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Key objectives for a family medicine/child health
residency according to families and physicians
David A. Keegan, MD. Schulich School of Medicine, University
of Western Ontario
Susan L. Bannister, MD. Children's Hospital of Western Ontario
Objective: To identify key guiding objectives for a
new formal Canadian family medicine child health residency. The
goal of this new residency is to improve quality and accessibility
of the health care that children receive, particularly in rural
regions, through a unique one-year clinical training experience
for family physicians in child health.
Methods: Family physicians, family medicine residents,
patients and their parents/guardians, and consultant physicians
who care for children are participating in semi-structured interviews
and focus groups. Discussions are centered on desired knowledge
and competencies for physicians completing this new program. Findings
from the interviews and focus groups will be analyzed according
to standard qualitative methodology. This research will be completed
in March 2005.
Results: Early analysis has already identified two key
themes: graduates must be competent in the care of critically ill
children, and graduates must be cognizant of the importance of a
variety of "red flag" clinical presentations. Additionally,
it is clear that a variety of clinical opportunities exist today
for family physicians with advanced training and competency in the
care of children.
Conclusion: The need for a formal residency in family
medicine child health has been strongly affirmed by the early findings
of this research. Full results and conclusions will be presented
at the research meeting.
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