Accepted Type
Oral
Code
OD1-2-3
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
Faculty
Affiliation
Considered for Poster
yes
Title
Pressures and Opportunities for Distributed Medical Education: The Final Delphi Results (Part 2)
Length of Presentation
Background/Purpose
The AFMC Distributed Medical Education (DME) Resource Working Group sponsored Delphi consensus study on DME was undertaken in part to evaluate the internal/external pressures on DME and the major opportunities and barriers.
Methods
The study used a consensus methodology in the form of a modified Delphi involving all 17 Canadian medical schools. Key themes were established through round one. Rounds two and three pursued a definition of DME as well as ranking priority areas for further development or DME, essential features, internal/external pressures, and opportunities for DME. Semi-structured interviews were used in round two to establish context and provide clarity around themes.
Results
Rounds one, two and three had 72, 42, and 24 participants, respectively. Twenty-one semi-structured interviews were conducted. The top five pressures on further development of DME included heavy faculty teaching and clinical loads (83.3%), inadequate assignment of faculty (59.1%), lack of specific rural competencies (47.8%), lack of social accountability metrics (41.7%) and inadequately trained physicians for environments of greatest need (41.7%). Opportunities included promotion of rural generalism and a wider scope of practice (91.7%), faculty-level departments specializing in rural/remote medicine (75%), accreditation standards unique to rural/remote medicine (75%) and increased development of longitudinal integrated clerkships (70.9%).
Conclusion
The major threat to DME's future is the supply of enough faculty with enough time to teach. Major opportunities are the possibility of further promotion of generalism and changing the organization of faculties of medicine to include departments of rural/remote medicine with accreditation standards unique to this specialty.
Keyword 1
Distributed Medical Education
Keyword 2
Delphi
Keyword 3
Pressures
Level of Training
General
Abstract Themes
Distributed Medical Education
Additional Theme (First choice)
Leadership
Additional Theme (Second Choice)
Additional Theme (Third Choice)
Authors
Presenter
John Murray
Term 1
Yes
Term 2
Yes
Term 3
Yes
Term 4
Yes
Term 5
Yes
