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 | Â | Â | |
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 | Â | Â | |
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 | Â | Â | |
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 | Â | Â | |
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 | Â | Â | |
Provide leadership in everyday professional practice | 59 (79) | 15 (20) | 1 (1) |
Scholarship | Â | Â | |
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 | Â | Â | |
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) |