Table 2:
Practice intentions of family medicine residents exiting residencies in 2016 and 2017 who responded to the Family Medicine Longitudinal Survey, by region
| Intention | No. (%) of respondents | p value* | ||||
|---|---|---|---|---|---|---|
| Total | Ontario | Western Canada | Atlantic Canada | Quebec | ||
| Comprehensive care and confidence in current ability | ||||||
| Residents reporting that it was somewhat or highly likely that they would commit to providing comprehensive care to the same group of patients in their first 3 years of practice (Q17, n = 1652) | 1095 (66.3) | 474 (85.1) | 401 (61.2) | 27 (40.3) | 193 (51.7) | < 0.001 |
| Residents reporting that they agreed or strongly agreed with this statement: “I am confident in my current ability to provide comprehensive care to the same group of patients over time.” (Q19, n = 1658) | 1529 (92.2) | 509 (91.2) | 609 (93.4) | 55 (82.1) | 356 (93.4) | 0.006 |
| Residents reporting it was somewhat or highly likely they would practise in the following organizational models | ||||||
| Comprehensive care delivered in 1 clinical setting (e.g., office based) (Q16a, n = 1659) | 1019 (61.4) | 320 (57.5) | 416 (63.7) | 32 (47.8) | 251 (65.7) | 0.004 |
| Comprehensive care provided across multiple clinical settings (in-hospital, long-term care, office) (Q16b, 1661) | 1261 (75.9) | 437 (78.0) | 504 (77.2) | 56 (83.6) | 264 (69.3) | 0.004 |
| Comprehensive care that includes a special interest (sports medicine, emergency medicine, palliative care, etc.) (Q16c, n = 1661) | 1122 (67.6) | 372 (66.6) | 451 (69.1) | 49 (73.1) | 250 (65.5) | 0.4 |
| Practice focused only on specific clinical areas (e.g., sports medicine, maternity care, emergency medicine, palliative care, hospital medicine) (Q16d, n = 1658) | 522 (31.5) | 225 (40.3) | 179 (27.5) | 18 (26.9) | 100 (26.3) | < 0.001 |
| Solo practice (Q15a, n = 1645) | 126 (7.7) | 25 (4.6) | 59 (9.1) | 8 (12.1) | 34 (9.0) | 0.007 |
| Group physician practice (Q15b, n = 1658) | 1556 (93.8) | 536 (96.2) | 615 (94.0) | 60 (90.9) | 345 (90.6) | 0.003 |
| Interprofessional team-based practice (Q15c, n = 1656) | 1459 (88.1) | 520 (93.7) | 561 (85.9) | 59 (89.4) | 319 (83.5) | < 0.001 |
| Practice that includes teaching health profession learners (Q15d, n = 1652) | 1293 (78.3) | 370 (66.9) | 566 (86.8) | 53 (79.1) | 304 (80.0) | < 0.001 |
| Residents reporting it was somewhat or highly likely they would provide care in the following clinical domains in their first 3 years of practice | ||||||
| Care across the life cycle (Q21a, n = 1658) | 1506 (90.8) | 515 (92.1) | 594 (91.0) | 56 (83.6) | 341 (90.0) | 0.1 |
| Intrapartum care (Q21b, n = 1654) | 623 (37.7) | 174 (31.2) | 276 (42.5) | 28 (41.8) | 145 (38.3) | 0.001 |
| Mental health care (Q21c, n = 1654) | 1467 (88.7) | 484 (86.7) | 587 (90.3) | 60 (89.6) | 336 (88.7) | 0.3 |
| Chronic disease management (Q21d, n = 1650) | 1541 (93.4) | 513 (92.1) | 618 (94.8) | 59 (90.8) | 351 (93.4) | 0.2 |
| Palliative care, end-of-life care (Q21e, n = 1653) | 1060 (64.1) | 276 (49.6) | 483 (74.1) | 48 (72.7) | 253 (66.8) | < 0.001 |
| Office-based clinical procedures (Q21f, n = 1649) | 1382 (83.8) | 435 (78.4) | 585 (90.0) | 52 (78.8) | 310 (82.0) | < 0.001 |
| In-hospital clinical procedures (e.g., chest tube insertion, adult lumbar puncture, nasogastric tube insertion) (Q21g, n = 1655) | 646 (39.0) | 193 (34.6) | 296 (45.5) | 24 (35.8) | 133 (35.1) | < 0.001 |
| Residents reporting it was somewhat or highly likely they would provide care in the following practice settings or to the following populations in their first 3 years of practice | ||||||
| In emergency departments (Q21h, n = 1656) | 693 (41.8) | 194 (34.8) | 324 (49.7) | 32 (47.8) | 143 (37.7) | < 0.001 |
| In hospital (Q21i, n = 1653) | 983 (59.5) | 315 (56.7) | 430 (66.0) | 49 (74.2) | 189 (49.9) | < 0.001 |
| In the home (Q21j, n = 1654) | 695 (42.0) | 176 (31.6) | 298 (45.8) | 35 (52.2) | 186 (49.1) | < 0.001 |
| In long-term care facilities (Q21k, n = 1655) | 678 (41.0) | 169 (30.3) | 344 (52.8) | 27 (40.3) | 138 (36.4) | < 0.001 |
| Marginalized, disadvantaged and vulnerable populations (Q21l, n = 1652) | 873 (52.8) | 177 (31.9) | 449 (69.0) | 43 (64.2) | 204 (53.8) | < 0.001 |
| Rural populations (Q21m, n = 1577) | 852 (54.0) | 252 (45.2) | 383 (58.7) | 46 (68.7) | 171 (57.2) | < 0.001 |
| Elderly populations (Q21n, n = 1576) | 1425 (90.4) | 480 (86.0) | 607 (93.0) | 62 (92.5) | 276 (92.6) | < 0.001 |
| First Nations, Inuit and Métis (Q21o, n = 1656) | 694 (41.9) | 121 (21.7) | 422 (64.6) | 22 (32.8) | 129 (34.0) | < 0.001 |
*
Calculated with χ2 test.