Rethinking how we educate our future physicians: the Queen’s-Lakeridge Health Medical Degree Family Medicine program: an innovative approach to medical education

Auteurs-es

  • Eugenia Piliotis Queen's University
  • Jennifer Turnnidge Queen's University
  • Cailie S McGuire Queen's University
  • Nancy Dalgarno Queen's University
  • Anthony J Sanfilippo Queen's University
  • Arun Balasubramaniam Queen's University
  • Michelle Gibson Queen's University
  • Michael Green Queen's University
  • Shayna Watson Queen's University
  • Renee Fitzpatrick Queen's University
  • Randy S Wax Queen's University
  • Heidi McHattie Queen's University
  • Nadia Ismiil Queen's University
  • Ruzica Jokic Queen's University
  • Natasha Aziz Queen's University
  • Anthony Stone Queen's University
  • Allan Grill Queen's University
  • Richard van Wylick Queen's University
  • Denise Stockley Queen's University
  • Jane Philpott Queen's University

DOI :

https://doi.org/10.36834/cmej.81759

Résumé

Canadian healthcare, particularly family medicine, is experiencing a capacity crisis. To address this challenge, systems-level reform is required. Specific to medical education, there is an urgency for educational institutions to prepare the next generation of physicians to meet Canadians’ healthcare needs. This will require not only the expansion of the number of physicians trained, but consideration of the specialty mix and types of practice those physicians are prepared to undertake. Building on an existing collaborative partnership, the Queen’s-Lakeridge Health Doctor of Medicine - Family Medicine Program (QLH MD FM) launched in 2023. This initiative is designed to address the needs of Canadians through purposeful recruitment and the development of learners interested in, and committed to, careers in family medicine. This paper shares the experiences of the QLH MD FM team, and the steps taken in conceptualizing and implementing this educational initiative. A program description is provided, focusing on the six program pillars: (a) admissions, (b) curriculum, (c) faculty and staff engagement, (d) community engagement, (e) infrastructure and supports, and (f) learner experience. The QLH MD FM Program is an innovative approach to medical education that emphasizes an authentic focus on addressing the complex healthcare needs of individuals and their communities.

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Bibliographies de l'auteur-e

Eugenia Piliotis, Queen's University

MD, MEd, Associate Dean MD Program, Professor of Medicine, Queen’s University Kingston, Ontario, Canada

Cailie S McGuire, Queen's University

PhD, Postdoctoral Fellow, School of Kinesiology, The University of British Columbia, Vancouver, British Columbia, Canada; Queen’s University, Kingston, Ontario, Canada

Nancy Dalgarno, Queen's University

PhD, Professional Development and Educational Scholarship, Queen’s University, Kingston, Ontario, Canada, nancy.dalgarno@queensu.ca

Anthony J Sanfilippo, Queen's University

MD, FRCPC, Professor of Medicine, Queen’s University, Kingston, Ontario, Canada

Arun Balasubramaniam, Queen's University

MBA, Manager, Queen’s Lakeridge Health MD Family Medicine Program, Queen’s University, Kingston, Ontario, Canada; Lakeridge Health, Oshawa, Ontario, Canada

Michelle Gibson, Queen's University

MD, MEd, CCFP(COE), FCFP, Assistant Dean, Curriculum, MD Program, Queen’s University, Kingston, Ontario, Canada

Michael Green, Queen's University

MD, MPH, CCFP, FCFP, President and Dean, NOSM University, Sudbury, Ontario, Canada; Professor Emeritus, Departments of Family Medicine and Public Health Sciences, Queen’s University, Kingston, Ontario, Canada

Shayna Watson, Queen's University

MD, MEd, CCFP, Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada

Renee Fitzpatrick, Queen's University

MB. BCH. BAO. MRCPsych. FRCPC. Assistant Dean Student Affairs, MD Program Queen’s University, Kingston, Ontario, Canada

Randy S Wax, Queen's University

MD, MEd, FRCPC, FCCM, Associate Professor, Department of Critical Care Medicine, Queen’s University, Kingston, Ontario, Canada; Chief of Staff, Lakeridge Health, Oshawa, Ontario, Canada

Heidi McHattie, Queen's University

BA, Manager, Academic Affairs & LHEARN, Lakeridge Health, Oshawa, Ontario, Canada

Nadia Ismiil, Queen's University

MD, FRCPC, M.M, Deputy chief of staff, Chief of Academic Affairs and Research, Lakeridge Health, Oshawa, Ontario, Canada

Ruzica Jokic, Queen's University

MD FRCP(C), FCPA, Assistant Dean Distributed Medical Education, School of Medicine, Associate Professor, Department of Psychiatry Queen's University, Kingston, Ontario, Canada

