ArticleCanadian family physician Medecin de famille canadien2019
Enhanced skills training in family medicine maternity care: Cross-sectional study of graduates' experiences.
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 3 papers, 1 of them a synthesis that pooled it.
What it found
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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.
The trial behind it
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.
- Training and expertise in undertaking assisted vaginal delivery (AVD): a mixed methods systematic review of practitioners views and experiences.Reproductive health · 2021Pooled it
- Satisfaction of family physician team members in the context of contract system: A cross-sectional survey from Shandong Province, China.Frontiers in public health · 2022Article
- Assessing Family Medicine Obstetrics Training Needs to Strengthen Maternal Health in Underserved and Rural US Communities.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the experiences of participants in Canadian family medicine maternity care enhanced skills programs: their current practice situation with respect to maternity care; the reasons they pursued enhanced maternity care training; and their perceptions of competencies attained during the program.
designCross-sectional questionnaire.
settingCanada.
participantsGraduates of family medicine enhanced skills programs in maternity care in Canada between 2004 and 2014.
main outcome measuresParticipants' current engagement in intrapartum care; reasons for participating in the enhanced skills programs; interest in obstetrics at different points in training; and development of maternity care competencies during both core residency and the enhanced skills program.
resultsEighty-seven graduates (response rate of 44%) participated. At an average of 5 years in practice, 77% of enhanced skills graduates were providing intrapartum care. Sixty-nine percent of respondents took the enhanced skills program because they did not feel ready to practise obstetrics without supervision. More than half (55%) of respondents had intended to include obstetrics in their future practices when they were in medical school. By the end of residency, 99% intended to practise obstetrics; however, this percentage decreased to 87% by the end of fellowship. There was a statistically significant increase in graduates' perceptions of various maternity care competencies (eg, vacuum-assisted birth, perineal repair) following enhanced skills training. Eighty-two percent of respondents indicated that the ability to access enhanced skills training supported their decision to provide obstetrics care.
conclusionThis is the first evaluation of graduates of enhanced skills programs in maternity care in Canada. Enhanced skills programs appear to support the education of family medicine maternity care providers; however, these programs might be compensating for residents' lack of confidence in providing maternity care independently rather than providing truly enhanced skills. This study also confirms that some medical students and family medicine residents change their minds in the direction of wanting to provide full-scope maternity care during the course of their education.
Indexed as
Identifiers
31831502PMC6907363W2995657800What OpenQuestion holds
Registered trials
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.