SubmissionId 60263

Accepted Type
Oral

Code
OC2-1-3

Acceptance Declaration
Accept

Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.

Was this work accepted for CCME 2020?
no

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Research

Will the presenter be a:
Other

Presenter Other
Education Specialist - Program Evaluation, Office of Professional and Educational Development

Affiliation

Considered for Poster
yes

Title
A Qualitative Study on the Educational Needs of Family Physicians Regarding Quality Improvement in Newfoundland and Labrador

Length of Presentation

Background/Purpose
Primary healthcare providers in Newfoundland and Labrador maintain large, busy practices and face significant challenges to effectively managing their practices and providing timely, quality care. This study explored the perspectives of family physicians and the experiences of patients in accessing primary healthcare. The results have informed the development of a longitudinal education and support plan for family physicians in Newfoundland and Labrador.

Methods
Three data gathering methodologies were used, including an environmental scan, focus groups with family physicians (n=35) and patient representatives (n=8), and key informant interviews with stakeholders in primary care (n=10) and representatives from other jurisdictions in Canada (n=8). Thematic analysis was adopted in the study.

Results
The most significant challenges and barriers for family physicians include maintaining large practices of patients with complex health needs, financial management and the Fee for Service Model, information management and technology, and human resource management. Barriers identified by patients include the lack of timely access, patient-centred care, and team-based care. The key informants recommended simplifying and specifying improvements, maintaining positive professional relationships, building on readiness for change, and enabling family physicians to engage in educational activities and support.

Conclusion
This study identified four main educational needs of family physicians, including enhancing patient safety and care, practice effectiveness and efficiency, quality improvement, and team-based care. The findings have important implications for developing an education and support plan to enhance the efficiency, cost-effectiveness, and sustainability of primary healthcare.

Keyword 1
quality improvement

Keyword 2
primary healthcare

Keyword 3
family practice

Level of Training
CPD (faculty development, CME)

Abstract Themes
Continuing Medical Education

Additional Theme (First choice)
Patient Safety

Additional Theme (Second Choice)

Additional Theme (Third Choice)

Authors
Presenter
    Heidi Coombs

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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