Table 1

Factors discouraging residents from incorporating patient management into their practices and possible solutions

PROBLEM IDENTIFIEDSOLUTIONS THAT COULD BE INTRODUCED DURING RESIDENCYSOLUTIONS THAT COULD BE INTRODUCED ONCE RESIDENTS BEGIN PRACTISING
Heavy caseload
  • Caseload during residency reflects caseload residents will encounter when in practice

  • Family medicine groups

  • Patient-centred medical homes

Complex caseload
  • Support from teachers on setting priorities within and boundaries around one’s practice

  • Creating multidisciplinary teams with support staff in teaching settings

  • Multidisciplinary teams with support staff

  • Access to specialists

  • Adequate communication with specialists

  • Adequate information technology systems