Submission ID 77705
| Code | OF-1-1 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Other |
| Presenter Other | Faculty |
| Title | A Program Evaluation of the Family Medicine and Enhanced Skills (Fames) Integrated Residency Program Pilot |
| Background/Purpose | In 2022, the College of Family Physicians of Canada announced its plan to develop an expanded, 3-year residency training program. In anticipation of this curricular change, our team piloted a program where the current two-year family medicine training is integrated with an enhanced skills area over three years. This program evaluation seeks to evaluate the feasibility and sustainability of the pilot's implementation to help inform the changing landscape of family medicine training in Canada. |
| Methods | Using a descriptive, multiple case study approach, we conducted semi-structured interviews with key stakeholder groups, including program directors, faculty, residents and administrators. Thematic analysis was used to review the de-identified transcripts through the lenses of both Normalization Process Theory (NPT) and the PIES (prescribed, teacher-intended, enacted, sustainable) framework to better understand the cognitive work participants engaged in. |
| Results | Four main themes emerged from the data: 1. Participants identified program elements to both continue and adapt to ensure the sustainability of the curricula 2. There was a desire for collective action to support program implementation 3. Challenges were identified in both individual and communal participation 4. Participants engaged in relational and organizational efforts to make the program work. |
| Discussion | Analyses show that some stakeholders engaged in the program by internalizing its values and accepting its legitimacy. Conversely, one challenge identified included the program's theory of action being unclear to the faculty tasked with supervising residents. Attention to these implementation lessons learned and concerns is imperative given the looming transitions in Canadian family medicine. |
| Keyword 1 | Residency |
| Keyword 2 | Family Medicine |
| Keyword 3 | Program Evaluation |
| Abstract content most relevant to: (check all that apply) | Residency Education |
| Abstract Track - First Choice | Curriculum |
| Curriculum | Evaluation |
| Authors | Giovanna Sirianni Shrutikaa Rajkumar Risa Freeman Betty Onyura |
