scholarly journals Global health training in Canadian family medicine residency programmes

2020 ◽  
Vol 8 (1) ◽  
pp. e000250
Author(s):  
Divyanshi Jalan ◽  
Helene Morakis ◽  
Neil Arya ◽  
Yassen Tcholakov ◽  
Jennifer Carpenter ◽  
...  
Keyword(s):  
Family Medicine ◽  
Global Health ◽  
Online Survey ◽  
Response Rate ◽  
First Year ◽  
French Canada ◽  
Health Training ◽  
Resident Participation ◽  
Family Medicine Residency ◽  
Second Year

ObjectiveCanadian family medicine (FM) residency programmes are responding to the growing demand to provide global health (GH) education to their trainees; herein, we describe the various GH activities (GHAs) offered within Canadian FM programmes.DesignA bilingual online survey was sent out to all 17 Canadian FM program directors (PDs) and/or an appointed GH representative.SettingOnline survey via QualtricsParticipantsAll 17 Canadian FM PDs and/or an appointed GH representative.ResultsThe response rate was 100% and represented 3250 first-year and second-year FM residents across English and French Canada. All schools stated that they participate in some form of GHAs. There was variation in the level of organisation, participation and types of GHAs offered. Overall, most GHAs are optional, and there is a large amount of variation in terms of resident participation. Approximately one third of programmes receive dedicated funding for their GHAs, and two thirds wish to increase the scope/variety of GHAs.ConclusionThese results suggest nationwide interest in developing a workforce trained in GH, but show great discrepancies in training, implementation and education.

scholarly journals Scarce Health Human Resource Wastage: No work for South African Audiologists? A descriptive Survey Study.

2020 ◽  
Author(s):  
Vera-Genevey Hlayisi
Keyword(s):  
South Africa ◽  
South African ◽  
Human Resource ◽  
Health Professionals ◽  
Online Survey ◽  
Survey Study ◽  
First Year ◽  
Snowball Sampling ◽  
Health Human Resource ◽  
Second Year

Abstract Background: In the last decade, there has been an increase in the number of unemployed health professionals in South Africa. Since the economic downfall following the international financial crisis in 2008, unemployment rates in South Africa have since been increasing and have to date reached 29.1%, the highest in the last 11 years. The current study sought to identify the challenges in obtaining and maintaining employment for audiologists in South Africa. Methods: A descriptive online survey design was used. Participants were recruited online through professional association webpages using the snowball sampling technique. All qualified audiologists registered with the Health Professionals Council of South Africa were eligible to participate. Results: A total of 219 audiologists responded to the survey however only 132 complete responses were collected. Only the results from the 132 completed questionnaires were included in the analysis. Majority of the participants (89%) were female, between the ages 25 to 34 (67%). In the first-year post-graduation, 16% of the participants were unemployed and this increased to 19% in the second-year post-graduation. In the majority (81%) of employed participants, it is worth noting that up to a fifth (19%) were working within non-audiology fields. Employment characteristics of those working in audiology fields (n=107) show that most participants were working within the public health sector (47%) and based in clinical settings (52%). The most common workplace challenges reported were remuneration (37%) followed by lack of resources (18%), workload (18%), work environment (10%), working hours (9%) and lastly, interprofessional relationships (8%). Conclusion: In South Africa, u p to 16% of audiologists are unemployed in their first-year post-graduation and this increases to 19% in the second-year post-graduation. This study’s findings are the first to document the unemployment rate of newly graduated hearing healthcare professionals in South Africa. These findings have potential to influence critical discourse on hearing healthcare human resource policies and planning, hearing healthcare labour market needs and capacity as well as hearing healthcare context and potential for growth in the South African context. Keywords: unemployment, human-resources, healthcare, audiology, economy

scholarly journals An Update of Oral Health Curricula in US Family Medicine Residency Programs

2018 ◽  
Vol 50 (6) ◽  
pp. 437-443 ◽  
Author(s):  
Hugh Silk ◽  
Judith A. Savageau ◽  
Kate Sullivan ◽  
Gail Sawosik ◽  
Min Wang
Keyword(s):  
Oral Health ◽  
Family Medicine ◽  
Online Survey ◽  
Program Directors ◽  
Residency Programs ◽  
Health Curriculum ◽  
Family Medicine Residency ◽  
Important Health ◽  
Dental Professional ◽  
Residency Program Directors

