Gibson Christine, Woollard Robert, Kapoor Videsh, Ponka David
Clinical Assistant Professor in the Department of Family Medicine of the Cumming School of Medicine at the University of Calgary in Alberta and Executive Director of the Global Familymed Foundation.
Professor in the Department of Family Practice at the University of British Columbia in Vancouver.
Can Fam Physician. 2017 Feb;63(2):121-127.
To explore the development of family medicine postgraduate training in countries with varying levels of resources at different stages of development of the discipline.
Since 2012, the College of Family Physicians of Canada has hosted the Besrour Conferences to reflect on its role in advancing the discipline of family medicine globally. The Besrour Narrative Working Group was conceived in 2012 at the first Besrour Conference. Their mandate was to use narrative and appreciative inquiry to gather stories of family medicine worldwide. The working group comprised members of various academic departments of family medicine in Canada and abroad who attended the conferences.
A consultation process with our partners from lower-middle-income countries was undertaken from 2012 to 2014. Stories were sought from each global partner institute with ties to Canadian family medicine departments. An appreciative inquiry approach was chosen to elicit narratives. Thematic analysis was used to search for common threads and important elements of success that could serve to inform other initiatives in other nations and, in turn, offer hope for greater effect.
Sixteen narrative stories have been collected so far. These stories highlight insightful solutions, foresight, perseverance, and ultimately a steadfast belief that family medicine will improve the health system and the care provided to the citizens of each nation. Seventeen themes were elucidated by 3 independent Canadian readers. At a subsequent workshop, these themes were validated by Besrour Centre members from Canada and elsewhere. The linkage between the thematic analysis and the experiences of various schools helps to illustrate both the robustness and the usefulness of the narratives in exploring generalizable observations and the features supporting success in each institute.
If we are to understand, and contribute to, the development of family medicine throughout the world (a key objective of the Besrour Centre), we must begin to hear each others' stories and search for ways in which our collective story can advance the discipline.
探讨在家庭医学学科发展的不同阶段，资源水平各异的国家中家庭医学研究生培训的发展情况。
自2012年以来，加拿大家庭医生学院主办了贝斯鲁尔会议，以反思其在全球推进家庭医学学科发展中的作用。贝斯鲁尔叙事工作组于2012年在首届贝斯鲁尔会议上成立。其任务是运用叙事和肯定性探究方法收集世界各地的家庭医学故事。该工作组由加拿大国内外各家庭医学学术部门参加会议的成员组成。
2012年至2014年与来自中低收入国家的合作伙伴进行了协商过程。向与加拿大家庭医学系有联系的每个全球合作伙伴机构征集故事。选择肯定性探究方法来引出叙事。采用主题分析来寻找共同线索和成功的重要因素，这些因素可为其他国家的其他举措提供参考，进而为取得更大成效带来希望。
迄今为止已收集到16个叙事故事。这些故事突出了富有洞察力的解决方案、远见、毅力，以及最终坚信家庭医学将改善卫生系统和为各国公民提供的医疗服务。3位加拿大独立读者阐明了17个主题。在随后的研讨会上，来自加拿大和其他地方的贝斯鲁尔中心成员对这些主题进行了验证。主题分析与各学校经验之间的联系有助于说明叙事在探索可推广的观察结果以及支持各机构成功的特征方面的稳健性和实用性。
如果我们要理解并促进全球家庭医学的发展（贝斯鲁尔中心的一个关键目标），我们必须开始倾听彼此的故事，并寻找我们的共同故事能够推动该学科发展的方式。
