Accept 17 years old from high school to medical school. Make them read Shakespeare for two years. Start their medical education with a 4-month program of sampling possible career choices. Ask students to then declare on an end point: such as a “spinal surgeon or a rural family doctor” and fill those prescribed positions; reserving 10% of “training slots” for people who change their mind about their ultimate careers (re-entry positions). Have a very short period of teaching knowledge, skills and professional competencies that all doctors must process, realizing that “end-point” training will pick up much of what is now taught in medical school and early residency training. Do away with the “continental divide” between medical school, residency and fellowship. After the general doctor stuff, immediately start “end point training”, which will be comprehensively directed to a final career job description (for example a maternal and fetal medicine specialist) Embed all of the 7 CanMEDS competencies in the next years of training, but all contextually linked to an endpoint job description. Do away with all scut. 10. Finish when they finish, not after a certain number of years. Source
