May is a busy month! Our PGY2s have written their exams and the faculty are undergoing annual reviews. Assessment is a tool that helps us to review, reflect and learn. Our Annual Report provides some indication of these accomplishments; however, this is only the summary of so much work. One task I enjoy every year is meeting with faculty members to review their accomplishments. This is a time when I can see how much work everyone does that is unseen! Thank you to everyone for your outstanding contributions.
Another assessment tool is the CFPC Family Medicine Longitudinal Survey. Residents are asked to respond upon entering residency, at the completion of residency and in their third year of practice. We will have our first responses to the practice survey from our 2014 cohort this year. Thank you to our residents for responding - The information can be so helpful to our planning and ensuring the program meets your needs.
Dr. Seale and I regularly receive reports on the national results with a confidential report for our program. The first survey gives us a snapshot of residents upon entering the program, and their aspirations. Our 2018 results are quite similar to those from across the country. Some issues stand out. Many entering residents have little or no experience in palliative care, in-home care, long-term care or with vulnerable and Indigenous populations. After residency, many expect to join a group practice, and about 10% expect to do only locums. Some 84% of respondents intend to include a special interest in practice, with 34% intending to have a focused practice without comprehensive care. At the same time, 50% or more intend to include intrapartum obstetrics and emergency medicine, while our residents are slightly less likely than the national average to anticipate providing in-hospital care or work in a rural community (45% vs 50%).
So what does this mean? Clearly some of the gaps in experience reflect the medical school experience. Being aware of these gaps may focus our curriculum and clinical placements. We can review the data to determine if resident intentions change over residency, with the aim to understand what influences these changes. The final survey will tell us if we have prepared our learners appropriately for practice, and whether our program has met the objectives of the Triple C competency-based curriculum. These are to:
- Produce competent family physicians in a more efficient and effective way;
- Ensure that graduating family physicians have a well-balanced set of competencies that enable them to practice in any Canadian community and context; and,
- Attract more medical school graduates to family medicine.
I believe we do an excellent job in striving to meet these goals. Paying attention to feedback will keep us on track and support our continuous quality improvement. Thank you to everyone for your input and collaboration.