ArticleCanadian family physician Medecin de famille canadien
Comparison of horizontal and traditional block family medicine curricula: Canadian study.
Article in Canadian family physician Medecin de famille canadien. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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- A new chapter: Reflections on my journey withCanadian family physician Medecin de famille canadienArticle
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6 authors.
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Abstract
objectiveLongitudinal curriculum model outcomes in postgraduate medical education are not well documented. The authors aimed to compare satisfaction, learning, clinical exposure, and practice intentions between longitudinal family medicine (FM) curricula and traditional rotational ("block") curricula.
designThis curriculum structure evaluation used a retrospective quasi-experimental study design using data from the College of Family Physicians of Canada Family Medicine Longitudinal Survey.
settingThe project used data from 3 FM residency programs for the entry years 2014 to 2017.
participantsA total of 1283 residents across 49 teaching sites were invited to participate at program entry (T1) and residency completion (T2).
main outcome measuresData were categorized by horizontal curriculum or block curriculum. The authors used the Kirkpatrick taxonomy to compare satisfaction with the curriculum, learning, behaviour (ie, clinical exposure), and results (practice intention). One-way analyses of variance (ANOVAs) tested the effect of curriculum model on satisfaction and clinical exposure. Analyses of covariance (ANCOVAs) tested the effect of curriculum model on the other outcomes.
resultsResidents from 40 teaching sites provided answers to T1 and T2 surveys (N=385: 81 in the horizontal curriculum and 304 in the block curriculum). The average satisfaction score was lower in block curricula (4.28/5 [SD=0.47]) than in horizontal curricula (4.46 [SD=0.42]) (
conclusionLongitudinal curriculum models in residency might be associated with better resident experience. However, curriculum models do not have a significant impact on most educational outcomes, and residents from all curriculum models feel similarly prepared for practice.
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