Natasha Aziz, Queen's University

MD, CCFP, Curriculum Director Queen’s-Lakeridge MD FM Program, Assistant Professor, Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada

Anthony Stone, Queen's University

MD, CCFP, FCFP, Adjunct Associate Professor, Department of Family Medicine, Lecturer, Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada; University of Toronto, Lead Physician, Clarington Family Health Organization, Toronto, Ontario, Canada

Allan Grill, Queen's University

MD, CCFP(COE), MPH, FCFP, CCPE, Associate Professor, Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada

Richard van Wylick, Queen's University

MD, FRCPC, Associate Professor, Department of Pediatrics, Queen’s University, Kingston, Ontario, Canada

Denise Stockley, Queen's University

PhD, Professor and Scholar in Higher Education, Queen’s University, Kingston, Ontario, Canada

Jane Philpott, Queen's University

CCFP, MPH, Professor of Family Medicine, Queen’s University, Kingston, Ontario, Canada

Références

1. Flood CM, Thomas B, McGibbon, E. Canada’s primary care crisis: federal government response. Healthc Manage Forum. 2023;36(5):327-332. https://doi.org/10.1177/08404704231183863

2. Glazier RH. Our role in making the Canadian health care system one of the world’s best: how family medicine and primary care can transform—and bring the rest of the system with us. Can Fam Physician. 2023;69(1):11-16. https://doi.org/10.46747/cfp.690111

3. Kiran T. Keeping the front door open: ensuring access to primary care for all in Canada. Can Med Assoc J. 2022;194(48):E1655-E1656. https://doi.org/10.1503/cmaj.221563

4. Li K, Frumkin A, Bi WG, Magrill J, Newton C. Biopsy of Canada’s family physician shortage. Fam Med Community Health. 2023;11(2):1-4. https://doi.org/10.1136/fmch-2023-002236

5. Statistics Canada. Table 13-10-0096-16 Has a regular healthcare provider, by age group. 2023. https://doi.org/10.25318/1310009601-eng

6. Duong D. Primary care is facing a capacity crisis—can pandemic lessons help chart a path forward? Can Med Assoc J. 2022;7(194):1488. https://doi.org/10.1503/cmaj.1096023

7. Mathews M, Idrees S, Ryan D, et al. System-based interventions to address physician burnout: a qualitative study of Canadian family physicians’ experiences during the COVID-19 pandemic. Int J Health Policy Manag. 2024;13(1):1-9. https://doi.org/10.34172/ijhpm.8166

8. Department of Family and Community Medicine at the University of Toronto. Primary Care needs OurCare. The final report of the largest pan-Canadian conversation about primary care. 2024. Available from: https://issuu.com/dfcm/docs/primary_care_needs_ourcare_the_final_report_of_the?fr=xKAE9_zU1NQ [Accessed on Feb 24, 2025]

9. Premji K, Green ME, Glazier R, et al. Characteristics of patients attached to near-retirement family physicians: a population-based serial cross-sectional study in Ontario, Canada. BMJ Open. 2023;13(12):e074120. https://doi.org/10.1136/bmjopen-2023-074120

10. Ontario Medical Association. Every Ontarian needs a doctor. 2025. Available from https://www.oma.org/advocacy/stop-the-crisis/?shpath=/priorities/every-ontarian-needs-a-doctor [Accessed on Feb 24, 2025]

11. Lemire F. When, if not now? Can Fam Physician. 2022;68(6):474. https://doi.org/10.46747/cfp.6806474

12. Canadian Medical Association. Insight: Why is it so difficult to find a family doctor? 2024. Available from https://www.cma.ca/latest-stories/insight-why-it-so-difficult-find-family-doctor [Accessed on Feb 24, 2025]

13. Canadian Institute for Health Information. Changes in practice patterns of family physicians in Canada. 2024. Available from https://www.cihi.ca/en/changes-in-practice-patterns-of-family-physicians-in-canada [Accessed on Feb 24, 2025]

14. Schultz K, Cofie N, Braund H, et al. The hidden curriculum across medical disciplines: an examination of scope, impact, and context. Can Med Educ J. 2023;15(1):1-11. https://doi.org/10.36834/cmej.75207

15. Martin D, Bell B, Black G, et al. Primary care for everyone: an urgent to-do list for reform. Public Policy Forum; 2023. https://ppforum.ca/publications/primary-care-for-everyone-an-urgent-to-do-list-for-reform/

16. McCracken RK, Hedden L. What can publicly funded schools teach us about how to fix the family doctor shortage? Healthc Manage Forum. 2023;36(5):322-326. https://doi.org/10.1177/08404704231183175

17. Sanfilippo A. The doctors we need: imagining a new path for physician recruitment, training, and support. Sutherland House Experts; 2024.

