2. The Life Cycle of Health Professionals: a CPD Perspective Professor Roger Strasser, Dean Northern Ontario School of Medicine

3. 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

6. Doctor’s Life Cycle high schools program premed programs undergraduate program postgraduate programs CME/professional development graduate studies

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

8. 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

10. 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

12. 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

13. Priority Health Concerns needs People’s needs Policy-makers Health professionals Academic institutions Communities Health managers

18. The PDSA/PDCA Cycle

19. u learn as you go u small tests, not (necessarily) small changes

20. Learning Collaboratives

21. Health Professional CPD needs assessment -societal needs -health service system needs -health professional learner needs plan and deliver education assess what learned evaluate program

22. 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.