Evidence map›Paper›PMID 41980850›Full record

ArticleCanadian family physician Medecin de famille canadien2026

Toward a family medicine capability framework for Canada: From competence to capability.

Monica Aggarwal, Geoff Scott, Ross E G Upshur, Alan Katz, Kulamakan Kulasegaram

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article conflates competence and excellence.Canadian family physician Medecin de famille canadien
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Monica AggarwalAssistant Professor in the Dalla Lana School of Public Health and the Department of Family and Community Medicine (DFCM) at the University of Toronto in Ontario.
Geoff ScottEmeritus Professor of Higher Education and Sustainability at the University of Western Sydney in Australia and Founder of the Regional Centre of Expertise on Education for Sustainable Development-Greater Western Sydney.
Ross E G UpshurProfessor at the Dalla Lana School of Public Health and the DFCM at the University of Toronto.
Alan KatzProfessor in the Department of Community Health Sciences and the Department of Family Medicine at the University of Manitoba in Winnipeg.
Kulamakan KulasegaramDirector of the DFCM Office of Education Scholarship, Associate Professor in the DFCM, Assessment Scientist in the MD Program, and Temerty Chair in Learner Assessment & Evaluation, all at the University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo inform the development of a Family Medicine (FM) Professional Capability Framework by examining the competencies and capabilities of high-performing family physicians (FPs).

designA mixed-methods explanatory sequential study using a survey and focus groups.

settingOntario.

participantsOverall, 54 high-performing early-career FPs participated in the survey; and 21 FPs, educators, or leaders participated in the focus groups.

main outcome measuresTo identify the 25 top-ranking competencies and capabilities of high-performing FPs.

resultsThe 25 top-ranking attributes of high-performing FPs were predominantly a set of personal, interpersonal, and cognitive capabilities. There was overwhelming consensus among focus group experts on the key capabilities and competencies for successful practice, thus validating the FM Professional Capability Framework. FPs reported not being equipped with specific competencies such as business management and leadership, personal capabilities (tolerating uncertainty and ambiguity, remaining calm under pressure, willingness to persevere when things go awry, and ability to make hard decisions), interpersonal capabilities (understanding how different groups operate in organization and influence situations, ability to communicate effectively and resolve conflicts, how to work in diverse teams), and intellectual capabilities (diagnostic, critical, and creative thinking, and self-reflection).

conclusionFPs report that the FM residency training is not sufficiently developing key competencies and capabilities for successful practice. The FM Professional Capability Framework can be used to augment existing physician competency frameworks to drive enhancements in curriculum design, teaching, learning, assessment, and certification. This approach has the potential to foster the development of a robust FP workforce that can effectively respond to, adapt to, and successfully navigate unfamiliar and complex situations, settings, and populations, thereby enhancing physician resilience and the delivery of comprehensive, patient-centred care in an age of uncertainty and accelerating change.

Indexed as

Clinical CompetenceFamily PracticePhysicians, FamilyFocus GroupsHumansLeadershipOntarioSurveys and Questionnaires

Identifiers

PMID41980850
PMCPMC13078821

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.