Across the program, the learning outcomes are consistent. However, the learning opportunities, leading to resident achievement of these outcomes, may differ from site to site. As such, a learning opportunity may occur in different settings depending on local resources available at a particular site. These decisions are made by the site director and site faculty for curriculum, in consultation with their local Residency Education Committee, as they develop specific objectives for various learning activities (such as rotations, instructional events, etc).
2019-2020 is a transition year for learning outcomes. Current R2s should refer to the ‘Curriculum Objectives’ document below, while current R1s should refer to the newer ‘Domains of Care & Core Activities’ document.
By the end of residency, the family practice resident will be competent to enter and adapt to the independent practice of comprehensive, longitudinal family medicine anywhere in Canada. They will apply the Four Principles of Family Medicine and demonstrate basic competency in all areas described in the CFPC’s Family Medicine Professional Profile, including those outlined in the CanMEDS-FM framework and the Assessment Objectives (Skill Dimensions and Priority Topics). The Core Activities described in this document identify the minimum abilities required of all residents at the completion of the program.
The program has made a shift in its approach to Indigenous Health from a deficit model to a focus on the systemic and structural causes of health inequities and the competencies required to address these. We place specific attention on the impact on Indigenous communities and individuals due to the health disparity that exists in Canada between Indigenous and non-Indigenous peoples. The principles of equity, diversity, and inclusion apply to all patients and populations, therefore we integrate the care of Indigenous People and the valuing of Indigenous ways of knowing within all domains.
UBC Family Practice Residency Program commits to prioritizing resident wellness during this pursuit of competence.
The goal is to ensure that all Family Medicine residents develop professional competence to the level of a physician ready to begin practice in the specialty of Family Medicine. What this competent family physician looks like can be represented and described in many ways and to do this, the program uses a variety of frameworks to both define curriculum and assess the outcome.
Commonly Used Frameworks:
HOW Family Medicine residents should behave as they carry out their clinical activities:
- Family Medicine Expert
- Health Advocate
The CanMEDS-Family Medicine roles were developed by the Working Group on Curriculum Review and were adopted by the Board of Directors of the College of Family Physicians of Canada in 2017. For more information, visit the CFPC website.
Skill dimensions that are to be integrated in the daily work of Family Medicine:
- Patient-Centered Approach
- Clinical Reasoning Skills
- Clinical and Procedural Skills
- Communication Skills
The CFPC’s “The Scope of Training for Family Medicine Residency” is another helpful resource, which explores learning outcomes, learning opportunities and assessments.
Additional components of the Learning Curriculum:
Various components of the scholar curriculum are integrated at each site, including scholarship projects, EBM and informatics.
There are four main requirements for the Scholarship component of UBC’s Family Medicine Residency Program.
- TCPS Online Ethics Tutorial
- York University Academic Integrity Tutorial
- Practice Improvement Process (PIP) or Continuous Quality Improvement (CQI) Project
Note: Residents must complete all PGY1 scholarship requirements before being promoted to R2.
- Resident scholar project
In the R2 year, Family Medicine residents are expected to complete two blocks of rural-based training with preceptors who have been involved in successfully educating rural residents for many years. When residents arrive in these communities, they will be treated as a colleague, rather than a student.
While these rotations can be demanding, past residents have found them to be very rewarding, helping them to prepare for rural and international medicine upon graduation from the Program.
For more information about Rural Rotation locations, visit the Rural Coordination Centre of BC’s website.