Background and Objectives: National initiatives have encouraged oral health training for family physicians and other nondental providers for almost 2 decades. Our national survey assesses progress of family medicine residency programs on this important health topic since our last survey in 2011. Methods: Family medicine residency program directors (PDs) completed an online survey covering various themes including number of hours of oral health (OH) teaching, topics covered, barriers, evaluation, positive influences, and program demographics. Results: Compared to 2011, more PDs feel OH should be addressed by physicians (86% in 2017 vs 79% in 2011), yet fewer programs are teaching OH (81% vs 96%) with fewer hours overall (31% vs 45% with 4 or more hours). Satisfaction with the competence of graduating residents in OH significantly decreased (17% in 2017 vs 32% in 2011). Program directors who report graduates being well prepared to answer board questions on oral health topics are more likely to have an oral health champion (P<0.001) and report satisfaction with the graduates’ level of oral health competency (P<0.001). Programs with an oral health champion, or having a relationship with a state or national oral health coalition, or having routine teaching from a dental professional are significantly more likely to have more hours of oral health curriculum (P<0.001). Conclusions: Family medicine PDs are more aware of the importance of oral health, yet less oral health is being taught in residency programs. Developing more faculty oral health champions and connecting programs to dental faculty and coalitions may help reduce this educational void.

scholarly journals Are We Meeting the Demand for Pharmacist-Led Antimicrobial Stewardship Programs during Postgraduate Training-Year 1 (PGY1)?

Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 91
Author(s):  
Edoabasi U. McGee ◽  
Arrington D. Mason-Callaway ◽  
Brent L. Rollins
Keyword(s):  
Infectious Diseases ◽  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Postgraduate Training ◽  
Graduate Training ◽  
The United States ◽  
Pharmacy Education ◽  
First Year ◽  
Second Year ◽  
Mandatory Rotation

In the United States of America, pharmacists play a pivotal role in antimicrobial stewardship; training from postgraduate residency may hone knowledge and skills gained from didactic pharmacy education. Specifically, the first year of postgraduate training, the learner may become an “everyday steward in training” and may go on to complete a second year in infectious diseases. However, there are a limited number of second year infectious diseases programs. The current demand for pharmacist to participate in and or lead stewardship is disproportionate to available specialized training. The first year of post-graduate training has to be setup to ensure appropriate preparation, so newly trained pharmacist may help meet the demand. Currently, no clear standards exist for training in the first year. The purpose of this study is to survey the nature of stewardship training performed by first year residents from the perspective of residency program directors and preceptors. A 13-question online survey was distributed to examine resident exposure to antimicrobial stewardship activities. Survey data from targeted residency directors and preceptors were analyzed. A third of the programs required it as a mandatory rotation. Resident’s stewardship activities ranged from program to program; there was not consensus of the training activities.

scholarly journals The Residency Performance Index: An Effort at Residency Quality Assessment and Improvement in Family Medicine

2014 ◽  
Vol 6 (4) ◽  
pp. 756-759 ◽  
Author(s):  
Grant S. Hoekzema ◽  
Lisa Maxwell ◽  
Joseph W. Gravel ◽  
Walter W. Mills ◽  
William Geiger
Keyword(s):  
Quality Improvement ◽  
Family Medicine ◽  
Performance Index ◽  
Program Improvement ◽  
First Year ◽  
Clinical Experiences ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Lack Of Information ◽  
Quality Improvement Tool

