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Research ArticleProgram Description

Striving for excellence

Developing a framework for the Triple C curriculum in family medicine education

Colla J. MacDonald, Martha McKeen, Eric Wooltorton, Francois Boucher, Jacques Lemelin, Donna Leith-Gudbranson, Gary Viner and Judi Pullen
Canadian Family Physician October 2012, 58 (10) e555-e562;
Colla J. MacDonald
Professor in the Faculty of Education, with cross-appointment in the Faculty of Medicine at the University of Ottawa in Ontario.
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  • For correspondence: cjmacdon@uottawa.ca
Martha McKeen
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Eric Wooltorton
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Francois Boucher
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Jacques Lemelin
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Donna Leith-Gudbranson
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Gary Viner
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Judi Pullen
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    Figure 1

    Family medicine Triple C Competency–based Curriculum framework

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    Table 1

    The CanMEDS–Family Medicine roles, as defined by the College of Family Physicians of Canada

    CanMEDS–FAMILY MEDICINE ROLESDEFINITIONS BY THE COLLEGE OF FAMILY PHYSICIANS OF CANADA10
    Family medicine expertFamily physicians are skilled clinicians who provide comprehensive, continuing care to patients and their families within a relationship of trust. Family physicians apply and integrate medical knowledge, clinical skills and professional attitudes in their provision of care. Their expertise includes knowledge of their patients and families in the context of their communities, and their ability to use the patient-centred clinical method effectively. As Family Medicine Experts they integrate all the CanMEDS-Family Medicine ... roles into their daily work
    Communicator[F]amily physicians facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter
    Collaborator[F]amily physicians work with patients, families, healthcare teams, other health professionals, and communities to achieve optimal patient care
    Manager[F]amily physicians are central to the primary health care team and integral participants in healthcare organizations. They use resources wisely and organize practices which are a resource to their patient population to sustain and improve health, coordinating care within the other members of the health care system
    Scholar[F]amily physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application and translation of knowledge
    Health advocate[F]amily physicians responsibly use their expertise and influence to advance the health and well being of individual patients, communities, and populations
    Professional[F]amily physicians are committed to the health and well being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behaviour
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    Table 2

    Outline of the process of the CRAG meetings

    CRAG MEETINGSPROCESS OF DESIGNING THE FMCF
    May 2010 (first all-day retreat)
    • FMCF and its accompanying write-up were presented in draft format (ie, draft 1)

    • Following the presentation and a discussion, work groups were formed to critique and provide feedback on the framework

    • Work groups presented their ideas to the larger group; this was followed by an intensive plenary debate

    • Revised FMCF (ie, draft 2) was sent to retreat attendees via e-mail to solicit feedback

    • Additional minor suggestions and changes were incorporated over the next few months

    October 2010 (second all-day retreat)
    • Draft 2 of the FMCF and an accompanying revised write-up were presented

    • Participants provided feedback

    • Comments and suggestions were recorded and integrated over the next month

    • Definitions for the terms in the FMCF were drafted based on relevant literature

    • Additional information concerning pedagogic strategies was developed by the educational specialist to ensure the framework was grounded in educational theory

    • Definitions were sent to the small core curriculum working group (director of postgraduate education, administrators, 2 preceptors, including the Director of Evaluations, and the education specialist) to garner clarification, suggestions, and recommendations.

    January 2011 (third all-day retreat)
    • Draft 3 of the FMCF, the accompanying revised write-up, and the definitions were presented

    • The presentation and discussion of the FMCF generated more “buy in” from stakeholders

    • Minor suggestions and recommendations were recorded and incorporated

    March 2011 (fourth all-day retreat)
    • In mid-February 2011, all retreat attendees were e-mailed draft 4 of the FMCF, the accompanying write-up, and the definitions of terms

    • At the retreat, participants had the opportunity to approve the draft or provide further comments and recommendations

    • Additional minor suggestions were received and implemented. These changes included the following: creating a more inclusive description of procedural skills; changing the name of Behavioural Medicine to Behavioural Medicine and Mental Health; and including principles of adult education into the write-up of the framework

    • Final draft of the FMCF was professionally programmed into an interactive version, allowing the definition of the terms to emerge when “moused” over

    May 2011 (fifth all-day retreat)
    • Interactive version of FMCF was shared with participants

    • Framework was sent for French translation to accommodate our Francophone preceptors and residents

    • There were discussions on the generation of learning strategies and evaluation tools, as well as the concept of an e-portfolio or e-dossier

    • Curriculum search tool (online curriculum database) was also introduced as a mechanism to logically sort through the learning objectives, strategies, and corresponding CanMEDS–Family Medicine roles and 99 key priorities

    October 2011 (sixth all-day retreat)
    • Functionality of the curriculum search tool was elaborated on

    • Revised evaluation tools were presented and feedback was recorded for implementation purposes

    • CRAG—Curriculum Review Advisory Group, FMCF—Family Medicine Curriculum Framework.

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Canadian Family Physician: 58 (10)
Canadian Family Physician
Vol. 58, Issue 10
1 Oct 2012
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Striving for excellence
Colla J. MacDonald, Martha McKeen, Eric Wooltorton, Francois Boucher, Jacques Lemelin, Donna Leith-Gudbranson, Gary Viner, Judi Pullen
Canadian Family Physician Oct 2012, 58 (10) e555-e562;

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Striving for excellence
Colla J. MacDonald, Martha McKeen, Eric Wooltorton, Francois Boucher, Jacques Lemelin, Donna Leith-Gudbranson, Gary Viner, Judi Pullen
Canadian Family Physician Oct 2012, 58 (10) e555-e562;
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