Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Learning Futures, University of Western Sydney, Penrith South, New South Wales, Australia.
BMJ Open. 2023 Aug 17;13(8):e072266. doi: 10.1136/bmjopen-2023-072266.
High-performing primary care is recognised as the foundation of an effective and efficient healthcare system. Many medical graduates report they are not prepared for independent practice. To date, no research has been conducted to identify the key capabilities and competencies of high-performing family medicine graduates in Canada. This pilot project aims to identify the capabilities and competencies of high-performing early-career family physicians in Ontario, Canada, and explore opportunities for enhancing learning, teaching and assessment within family medicine residency programmes.
Employing a mixed-methods explanatory sequential study design, this research will use a theory-driven Professional Capability Framework, previously validated in studies across nine professions, to guide the investigation. The first (quantitative) phase involves surveying ~50 high-performing early-career family physicians identified as high performing by educators, colleagues and leaders. The objective of the survey is to identify the key competencies and personal, interpersonal and cognitive capabilities of high-performing family physicians. The second (qualitative) phase involves conducting workshops with stakeholders, including educators, professional associations, regulators and colleges, to test the veracity of the results. Quantitative data will be analysed using descriptive statistics, and qualitative data will be analysed using Braun and Clarke's thematic analysis. The first and second phases will identify the key capabilities and competencies required to confidently adapt to the independent practice of comprehensive family medicine and inform fit-for-purpose educational strategies for teaching, learning and assessment.
The study is approved by the University of Toronto's Health Sciences Research Ethics Board (#41799). Research findings will be discussed with professional bodies, educators responsible for family medicine curricula and universities. Study findings will also be disseminated through academic conferences and academic publications in peer-reviewed journals. Project summaries and infographics will be developed and disseminated to key stakeholders.
高绩效的基层医疗服务被认为是高效医疗体系的基础。许多医学毕业生报告称，他们没有做好独立行医的准备。迄今为止，尚无研究旨在确定加拿大高绩效家庭医学毕业生的关键能力和胜任力。本试点项目旨在确定加拿大安大略省高绩效的早期职业家庭医生的能力和胜任力，并探索在家庭医学住院医师培训计划中加强学习、教学和评估的机会。
采用混合方法解释性序贯研究设计，本研究将使用一种经过理论驱动的专业能力框架，该框架已在九个专业的研究中得到验证，以指导调查。第一（定量）阶段涉及调查约 50 名由教育工作者、同事和领导认定为高绩效的高绩效早期职业家庭医生。调查的目的是确定高绩效家庭医生的关键能力以及个人、人际和认知能力。第二（定性）阶段涉及与利益相关者（包括教育工作者、专业协会、监管机构和学院）进行研讨会，以测试结果的真实性。定量数据将使用描述性统计进行分析，定性数据将使用 Braun 和 Clarke 的主题分析进行分析。第一和第二阶段将确定自信地适应综合家庭医学独立实践所需的关键能力和胜任力，并为教学、学习和评估提供适合目的的教育策略。
该研究已获得多伦多大学健康科学研究伦理委员会的批准（#41799）。研究结果将与专业机构、负责家庭医学课程的教育工作者和大学进行讨论。研究结果还将通过学术会议和同行评议期刊上的学术出版物进行传播。将制定和传播项目摘要和信息图表，以向主要利益相关者传播。
