Accepted Type
Dedicated Poster
Code
LP1 - 07
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?
yes
Category
General Call (Workshop, Oral Presentation, Poster Presentation)
Type
Poster
Sub Type
Education Research
Will the presenter be a:
Student
Affiliation
Title
Field Notes: Factors Impacting Residents' Learning in Manitoba
Length of Presentation
Background/Purpose
Family Medicine (FM) Residency Programs are tasked with developing competent physicians, covering multiple domains of patient care and an extensive body of medical knowledge situated in diverse settings. In accordance with Competency-Based Medical Education principles, FM programs employ multiple assessment modalities including resident self-assessment through Field Notes (FNs). This study explored the use of FNs at the University of Manitoba and how these have shaped residents' learning.
Methods
This multi-method study examined 520 FNs from 16 recent graduates. Quantitative analysis (frequencies and means) enabled descriptions and comparisons between residency training sites; four themes emerged from inductive content analysis.
Results
Residents' FNs explored 91 of 99 of the CFPC Priority Topics. The most frequently described Topics were Skin Disorders, Infections, Depression, and Pain Management. Topics addressing complex psychosocial issues (Domestic Violence, Grief, Infertility, Lifestyle, Obesity, Parkinsonism, Rape/Sexual Assault and Somatization) were absent from this data set. Few FNs addressed the domains of Care of First Nations, Inuit, and Metis; Care of the Vulnerable and Underserved; and Behavioural Medicine and the CanMEDS-FM roles of FM - Procedural Skill, Leader/Manager, and Professional. Four themes (Patient-Centered Care, Patient Safety, Achieving Balance, and Confidence) were identified from residents' narratives.
Conclusion
Vygotsky's Sociocultural Theory of Cognitive Development was utilized as a lens to examine factors influencing resident learning. Residents' discomfort with certain topics is demonstrated through avoidance of reflecting upon certain competencies in FNs thus impacting skill acquisition. Further research should explore factors influencing residents' selection of FN topics and how to best assist residents in becoming competent, confident practitioners.
Keyword 1
Field Notes
Keyword 2
Competency-Based Medical Education
Level of Training
Undergraduate
Abstract Themes
Assessment
Assessment
- Formative
- General
- Self assessment
- Work-place based
- Written/Narrative
- Competency-based assessment
Additional Theme (First choice)
Continuing Medical Education
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
Nicole Zaki
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
