What is the Continuum of Medical Education

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What is the Continuum of Medical Education?
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Outline

• Define the continuum of medical education
• Where are the gaps?
• How do we plug the gaps and encourage vertical
  integration?

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• It is all a matter of perspective!

Hogarth Satire on False Perspective 1753
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University Curricula
Prevocational Phase - ACF
Postgraduate Medical College Curricula
Continuing Professional Development
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A trainees perspective?
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How do roles of medical practitioners change as
they move through the continuum?

• Increased number of roles?
• Increased complexity of roles?
• Change in emphasis of roles?

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Medical Student - Roles
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Prevocational Doctor - Roles
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Registrar - roles
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Consultant - roles
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The Roles of Medical Practitioners

• The number and complexity of roles increase
  across the spectrum
• There are common roles across all levels of the
  continuum (learner, supervisor, teacher,
  assessor, team leader/player)
• The number and complexity of the roles are
  migrating towards the undergraduate level

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Where are the Gaps?

• Same people doing the same roles across the
  continuum e.g. supervisors
• Competition for limited resources
• People
• Time
• Expensive training courses and equipment

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Where are the Gaps?

• Repetition of learning between levels of the
  continuum with minimal recognition of prior
  learning
• Common problems e.g. reliability and validity
  of assessment practices
• Multiple accreditation systems
• Minimal collaboration between the levels

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Vertical Integration Can we plug the gaps?
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ACF a tool to promote integration

• Now have a way to map between undergraduate and
  post graduate curricula
• National processes that can be used at all levels
  of the continuum
• Term Description templates
• Assessment principles/glossary
• Supervisor training
• Recognition of prior learning

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ACF a tool to promote integration

• Recognition of prior learning
• Emphasis on
• Workplace Observation and interaction with
  supervisors
• Self reflection and monitoring of progress

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Future Challenges

• Current system not sustainable
• Need to work together to ensure
• Appropriate supervision
• Rational use of resources
• Management of change
• Work practices and locations
• Increasing numbers of medical practitioners
• Development of support and training for trainers