Evidence map›Paper›PMID 29760273›Full record

ArticleCanadian family physician Medecin de famille canadien2018

What influences success in family medicine maternity care education programs? Qualitative exploration.

Anne Biringer, Milena Forte, Anastasia Tobin, Elizabeth Shaw, David Tannenbaum

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The impact of role modelling on the future general practitioner workforce: a systematic review.Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors · 2022
    Pooled it
  2. Article
  3. Article
  4. 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

5 authors.

Anne BiringerAssociate Professor in the Department of Family and Community Medicine at the University of Toronto in Ontario, and the Ada Slaight and Slaight Family Director of Maternity Care at the Granovsky Gluskin Family Medicine Centre at the Sinai Health System in Toronto. anne.biringer@sinaihealthsystem.ca.
Milena ForteAssistant Professor and Maternity Care Lead in the Department of Family and Community Medicine at the University of Toronto, and is a staff physician at the Granovsky Gluskin Family Medicine Centre at the Sinai Health System.
Anastasia TobinDoctoral candidate at the University of Toronto and a fellow at the Wilson Centre in Toronto.
Elizabeth ShawProfessor of Family Medicine at McMaster University in Hamilton, Ont.
David TannenbaumAssociate Professor in the Department of Family and Community Medicine at the University of Toronto and Family Physician-in-Chief at the Sinai Health System.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo ascertain how program leaders in family medicine characterize success in family medicine maternity care education and determine which factors influence the success of training programs.

designQualitative research using semistructured telephone interviews.

settingPurposive sample of 6 family medicine programs from 5 Canadian provinces.

participantsEighteen departmental leaders and program directors.

methodsSemistructured telephone interviews were conducted with program leaders in family medicine maternity care. Departmental leaders identified maternity care programs deemed to be "successful." Interviews were audiorecorded and transcribed verbatim. Team members conducted thematic analysis. MAIN

findingsParticipants considered their education programs to be successful in family medicine maternity care if residents achieved competency in intrapartum care, if graduates planned to include intrapartum care in their practices, and if their education programs were able to recruit and retain family medicine maternity care faculty. Five key factors were deemed to be critical to a program's success in family medicine maternity care: adequate clinical exposure, the presence of strong family medicine role models, a family medicine-friendly hospital environment, support for the education program from multiple sources, and a dedicated and supportive community of family medicine maternity care providers.

conclusionTraining programs wishing to achieve greater success in family medicine maternity care education should employ a multifaceted strategy that considers all 5 of the interdependent factors uncovered in our research. By paying particular attention to the informal processes that connect these factors, program leaders can preserve the possibility that family medicine residents will graduate with the competence and confidence to practise full-scope maternity care.

Indexed as

CanadaClinical CompetenceDelivery of Health CareEducation, Medical, ContinuingFamily PracticeHumansInterviews as TopicLeadershipObstetricsProgram EvaluationQualitative Research

Identifiers

PMID29760273
PMCPMC5951668

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.