An assessment of family medicine residents’ and early career physicians’ perceptions of their training: a survey from a single Canadian university

Authors

  • Keith Todd McGill University
  • Sandra Fournier McGill University
  • Amrita Sandhu McGill University https://orcid.org/0000-0001-5973-2212
  • Sima Zahedi McGill University
  • Fanny Hersson-Edery McGill University
  • Marion Dove McGill University

DOI:

https://doi.org/10.36834/cmej.81301

Abstract

Background: To determine if family medicine residents and recent graduates believe that the current residency program is sufficiently meeting their training needs for independent practice.

Methods: In 2024, a brief online survey using Likert scale and open-text questions evaluated McGill University residents’ and graduates’ level of agreement that family medicine residency training allows them to develop the necessary clinical knowledge and skills across nine domains. Medians and interquartile ranges were calculated to understand agreement and consensus of responses. Latent content analysis was conducted on qualitative responses. Results: Across 10 sites, 31 of 158 senior residents responded and 59 of 452 residency graduates participated. With high levels of agreement and consensus, participants reported their learning needs were being met in most domains of care. However, graduate responses suggest that the program did not meet their learning needs for Indigenous health and procedural skills. Additionally, resident responses had low consensus around care of vulnerable and marginalized populations.

Conclusions: Learner needs may not be met in three domains of care within the family medicine residency program, a finding that aligns with the recent call for curricular reform in Canada. These results could help focus curriculum reform priorities to areas of greatest need.

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Author Biographies

Sandra Fournier, McGill University

Sandra Fournier, MEd, is a Program Administrator, Department of Family Medicine, McGill University, Montreal, Canada.

Amrita Sandhu, McGill University

Amrita Sandhu is a Research Assistant, Department of Family Medicine, McGill University, Montreal, Canada. ORCID: https://orcid.org/0000-0001-5973-2212

Sima Zahedi, McGill University

Sima Zahedi is a Research Assistant, Department of Family Medicine, McGill University, Montreal, Canada. ORCID: https://orcid.org/0000-0002-2077-3006

Fanny Hersson-Edery, McGill University

Fanny Hersson-Edery is Postgraduate Program Director, Associate Professor, Department of Family Medicine, McGill University, Montreal, Canada.

Marion Dove, McGill University

Marion Dove is Associate Professor and Chair, Department of Family Medicine, McGill University, Montreal, Canada.

References

1. Aggarwal M, Abdelhalim R. Are early career family physicians prepared for practice in Canada? A qualitative study. BMC Med Educ. 2023;23(1):370. https://doi.org/10.1186/s12909-023-04250-z

2. Freeman TR, Boisvert L, Wong E, Wetmore S, Maddocks H. Comprehensive practice: Normative definition across 3 generations of alumni from a single family practice program, 1985 to 2012. Can Fam Physician. Oct 2018;64(10):750-759.

3. Lavergne MR, Rudoler D, Peterson S, et al. Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians. Ann Fam Med. Mar-Apr 2023;21(2):151-156. https://doi.org/10.1370/afm.2945

4. Rudoler D, Peterson S, Stock D, et al. Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces. CMAJ. Dec 12 2022;194(48):E1639-e1646. https://doi.org/10.1503/cmaj.220439

5. Russell A, Fromewick J, Macdonald B, et al. Drivers of scope of practice in family medicine: a conceptual model. Annals Fam Med. 2021;19(3):217-223. https://doi.org/10.1370/afm.2669

6. Grudniewicz A, Randall E, Lavergne MR, et al. Factors influencing practice choices of early-career family physicians in Canada: a qualitative interview study. Human Res Health. 2023;21(1) https://doi.org/10.1186/s12960-023-00867-9

7. Cupido N, Ross S, Lawrence K, et al. Making sense of adaptive expertise for frontline clinical educators: a scoping review of definitions and strategies. Adv Health Sci Educ Theory Pract. Dec 2022;27(5):1213-1243. https://doi.org/10.1007/s10459-022-10176-w

8. Fowler N, Wyman, R., eds. Residency training profile for family medicine and enhanced skills programs leading to certificates of added competence. Mississauga, ON: College of Family Physicians of Canada; 2021.

