Preparing General Internal Medicine Residents for the Future - Aiming to Match Training to Need - A Pilot Study in Saskatchewan

Main Article Content

Sharon Card MD MSc FRCPC Founder GIM
Heather Ward MD MSc FRCPC
Lindsey Broberg

Abstract

Health care workforce planning is difficult. It is even more so for a generalist specialty such as General Internal Medicine (GIM) as a key feature, worldwide, is the ability and desire of General Internists to adapt to the needs of their local context. Although this adaptability is an important resource for health care systems, it must be planned for in GIM educational curriculums. A pilot study in our province indicates that there are a broad range of competencies that all regions wished for in graduates of GIM programs. There were, however, many varied local needs that must be planned for in addition to ensuring all graduates have the broad skill set of GIM. Regions desired to employ true generalists with potentially an added skill. To truly ensure GIM graduates meet future societal needs will require ongoing links between health intelligence data and curriculum planning.
Abstract 436 | PDF Downloads 150 HTML Downloads 318

References

1. Gorman D. Developing Health Care Workforces for Uncertain Futures. Acad Med 2015 Apr; 90(4):400-3.
2. Frank JR and Harris KA, eds. Competence by Design; Reshaping Canadian Medical Education. Ottawa: Royal College of Physicians and Surgeons; 2014.
3. West DC, Robins L, Gruppen LD. Workforce, Learners, Competencies, and the Learning Environment: Research in Medical Education 2014 and the Way Forward. Acad Med 2014 Nov; 89(11): 1432-5.
4. Ghali WA, Greenberg PB, Mejia R, Otaki J, Cornuz J. International Perspectives on General Internal Medicine and the Case for ‘‘Globalization’’ of a Discipline. J Gen Intern Med 2006; 21:197–200.
5. Royal College of Physicians and Surgeons of Canada. Information by Discipline. Subspecialty. General Internal Medicine. Objectives of Training. http://www.royalcollege.ca/rcsite/home-e. Accessed November 3, 2015.
6. Maudsley RF, Dagg P, Wilson J et al. Chapter 1. Addressing Societal Health Needs. In Frank JR and Harris KA, eds. Competence by Design: Reshaping Canadian Medical Education. 2014 page 13.
7. Fréchette, D., Hollenberg, D., Shrichand, A., Jacob, C., & Datta, I. 2013. What’s really behind Canada’s unemployed specialists? Too many, too few doctors? Findings from the Royal College’s employment study. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada.
8. Anderson L, Ward HA, Card SE. Linking General Internal Medicine Residency Training to Human Resource Needs and Roles in a Changing Health Landscape. University of Saskatchewan Undergraduate Research Journal Volume 1, Issue 2, 2015. 01- 07.
9. Jackson A, Baron RB, Jaeger J, Liebow M, Plews-Ogan M, Schwartz MD For the Society of General Internal Medicine Health Policy Committee. Addressing the Nation’s Physician Workforce Needs: The Society of General Internal Medicine (SGIM) Recommendations on Graduate Medical Education Reform. J Gen Intern Med. 2014 Nov; 29 (11):1546-51.
10. The Canadian Society of Internal Medicine. CARE-FULLY: Defining a Plan for General Internal Medicine in Canada. May be viewed by contacting The Canadian Society of Internal Medicine http://csim.ca/contact-csim/
11. Report of the Generalism and Generalist Task Force Education Strategy, Innovations, and Development Unit Royal College of Physicians and Surgeons of Canada. July 2013. http://www.royalcollege.ca/rcsite/home-e. Accessed online November 3, 2015.
12. Larson EB, Fihn SD, Kirk LM et al. The Future of General Internal Medicine. Report and Recommendations from the Society of General Internal Medicine (SGIM) Task Force on the Domain of General Internal Medicine. J Gen Intern Med 2004; 19:69–77.
13. Internal Medicine Society of New Zealand and Australia. Training – Becoming a general physician. https://www.imsanz.org.au/training/ becoming-a-general-physician. Accessed online November 3, 2015.
14. Frank JR. Chapter 1 - Beginning with the end in mind: defining graduate abilities. In Sherbino J, Frank JR, editors. Educational Design: A CanMeds guide for the health professions. Ottawa; Royal College of Physicians and Surgeons; 2011.
15. Card SE, Pausjenssen AM, Ottenbreit RC. Determining specific competencies for General Internal Medicine residents (PGY 4 and 5). What are they and are programs currently teaching them? A survey of practicing Canadian General Internists. BMC Res Notes. 2011 Nov 3; 4:480.
16. Card SE, Snell L, O’Brien B. Are Canadian General Internal Medicine training program graduates well prepared for their future careers? BMC Medical Education 2006, 6:56.