ArticleBMC medical education2009
Investigating the barriers to teaching family physicians' and specialists' collaboration in the training environment: a qualitative study.
Article in BMC medical education, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Exploring workplace-based learning in distributed healthcare settings: a qualitative study.BMC medical education · 2024Article
- Learning for doctor-to-doctor collaboration: a qualitative study exploring the experiences of residents and supervisors with intraprofessional workplace learning in complex tertiary care.BMC medical education · 2023Article
- Exploring power dynamics and their impact on intraprofessional learning.Medical education · 2022Article
- Collaboration amongst general practitioners and gynaecologists working in primary health care in Germany: a cross-sectional study.Primary health care research & development · 2021Article
- Intraprofessional workplace learning in postgraduate medical education: a scoping review.BMC medical education · 2021Article
- Chances for learning intraprofessional collaboration between residents in hospitals.Medical education · 2020Observational
- Family medicine residency training in Ghana after 20 years: resident attitudes about their education.Family medicine and community health · 2020Article
- Competencies to promote collaboration between primary and secondary care doctors: an integrative review.BMC family practice · 2020Review
- Competencies for collaboration between general practitioners and medical specialists: a qualitative study of the patient perspective.BMJ open · 2020Article
- Engaging primary care physicians in care coordination for patients with complex medical conditions.Canadian family physician Medecin de famille canadien · 2019Article
- Gatekeepers for infertility treatment? Views of ART providers concerning referrals by non-ART providers.Reproductive biomedicine & society online · 2018Article
- What can organizations do to improve family physicians' interprofessional collaboration? Results of a survey of primary care in Quebec.Canadian family physician Medecin de famille canadien · 2017Article
- Learning intraprofessional collaboration by participating in a consultation programme: what and how did primary and secondary care trainees learn?BMC medical education · 2017Article
- Other ways of knowing: Using critical discourse analysis to reexamine intraprofessional collaboration.Canadian family physician Medecin de famille canadien · 2016Article
- [D'autres façons de savoir: L'analyse critique du discours pour réexaminer la collaboration intraprofessionnelle].Canadian family physician Medecin de famille canadien · 2016Article
- Intraprofessional collaboration and learning between specialists and general practitioners during postgraduate training: a qualitative study.BMC health services research · 2016Article
- The Experience of Risk-Adjusted Capitation Payment for Family Physicians in Iran: A Qualitative Study.Iranian Red Crescent medical journal · 2016Article
- Understanding the impact of residents' interpersonal relationships during emergency department referrals and consultations.Journal of graduate medical education · 2013Article
- Primary and secondary care: Breaking down barriers for our patients with chronic diseases.Canadian family physician Medecin de famille canadien · 2013Article
- Filling the Gaps in a Fragmented Health Care System: Development of the Health and Welfare Information Portal (ZWIP).JMIR research protocols · 2012Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCollaboration between physicians in different specialties is often taken for granted. However, poor interactions between family physicians and specialists contribute significantly to the observed discontinuity between primary and specialty care. The objective of this study was to explore how collaboration between family physicians and specialists was conceptualised as a competency and experienced in residency training curricula of four faculties of medicine in Canada.
methodsThis is a multiple-case study based on Abbott's theory of professions. Programs targeted were family medicine, general psychiatry, radiology, and internal medicine. The content of the programs' objectives was analyzed. Associate deans of postgraduate studies, program directors, educators, and residents were interviewed individually or in focus groups (47 residents and 45 faculty members).
resultsThe training objectives related to family physicians-specialists collaboration were phrased in very general terms and lacked specificity. Obstacles to effective collaboration were aggregated under themes of professional responsibility and questioned expertise. Both trainees and trainers reported increasing distances between specialty and general medicine in three key fields of the professional system: the workplace arena, the training setting, and the production of academic knowledge.
conclusionThe challenges of developing collaborating skills between generalists and specialist physicians are comparable in many ways to those encountered in inter-professional collaboration and should be given more consideration than they currently receive if we want to improve coordination between primary and specialty care.
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