Evidence map›Paper›PMID 36344937›Full record

ArticleBMC geriatrics2022

The impact of care of the elderly certificates of added competence on family physician practice: results from a pan-Canadian multiple case study.

Rebecca H Correia, Lawrence Grierson, Ilana Allice, Henry Yu-Hin Siu, Alison Baker, Janelle Panday, Meredith Vanstone

Abstract read
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In one paragraph

Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Geriatric competency should be embedded throughout the primary care system.Canadian family physician Medecin de famille canadien · 2026
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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

7 authors.

Rebecca H CorreiaDepartment of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Lawrence GriersonDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Ilana AlliceDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Henry Yu-Hin SiuDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Alison BakerDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Janelle PandayDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Meredith VanstoneDepartment of Family Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Canada. Meredith.vanstone@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily physicians serve an important role in the care of older adults, and have variable levels of training and comfort navigating this complex patient population. The Care of the Elderly (COE) Certificate of Added Competence offered by The College of Family Physicians of Canada recognizes family physicians with advanced expertise in older adult healthcare. We explored how COE training and certification impacts primary care delivery to older patients, including factors that impact group practice.

methodsWe conducted a secondary analysis of multiple case study data to explore similarities and differences within and across cases. We defined cases as a practice or collective of family physicians working within a defined group of patients in an interconnected community. We analyzed semi-structured interview transcripts (n = 48) from six practice groups of family physicians across Canada using conventional (unconstrained, inductive) content analysis.

resultsWe identified similarities and differences in how COE family physicians function within their group practice and the broader healthcare system. In some cases, COE certifications increased patients' access to geriatric resources by reducing travel and wait times. Some physicians observed minimal changes in their role or group practice after earning the COE designation, including continuing to largely function as a generalist. While family physicians tended to highly value their COE CAC, this designation was differentially recognized by others.

conclusionsOur findings highlight the impacts and limitations of COE training and certification, including an opportunity for COE family physicians to fill knowledge and practice gaps. As the number of older adults in Canada continues to grow and increasingly rely on primary care services, COE family physicians are uniquely positioned to strengthen the health system's capacity to deliver specialized geriatric care.

Indexed as

Family PracticePhysicians, FamilyAgedCanadaDelivery of Health CareHumansAdded competenceCredentialsEnhanced skillFamily medicineGeriatricsHealth policy

Identifiers

PMID36344937
PMCPMC9641851

What OpenQuestion holds

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LicenceCC BY
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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.