Evidence map›Paper›PMID 30002030›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Future practice of comprehensive care: Practice intentions of exiting family medicine residents in Canada.

Ivy F Oandasan, Douglas Archibald, Louise Authier, Kathrine Lawrence, Laura April McEwen, Maria Palacios Mackay, Marie Parkkari, Shelley Ross, Steve Slade

Open access · greenAbstract 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.3field-weighted citation impact, top 6% of its field
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

19 citing papers in PubMed, 22 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

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 Professor in the Department of Family and Community Medicine at the University of Toronto. i.oandasan@utoronto.ca.
Douglas ArchibaldEducation Research Scientist at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute in Ottawa, Ont, and Assistant Professor in the Department of Family Medicine at the University of Ottawa.
Louise AuthierPostgraduate Program Director in the Department of Family Medicine at the University of Montreal in Quebec at the time of the study, and is Associate Professor in the Department of Family and Emergency Medicine at the University of Montreal.
Kathrine LawrenceAssociate Professor and Residency Program Director in the Department of Family Medicine at the University of Saskatchewan in Regina.
Laura April McEwenDirector of Assessment and Evaluation for Postgraduate Medical Education and Assistant Professor in the Department of Pediatrics at Queen's University in Kingston, Ont.
Maria Palacios MackayAssistant Professor in the Department of Family Medicine and Co-Director of the Office of Global e-Health at the University of Calgary in Alberta.
Marie ParkkariAssistant Curriculum Instructional Designer for the Postgraduate Family Medicine Program at the Northern Ontario School of Medicine and a doctoral student in education at Lakehead University in Thunder Bay, Ont.
Shelley RossAssociate Professor and Education Researcher in the Department of Family Medicine at the University of Alberta in Edmonton.
Steve SladeVice President of Data and Analysis for the Association of Faculties of Medicine of Canada in Ottawa and Director of the Canadian Post-M.D. Education Registry at the time of the study.
College of Family Physicians of Canada · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe exiting family medicine (FM) residents' reported practice intentions after completing a Triple C Competency-based Curriculum.

designThe surveys were intended to capture residents' perceptions of FM, their perceptions of their competency-based training, and their intentions to practise FM. Entry (T1) and exit (T2) self-reported survey results were compared considering the influence of the curriculum change. Unmatched aggregate-level data were reviewed. The T1 survey was administered in the summer of 2012 and the T2 survey was administered in the spring of 2014.

settingSix Canadian FM residency programs across 4 provinces in Canada (Alberta, Saskatchewan, Ontario, and Quebec).

participantsOverall, 341 entering FM residents in 2012 responded to the T1 survey and 325 exiting FM residents completing their residency programs in spring 2014 responded to the T2 survey.

main outcome measuresSelf-reported data on FM residents' future practice intentions related to comprehensive care, providing care across clinical domains and settings, and providing comprehensive care individually or in teams.

resultsA total of 341 (71.3%) residents responded to the T1 survey and a total of 325 (71.4%) residents responded to the T2 survey. Of these, 78.7% responded that they intended to provide comprehensive FM in multiple clinical settings in their future practices, with 70.8% indicating a comprehensive care practice with a special interest and 36.6% intending to provide care in a focused practice. Overall, 92.9% reported that they intended to work in group practice environments. Ninety percent reported they intended to work in interprofessional team practices.

conclusionWhile an upward trend toward the practice of comprehensive care was demonstrated, findings also showed an increased trend toward providing care in focused practices. Further research is needed to better determine how FM residents understand the definition of comprehensive FM and its practice models. The survey provides an opportunity to explore questions related to practice intentions that could be helpful in work force planning. As the first study to compare entry and exit data from learners who have been exposed to a Triple C competency-based approach, this survey provides important baseline data for use by many.

Indexed as

Attitude of Health PersonnelCareer ChoiceComprehensive Health CareInternship and ResidencyAdultCanadaCompetency-Based EducationCurriculumFamily PracticeFemaleHumansIntentionMaleSelf ReportYoung Adult

Identifiers

PMID30002030
PMCPMC6042659
OpenAlexW2883690826

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.