• Can Fam Physician · Feb 2020

    Multicenter Study

    Inconsistent role modeling of professionalism in family medicine residency: Resident perspectives from 2 Ontario sites.

    • Stephen Marisette, Muhammad Mizanur Shuvra, Joanna Sale, Jeremy Rezmovitz, Donatus Mutasingwa, and John Maxted.
    • Family physician in the Markham Family Medicine Teaching Unit in Ontario and Lecturer in the Department of Family and Community Medicine at the University of Toronto. smarisette@msh.on.ca.
    • Can Fam Physician. 2020 Feb 1; 66 (2): e55-e61.

    ObjectiveTo explore how family medicine (FM) residents experience role modeling of professionalism by FM preceptors.DesignQualitative design using semistructured, one-on-one interviews.SettingTwo FM teaching units at the University of Toronto in Ontario.ParticipantsSixteen first- and second-year FM residents.MethodsThis study employed a qualitative description design. The CanMEDS-Family Medicine 2009 framework was used to help design interview questions. Interviews were audiorecorded and transcribed verbatim. Transcripts were coded and themes were developed.Main FindingsSome residents described insufficient experience with role modeling in general. Two main findings were that a longitudinal relationship with a role model was important and that residents desired a close working relationship with a role model in a clinical setting. Most participants could identify experiences with role modeling of ethical practice; many examples were in the context of challenging patients. Some, but not all, residents could identify experiences with role modeling of profession-led regulation and reflective practice. Of note, there were mixed responses with respect to role modeling a commitment to personal health.ConclusionReassuringly, many FM residents described experiences with positive role modeling of professionalism. However, some residents believed that role modeling was limited by the brevity of their interactions with potential role models. To optimize the effect of role modeling, educators should support opportunities for residents to develop close, longitudinal working relationships with faculty.Copyright© the College of Family Physicians of Canada.

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