Factors Affecting Family Medicine Perception of Achievement of Training Objectives

Ammar Radi Abu Zuhairah

Saudi Board in Family Medicine Residency Program – Dammam University –  2013

Aims: To measure the association between number of patient encounters and training provided to residents, as well as the residents’ perceived achievement of training objectives.

Settings and Design: This cross-sectional study was done on Family Medicine residents in Eastern province, Makkah and Asir regions.

Materials and Methods: A questionnaire was developed by the investigator and validated by two experts. All residents, except first year residents, were included. Data were collected by the investigator through direct contact with the residents.

Statistical analysis: Cronbach’s alpha, analysis of variance, t-test, and univariate regression model were used.

Results: Reliability of the questionnaire was found to be 75.4%. One hundred and seven residents (response rate, 83.6%) had completed the questionnaire. The mean age was 29.1 ± 2.5 years, half of the residents were male, most of them (83.2%) were married, and more than half (54.2%) of the residents had worked in primary health care (PHC) before joining the programme. Age and duration of work in PHC before joining the programme were significantly and positively associated with

the outcome. In Family Medicine rotations, continuity of care, percentage of patients discussed, and number of trainers were associated with the outcome. On the other hand, percentage of patients discussed in different settings and opportunity for the residents to evaluate patients in an outpatient setting were among the factors affecting the outcome in the hospital rotations.

Conclusions: Factors identified (age, duration of work in PHC, discussion, and opportunity to evaluate patients) might help residents, trainers, and decision makers in ensuring residents benefit from the different rotations. Further studies to link the effect of the identified factors on resident outcome and patient care are required.

Keywords: Clinical training, Family Medicine, postgraduate training




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