Understanding collaborative governance in decentralizing ...
DEVELOPING A COLLABORATIVE GOVERNANCE STRUCTURE … · – The collaborative governance structure...
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FMEC PG COLLECTIVE VISION RECOMMENDATION 9: Establish effective collaborative governance in PGME Recognizing the complexity of PGME and the health delivery system within which it operates, integrate the multiple bodies (regulatory and certifying colleges, educational and healthcare institutions) that play a role in PGME into a collaborative governance structure in order to achieve efficiency, reduce redundancy, and provide clarity on strategic directions and decisions. Key Transformative Actions: 1) Identify organizations that have decision-making authority in PGME and define roles that could better streamline and enhance their collaboration through the study of governance models and the implementation of the one that promotes the greatest efficiency and effectiveness 2) Establish terms of reference, align strategic directions, and establish a collective governance process KEY ACTIVITIES • Guiding Principles: – Participants in the collaborative governance structure recognize that PGME is a complex adaptive system – The governance structure is designed to be practical, effective and transparent, and to enable transformative change – The role, obligations and rights of each partner organiza- tion within the governance structure will be clearly stated – Common and achievable goals will be defined – Recommendations will be made by consensus and submitted for consideration and ratification by participat- ing organizations – The collaborative governance structure respects the autonomy and mandate of individual organizations while recognizing that compromises required to achieve joint goals – PGME is seen as a component of the broader medical education continuum that spans the professional life of the physician • Activities of the Governance Committee: – Environmental scan of best practices, including key informant interviews with US, UK, Australia – Promising practices identified by the Institute on Governance (IOG) related to Mandate, Legitimacy & Voice, Decision-making, Performance, Accountability and Fairness – Selection of preferred collaborative governance structure for the Canadian PGME context – Development of Terms of Reference (ToR) – Business case and test case identification in progress – Prototype Canadian PGME Governance Council launch expected in early 2016 – All Committee decisions followed Guiding Principles which led to trust among partners PGME GOVERNANCE COUNCIL Selected model for PGME Governance Council: • An informal collaborative governance structure that will employ a consensus -based decision-making process, situated under a Memorandum of Understanding (MOU) among participating organizations • Mandate: To advance a socially accountable PGME system in Canada, in line with the FMEC PG recommendations, working together in an ongoing collegial and coordinated manner to address a breadth of issues, notably those that cannot be resolved at other tables, including sensitive, controversial and often difficult issues. When enacted, the Council will make recommendations and provide direction to the stakeholder organizations on the subsequent implementation of such recommendations • Membership: Universities: AFMC (1 Dean, 1 PG Dean & 1 UG Dean); Health Sector Teaching Spaces: HealthCareCAN, SRPC, DME/RME sites; Certifying Bodies: CFPC, CMQ, MCC, Royal College; Regulatory Bodies: FMRAC; Professional Associations: CMA; Learner Organizations: Resident Doctors of Canada and FMRQ; 1 observer each from: CFMS and FMEQ; 1 public member; Government – 1 observer from each of Health Canada, F/P/T Committee on Health Workforce (CHW), provincial ministry of health (rotating), provincial ministry of education (rotating); Other groups, individuals, and perspectives as required Decision-making process will be driven by consensus-based model of substantial agreement. C. Herbert 1 , N.Busing 2 , M. Shahin 3 , M. Raegele 4 for the FMEC PG Governance Implementation Committee 1 Professor Emerita and Adjunct Research Professor, Western University and Chair, Governance Implementation Committee, 2 Project Lead, Future of Medical Education in Canada Postgraduate Project (FMEC PG), 3 Manager, Project Management Office, Association of Faculties of Medicine of Canada (AFMC), 4 Project Coordinator, Future of Medical Education in Canada Postgraduate Project (FMEC PG) DEVELOPING A COLLABORATIVE GOVERNANCE STRUCTURE FOR CANADIAN PGME T HE F UTURE OF M EDICAL E DUCATION IN C ANADA POSTGRADUATE PROJECT Serving Canadians – Educating Tomorrow’s Doctors Today PARTNERS A HEALTH CANADA-FUNDED PROJECT Social Accountability Learning and Work Environments Competency-Based Curricula Transitions Assessment Systems Clinical Teachers Leadership Governance Accreditation Physician Mix and Distribution t o m e e t t h e n e e d s o f C a n a d i a n s E d u c a t i n g t o m o r r o w ’ s d o c t o r s PGME FMEC PG Governance Implementation Committee Dr Carol Herbert (Chair), Dr Nick Busing, Dr Hélène Boisjoly*, Dr Ian Bowmer, Dr Murray Bryant, Dr Oscar Casiro, Dr Robin Clouston, Mr. Terry Colbourne, Dr Pamela Eisener-Parsche, Dr Paul Grand’Maison, Dr Ken Harris, Dr Michael Jong, Mr. Serge Keverian, Dr Fleur-Ange Lefebvre, Dr Anne-Marie MacLellan, Ms. Suzanne McGurn, Dr Jamie Meuser*, Dr Geneviève Moineau, Dr. Ivy Oandasan, Dr Eric Peters, Dr Charmaine Roye, Dr Roger Strasser, Ms. Leslee Thompson*, Mr. George Thomson, Dr J. Mark Walton. *No longer on committee
Transcript of DEVELOPING A COLLABORATIVE GOVERNANCE STRUCTURE … · – The collaborative governance structure...
