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Canadian Journal of Public Health

, Volume 104, Issue 2, pp e108–e110 | Cite as

A Look to the Past as We Look Ahead: The Specialty of Public Health Medicine in Canada

  • Lawrence C. LohEmail author
  • Bart J. Harvey
Debate

Abstract

In February 2011, the medical specialty of Community Medicine was renamed as Public Health and Preventive Medicine (PHPM) to better reflect the roles and responsibilities of physician specialists in this field. While physician involvement in public health began in the early 20th century, the development of the formal PHPM specialty has closely paralleled the evolution of the Royal College of Physicians and Surgeons of Canada. At present, despite shortages identified in light of public health crises, recent specialist graduates in PHPM have reportedly experienced some difficulties finding optimal employment. This paper reviews the history and current situation of PHPM specialists, raising awareness of the issues in order to promote greater specialty planning coupled with improved integration and collaboration between clinical services and public health initiatives.

Key Words

Public health preventive medicine community medicine history of medicine education medical specialty medical 

Résumé

En février 2011, la spécialité médicale de la médecine communautaire a été rebaptisée « santé publique et médecine préventive » (SPMP) pour mieux refléter les fonctions des médecins spécialistes du domaine. L’implication des médecins dans la santé publique date du début du 20e siècle, mais la création de la spécialité officielle de SPMP a étroitement suivi l’évolution du Collège royal des médecins et chirurgiens du Canada. À l’heure actuelle, malgré les pénuries mises au jour par les crises de santé publique, on dit que les nouveaux diplômés spécialisés en SPMP ont du mal à se trouver des emplois optimaux. Nous examinons l’histoire et la situation actuelle des spécialistes en SPMP pour mieux faire connaître les enjeux, ceci afin de promouvoir une planification accrue dans cette spécialité, assortie d’une intégration et d’une collaboration améliorées entre les services cliniques et les initiatives de santé publique.

Mots Clés

santé publique médecine préventive médecine communautaire histoire médecine enseignement médical spécialités médicales 

References

  1. 1.
    Anderson, DO. Certification in public health—Training for obsolescence. Can J Public Health 1972;63(5):405–13.PubMedGoogle Scholar
  2. 2.
    City of Toronto. An Infectious Idea: 125 Years of Public Health in Toronto. 2012. Available at: http://www.toronto.ca/archives/public-health/torontoofficers.htm (Accessed November 12, 2012).Google Scholar
  3. 3.
    Anderson, DO. Proposed changes in certification in public health and preventive medicine. Ann Royal Coll Phys Surg Can 1972;5(4):217–20.Google Scholar
  4. 4.
    Royal College of Physicians and Surgeons of Canada. Objectives of Training in Public Health and Preventive Medicine. 2003. Available at: http://rcpsc.medical.org/residency/certification/objectives/community_e.pdf (Accessed July 9, 2012).Google Scholar
  5. 5.
    Hamlin C. Predisposing causes and public health in early nineteenth-century medical thought. Soc Hist Med 1992;5(1):43–70.CrossRefGoogle Scholar
  6. 6.
    Franks-Buckley T. Liverpool During the Industrial Revolution 1700–1850 [Kindle edition]. New York, NY: Amazon Digital Services, Inc., 2012.Google Scholar
  7. 7.
    Gorsky M. Local leadership in public health: The role of the medical officer of health in Britain, 1872–1974. J Epidemiol Community Health 2007;61(6):468–72.CrossRefGoogle Scholar
  8. 8.
    Rutty C, Sullivan S. This is Public Health: A Canadian History. Ottawa, ON: Canadian Public Health Association, 2010. Available at: http://www.cpha.ca/en/programs/history/book.aspx (Accessed July 9, 2012).Google Scholar
  9. 9.
    Royal College of Physicians and Surgeons of Canada. History and Heritage. Available at: http://www.royalcollege.ca/public/about/history (Accessed July 9, 2012).
  10. 10.
    Royal College of Physicians and Surgeons of Canada. Regulations and Requirements of Graduate Training Relating to the Examinations for the Diploma of Fellow or Certification in a Specialty. Ottawa: RCPSC, 1951.Google Scholar
  11. 11.
    Dickson R. Council proposes single qualification and new approach to fellowship. Ann Royal Coll Phys Surg Can 1970;3(3):171–80.Google Scholar
  12. 12.
    Warren, MD. The creation of the Faculty of Community Medicine (now the Faculty of Public Health Medicine) of the Royal Colleges of Physicians of the United Kingdom. J Public Health Med 1997;19(1):93–105.CrossRefGoogle Scholar
  13. 13.
    Steele R. The evolving specialty community medicine in Canada. Community Med 1982;4(1):45–47.PubMedGoogle Scholar
  14. 14.
    Canadian Residency Matching Service (CaRMS). CaRMS 1994–2001 Community Medicine Application and Match Data. March 2011.Google Scholar
  15. 15.
    Bhutta ZA, Chen L, Cohen J, Crisp N, Evans T, Fineberg H, et al. Education of health professionals for the 21st Century: A global independent Commission. Lancet 2010;375(9721):1137–38.CrossRefGoogle Scholar
  16. 16.
    Government of Ontario. Health Protection and Promotion Act, in R.R.O. 1990. Toronto, ON, 1990.Google Scholar
  17. 17.
    The College of Physicians and Surgeons of Ontario. Expectations of Physicians Intending to Practise as Medical Officers of Health. 2002. Available at: http://www.cpso.on.ca/uploadedFiles/members/membership/Expectations_ PublicHealth.pdf (Accessed November 12, 2012).Google Scholar
  18. 18.
    MOH Competencies Working Group. Minimum Competencies for Medical Officers of Health (MOH) in Canada. 2012. Available at: http://www.nsscm.ca/Default.aspx?pageId=1182896 (Accessed December 2, 2012).Google Scholar
  19. 19.
    Russell ML, McIntyre L. Boundaries and overlap: Community medicine or public health doctors and primary care physicians. Can Fam Phys 2009;55(11):1102–1103.e5.Google Scholar
  20. 20.
    Harvey, BJ. The issue of public health. Can Fam Phys 2009;55(11):1057, 1059.Google Scholar
  21. 21.
    Schabas R. Public health: What is to be done? CMAJ 2002;166(10):1282–83.PubMedPubMedCentralGoogle Scholar
  22. 22.
    Ontario Medical Association. Policy Paper: Guarding the Health of Citizens: The Crucial Role of the Medical Officer of Health. Toronto, ON, 2005.Google Scholar
  23. 23.
    National Advisory Committee on SARS and Public Health. Learning from SARS — Renewal of Public Health in Canada (The Naylor Report). Ottawa: Public Health Agency of Canada, 2003.Google Scholar
  24. 24.
    Kondro W. Dire need for medical officers of health. CMAJ 2006;174(3):297–98.CrossRefGoogle Scholar
  25. 25.
    Royal College of Physicians and Surgeons of Canada. Examining Specialist Physician Employment. 2010. Available at: http://www.royalcollege.ca/portal/page/portal/rc/advocacy/policy/hrh/examining_specialist_physician_empl oyment (Accessed August 23, 2012).Google Scholar
  26. 26.
    Public Health Physicians of Canada. Career Opportunities. 2012. Available at: http://nsscm.ca/Default.aspx?pageId=1018481 (Accessed August 7, 2012).Google Scholar

Copyright information

© The Canadian Public Health Association 2013

Authors and Affiliations

  1. 1.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada

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