Abstract Background Residency programs are increasingly being asked to defend their quality, and that of the residents they produce. Yet “residency quality” is a construct that has not been well defined, with no accepted standards other than meeting accreditation standards. In 2009, the Association of Family Medicine Residency Directors developed a strategic plan that included the goal of raising the quality of family medicine training. Objective We describe the development of this quality improvement tool, which we called the residency performance index (RPI), and its first year of use by family medicine residency programs. We describe the use of the tool as a “dashboard” to facilitate program self-improvement. Intervention Using program metrics specific to family medicine training, and benchmark criteria for these metrics, the RPI was launched in 2012 to help programs identify strengths and areas for improvement in their educational activities and resident clinical experiences that could be tracked and reviewed as part of the annual program evaluation. Results Approximately 100 program directors began using the tool and 70 finished the process, and were provided aggregate data. Initial review of this experience revealed difficulties with collecting data, and lack of information on graduates' scope of practice. It also showed the potential usefulness of the tool as a program improvement mechanism. Conclusions The RPI is a new quality improvement tool for family medicine residency programs. Although some initial challenges need to be addressed, it has the promise to aid family medicine residency in its internal improvement efforts.

scholarly journals Meaningful Partnerships: Stages of Development of a Patient and Family Advisory Council at a Family Medicine Residency Clinic (Preprint)

2018 ◽  
Author(s):  
Jeffrey D Schlaudecker ◽  
Keesha Goodnow ◽  
Anna Goroncy ◽  
Reid Hartmann ◽  
Saundra Regan ◽  
...  
Keyword(s):  
Family Medicine ◽  
Residency Training Program ◽  
Lessons Learned ◽  
Advisory Council ◽  
First Year ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Working Together ◽  
The Creation ◽  
Improve Health

BACKGROUND Partnering with patients and families is a crucial step in optimizing health. A patient and family advisory council (PFAC) is a group of patients and family members working together collaboratively with providers and staff to improve health care. OBJECTIVE This study aimed to describe the creation of a PFAC within a family medicine residency clinic. To understand the successful development of a PFAC, challenges, potential barriers, and positive outcomes of a meaningful partnership will be reported. METHODS The stages of PFAC development include leadership team formation and initial training, PFAC member recruitment, and meeting launch. Following a description of each stage, outcomes are outlined and lessons learned are discussed. PFAC members completed an open-ended survey and participated in a focus group interview at the completion of the first year. Interviewees provided feedback regarding (1) favorite aspects or experiences, (2) PFAC impact on a family medicine clinic, and (3) future projects to improve care. Common themes will be presented. RESULTS The composition of the PFAC consisted of 18 advisors, including 8 patient and family advisors, 4 staff advisors, 4 resident physician advisors, and 2 faculty physician advisors. The average meeting attendance was 12 members over 11 meetings in the span of the first year. A total of 13 out of 13 (100%) surveyed participants were satisfied with their experience serving on the PFAC. CONCLUSIONS PFACs provide a platform for patient engagement and an opportunity to drive home key concepts around collaboration within a residency training program. A framework for the creation of a PFAC, along with lessons learned, can be utilized to advise other residency programs in developing and evaluating meaningful PFACs.

Quality Initiative Program in its Sixth Year: Has it Become Part of our Radiology Culture?

2017 ◽  
Vol 68 (3) ◽  
pp. 243-248
Author(s):  
Heather Ritchie ◽  
Ania Z. Kielar ◽  
Fraser Hill ◽  
Joseph P. O'Sullivan
Keyword(s):  
Clinical Practice ◽  
Research Ethics ◽  
Response Rate ◽  
Response Rates ◽  
First Year ◽  
Second Year ◽  
Initiative Program

Purpose The study sought to determine if the Quality Initiative Program (QUIP) has become part of the radiology culture at our institution. Methods After Research Ethics approval, QUIPs from January 2009 to December 2014 were assessed. We evaluated the response rates of radiologists receiving QUIPs to ensure they reviewed them. We performed a survey of radiologists and trainees to gain feedback regarding their perception of QUIPs in February 2014 and in June 2015. Results Response rates of radiologists receiving a QUIP improved, with 76% response rate in 2014 up from 66% in the first year and 42% in the second year. Based on the 2015 survey including radiologists and trainees, 75% agreed that QUIPs were educational, compared with 67% 16 months earlier. Fifty percent of respondents had changed their overall practice of reporting based on feedback from the QUIP in 2015 compared with 32% in 2014. In both surveys, 100% of respondents indicated that QUIPs have not been used against them for any disciplinary measure (or other negatively perceived action). When asked if there was a perceived decrease in stigma felt when a QUIP was received, 71% agreed or were neutral and 28% disagreed. Conclusions The QUIP is educational to radiologists and trainees, leading to positive changes in clinical practice. The majority accepts this program but there is still a stigma felt when a QUIP is received, particularly among residents. Nevertheless, we feel that QUIP has been integrated into our radiology culture and, hopefully, imminent transition to commercial quality software will be smooth.