18. Carney PA, Waller E, Dexter E, et al. Team training in family medicine residency programs and its impact on team-based practice post-graduation. Fam Med. 2017;49(5):346-352.

19. Poeppelman RS, Liebert CA, Vegas DB, Germann CA, Volerman A. A narrative review and novel framework for application of team-based learning in graduate medical education. J Grad Med Educ. 2016;8(4):510-517. https://doi.org/10.4300/JGME-D-15-00516.1

20. Newton WP, Magill M, Biggs W, et al. Re-envisioning family medicine residencies: the end in mind. J Am Board Fam Med. 2021;34(1), 246-248. https://doi.org/10.3122/jabfm.2021.01.200604

21. Sanfilippo A. This is why you don't have a family doctor. The Globe and Mail. 2023 Sept. Available from https://www.theglobeandmail.com/opinion/article-this-is-why-you-dont-have-a-family-doctor/ [Accessed on Feb 24, 2025]

22. Taber S, Akdemir N, Gorman L, van Zanten M, Frank JR. A “fit for purpose” framework for medical education accreditation system design. BMC Med Educ. 2020;20(S1). https://doi.org/10.1186/s12909-020-02122-4

23. Busing N, Harris K, MacLellan AM, et al. The future of postgraduate medical education in Canada. Acad Med. 2015;90(9):1258-1263. https://doi.org/10.1097/ACM.0000000000000815

24. Hodges BD, Albert M, Arweiler D, et al. The future of medical education: a Canadian environmental scan. Med Educ. 2010;45(1):95-106. https://doi.org/10.1111/j.1365-2923.2010.03737.x

25. Katz A, Singer AG. Future of family medicine in Canada: four evidence-based strategies for health care transformation. Can Fam Physician. 2024;70(3):155-157. https://doi.org/10.46747/cfp.7003155

26. Sanaee L. Medical education reform: a catalyst for strengthening the health system. Can Med Educ J. 2019;10(4):e57-61. https://doi.org/10.36834/cmej.61619

27. The Association of Faculties of Medicine of Canada. AFMC Strategic Plan. The Association of Faculties of Medicine of Canada; 2024. Available from https://www.afmc.ca/strategic-plan/ [Accessed on Feb 24, 2025]

28. Davis C. Lakeridge Health Letter of Support - Regional Campus Partnership. Lakeridge Health; 2021 Dec. Unpublished.

29. College of Family Physicians of Canada. Residency training profile for family medicine and enhanced skills programs leading to certificates of added competence outcomes of training project College of Family Physicians of Canada. 2021. Available from: https://www.cfpc.ca/CFPC/media/Resources/Education/Residency-Training-Profile-ENG.pdf. [Accessed on Feb 24, 2025]

30. Queen’s University. Queen’s-Lakeridge Health MD Family Medicine Program. 2023. Available from https://meds.queensu.ca/academics/mdprogram/queens-lakeridge-health-md-family-medicine-program [Accessed on Feb 24, 2025]

31. Sanfilippo T, Stone T, Wax R, et al. Report of the steering committee and working groups. Joint Queen’s University – Lakeridge Health Integrated Medical Education Program (QLEP). 2022. Unpublished.

32. Osler F, Moineau G, Tunde-Byass M, et al. Call to action for comprehensive primary health care. Canadian Medical Forum. 2022. Available from https://www.afmc.ca/wp-content/uploads/2022/10/220705_CMF-Call-to-Action_Comprehensive-Primary-Health-Care.pdf [Accessed on Feb 24, 2025]

33. Piliotis E, Sanfilippo A, Turnnidge J, et al. Rethinking how we educate our future family physicians: Conceptualizing the Queen’s Lakeridge MD Family Medicine Program. International Congress on Academic Medicine: 2024; Vancouver, British Columbia, Canada. Published abstract available in the 2024 ICAM Proceedings. Can Med Educ J, 15(3), 210. https://doi.org/10.36834/cmej.79446.

