Complex adaptive systems in CanMEDS 2025

Authors

DOI:

https://doi.org/10.36834/cmej.75538

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Author Biographies

John Van Aerde, University of Alberta

MD, MA, PhD

University of Alberta

Canadian Society of Physician Leaders

Royal Roads University

Marcio M Gomes , University of Ottawa

MD, MHPE, PhD

RCPSC

University of Ottawa

Meredith Giuliani , University of Toronto

MBSS, MED, PHD, FRCPC

University of Toronto

Susan Lieff, University of Toronto

MD, Med, MMan

University of Toronto

References

Thoma B, Karwowska A, Samson L, et al. Emerging concepts in the CanMEDS physician competency framework. Can Med Ed J. 2023. https://doi.org/10.36834/cmej.75591

Bircher J, Hahn E. Applying a complex adaptive system’s understanding of health to primary care. F1000Research. 2016;5:1672-1686. https://doi.org/10.12688/f1000research.9042.2

Pipe P, Mertens F, Helewaut F, Krystallidou D. Healthcare teams as complex adaptive systems: understanding team behaviour through team members’ perception of interpersonal interaction. BMC Health Serv Res. 2018;18:570-583. https://doi.org/10.1186/s12913-018-3392-3

World Health Organization. The World Health Report 2000—Health Systems: Improving Performance. Geneva, Switzerland: World Health Organization; 2000. Available from: https://apps.who.int/iris/handle/10665/42281

Zimmerman B, Lindberg C, Plesk P. Edgeware: insights from complexity science for health care leaders. Washington, D.C: VHA, Incorporated; 1998.

Glouberman S, Zimmerman B. Discussion Paper # 8 Complicated and Complex Systems. What would successful reform of Medicare Look Like. Commission on the Future of Healthcare in Canada 2002. Available from: https://publications.gc.ca/collections/Collection/CP32-79-8-2002E.pdf

Glouberman S, Mintzberg H. Managing the Care of Health and the Cure of Disease -Part II: Integration. Health Care Management Review 2001; 26; 1: 70-84.

Van Aerde J. The health system is on fire - and it was predictable. Can J Physician Leadership. 2020; 7(1): 43-51. https://doi.org/10.37964/cr24727

Bambra C, Riordan R, Ford J, Matthews F. The COVID-19 pandemic and health inequalities. J Epidemiol Community Health. 2020; 74(11):964-968. https://doi.org/10.1136/jech-2020-214401

Plsek P. Appendix B. Redesigning health care with insights from the science of complex adaptive systems. In: Crossing the quality chasm: a new health system for the 21st Century. Institute of Medicine (US) Committee on Quality of Health Care in America. Washington (DC): National Academies Press (US); 2001:309 -321. Available from: https://nap.nationalacademies.org/catalog/10027/crossing-the-quality-chasm-a-new-health-system-for-the

Frank JR, Snell L, Sherbino J, editors. CanMEDS 2015 Physician Competency Framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015 Available from: https://canmeds.royalcollege.ca/en/framework

Chan MK, Dickson G, Keegan D, Matlow A, Busari J, Van Aerde J. A tale of two frameworks: charting a path to lifelong learning for physician leaders through CanMEDS and LEADS. Leadership in Health Services. 2022; 35(1): 1751-1879. https://doi.org/10.1108/LHS-04-2021-0032

Uhl-Bien. Complexity and COVID-19: Leadership and Followership in a Complex World. J Management Studies. 2021; 58(5): 1400-1404. https://doi.org/10.1111/joms.12696

Uhl-Bien M, Arena M. Complexity leadership: enabling people and organizations for adaptability. J org dyn. 2017; 46(1), 9-20. https://doi.org/10.1016/j.orgdyn.2016.12.001

Wenger-Trayner E, Wenger-Trayner B. Learning to make a difference: Value creation in social learning spaces. Cambridge university press; 2020. https://doi.org/10.1017/9781108677431

Wenger E. Communities of practice: Learning, meaning, and identity. Cambridge university press; 1999. https://doi.org/10.1017/CBO9780511803932

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Published

2022-10-17 — Updated on 2023-03-21

How to Cite

1.
Van Aerde J, Gomes MM, Giuliani M, Thoma B, Lieff S. Complex adaptive systems in CanMEDS 2025. Can. Med. Ed. J [Internet]. 2023 Mar. 21 [cited 2024 Jul. 24];14(1):50-3. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/75538

Issue

Section

Emerging Concepts