Rourke J T, Rourke L L
Department of Family Medicine, University of Western Ontario, London.
Can Fam Physician. 1995 Jun;41:993-1000.
To examine the status of postgraduate family medicine training that occurs in rural family practice settings in Canada and to identify problems and how they are addressed.
A retrospective questionnaire sent to all 18 Canadian family medicine training programs followed by a focus group discussion of results.
Canadian university family medicine training programs.
Chairs or program directors of all 18 Canadian family medicine training programs and people attending a workshop at the Section of Teachers of Family Medicine annual meeting.
Extent of training offered, educational models used, common problems for residents and teachers.
Nine of 18 programs offer some family medicine training in a rural practice setting to some or all of their first-year family medicine residents, and 99 of 684 first-year family medicine residents did some training in a rural practice. All programs offer some training in a rural practice to some or all of the second-year residents, and 567 of 702 second-year residents did some training in a rural setting. In 12 of 18 programs, a rural family medicine block is compulsory. Education models for training for rural family practice vary widely. Isolation, accommodation, and supervision are common problems for rural family medicine residents. Isolation and faculty development are common problems for rural physician-teachers. Programs use various approaches to address these problems.
The variety of postgraduate training models for rural family practice used in the 18 training programs reflects different regional health care needs and resources. There is no common rural family medicine curriculum. Networking through a rural physician-teachers group or a faculty of rural medicine could further the development of education for rural family practice.
考察加拿大农村家庭医疗环境中研究生家庭医学培训的现状，识别问题以及问题的解决方式。
向加拿大所有18个家庭医学培训项目发放回顾性调查问卷，随后针对结果进行焦点小组讨论。
加拿大大学家庭医学培训项目。
加拿大所有18个家庭医学培训项目的主任或项目负责人，以及参加家庭医学教师分会年会工作坊的人员。
提供的培训范围、使用的教育模式、住院医师和教师面临的常见问题。
18个项目中有9个向部分或全部一年级家庭医学住院医师提供了一些农村医疗环境中的家庭医学培训，684名一年级家庭医学住院医师中有99人接受了农村医疗环境中的一些培训。所有项目都向部分或全部二年级住院医师提供了一些农村医疗环境中的培训，702名二年级住院医师中有567人接受了农村医疗环境中的一些培训。18个项目中有12个将农村家庭医学模块设为必修课。农村家庭医疗培训的教育模式差异很大。孤立、住宿和监督是农村家庭医学住院医师面临的常见问题。孤立和教师发展是农村带教医师面临的常见问题。各项目采用多种方法解决这些问题。
18个培训项目中使用的农村家庭医疗研究生培训模式多种多样，反映了不同地区的医疗保健需求和资源情况。不存在统一的农村家庭医学课程。通过农村带教医师小组或农村医学系建立网络可以推动农村家庭医疗教育的发展。
