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Research ArticleResearch

Extended family medicine training

Measuring training flows at a time of substantial pedagogic change

Steve Slade, Shelley Ross, Kathrine Lawrence, Douglas Archibald, Maria Palacios Mackay and Ivy F. Oandasan
Canadian Family Physician December 2016; 62 (12) e749-e757;
Steve Slade
Director of Health Systems and Policy at the Royal College of Physicians and Surgeons of Canada in Ottawa, Ont.
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  • For correspondence: sslade@royalcollege.ca
Shelley Ross
Associate Professor and Education Researcher in the Department of Family Medicine at the University of Alberta in Edmonton.
MA PhD
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Kathrine Lawrence
Associate Professor and Postgraduate Program Director in the Department of Academic Family Medicine at the University of Saskatchewan.
MD CCFP FCFP
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Douglas Archibald
Education research scientist at the C.T. Lamont Primary Health Care Research Centre of the Bruyère Research Institute in Ottawa and Assistant Professor in the Department of Family Medicine at the University of Ottawa.
MA PhD
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Maria Palacios Mackay
Assistant Professor and Medical Education Specialist in the Department of Family Medicine at the University of Calgary in Alberta.
DDS MSc PhD
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Ivy F. Oandasan
Director of Education and the lead for the national implementation of the Triple C Competency-based Curriculum at the College of Family Physicians of Canada in Mississauga, Ont, and Full Professor in the Department of Family and Community Medicine at the University of Toronto in Ontario.
MD CCFP MHSc FCFP
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Article Figures & Data

Tables

    • View popup
    Table 1.

    Family medicine residents exiting 2-year and extended family medicine training programs, by sex, Canada, 1995–2013

    EXIT YEARNO. EXITING 2-YEAR PROGRAMSNO. EXITING EXTENDED PROGRAMSTOTAL NO. EXITING FAMILY MEDICINE TRAININGPROPORTION DOING EXTENDED PROGRAMS, %
    MALEFEMALEMALEFEMALEMALEFEMALETOTALMALEFEMALETOTAL
    1995292296363632833266011.010.810.9
    1996306313544736036072015.013.114.0
    1997260335593931937469318.510.414.1
    1998268333644733238071219.312.415.6
    1999232333675129938468322.413.317.3
    2000217304765929336365625.916.320.6
    2001198332736227139466526.915.720.3
    2002161306836624437261634.017.724.2
    2003174291897326336462733.820.125.8
    2004172300848325638363932.821.726.1
    2005186326859527142169231.422.626.0
    2006178385748725247272429.418.422.2
    2007192433707526250877026.714.818.8
    20082225126611428862691422.918.219.7
    20092254938610331159690727.717.320.8
    20102624791049636657594128.416.721.3
    201129454998126392675106725.018.721.0
    2012332592114137446729117525.618.821.4
    2013354622111150465772123723.919.421.1
    • View popup
    Table 2.

    Family medicine residents exiting 2-year and extended family medicine training programs, by place of medical school graduation, Canada, 1995–2013

    EXIT YEARNO. EXITING 2-YEAR PROGRAMSNO. EXITING EXTENDED PROGRAMSTOTAL NO. EXITING FAMILY MEDICINE TRAININGPROPORTION DOING EXTENDED PROGRAMS, %
    IMGsCMGsIMGsCMGsIMGsCMGsIMGsCMGs
    199532556270346265.911.2
    1996375825964267811.914.2
    1997255704942966413.814.2
    19983456751063967312.815.8
    1999415244114456388.917.9
    20003748451304261411.921.2
    2001394912133416244.921.3
    20023743091404657019.624.6
    200364401131497755016.927.1
    2004993731115611052910.029.5
    2005944181416610858413.028.4
    20061494142114017055412.425.3
    20071354901812715361711.820.6
    2008184550201602047109.822.5
    2009181537171721987098.624.3
    20101835583616421972216.422.7
    20111896542919521884913.323.0
    20121947303621523094515.722.8
    201319678030231226101113.322.8
    • CMG—Canadian medical graduate, IMG—international medical graduate.