34. Lakeridge Health. About Lakeridge Health. 2023a. https://www.lakeridgehealth.on.ca/en/aboutus/aboutlakeridgehealth.asp?_mid_=2034 [Accessed on Feb 24, 2025]

35. Durham Region Census Data. Planning for growth. 2023. Available from: https://www.durham.ca/en/living-here/planning-for-growth.aspx#Statistics [Accessed on Oct 6, 2025]

36. The Regional Municipality of Durham. The regional municipality of Durham report to: planning and economic development committee from: commissioner of planning and economic development. 2024. Available from https://www.durham.ca/en/living-here/resources/Documents/2024-P-15-Durham-Region-Profile---Demographics-and-Socio-Economic-Data.pdf [Accessed on Oct 6, 2025]

37. The Regional Municipality of Durham. Durham region profile. 2024. Available from https://icreate7.esolutionsgroup.ca/11111068_DurhamRegion/en/living-here/resources/Documents/Attachment-1---DurhamProfile_Final-Infographic_Accessible.pdf [Accessed on Oct 6, 2025]

38. The Regional Municipality of Durham. Health neighbourhoods in Durham region. 2022. Available from https://app.powerbi.com/view?r=eyJrIjoiZmM4ZmE2MDItNDRiOS00MzI1LTgwNDMtMTMwZTMxOTM0NzBlIiwidCI6IjUyZDdjOWMyLWQ1NDktNDFiNi05YjFmLTlkYTE5OGRjM2YxNiJ9&pageName=ReportSection2080f15a79d0884a7d58 [Accessed on OCt 6, 2025]

39. The Regional Municipality of Durham. Mental health in Durham region data from the Canadian community health survey. 2024. Available from https://www.durham.ca/en/health-and-wellness/resources/Documents/HealthInformationServices/HealthStatisticsReports/CCHS-Mental-Health-Report.pdf [Accessed on Oct 6, 2025]

40. The Regional Municipality of Durham. Intentional self-harm hospitalizations and emergency department visits at a glance. 2019. Available from https://www.durham.ca/en/health-and-wellness/intentional-self-harm-hospitalizations-and-emergency-department-visits-at-a-glance.aspx [Accessed on Oct 6, 2025]

41. Queen’s University, School of Medicine. Admissions pathways & programs. 2024. https://meds.queensu.ca/academics/mdprogram/queens-lakeridge-health-md-family-medicine-program

42. Jadoon F. Family physician recruitment program: report to executive committee. City of Pickering; 2024. Available from https://corporate.pickering.ca/WebLink/DocView.aspx?id=255034&dbid=6&repo=PICKERING&cr=1 [Accessed on Feb 24, 2025]

43. Lakeridge Health. Lakeridge Health Education and Research Network (LHEARN) centre. 2023. Available from https://www.lakeridgehealth.on.ca/en/trainingandresearch/lakeridgehealtheducationandresearchnetworklhearn.asp [Accessed on Feb 24, 2025]

44. Lakeridge Health Education and Research Network. Venue - LHEARN Space. Lhearn. 2021.Available from https://lhearn.square.site/venue [Accessed on Feb 24, 2025]

45. Lakeridge Health Strategic Plan. Reimagine the future of health care. 2023. Available from https://www.lakeridgehealth.on.ca/en/aboutus/resources/Strategic-Plan/LH---Strat-Plan-V11---Final.pdf [Accessed on Feb 24, 2025]

46. The Regional Municipality of Durham. Planning for growth. 2023. Available from https://www.durham.ca/en/living-here/planning-for-growth.aspx [Accessed on Oct 6, 2025]

47. Queen’s-Lakeridge Health MD Family Medicine Program Evaluation Team. Queen’s-Lakeridge Health MD family medicine program evaluation plan. Internal Queen’s University Report; 2023 Unpublished.

48. Lavis JN, Robertson D, Woodside JM, McLeod CB, Abelson J. How can research organizations more effectively transfer research knowledge to decision makers? Milbank Q. 2003;81(2):221-248. https://doi.org/10.1111/1468-0009.t01-1-00052

49. Watson S, Aziz N, Gibson M. Rethinking how we educate future family physicians – a direct entry MD Family Medicine Program. World Organization of Family Doctors (WONCA) Europe Conference: 2024, Dublin, Ireland. Abstract available in book of abstracts (Abstract ID: 718): https://www.woncaeurope.org/file/1a66f325-0917-4afc-b5cb-670b04e15187/WONCA_BOOK_OF_ABSTRACTS_2024.pdf [Accessed on Feb 24, 2025]

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Publié-e

2025-12-09

Comment citer

1.
Piliotis E, Turnnidge J, McGuire CS, Dalgarno N, Sanfilippo AJ, Balasubramaniam A, et al. Rethinking how we educate our future physicians: the Queen’s-Lakeridge Health Medical Degree Family Medicine program: an innovative approach to medical education . Can. Med. Ed. J [Internet]. 9 déc. 2025 [cité 10 déc. 2025];. Disponible à: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/81759

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