9. Sharma A, Minh Duc NT, Luu Lam Thang T, et al. A consensus-based Checklist for Reporting of Survey Studies (CROSS). J Gen Intern Med. 2021;36(10):3179-3187. https://doi.org/10.1007/s11606-021-06737-1

10. von der Gracht HA. Consensus measurement in Delphi studies: Review and implications for future quality assurance. Tech Forecasting Soc Change. 2012/10/01/ 2012;79(8):1525-1536. https://doi.org/10.1016/j.techfore.2012.04.013

11. Rayens MK, Hahn EJ. Building consensus using the policy Delphi Method. Pol Pol Nurs Pract. 2000;1(4):308-315. https://doi.org/10.1177/152715440000100409

12. Bloor M, Wood F. Keywords in qualitative methods: a vocabulary of research concepts. Sage Publications Ltd; 2006. https://doi.org/10.4135/9781849209403

13. Gbrich C. Qualitative data analysis: an introduction. 1st ed. Sage Publications; 2007.

14. Fowler N, Oandasan I, Wyman R. Preparing our future family physicians. An educational prescription for strengthening health care in changing times. Mississauga (ON): The College of Family Physicians of Canada. 2022:1-35.

15. Hunter K, Thomson B. A scoping review of social determinants of health curricula in post-graduate medical education. Can Med Ed J. 2019;10(3):62-62. https://doi.org/10.36834/cmej.61709

16. McDonald M, Lavelle C, Wen M, Sherbino J, Hulme J. The state of health advocacy training in postgraduate medical education: a scoping review. Med Educ. 2019;53:1209-1220. https://doi.org/10.1111/medu.13929

17. Waldner R, Baydala L, Tremblay M, Pynoo E, Dreise H. Clinical training within an Indigenous community: a qualitative description of pediatric residents’ learning experiences. Paediat Child Health. 2022;27(7):403-407. https://doi.org/10.1093/pch/pxac040.

18. Smylie J, Rotondi MA, Filipenko S, et al. Randomized controlled trial demonstrates novel tools to assess patient outcomes of Indigenous cultural safety training. BMC Med. Jan 09 2024;22(1):3. https://doi.org/10.1186/s12916-023-03193-y

19. Kesler DO, Hopkins LO, Torres E, Prasad A. Assimilating traditional healing into preventive medicine residency curriculum. Amer J Prevent Med. 2015;49(5):S263-S269. https://doi.org/10.1016/j.amepre.2015.07.007

20. Sauvé A, Cappelletti A, Murji L. Stand Up for Indigenous Health: a simulation to educate residents about the social determinants of health faced by Indigenous Peoples in Canada. Acad Med. Apr 01 2022;97(4):518-523. https://doi.org/10.1097/ACM.0000000000004570

21. Humphreys K, Shover CL, Andrews CM, et al. Responding to the opioid crisis in North America and beyond: recommendations of the Stanford-Lancet Commission. Lancet. 2022;399(10324):555-604. https://doi.org/10.1016/S0140-6736(21)02252-2

22. Petrucha RRA, Hansen EG, Ironside LD, et al. Addressing the Long-Term Care Crisis: Identifying Opportunities for Improvement Using Rapid Reviews. Can Geriatr J. 2022;25(1):79-87. https://doi.org/10.5770/cgj.25.535

23. Derefinko KJ, Brown R, Danzo A, et al. Addiction medicine training fellowships in North America: a recent assessment of progress and needs. J Addiction Med. 2020;14(4):E103-E109. https://doi.org/10.1097/ADM.0000000000000595

24. McKay M, Lavergne MR, Lea AP, et al. Government policies targeting primary care physician practice from 1998-2018 in three Canadian provinces: a jurisdictional scan. Health Policy. 2022;126(6):565-575. https://doi.org/10.1016/j.healthpol.2022.03.006

25. Cunningham CT, Quan H, Hemmelgarn B, et al. Exploring physician specialist response rates to web-based surveys. BMC Med Res Methodol. 2015;15(1) https://doi.org/10.1186/s12874-015-0016-z

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Published

2025-07-14

How to Cite

1.
Todd K, Fournier S, Sandhu A, Zahedi S, Hersson-Edery F, Dove M. An assessment of family medicine residents’ and early career physicians’ perceptions of their training: a survey from a single Canadian university. Can. Med. Ed. J [Internet]. 2025 Jul. 14 [cited 2025 Dec. 5];16(4):34-46. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/81301

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Scientific Reports

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