To meet the community needs as well as the personal professional development of family physicians, enhanced skills (ES) programs have extended from emergency medicine to multiple areas in Canada. This article introduced Canadian family medicine ES including the academic areas, priority topics of 8 certificates for added competence (CACs) and the impact. Enhancing skill family physicians have a positive impact on the delivery of comprehensive care when they work with the collaborative models that align with the needs of communities. It is useful to learn from Canadian experiences for the development of general practitioner training system in China.
Yang Ying
,
Jiang Hui
. Family medicine enhanced skills program in Canada and the enlightenment[J]. Chinese Journal of Medical Education, 2021
, 41(7)
: 665
-669
.
DOI: 10.3760/cma.j.cn115259-20210303-00284
[1] Yellamaty V, Ball L, Crossland L, et al. General practitioners with special interests: an integrative review of their role, impact and potential for the future[J]. Aust J Gen Pract, 2019,48(9):639-643. DOI: 10.31128/AJGP-02-19-4849.
[2] Lemire F. Enhanced skills in family medicine: update[J]. Can Fam Physician, 2018,64(2):160.
[3] The College of Family Physicians of Canada. Residency program accreditation[EB/OL]. [2020-08-14].https://www.cfpc.ca/en/education-professional-development/residency-program-accreditation.
[4] Dhillon P. Shifting into third gear: current options and controversies in third-year postgraduate family medicine programs in Canada[J]. Can Fam Physician, 2013,59(9):e406-e412.
[5] The College of Family Physicians of Canada. Understanding the impact of the CFPC certificates of added competence[EB/OL]. [2020-08-14]. https://www.cfpc.ca/CFPC/media/PDF/2020-04-CAC-Impact-Study-Report.pdf.
[6] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in care of the elderly[EB/OL]. [2020-08-14]. https://portal.cfpc.ca/resourcesdocs/uploadedFiles/Education/COE_KF_Final_ENG.pdf.
[7] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in family practice anesthesia[EB/OL]. [2020-08-14]. https://portal.cfpc.ca/resourcesdocs/uploadedFiles/Education/FPA_KF_Final_ENG.pdf.
[8] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in palliative care[EB/OL]. [2020-08-14]. https://portal.cfpc.ca/resourcesdocs/uploadedFiles/Education/PC_KF_Final_ENG.pdf.
[9] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in sport and exercise medicine[EB/OL]. [2020-08-14]. https://portal.cfpc.ca/resourcesdocs/uploadedFiles/Education/SEM_KF_Final_ENG.pdf.
[10] The College of Family Physicians of Canada. Emergency medicine key features of the priority topics for the assessment of competence in family medicine at the enhanced skills level[EB/OL]. [2020-08-14]. https://www.cfpc.ca/CFPC/media/Images/PDF/EM_KF-2017_Final_ENG.pdf#page=2.
[11] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in addiction medicine[EB/OL]. [2020-08-14]. https://portal.cfpc.ca/ResourcesDocs/uploadedFiles/Education/Website-Addiction-Medicine-PT-KF-2018.pdf.
[12] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in enhanced surgical skills[EB/OL]. [2020-08-14]. https://portal.cfpc.ca/ResourcesDocs/uploadedFiles/Education/ESS-Priority-Topics-Key-Features-EN-20190917.pdf.
[13] The College of Family Physicians of Canada. Priority topics and key features for the assessment of competence in obstetrical surgical skills[EB/OL]. [2020-08-14].https://portal.cfpc.ca/ResourcesDocs/uploadedFiles/Education/OSS-Priority-Topics-Key-Features-EN-20190918.pdf.
[14] The College of Family Physicians of Canada. CanMEDS-Family Medicine 2017: a competency framework for family physicians across the continuum[EB/OL]. [2020-08-14].https://www.cfpc.ca/CFPC/media/Resources/Medical-Education/CanMEDS-Family-Medicine-2017-ENG.pdf.
[15] Slade S, Ross S, Lawrence K, et al. Extended family medicine training: measuring training flows at a time of substantial pedagogic change[J]. Can Fam Physician, 2016,62(12):e749-e757.
[16] Biringer A, Abells D, Boro J, et al. Enhanced skills training in family medicine maternity care: cross-sectional study of graduates' experiences[J]. Can Fam Physician, 2019,65(12):e531-e537.
[17] Caron N, Iglesias S, Friesen R, et al. A proposal for the curriculum and evaluation for training rural family physicians in enhanced surgical skills[J]. Can J Surg, 2015,58(6):419-422. DOI: 10.1503/cjs.002215.
[18] Vogel L. Are enhanced skills programs undermining family medicine?[J]. CMAJ, 2019,191(2):E57-E58. DOI: 10.1503/cmaj.109-5697.