Jattan Aaron, Penner Charles, Maier Joanne, Martin Bruce
University of Manitoba, Manitoba, Canada.
Can Med Educ J. 2018 Mar 27;9(1):e14-e20. eCollection 2018 Mar.
The scholar competency of the CanMEDS-FM framework requires residents to develop teaching skills, and with the number of rural residency positions tripling over the last decade, it is essential for residency programs to provide rural residents with teaching opportunities. The purpose of this study was to investigate the differences in teaching opportunities offered to urban and rural family medicine residents at the University of Manitoba.
The 117 urban and rural family medicine residents were surveyed to quantify their interactions with medical students. Specific respondents were interviewed to provide context to the survey.
On family medicine, only 20% of rural residents reported frequent opportunities to informally teach, compared to 57% of urban residents. Similarly, 86% of urban residents reported organized teaching opportunities compared to only 5% of rural residents. Residents placed high value in receiving additional teaching opportunities.
This study suggests that there are fewer teaching opportunities for rural family medicine residents compared to urban residents at the University of Manitoba. Given the small sample size, a larger study could determine whether this trend exists across the country. It will be incumbent on residency programs to ensure rural residents have the opportunities to become competent educators.
加拿大医学教育毕业后强化培训（CanMEDS）-家庭医学（FM）框架中的学者能力要求住院医师培养教学技能，且在过去十年中农村住院医师岗位数量增至三倍，住院医师培训项目为农村住院医师提供教学机会至关重要。本研究旨在调查曼尼托巴大学为城市和农村家庭医学住院医师提供的教学机会的差异。
对117名城市和农村家庭医学住院医师进行调查，以量化他们与医学生的互动情况。对特定受访者进行访谈，以提供调查背景。
在家庭医学方面，只有20%的农村住院医师报告有频繁的非正式教学机会，而城市住院医师的这一比例为57%。同样，86%的城市住院医师报告有组织的教学机会，而农村住院医师只有5%。住院医师非常重视获得更多教学机会。
本研究表明，与曼尼托巴大学的城市居民相比，农村家庭医学住院医师的教学机会较少。鉴于样本量较小，更大规模的研究可以确定这种趋势是否在全国存在。住院医师培训项目有责任确保农村住院医师有机会成为合格的教育工作者。
