| Round 1 posted for12 days (86% response) | Identify and describe rewards and challenges | Participants were asked to do the following
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Complete a demographic questionnaire: -
Describe significant rewards and challenges they have experienced in practice -
Include reasons for their choices
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| Round 2 posted for37 days (96% response) | Clarify rewards and challenges and identify any new rewards or challenges | 34 themes from round 1 were posted for review. Participants were asked to do the following:
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Rate how well the theme rejected their comments(1—not at all, 4—very well) and comment -
Rate themes’ importance and effect on family medicine(1—not at all, 5—very important) and provide reasons for ratings -
Review themes rated as important for “breadth and completeness” and “clarify” -
Reject on the breadth and completeness of rewards and challenges as described and add any others and rate them
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| Round 3 posted for 12 days (89% response) | Develop consensus on key rewards and challenges and obtain feedback | 53 themes from round 2 were posted for review (divided into rewards and challenges). Participants were asked to do the following
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| Round 4 posted for 17 days (89% response) | Validate and clarify key rewards and challenges identified, develop a priority list of rewards and challenges, explore Potential solutions including the role organizations could play, determine whether other rewards or challenges should be considered, and obtain feedback | Rewards and challenges chosen were posted along with the results of previous rounds. Participants were asked to do the following:
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Rate how well the list represents the key rewards and challenges(1—not at all, 5—very well) -
Clarify whether “maintaining and acquiring skills and knowledge” represents 2 separate issues or the same issue -
Clarify whether “medicolegal issues, paperwork, and motor vehicle accidents” could be included with “paperwork, telephone calls, and forms” -
Comment on proposed list and add any items that should be included -
Select the 5 most important rewards and challenges and rank them on a scale of 1 to 5 relative to each other. Repeat this process to identify the least important items -
Rate the need to address challenges (1—no need, 5—very strong need).
Provide ideas for addressing challenges
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Reject on the key rewards and challenges and provide salient and concrete suggestions on the precise way specific organizations could assist -
Provide any other ideas, comments, feedback, or suggestions
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| Round 5 posted for 27 days (86% response) | Obtain further clarification determine whether new, challenges identified in round 4 should be included, and obtain feedback | Summarized results from round 4 were posted, including 3 new potential challenges with descriptions of what could be done to address each challenge. Participants were asked to do the following:
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Clarify the wording of “rewards of maintaining and acquiring skills and knowledge” and “medicolegal issues, insurance paperwork, and motor vehicle accidents” -
Comment on and rate the need to address the new challenge(1—no need, 5—very strong need) -
Decide whether the new challenge should be a key challenge -
Provide ideas on solutions and the role key organizations could play -
Answer the questionnaire soliciting feedback
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