    • View popup
    Table 3.

    Family medicine residents exiting 2-year and extended family medicine training programs, by faculty of medicine in Canada, combined 2011–2013 exit cohorts

    TRAINING FACULTY OF MEDICINETRAINEES EXITING 2-YEAR PROGRAMS, N (%)TRAINEES EXITING EXTENDED PROGRAMS, N (%)TOTAL NO. OF EXITING TRAINEES
    Memorial University of Newfoundland70 (85.4)12 (14.6)82
    Dalhousie University122 (87.1)18 (12.9)140
    Laval University203 (79.3)53 (20.7)256
    University of Sherbrooke197 (83.1)40 (16.9)237
    University of Montreal265 (87.7)37 (12.3)302
    McGill University164 (76.6)50 (23.4)214
    University of Ottawa144 (72.7)54 (27.3)198
    Queen’s University98 (64.9)53 (35.1)151
    University of Toronto262 (71.8)103 (28.2)365
    McMaster University171 (80.7)41 (19.3)212
    Western University159 (76.1)50 (23.9)209
    Northern Ontario School of Medicine96 (73.3)35 (26.7)131
    University of Manitoba104 (75.9)33 (24.1)137
    University of Saskatchewan84 (71.8)33 (28.2)117
    University of Alberta180 (84.9)32 (15.1)212
    University of Calgary149 (81.9)33 (18.1)182
    University of British Columbia275 (82.3)59 (17.7)334
    Total2743 (78.8)736 (21.2)3479
    • View popup
    Table 4.

    Extended family medicine training programs offered by Canada’s 17 faculties of medicine as of March 2015

    FAMILY MEDICINE EXTENDED TRAINING AREANO. OF UNIVERSITIES OFFERING PROGRAM
    Emergency medicine17
    Care of the elderly15
    Palliative care13
    Anesthesia11
    Obstetric, maternity, and perinatal care10
    Sport and exercise medicine10
    Clinician scholar10
    Global health5
    Women’s health5
    HIV-AIDS4
    Addiction and mental health4
    Hospital medicine4
    Oncology3
    Indigenous health3
    Surgical skills2
    Pediatrics2
    Cancer care1
    Chronic disease1
    Rheumatology1
    Breast diseases1
    Environmental health1
    Developmental disabilities1
    Rural skills1
    Occupational medicine1
    Total126
    • View popup
    Table 5.

    Distribution of exiting family medicine trainees across extended training areas in Canada, 1995–2013

    EXIT YEAREMERGENCY FAMILY MEDICINE, N (%)ENHANCED SKILLS FAMILY MEDICINE, N (%)
    199540 (55.6)32 (44.4)
    199645 (44.6)56 (55.4)
    199756 (57.1)42 (42.9)
    199867 (60.4)44 (39.6)
    199974 (62.7)44 (37.3)
    200085 (63.0)50 (37.0)
    200181 (60.0)54 (40.0)
    200284 (56.4)65 (43.6)
    200393 (57.4)69 (42.6)
    2004105 (62.9)62 (37.1)
    2005100 (55.6)80 (44.4)
    200694 (58.4)67 (41.6)
    200783 (57.2)62 (42.8)
    2008105 (58.3)75 (41.7)
    2009109 (57.7)80 (42.3)
    2010117 (58.5)83 (41.5)
    2011126 (56.3)98 (43.8)
    2012117 (46.6)134 (53.4)
    2013134 (51.3)127 (48.7)
    Total1715 (56.4)1324 (43.6)
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Canadian Family Physician: 62 (12)
Canadian Family Physician
Vol. 62, Issue 12
1 Dec 2016
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Extended family medicine training
Steve Slade, Shelley Ross, Kathrine Lawrence, Douglas Archibald, Maria Palacios Mackay, Ivy F. Oandasan
Canadian Family Physician Dec 2016, 62 (12) e749-e757;

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Steve Slade, Shelley Ross, Kathrine Lawrence, Douglas Archibald, Maria Palacios Mackay, Ivy F. Oandasan
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