Where do rural family medicine residents in Canada train?

[摘要] Objective To report on contextual variance in the distributed rural familymedicine residency programs of 3 Canadian medical schools.Design A constructivist grounded theory methodology was employed.Setting Rural and remote postgraduate family medicine programs at the Universityof Alberta, the University of British Columbia, and the University of Calgary.Participants Twenty-six family practice residents were interviewed, providingdescriptions of 27 different rural sites and 10 regional sites.Methods Interviews were audiorecorded, transcribed verbatim, andthematically analyzed.Main findings Participants differentiated between main campus academic healthscience centres; regional referral hub sites; and smaller, rural, and more remotecommunity sites. Participants described major differences between sites in termsof patient, practice, educational, physical, institutional, and social factors. Thedifferences between training sites included variations in learning opportunities;physical challenges related to weather, distance, and travel; and the socialopportunities offered. There were also differences in how residents perceivedtheir training sites, both in terms of what they noticed and how they interpretedtheir observations and experiences. Although there were contextual differencesbetween regional sites, those differences were a lot less than betweendifferent smaller rural and remote sites. These differences shaped the learningopportunities available to residents and influenced their well-being.Conclusion Although there may be some similarities between distributedtraining sites, each training context presents unique challenges andopportunities for the family medicine residents placed there. More attentionto the specific affordances of different training contexts is required.

[学科分类] 卫生学