Literature DB >> 21520673

Choosing family medicine residency programs: what factors infuence residents’ decisions?

Joseph Lee1, Marg Alferi, Tejal Patel, Linda Lee.   

Abstract

OBJECTIVE: To describe key determinants for residents' selection of a new community-based, interprofessional site for their family medicine training, and to evaluate residents' satisfaction with their programs.
DESIGN: Combined qualitative and quantitative methods using in-depth interviews and a survey.
SETTING: McMaster University, including the new site of the Centre for Family Medicine in Kitchener-Waterloo, Ont, and a long-established site in Hamilton, Ont. PARTICIPANTS: Eleven first-year and second-year family medicine residents from the Kitchener-Waterloo site participated in in-depth interviews. Forty-four first-year and second-year family medicine residents completed the survey, 22 in Kitchener-Waterloo and 22 in Hamilton.
METHODS: Kitchener-Waterloo residents participated in in-depth interviews during their residency programs in 2008 to 2009 using a semistructured format to explore their choice of site and the effect of an interprofessional environment on their education. Common themes were established using qualitative analysis techniques; based on these themes, a survey was developed and distributed to residents from both sites to further explore factors influencing site selection, satisfaction, and effects of interprofessional education. MAIN
FINDINGS: Residents identifIed several reasons for selecting a new community-based, interprofessional family medicine residency program. Reasons included preference for the location and opportunities to learn in an interprofessional teaching environment. A less hierarchical structure and greater opportunities for one-on-one teaching also influenced their choices. Perception of poor communication from the well established site was identified as a challenge. Residents at both sites indicated similarly high levels of program satisfaction.
CONCLUSION: Residents selected the new community-based family medicine site for reasons of geographic location and the potential for clinical learning experiences and interprofessional education. High program satisfaction was achieved at both the new and well established sites. Family medicine residency programs developing community-based networks might consider and encourage the positive influence of interprofessional care and education. Good communication between distributed sites remains a challenge.

Entities:  

Mesh:

Year:  2011        PMID: 21520673      PMCID: PMC3056704     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  15 in total

1.  Key elements for interprofessional education. Part 1: the learner, the educator and the learning context.

Authors:  Ivy Oandasan; Scott Reeves
Journal:  J Interprof Care       Date:  2005-05       Impact factor: 2.338

2.  Interprofessional education: the fourth focus.

Authors:  Hugh Barr
Journal:  J Interprof Care       Date:  2007-10       Impact factor: 2.338

3.  Factors determining medical students' and residents' satisfaction during VA-based training: findings from the VA Learners' Perceptions Survey.

Authors:  Grant W Cannon; Sheri A Keitz; Gloria J Holland; Barbara K Chang; John M Byrne; Anne Tomolo; David C Aron; Annie B Wicker; T Michael Kashner
Journal:  Acad Med       Date:  2008-06       Impact factor: 6.893

4.  Family medicine residency educational characteristics and career satisfaction in recent graduates.

Authors:  Richard Young; Anita Webb; Nuha Lackan; Lucille Marchand
Journal:  Fam Med       Date:  2008 Jul-Aug       Impact factor: 1.756

5.  A survey of interprofessional education in communication skills in health care programmes in the UK.

Authors:  Helena Priest; Amelia Sawyer; Paula Roberts; Sheri Rhodes
Journal:  J Interprof Care       Date:  2005-06       Impact factor: 2.338

6.  Interprofessional ambulatory primary care practice-based educational program.

Authors:  Mary T Coleman; Kay Roberts; Dan Wulff; Riaan van Zyl; Karen Newton
Journal:  J Interprof Care       Date:  2008-01       Impact factor: 2.338

7.  Exploring family physician stress: helpful strategies.

Authors:  F Joseph Lee; Judith Belle Brown; Moira Stewart
Journal:  Can Fam Physician       Date:  2009-03       Impact factor: 3.275

8.  Stress, burnout, and strategies for reducing them: what's the situation among Canadian family physicians?

Authors:  F Joseph Lee; Moira Stewart; Judith Belle Brown
Journal:  Can Fam Physician       Date:  2008-02       Impact factor: 3.275

9.  Rural intentions: factors affecting the career choices of family medicine graduates.

Authors:  Diane J Lu; Jacquie Hakes; Meera Bai; Helen Tolhurst; James A Dickinson
Journal:  Can Fam Physician       Date:  2008-07       Impact factor: 3.275

10.  Well-being in residency training: a survey examining resident physician satisfaction both within and outside of residency training and mental health in Alberta.

Authors:  Jordan S Cohen; Scott Patten
Journal:  BMC Med Educ       Date:  2005-06-22       Impact factor: 2.463

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  7 in total

1.  Stool submission data to help inform population-level incidence rates of enteric disease in a Canadian community.

Authors:  K Franklin; F Pollari; B J Marshall; K D M Pintar; A Nesbitt; I Young; S A McEwen; J Vanderlaan; A Papadopoulos
Journal:  Epidemiol Infect       Date:  2014-09-12       Impact factor: 4.434

2.  Medical specialty preferences in early medical school training in Canada.

Authors:  Anthony Vo; Laurie McLean; Matthew D F McInnes
Journal:  Int J Med Educ       Date:  2017-11-14

3.  Effects of the scope of practice on family physicians: a systematic review.

Authors:  Hervé Tchala Vignon Zomahoun; Isabelle Samson; Jasmine Sawadogo; José Massougbodji; Amédé Gogovor; Ella Diendéré; Frédéric Turgeon; France Légaré
Journal:  BMC Fam Pract       Date:  2021-01-08       Impact factor: 2.497

4.  Medical specialty considerations by medical students early in their clinical experience.

Authors:  Charles Weissman; Rachel Yaffa Zisk-Rony; Josh E Schroeder; Yoram G Weiss; Alex Avidan; Uriel Elchalal; Howard Tandeter
Journal:  Isr J Health Policy Res       Date:  2012-03-12

5.  Impact of Doximity Residency Rankings on Emergency Medicine Applicant Rank Lists.

Authors:  William J Peterson; Laura R Hopson; Sorabh Khandelwal; Melissa White; Fiona E Gallahue; John Burkhardt; Aimee M Rolston; Sally A Santen
Journal:  West J Emerg Med       Date:  2016-05-05

6.  Stress and its association with working efficiency of junior doctors during three postgraduate residency training programs.

Authors:  Hamza Mohammad Abdulghani; Mohammed Meteb Al-Harbi; Mohammad Irshad
Journal:  Neuropsychiatr Dis Treat       Date:  2015-12-10       Impact factor: 2.570

7.  Effect of Doximity Residency Rankings on Residency Applicants' Program Choices.

Authors:  Aimee M Rolston; Sarah E Hartley; Sorabh Khandelwal; Jenny G Christner; Debbie F Cheng; Rachel M Caty; Sally A Santen
Journal:  West J Emerg Med       Date:  2015-11-12
  7 in total

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