“Figuring it out on our own”: exploring family medicine residents’ sexual assault and domestic violence training

Daniela Keren; Martina Kelly; Adrienne Wakabayashi; Susan McNair

doi:10.36834/cmej.74964

Auteurs-es

Daniela Keren Western University
Martina Kelly University of Calgary https://orcid.org/0000-0002-8763-7092
Adrienne Wakabayashi Western University https://orcid.org/0000-0001-7018-5424
Susan McNair Western University

DOI :

https://doi.org/10.36834/cmej.74964

Résumé

Contexte : Les médecins de famille sont particulièrement bien placés pour fournir des soins complets et longitudinaux aux personnes victimes d’agression sexuelle et de violence familiale (ASVF). À ce jour, nous savons peu de choses sur la façon dont les résidents en médecine familiale (MF) au Canada se familiarisent avec l’ASVF. Cette étude explore la formation sur le sujet dans le cadre de la résidence en MF, du point de vue des résidents eux-mêmes.

Méthodes : Cette étude qualitative s’est déroulée dans le cadre du programme de résidence en FM de l’Université Western. Nous avons mené des entretiens semi-structurés avec des résidents en première et deuxième année de médecine familiale (n=8). Les données ont fait l’objet d’une analyse thématique.

Résultats : Nous avons relevé trois thèmes interdépendants : (1) Formation inégale en matière d’ASVF, (2) Attitudes envers l’ASVF et (3) Hésitation de la part des apprenants. La qualité et la quantité des occasions d’apprentissage sur le sujet de l’ASVF n’étaient pas uniformes parmi les apprenants, alimentant des sentiments d’incompétence et un manque de confiance dans la prestation de soins liés à l’ASVF. En conséquence, les apprenants sont hésitants lorsqu’ils rencontrent des situations liées à l’ASVF en clinique.

Conclusions : Il est essentiel de comprendre les expériences et les idées des résidents en MF concernant la formation sur le sujet de l’ASVF afin de former des médecins qui seront outillés pour s’occuper d’une population vulnérable. Nos travaux mettent en évidence la relation entre les expériences, les attitudes et les comportements des apprenants et des enseignants. On peut améliorer l’apprentissage en matière d’ASVF en ciblant ce cycle comportemental.

Bibliographies de l'auteur-e

Daniela Keren, Western University

Daniela Keren, MD, MSc, CCFP, is Adjunct Professor, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, Ontario, Canada. She is also a PhD candidate in the School of Health Professions Education (SHE), Maastricht University, Maastricht, the Netherlands.

Martina Kelly, University of Calgary

Martina Kelly, MBBCh, PhD, CCFP, is Undergraduate Director of Family Medicine and Professor, Department of Family Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada

Adrienne Wakabayashi, Western University

Adrienne Wakabayashi, BMSc, MSc is a nursing student in the Arthur Labatt Family School of Nursing, Western University, Ontario, Canada

Susan McNair, Western University

Susan McNair, MD, MClSc, CCFP, is Associate Professor, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, Ontario, Canada

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