has said our forebears in traditional teaching hospitals taught freely and so should we; but their rewards were manifest – referrals by status and from well taught students. There was no income loss from teaching as some of us were asked to bear. Doctor shortage now critical: student enrollment 60 in 1968, 256 in 2009, 288 in 2011. Pressure on CF teachers increases Hence this unwritten ‘Gentlemen’s agreement’ between CF and the FOM, teaching in return for status and hence referrals, is now obsolete As the need for overworked unsalaried CF teachers rises office overheads increase, fewer CF can take on learners yet – 3 M Canadians have no Family doctor. Good teaching takes time, time is money and fewer can afford it.  1998 -As pressure grew, CF reacted. Organized the University Clinical Faculty Association to: Consider how best to handle the worsening relationship with the FO