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Table 2 Level of preparedness for the 37 CPAs in the nine domains.

From: Are early career family physicians prepared for practice in Canada? A qualitative study

Core Professional Activity and Domains

Level of Preparedness (number (%) of respondents) defined as prepared (i.e., prepared, well prepared or extremely well prepared) or unprepared ( i.e., not very well prepared or unprepared).

Attend to Practice

Prepared

Unprepared

Unreported

Provide access to care by maintaining a regular scheduled after-hours coverage as part of an overall system of care to the practice

61 (81)

13 (17)

1 (2)

Provide virtual care as part of a system of access and continuity for the practice

12 (16)

62 (83)

1 (1)

Manage the ‘total care’ of patients providing continuity, follow-up and coordination

73 (97)

1 (1.5)

1 (1.5)

Assess and plan for the care needs of the practice in the context of the local community

56 (75)

18 (24)

1 (1)

Maintain an electronic medical record for each patient as part of a system of medical documentation for the practice

56 (75)

18 (24)

1 (1)

Attend to practice and personal business functions

32 (42)

42 (56)

1 (1)

Support and engage with patient safety processes

58 (77)

15 (20)

2 (3)

Participant in collaborative and team-based care

70 (93)

4 (5)

1 (1)

Manage self-care to support personal well-being and sustainable practice

46 (61)

=

28 (37)

1 (1)

Comprehensive and inclusive primary care

  

Provide reproductive care

65 (87)

7 (9)

3 (4)

Provide comprehensive continuity-based primary care for children and youth

68 (91)

7 (9)

0 (0)

Provide comprehensive continuity-based primary care for adults

75 (100)

0 (0)

0 (0)

Provide comprehensive continuity-based primary care for the elderly

68 (91)

7 (9)

0 (0)

Provide primary palliative and end-of-life care

62 (83)

13 (17)

0 (0)

Manage patients with complex and co-morbid illnesses

62 (83)

7 (17)

0 (0)

Provide primary care that addresses the health care needs of diverse peoples as part of a commitment to health equity

64 (85)

11 (15)

0 (0)

Provide culturally safe primary care that addresses the specific health care needs of First Nations, Inuit and Metis people

44 (59)

3 (41)

0 (0)

Perform common minor/office procedures (see Core Procedures list)

65 (87)

10 (13)

0 (0)

Emergency care

  

Provide antepartum care

62 (83)

7 (17)

0 (0)

Manage a low-risk labour and delivery

48(64)

27 (26)

0 (0)

Provide postpartum care

67 (89)

8 (11)

0 (0)

Provide newborn care in the hospital and community

66 (88)

9 (12)

0 (0)

Perform common intrapartum care procedures (see Core Procedures list)

47 (63)

28 (27)

0 (0)

Assess and manage patients of all ages with common urgent and emergent presentations in all settings

65 (87)

9 (12)

1 (1)

Assess and stabilize patients of all ages with life-threatening, high-acuity presentations in all settings

47 (63)

28 (27)

0 (0)

Perform commonly required emergency procedures (see Core Procedures list)

46 (61)

29 (39)

0 (0)

Hospital care

  

Provide medical care in the hospital as the ‘Most Responsible Physician’

66 (88)

9 (12)

0 (0)

Provide surgical assistance in the operating room

48 (64)

27 (36)

0 (0)

Perform common in-hospital procedures (see Core Procedures list)

50 (67)

23 (31)

2 (2)

Advocacy

  

Work with patients to assess and address their social determinants of health

61 (81)

14 (19)

0 (0)

Engage with the local community to understand and improve health conditions and access to care

47 (63)

28 (27)

0 (0)

Leadership

  

Provide leadership in everyday professional practice

59 (79)

15 (20)

1 (1)

Scholarship

  

Maintain and enhance knowledge to provide care that is evidence-informed and responds to practice needs

72 (96)

3 (4)

0 (0)

Participate in QI activities as part of practice improvement

58 (77)

17 (23)

0 (0)

Participate in research activities as part of practice improvement

50 (67)

25 (23)

0 (0)

Teach and supervise learners in everyday practice functioning as a ‘clinical coach’ (per FTA Framework)

61 (81)

14 (19)

0 (0)

Home & Long-Term Care

  

Provide primary care for patients with unique and complex medical needs in the home, long-term care facility and other community-based settings

57 (76)

17 (23)

1 (1)