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Research ArticleResearch

Defining competency-based evaluation objectives in family medicine

Dimensions of competence and priority topics for assessment

Tim Allen, Carlos Brailovsky, Paul Rainsberry, Katherine Lawrence, Tom Crichton, Marie-Pierre Carpentier and Shaun Visser
Canadian Family Physician September 2011; 57 (9) e331-e340;
Tim Allen
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  • For correspondence: tim.allen@arul.ulaval.ca
Carlos Brailovsky
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Paul Rainsberry
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Katherine Lawrence
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Tom Crichton
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Marie-Pierre Carpentier
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Shaun Visser
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    Figure 1.

    Postal survey questionnaire on the elements that define and represent competence in family physicians at the beginning of independent clinical practice

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    Figure 2.

    Determining topic names from survey responses

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    Figure 3.

    Determining the dimensions of competence

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    Figure 4.

    Frequencies of the citations of the dimensions of competence in the survey: N= 2401.

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    Table 1.

    Priority topics for the assessment of competence in family medicine

    TOPICSRATE OF CITATION, %TOPICSRATE OF CITATION, %
    Depression87Behavioural problems10
    Anxiety87Allergy10
    Substance abuse60Multiple medical problems9
    Ischemic heart disease52Dizziness9
    Diabetes51Counseling9
    Hypertension50Earache9
    Pregnancy48Grief8
    Headache43Thyroid8
    Periodic health examination or screening42Stroke8
    Palliative care40Vaginitis7
    Family issues37Insomnia7
    Abdominal pain36Infections7
    Upper respiratory infection35Anemia6
    Difficult patient35Immunization6
    Domestic violence33Advanced cardiac life support6
    Asthma33Gastrointestinal bleeding5
    Chest pain32Obesity5
    Dementia32Lacerations5
    Low back pain32Eating disorder5
    Chronic disease29Antibiotics5
    Elderly29Stress4
    Contraception28Prostate4
    Sex28Fracture4
    Menopause27Newborn4
    Joint disorder26Immigrant issues4
    Sexually transmitted infections24Deep venous thrombosis4
    Well-baby care24Hepatitis3
    Schizophrenia23Atrial fibrillation3
    Skin disorder23Parkinsonism3
    Disability20Learning3
    Personality disorder19Seizure3
    Fatigue18Infertility3
    Lifestyle18Loss of weight2
    Urinary tract infection16Mental competency2
    Chronic obstructive pulmonary disease16Osteoporosis2
    Trauma16Loss of consciousness2
    Cancer16Red eye2
    Vaginal bleeding15Croup2
    Fever15Poisoning2
    Smoking cessation15Meningitis2
    Bad news14Travel medicine2
    Violent or aggressive patient14Dehydration1
    Suicide14Diarrhea1
    Breast lump14Neck pain1
    Dyspepsia13Crisis1
    Hyperlipidemia13Dysuria1
    Pneumonia13Rape or sexual assault1
    In children13Gender-specific issues1
    Cough12Epistaxis1
    Somatization12
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Canadian Family Physician: 57 (9)
Canadian Family Physician
Vol. 57, Issue 9
1 Sep 2011
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Defining competency-based evaluation objectives in family medicine
Tim Allen, Carlos Brailovsky, Paul Rainsberry, Katherine Lawrence, Tom Crichton, Marie-Pierre Carpentier, Shaun Visser
Canadian Family Physician Sep 2011, 57 (9) e331-e340;

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Defining competency-based evaluation objectives in family medicine
Tim Allen, Carlos Brailovsky, Paul Rainsberry, Katherine Lawrence, Tom Crichton, Marie-Pierre Carpentier, Shaun Visser
Canadian Family Physician Sep 2011, 57 (9) e331-e340;
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