Evidence map›Paper›PMID 27965351›Full record

ArticleCanadian family physician Medecin de famille canadien2016

Extended family medicine training: Measuring training flows at a time of substantial pedagogic change.

Steve Slade, Shelley Ross, Kathrine Lawrence, Douglas Archibald, Maria Palacios Mackay, Ivy F Oandasan

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Distribution and Migration of Recent Healthcare Graduates in Canada.Healthcare policy = Politiques de sante · 2023
    Article
  3. Focused practice in family medicine: Quantitative study.Canadian family physician Medecin de famille canadien · 2022
    Article
  4. Article
  5. Article
  6. Canadian family physician Medecin de famille canadien · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Steve SladeDirector of Health Systems and Policy at the Royal College of Physicians and Surgeons of Canada in Ottawa, Ont. sslade@royalcollege.ca.
Shelley RossAssociate Professor and Education Researcher in the Department of Family Medicine at the University of Alberta in Edmonton.
Kathrine LawrenceAssociate Professor and Postgraduate Program Director in the Department of Academic Family Medicine at the University of Saskatchewan.
Douglas ArchibaldEducation research scientist at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute in Ottawa and Assistant Professor in the Department of Family Medicine at the University of Ottawa.
Maria Palacios MackayAssistant Professor and Medical Education Specialist in the Department of Family Medicine at the University of Calgary in Alberta.
Ivy F OandasanDirector of Education and the lead for the national implementation of the Triple C Competency-based Curriculum at the College of Family Physicians of Canada in Mississauga, Ont, and Full Professor in the Department of Family and Community Medicine at the University of Toronto in Ontario.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine trends in family medicine training at a time when substantial pedagogic change is under way, focusing on factors that relate to extended family medicine training.

designAggregate-level secondary data analysis based on the Canadian Post-MD Education Registry.

settingCanada.

participantsAll Canadian citizens and permanent residents who were registered in postgraduate family medicine training programs within Canadian faculties of medicine from 1995 to 2013.

main outcome measuresNumber and proportion of family medicine residents exiting 2-year and extended (third-year and above) family medicine training programs, as well as the types and numbers of extended training programs offered in 2015.

resultsThe proportion of family medicine trainees pursuing extended training almost doubled during the study period, going from 10.9% in 1995 to 21.1% in 2013. Men and Canadian medical graduates were more likely to take extended family medicine training. Among the 5 most recent family medicine exit cohorts (from 2009 to 2013), 25.9% of men completed extended training programs compared with 18.3% of women, and 23.1% of Canadian medical graduates completed extended training compared with 13.6% of international medical graduates. Family medicine programs vary substantially with respect to the proportion of their trainees who undertake extended training, ranging from a low of 12.3% to a high of 35.1% among trainees exiting from 2011 to 2013.

conclusionNew initiatives, such as the Triple C Competency-based Curriculum, CanMEDS-Family Medicine, and Certificates of Added Competence, have emerged as part of family medicine education and credentialing. In acknowledgment of the potential effect of these initiatives, it is important that future research examine how pedagogic change and, in particular, extended training shapes the care family physicians offer their patients. As part of that research it will be important to measure the breadth and uptake of extended family medicine training programs.

Indexed as

Competency-Based EducationDatabases, FactualEducation, Medical, ContinuingFamily PracticeFemaleForeign Medical GraduatesHumansInternship and ResidencyMaleQuebecSex Factors

Identifiers

PMID27965351
PMCPMC5154666

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.