Tag: uniting

Redefining excellence in health care: uniting inclusive compassion and shared humanity within a transformative physician competency model

KEY POINTS
  • The Canadian Medical Directives for Specialists (CanMEDS) revision project, due to approach completion in 2026, has identified limitations in the current framework’s ability to address the diverse needs of the Canadian population.

  • Presented here is a dynamic model — a transformed physician competency framework— that centres inclusive compassion and shared humanity and encompasses mechanisms to actively address existing systemic inequities in health care systems.

  • The model expands medical expertise and supports physicians to take an action-oriented stance and commit to equity, justice, and addressing health disparities, emphasizing the vital competencies that are required in both physician training and patient care to transform health systems.

The Canadian Medical Directives for Specialists (CanMEDS) revision project is at a crucial juncture, with implications for the medical profession in Canada. Expert groups have identified limitations in the current framework’s ability to address the diverse needs of the Canadian population, raising questions about its adaptability to concepts such as antiracism, social justice, artificial intelligence, and planetary health. Previously, we underscored the imperative to include antiracism as a foundational competency in any reimagining of CanMEDS,1,2 recognizing its pivotal role in combating health disparities. As the CanMEDS revision approaches completion in 2026, it presents a unique opportunity for transformative change in medical practice, informed by anti-oppression, cultural safety, and social justice principles. This prompts a critical examination of whether the existing framework can effectively integrate these vital competencies or if a comprehensive reimagining is necessary. The revision offers an unprecedented opportunity to envision a physician competency framework that not only facilitates, but propels transformative change within health care systems.

Transformative change in medical education and practice2,3 demands explicit integration of anti-oppressive competencies. This shift aims to redefine the physician’s role, moving from a neutral to an action-oriented stance committed

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