ArticleCanadian family physician Medecin de famille canadien2019
Family medicine residents' perspectives on curricular messaging surrounding enhanced skills fellowship programs.
Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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Who cites it
4 citing papers in PubMed.
- Hidden Curriculum in Medical Residency Programs: A Scoping Review.Journal of advances in medical education & professionalism · 2022Article
- A new way forward via innovative integration: A 3-year family medicine and enhanced skills residency program.Canadian family physician Medecin de famille canadien · 2022Article
- Article
- Valuing our past, sustaining our future: Generalists of tomorrow.Canadian family physician Medecin de famille canadien · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo better understand the messages that family medicine residents receive about enhanced skills fellowship programs throughout their training.
designPhenomenologic approach using structured qualitative interviews.
settingPostgraduate family medicine program in Ontario.
participantsEleven family medicine residents (5 first-year and 6 second-year residents) from 4 separate training sites.
methodsInterviews were audiotaped and codes were developed by the study investigators. Themes arose from the data via the immersion and crystallization technique. MAIN
findingsThemes emerged in 3 categories: perception of purpose, sources of messaging, and formal or informal versus hidden curricular messages. Fellowship programs were viewed by residents in terms of their personal and professional benefits. Residents learned about fellowship programs through word of mouth and from role models. The formal curriculum remained neutral about fellowship training. The hidden curriculum highlighted a number of messages: a) to maximize chances of acceptance into some fellowship programs, one should focus most of his or her elective time in that clinical area; b) many fellowships graduate subspecialists to the exclusion of family medicine; c) a fellowship is required to practise in a large urban centre but is not required to practise in rural communities; and d) those without fellowship training are less well regarded.
conclusionResidents receive mixed messages regarding fellowship training. This might be a phenomenon isolated to a larger urban centre in Ontario. Decision making at the individual level in terms of career path seems to be affected and might have implications at the larger system level.
Indexed as
Identifiers
31088886PMC6516706What OpenQuestion holds
Registered trials
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