Current Opinions on Family Medicine Residency Training: Part-time vs Full-time Education

Abstract Background and Objective Despite the increase in family medicine residency in Japan, there are only a few structured faculty development (FD) programs. The objective of this project was to develop, implement, and evaluate a FD curriculum in Japan. Methods In 2015, a private FD initiative in the Mie University initiated a curriculum development in collaboration with FD fellowship at the University of Pittsburgh. A literature review and subsequent Delphi processes was conducted for competency development. Based on the competency list, we designed a two-year part-time FD curriculum. A course evaluation using pre-post confidence level and a focus group was held during March 2017. Results 28 objectives were defined under five core domains: 1) care management/family medicine principle, 2) leadership/professional development, 3) administrative/management, 4) teaching, and 5) research/scholarly activity. The focus group identified five themes regarding the learning process: foundational soil; seedbed; sowing of seeds; nurture and growth; and reaping the harvest. A pre-post survey revealed significant increase in learner confidence for “care management/family medicine principle”(p=0.03), “teaching”(p<0.01), and “research/scholarly activity”(p<0.01), as well as the total score (p=0.03). Conclusions Further curriculum refinements will be required to see if the curriculum could be used for faculty development in other family medicine residencies.

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Bringing uterine evacuation skills back into primary care: impact of the family medicine residency training initiative in miscarriage management

Contraception ◽

10.1016/j.contraception.2011.05.031 ◽

2011 ◽

Vol 84 (3) ◽

pp. 309-310

Author(s):

B. Darney ◽

M. Weaver ◽

J. Kimball ◽

N. Stevens ◽

S. Prager

Keyword(s):

Primary Care ◽

Family Medicine ◽

Residency Training ◽

Family Medicine Residency ◽

Training Initiative ◽

The Family

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Intimidation, harassment, and discrimination during family medicine residency training: a mixed methods study

BMC Medical Education ◽

10.1186/s12909-021-02623-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Olga Szafran ◽

Wayne Woloschuk ◽

Jacqueline M. I. Torti ◽

Maria F. Palacios Mackay

Keyword(s):

Mixed Methods ◽

Family Medicine ◽

Residency Training ◽

Sleep Problems ◽

Phase 1 ◽

Qualitative Interviews ◽

Hospital Setting ◽

Mixed Methods Study ◽

Family Medicine Residency ◽

Negative Effect

Abstract Background The importance of wellbeing of family medicine residents is recognized in accreditation requirements which call for a supportive and respectful learning environment; however, concerns exist about learner mistreatment in the medical environment. The purpose of this study was to to describe family medicine graduates’ perceived experience with intimidation, harassment and discrimination (IHD) during residency training. Methods A mixed-methods study was conducted on a cohort of family medicine graduates who completed residency training during 2006–2011. Phase 1, the quantitative component, consisted of a retrospective survey of 651 graduates. Phase 2, the qualitative component, was comprised of 11 qualitative interviews. Both the survey and the interviews addressed graduates’ experience with IHD with respect to frequency and type, setting, perpetrator, perceived basis for IHD, and the effect of the IHD. Results The response rate to the survey was 47.2%, with 44.7% of respondents indicating that they experienced some form of mistreatment/IHD during residency training, and 69.9% noting that it occurred more than once. The primary sources of IHD were specialist physicians (75.7%), hospital nurses (47.8%), and family physicians (33.8%). Inappropriate verbal comments were the most frequent type of IHD (86.8%). Graduates perceived the basis of the IHD to be abuse of power (69.1%), personality conflict (36.8%), and family medicine as a career choice (30.1%), which interview participants also described. A significantly greater proportion IMGs than CMGs perceived the basis of IHD to be culture/ethnicity (47.2% vs 10.5%, respectively). The vast majority (77.3%) of graduates reported that the IHD experience had a negative effect on them, consisting of decreased self-esteem and confidence, increased anxiety, and sleep problems. As trainees, they felt angry, threatened, demoralized, discouraged, manipulated, and powerless. Some developed depression or burnout, took medication, or underwent counselling. Conclusions IHD continued to be prevalent during family medicine residency training, with it occurring most frequently in the hospital setting and specialty rotations. Educational institutions must work with hospital administrators to address issues of mistreatment in the workplace. Residency training programs and the medical establishment need to be cognizant that the effects of IHD are far-reaching and must continuously work to eradicate it.

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Defining Essential Topics and Procedures for Korean Family Medicine Residency Training

Korean Journal of Family Medicine ◽

10.4082/kjfm.20.0244 ◽

2021 ◽

Vol 42 (6) ◽

pp. 477-482

Author(s):

Youhyun Song ◽

Jinyoung Shin ◽

Yonghwan Kim ◽

Jae-Yong Shim

Keyword(s):

Family Medicine ◽

Residency Training ◽

Personal Experience ◽

Family Physicians ◽

Board Members ◽

Minimum Requirement ◽

Family Medicine Residency ◽

Korean Family ◽

Competency Based ◽

E Mail

Background: This study aims to create a comprehensive list of essential topics and procedural skills for family medicine residency training in Korea.Methods: Three e-mailed surveys were conducted. The first and second surveys were sent to all board-certified family physicians in the Korean Academy of Family Medicine (KAFM) database via e-mail. Participants were asked to rate each of the topics (117 in survey 1, 36 in survey 2) and procedures (65 in survey 1, 19 in survey 2) based on how necessary it was to teach it and personal experience of utilizing it in clinical practice. Agreement rates of the responses were calculated and then sent to the 32 KAFM board members in survey 3. Opinions on potential cut-off points to divide the items into three categories and the minimum achievement requirements needed to graduate for each category were solicited.Results: Of 6,588 physicians, 256 responded to the first survey (3.89% response rate), 209 out of 6,669 to the second survey (3.13%), and 100% responded to the third survey. The final list included 153 topics and 81 procedures, which were organized into three categories: mandatory, recommended, and optional (112/38/3, 27/33/21). For each category of topics and procedures, the minimum requirement for 3-year residency training was set at 90%/60%/30% and 80%/60%/30%, respectively.Conclusion: This national survey was the first investigation to define essential topics and procedures for residency training in Korean family medicine. The lists obtained represent the opinions of Korean family physicians and are expected to aid in the improvement of family medicine training programs in the new competency-based curriculum.

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