TY - JOUR T1 - Family medicine training in housecalls JF - Canadian Family Physician JO - Can Fam Physician SP - e498 LP - e506 VL - 64 IS - 11 AU - Elizabeth Mui AU - Thuy-Nga (Tia) Pham AU - Chase Everett McMurren Y1 - 2018/11/01 UR - http://www.cfp.ca/content/64/11/e498.abstract N2 - Objective To assess the current landscape of home-based primary care (HBPC) or home visit training for Canadian family medicine residents.Design Online survey.Setting Canada’s 17 family medicine residency programs.Participants Family medicine residency program directors.Main outcome measures Program characteristics, current HBPC training, barriers and enablers to training, and program directors’ attitudes toward training.Results There was a 76% response rate (13 of 17 program directors). Respondents’ programs ranged in size from 75 to 300 residents (median 160) and closely reflected actual resident distribution of family medicine residents in Canada. Twelve of the 13 programs offered HBPC training including home visit experiences. Six programs had HBPC-related didactic lectures. None of the respondents had a formal program-wide clinical home visit curriculum, and HBPC training availability and requirements varied across programs. The most frequently cited barriers included logistical constraints, limited faculty availability, and safety concerns. Program directors generally agreed that HBPC training is essential to family medicine training, that it provides valuable learning experiences for family medicine residents, and that it effectively prepares residents in core family medicine competencies. None thought that HBPC training was too difficult to coordinate or that its barriers outweighed its educational benefits.Conclusion There is increasing need for HBPC delivery in Canada, and program directors agree that HBPC training is important and worthwhile. However, barriers exist. Current HBPC training in Canada varies in its availability and requirements, and structured program-wide home visit curricula are absent. We recommend development of a central framework for a structured HBPC curriculum that is competency-based and adaptable. ER -