Evidence map›Paper›PMID 30429195›Full record

ArticleCanadian family physician Medecin de famille canadien2018

Family medicine training in housecalls: Survey of residency program directors across Canada.

Elizabeth Mui, Thuy-Nga Tia Pham, Chase Everett McMurren

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. GP home visits: essential patient care or disposable relic?The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    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

3 authors.

Elizabeth MuiCare of the Elderly Fellow at the University of Toronto in Ontario. elizabeth.mui@mail.utoronto.ca.
Thuy-Nga Tia PhamAcademic family physician and Assistant Professor at the University of Toronto and the physician lead of the South East Toronto Family Health Team.
Chase Everett McMurrenPhysician lead for the PrimaryCare@Home Program at Taddle Creek Family Health Team, a psychotherapist and Medical Director of the Al & Malka Green Artists' Health Centre at Toronto Western Hospital, an investigating coroner for the Province of Ontario, and Lecturer in the Department of Family and Community Medicine at the University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the current landscape of home-based primary care (HBPC) or home visit training for Canadian family medicine residents.

designOnline survey.

settingCanada's 17 family medicine residency programs.

participantsFamily medicine residency program directors.

main outcome measuresProgram characteristics, current HBPC training, barriers and enablers to training, and program directors' attitudes toward training.

resultsThere was a 76% response rate (13 of 17 program directors). Respondents' programs ranged in size from 75 to 300 residents (median 160) and closely reflected actual resident distribution of family medicine residents in Canada. Twelve of the 13 programs offered HBPC training including home visit experiences. Six programs had HBPC-related didactic lectures. None of the respondents had a formal program-wide clinical home visit curriculum, and HBPC training availability and requirements varied across programs. The most frequently cited barriers included logistical constraints, limited faculty availability, and safety concerns. Program directors generally agreed that HBPC training is essential to family medicine training, that it provides valuable learning experiences for family medicine residents, and that it effectively prepares residents in core family medicine competencies. None thought that HBPC training was too difficult to coordinate or that its barriers outweighed its educational benefits.

conclusionThere is increasing need for HBPC delivery in Canada, and program directors agree that HBPC training is important and worthwhile. However, barriers exist. Current HBPC training in Canada varies in its availability and requirements, and structured program-wide home visit curricula are absent. We recommend development of a central framework for a structured HBPC curriculum that is competency-based and adaptable.

Indexed as

House CallsInternship and ResidencyPhysician ExecutivesAttitude of Health PersonnelCanadaCompetency-Based EducationEmergency MedicineFamily PracticeHumansSurveys and Questionnaires

Identifiers

PMID30429195
PMCPMC6234929

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.