Accepted Type
Oral
Code
OE2-1-1
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
Faculty
Affiliation
Considered for Poster
yes
Title
Resident satisfaction and practice exposure in horizontal vs block family medicine curricula - a Canadian perspective
Length of Presentation
Background/Purpose
The family medicine (FM) horizontal (longitudinal) residency curriculum is a model of training thought to better align with actual practice. The FM clinic is the core setting with integrated specialty rotations throughout the majority of training. Few studies have rigorously documented outcomes of the horizontal curriculum model. This study aimed to compare resident satisfaction and practice exposure in horizontal and traditional block curricula.
Methods
This curriculum structure evaluation used a retrospective semi-experimental study design based on CFPC FM Longitudinal Survey data from 3 Canadian FM programs. Data from 2014 to 2019 resident cohorts were categorized by horizontal or block curricula. We used Kirkpatrick's taxonomy to assess satisfaction (level 1, 13 items, α=.87) and domains of clinical care exposure (level 3) during residency. Associations between curriculum structure and scores on satisfaction and exposure (5-point Likert scales) were tested using one-way ANOVAs.
Results
We analyzed data from 1853 residents (block: nT1;T2=670;740, horizontal: nT1;T2=186;256) from 46 teaching sites. The horizontal curriculum was associated with slightly higher satisfaction (4.34 vs 4.25, p=0.02) and more exposure to home care (2.80 vs 2.52, p<.0001) and chronic diseases (3.00 vs 2.97, p=.02). Block curricula were associated with higher exposure to vulnerable populations (2.66 vs 2.47, p<.0001) and First Nations/Inuit/Metis (2.31 vs 2.10, p=.0002). Exposure to intrapartum care, emergency medicine, in-hospital practice, mental health, long-term care and palliative care was not significantly different.
Conclusion
Resident satisfaction appears to be slightly higher in horizontal curricula, which offers similar exposure to block curricula for most domains of clinical care.
Keyword 1
Curriculum structure
Keyword 2
Family medicine
Keyword 3
Program evaluation
Level of Training
Post Graduate
Abstract Themes
Curriculum
Curriculum
Integrated
Additional Theme (First choice)
Postgraduate
Additional Theme (Second Choice)
Assessment
Additional Theme (Third Choice)
Authors
Presenter
Miriam Lacasse
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