FMEC PG COLLECTIVE VISION
RECOMMENDATION 9: Establish e�ective collaborative governance in PGME
Recognizing the complexity of PGME and the health delivery system within which it operates, integrate the multiple bodies (regulatory and certifying colleges, educational and healthcare institutions) that play a role in PGME into a collaborative governance structure in order to achieve e�ciency, reduce redundancy, and provide clarity on strategic directions and decisions.
Key Transformative Actions: 1) Identify organizations that have decision-making authority
in PGME and de�ne roles that could better streamline and enhance their collaboration through the study of governance models and the implementation of the one that promotes the greatest e�ciency and e�ectiveness
2) Establish terms of reference, align strategic directions, and establish a collective governance process
KEY ACTIVITIES
• Guiding Principles:– Participants in the collaborative governance structure
recognize that PGME is a complex adaptive system– The governance structure is designed to be practical,
e�ective and transparent, and to enable transformative change
– The role, obligations and rights of each partner organiza-tion within the governance structure will be clearly stated
– Common and achievable goals will be de�ned– Recommendations will be made by consensus and
submitted for consideration and rati�cation by participat-ing organizations
– The collaborative governance structure respects the autonomy and mandate of individual organizations while recognizing that compromises required to achieve joint goals
– PGME is seen as a component of the broader medical education continuum that spans the professional life of the physician
• Activities of the Governance Committee:– Environmental scan of best practices, including
key informant interviews with US, UK, Australia– Promising practices identi�ed by the Institute on
Governance (IOG) related to Mandate, Legitimacy & Voice, Decision-making, Performance, Accountability and Fairness
– Selection of preferred collaborative governance structure for the Canadian PGME context
– Development of Terms of Reference (ToR)– Business case and test case identi�cation in progress– Prototype Canadian PGME Governance Council launch
expected in early 2016– All Committee decisions followed Guiding Principles
which led to trust among partners
PGME GOVERNANCE COUNCIL
Selected model for PGME Governance Council:
• An informal collaborative governance structure that will employ a consensus -based decision-making process, situated under a Memorandum of Understanding (MOU) among participating organizations
• Mandate: To advance a socially accountable PGME system in Canada, in line with the FMEC PG recommendations, working together in an ongoing collegial and coordinated manner to address a breadth of issues, notably those that cannot be resolved at other tables, including sensitive, controversial and often di�cult issues. When enacted, the Council will make recommendations and provide direction to the stakeholder organizations on the subsequent implementation of such recommendations
• Membership: Universities: AFMC (1 Dean, 1 PG Dean & 1 UG Dean); Health Sector Teaching Spaces: HealthCareCAN, SRPC, DME/RME sites; Certifying Bodies: CFPC, CMQ, MCC, Royal College; Regulatory Bodies: FMRAC; Professional Associations: CMA; Learner Organizations: Resident Doctors of Canada and FMRQ; 1 observer each from: CFMS and FMEQ; 1 public member; Government – 1 observer from each of Health Canada, F/P/T Committee on Health Workforce (CHW), provincial ministry of health (rotating), provincial ministry of education (rotating); Other groups, individuals, and perspectives as required
Decision-making process will be driven by consensus-based model of substantial agreement.
C. Herbert1, N.Busing2, M. Shahin3, M. Raegele4 for the FMEC PG Governance Implementation Committee
1Professor Emerita and Adjunct Research Professor, Western University and Chair, Governance Implementation Committee, 2Project Lead, Future of Medical Education in Canada Postgraduate Project
(FMEC PG), 3Manager, Project Management O�ce, Association of Faculties of Medicine of Canada (AFMC), 4Project Coordinator, Future of Medical Education in Canada Postgraduate Project (FMEC PG)
DEVELOPING A COLLABORATIVE GOVERNANCE STRUCTURE FOR
CANADIAN PGME
THE FUTURE OFMEDICAL EDUCATION
IN CANADAP O S T G R A D U A T E P R O J E C T
Serving Canadians –Educating Tomorrow’s Doctors Today
PARTNERS
A HEALTH CANADA-FUNDED PROJECT
Social Accountability Learning
and WorkEnvironments
Competency-BasedCurricula
Transitions
AssessmentSystems
ClinicalTeachers
Leadership
Governance
Accreditation
PhysicianMix and
Distribution
to m
eet the needs of Canadian
s
Educa
ting tomorrow’s docto
rs
PGME
FMEC PG Governance Implementation Committee Dr Carol Herbert (Chair), Dr Nick Busing, Dr Hélène Boisjoly*, Dr Ian Bowmer, Dr Murray Bryant, Dr Oscar Casiro, Dr Robin Clouston, Mr. Terry Colbourne, Dr Pamela Eisener-Parsche, Dr Paul Grand’Maison, Dr Ken Harris, Dr Michael Jong, Mr. Serge Keverian, Dr Fleur-Ange Lefebvre, Dr Anne-Marie MacLellan, Ms. Suzanne McGurn, Dr Jamie Meuser*, Dr Geneviève Moineau, Dr. Ivy Oandasan, Dr Eric Peters, Dr Charmaine Roye, Dr Roger Strasser, Ms. Leslee Thompson*, Mr. George Thomson, Dr J. Mark Walton. *No longer on committee
