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93.More information
ABSTRACTThis paper presents an account of the adoption by the medical profession in Quebec, during the years 1890 to 1920, of certain germ-fighting practices. It introduces to the first shifts of men trained, for most of them on the Continent, in the theory and practice of bacteriology. It describes also the first bacteriology courses in the faculties of medicine as well as the emergence of bacteriological methodologies in the hospital and clinical practice. The new diagnostic methods introduced in the medical courses or in the hospital clinical setting indeed made their appearance without any significant delay with regard to what happened in the international medical community. Moreover, even if the diagnostic activities then prevailed at the expense of research, they nevertheless contributed widely to the development of laboratory medicine.
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94.More information
In Canada, like elsewhere in the world, a general movement to change the curriculum has been underway for about twenty years in order to adopt a competency-based approach in medical training programs and other professions. This article describes the implementation of this approach in the specific context of Canadian postgraduate residency programs in family medicine. After providing background on medical education and family medicine residency, we discuss three challenges encountered across the country: defining competence and competency approaches in the context of medical education; teaching with a competency approach by modifying training methods to promote skill development, evaluating the competencies to support their development. The authors based their research on education and health sciences education literature, and on their work experience in residency programs and national committees on the subject.
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