educational programsOne hundred years ago, the profession put in place a system of self-regulation that was designed to distinguish the quacks from the qualified. Individual physicians had to graduate from an accredited school, accredited residency program, and to maintain participation in accredited CE. Individuals were certified, and their educational programs were accredited. This system achieved its end, and it is now distinctly unusual for those not qualified to practice medicine to be engaged in practice.

As the profession developed a serious commitment to improving patient care, it became apparent that the “qualified” model was not up to the task. A competency movement emerged that required that individual physicians demonstrate competence. Over time, however, it has become clear that high-quality health care depends on more than traditional physician competence. Improving patient care is dependent on system attributes, including the functioning of individuals across disciplines and professions, and teamwork became important. Improving individual performance is necessary but not sufficient. Hence, the Josiah Macy, Jr. Foundation Conference participants recommended that two of the oversight bodies in the medical and nursing professions should work together to establish a single accrediting organization. We recommended that the Accreditation Council for Continuing Medical Education and the American Nurses Credentialing Center explore new and very important territory: accrediting lifelong learning across their professions using the principles of practice-based learning and improvement; new technologies including the internet, point-of-care information, and simulation; and the ethical principles detailed in the Josiah Macy, Jr. Foundation Conference report. Linkages between system performance and individual learning should be established as part of the accountability to the public espoused by both professions. The two organizations, along with the Accreditation Council for Pharmacy Education, have recently announced that they have developed a proposal for joint accreditation.

To work in the medical sphere it is necessary or even obligatory to have higher education. The workers of My Canadian Pharmacy – my-medstore-canada have the obligatory qualification for working as pharmaceutists.

When patients come to see a doctor or enter a health-care system, they have two questions that they are usually too polite to ask. How many patients like me have you seen? And, how are they doing? Patients deserve answers to these questions. Doctors themselves deserve information systems that enable them to know what they are doing, how they are doing, and how their work can be improved. The new model of CE espoused by the participants at the Josiah Macy, Jr. Foundation Conference could begin that work.