Submission ID 77920
| Code | OA-1-2 |
|---|---|
| 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 | Training Exposure to Team-Based Practices: A Descriptive Analysis of the Distribution of Family Medicine Residency Learning Sites Across Canada |
| Background/Purpose | There are currently loud calls for increased investment in team-based practices and alternative remuneration structures to improve access to primary care in Canada. However, medical education systems also hold sway over the effectiveness of health system reform. For instance, exposure to a variety of training experiences can prepare residents for practice in a variety of environments. In this regard, we have come to wonder about the degree to which family medicine residency training in Canada is situated in practices that embody principles of the Patient Medical Home (PMH), an idealized practice concept that has not yet gained widespread traction across the country. |
| Methods | On a foundation of clinical training site data collected by the CFPC, we conducted a comprehensive environmental scan of family medicine training across the country. We used a descriptive approach to appraise training sites according to key PMH framework practice characteristics, pertaining to administration, funding, and comprehensive team-based care with family physician leadership. |
| Results | Data for 564 learning sites were included. More than half (53.7%) of the sites were in PMH practices where the practices had interprofessional, team-based support with family physician leadership and alternate remuneration structures. |
| Discussion | The results suggest an education-to-practice gap. Family medicine training is taking place predominantly in well-supported PMH practices. The difference between the nature of training and opportunities for practice suggests that medical educators and health system planners must consider how the tremendous investment in medical education can be leveraged to support resident transitions to practice and overall health system reform. |
| Keyword 1 | Medical education |
| Keyword 2 | Health policy |
| Keyword 3 | Health workforce |
| Abstract content most relevant to: (check all that apply) | Residency Education |
| Abstract Track - First Choice | Health Workforce |
| Authors | Asiana Elma Laurie Yang Irene Chang Lawrence Grierson Lawrence Grierson |