scholarly journals Family Medicine Residency Graduates' Preparation for Quality Improvement Leadership

2019 ◽  
Vol 11 (5) ◽  
pp. 558-564
Author(s):  
Jonathan Lichkus ◽  
Bo Fang ◽  
Lars E. Peterson
Keyword(s):  
Quality Improvement ◽  
Family Medicine ◽  
Response Rate ◽  
Team Leadership ◽  
Certification Examination ◽  
Family Medicine Residency ◽  
The Past ◽  
Demographic Questionnaire ◽  
Standard Component ◽  
Family Medicine Residents

ABSTRACT Background Training in quality improvement (QI) is a standard component of family medicine residency education. Graduating family medicine residents' ability to lead QI initiatives is unknown. Objective We assessed the preparedness of graduating family medicine residents to lead QI projects and to identify factors that may increase such readiness. Methods Milestone data for all graduating family medicine residents were linked to a practice demographic questionnaire completed by the same residents who registered for the American Board of Family Medicine certification examination between 2014 and 2017. The change in self-assessed QI preparedness over time and its association with faculty-assigned milestone ratings were examined using descriptive and regression analyses. Results The questionnaire had a 100% response rate (12 208 responded). Between 2014 and 2017, the percentage of residents who self-reported being “extremely” or “moderately” prepared to lead QI projects increased from 72.7% (2208 of 3038) to 75.8% (2434 of 3210, P = .009). Self-reported QI team leadership was associated with 93% higher odds of feeling extremely prepared compared to moderately prepared (odds ratio 1.93, 95% CI 1.58–2.35). The average midyear faculty-assigned milestone rating for QI among residents who felt “extremely” prepared was 3.28 compared to 3.14 among those who felt “not at all” prepared. Conclusions Over the past 4 years, family medicine residents' self-assessed preparedness to lead QI projects has barely increased. There was no correlation between self-assessed preparation and faculty-assigned milestone rating. However, we found a small association between self-reported QI leadership and self-assessed QI preparedness.

scholarly journals Do Weekly Alerts From a Mobile Application Influence Reading During Residency?

PRiMER ◽  
2017 ◽  
Vol 1 ◽  
Author(s):  
Roland Grad ◽  
Pierre Pluye ◽  
Eric Wong ◽  
Carlos Brailovsky ◽  
Jonathan L. Moscovici ◽  
...  
Keyword(s):  
Family Medicine ◽  
Mobile Application ◽  
Intervention Group ◽  
Clinical Information ◽  
Mobile App ◽  
First Year ◽  
Study Phase ◽  
Family Medicine Residency ◽  
The Family ◽  
Spaced Education

Background: The benefits of “spaced education” have been documented for residents in highly focused specialties. We found no published studies of spaced education in family medicine. In this study, we report on the feasibility of delivering weekly alerts from a mobile application (app) developed for exam preparation, to increase the reading of clinical information in the family medicine residency. Methods Design: This is a 2-phase mixed methods study. Phase one is a quasi-experimental study of resident reading of information related to priority topics in family medicine. Reading was documented by page views in a noncommercial mobile app. Participants: All incoming first-year residents at two university training programs in Canada. The intervention group received one alert per week to priority topics on the app, beginning in their second month of residency. The control group was given access to the same app, but received no alerts. Results: In this paper, we report the phase one preliminary findings. In the intervention group, 81 of 96 first year residents consented. At the control site, 79 of 85 residents consented. After 100 days, intervention group residents had viewed more pages of clinical information across all 99 priority topics (1,546 versus 900) and per topic (15.7 versus 9.1 pages, P < 0.0003). On average, each increase of one visit to the app following a weekly alert was associated with an increase of 3.2 visits to pages of clinical information in the app. Conclusion: A weekly alert delivered via mobile app shows promise with respect to reading in the family medicine residency.

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