Canada Research Chair in Injury Prevention and Physical Activity for Health, Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
Sports Med. 2022 Aug;52(8):1983-1989. doi: 10.1007/s40279-022-01663-6. Epub 2022 Mar 16.
To understand the unique impacts of the College of Family Physicians of Canada's (CFPC) Certificate of Added Competence (CAC) in Sport and Exercise Medicine (SEM) on the delivery of comprehensive care in Canada.
Secondary analysis of qualitative interview data collected during a multiple case study of the impacts of the CAC program in Canada.
Six cases purposively sampled from across Canada. Each case was bound by a collective of healthcare providers who work with a defined group of patients.
Across the cases, 48 individuals participated, including SEM and other enhanced skill family physicians, generalist family physicians, residents, specialists, and administrative staff.
Qualitative descriptions of the impacts of the SEM certificate on comprehensive care provision in Canada.
SEM certificate holders experience enhanced well-being and professional satisfaction while also benefitting comprehensive care in communities in numerous ways. That SEM certificate holders may prioritize professional interests over community healthcare needs was identified as a potential drawback. Athletes and physically active individuals have specific healthcare needs, and may constitute a significant critical mass to be considered a community unto themselves.
The SEM certificates impact healthcare positively when holders work in collaborative models that are well aligned with local community needs. Expanding the awareness of the scope of SEM and advocacy for adequate remuneration for these services have the potential to enhance SEM contributions to comprehensive family medicine in Canada.
了解加拿大家庭医生学院（CFPC）运动与锻炼医学（SEM）附加能力证书（CAC）对加拿大全面医疗服务的独特影响。
对加拿大 CAC 项目影响的多案例研究中收集的定性访谈数据进行二次分析。
在加拿大有目的抽样的六个案例。每个案例都由一群与特定患者群体合作的医疗保健提供者组成。
在所有案例中，共有 48 人参与，包括 SEM 和其他具有增强技能的家庭医生、全科医生、住院医师、专家和行政人员。
SEM 证书对加拿大全面医疗服务提供的影响的定性描述。
SEM 证书持有者在体验到增强的幸福感和职业满意度的同时，还通过多种方式使社区的全面医疗受益。发现 SEM 证书持有者可能会优先考虑专业利益而不是社区医疗需求，这被认为是一个潜在的缺点。运动员和积极锻炼的人有特殊的医疗需求，他们可能构成一个重要的群体，可以被视为一个独立的社区。
当 SEM 证书持有者在与当地社区需求高度一致的协作模式下工作时，SEM 证书对医疗保健产生积极影响。提高对 SEM 范围的认识并倡导为这些服务提供足够的报酬，有可能增强 SEM 对加拿大全面家庭医学的贡献。
