Field note use in family medicine residency training: learning needs revealed or avoided?
BACKGROUND: Field notes (FNs) are used in Family Medicine residency programs to foster reflective learning and facilitate formative assessment. Residents assess their strengths and weaknesses and develop action plans for further improvement. This study explored the use of FNs in the University of Ma...
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ftpubmed:oai:pubmedcentral.nih.gov:8394107 2023-05-15T16:16:48+02:00 Field note use in family medicine residency training: learning needs revealed or avoided? Zaki, Nicole Cavett, Teresa Halas, Gayle 2021-08-27 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394107/ http://www.ncbi.nlm.nih.gov/pubmed/34452637 https://doi.org/10.1186/s12909-021-02883-6 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394107/ http://www.ncbi.nlm.nih.gov/pubmed/34452637 http://dx.doi.org/10.1186/s12909-021-02883-6 © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Med Educ Research Text 2021 ftpubmed https://doi.org/10.1186/s12909-021-02883-6 2021-09-05T00:48:51Z BACKGROUND: Field notes (FNs) are used in Family Medicine residency programs to foster reflective learning and facilitate formative assessment. Residents assess their strengths and weaknesses and develop action plans for further improvement. This study explored the use of FNs in the University of Manitoba’s Family Medicine residency program 5 years after their implementation. METHODS: This multi-method study examined 520 FNs from 16 recent graduates from the University of Manitoba Family Medicine residency program. Quantitative analysis (frequencies and means) enabled descriptions and comparisons between training sites. Four themes emerged from inductive content analysis highlighting common ideas reflected upon. RESULTS: Residents displayed cyclical variation in the FN generation over 2 years. Eight of the 99 Priority Topics (addressing complex psychosocial issues) were not captured in this data set. The domains of Care of First Nations, Inuit, and Metis; Care of the Vulnerable and Underserved; and Behavioural Medicine and the CanMEDS-FM roles of FM – Procedural Skill, Leader/Manager, and Professional were less frequently reflected upon. Four themes (Patient-Centered Care, Patient Safety, Achieving Balance, and Confidence) were identified from qualitative analysis of residents’ narrative notes. CONCLUSIONS: Vygotsky’s Sociocultural Theory of Cognitive Development was proposed as a lens through which to examine factors influencing resident learning. Residents’ discomfort with certain topics may lead to avoidance in reflecting upon certain competencies in FNs, impacting skill acquisition. Further research should explore factors influencing residents’ perceptions FNs and how to best assist residents in becoming competent, confident practitioners. Text First Nations inuit PubMed Central (PMC) BMC Medical Education 21 1 |
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Research Zaki, Nicole Cavett, Teresa Halas, Gayle Field note use in family medicine residency training: learning needs revealed or avoided? |
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BACKGROUND: Field notes (FNs) are used in Family Medicine residency programs to foster reflective learning and facilitate formative assessment. Residents assess their strengths and weaknesses and develop action plans for further improvement. This study explored the use of FNs in the University of Manitoba’s Family Medicine residency program 5 years after their implementation. METHODS: This multi-method study examined 520 FNs from 16 recent graduates from the University of Manitoba Family Medicine residency program. Quantitative analysis (frequencies and means) enabled descriptions and comparisons between training sites. Four themes emerged from inductive content analysis highlighting common ideas reflected upon. RESULTS: Residents displayed cyclical variation in the FN generation over 2 years. Eight of the 99 Priority Topics (addressing complex psychosocial issues) were not captured in this data set. The domains of Care of First Nations, Inuit, and Metis; Care of the Vulnerable and Underserved; and Behavioural Medicine and the CanMEDS-FM roles of FM – Procedural Skill, Leader/Manager, and Professional were less frequently reflected upon. Four themes (Patient-Centered Care, Patient Safety, Achieving Balance, and Confidence) were identified from qualitative analysis of residents’ narrative notes. CONCLUSIONS: Vygotsky’s Sociocultural Theory of Cognitive Development was proposed as a lens through which to examine factors influencing resident learning. Residents’ discomfort with certain topics may lead to avoidance in reflecting upon certain competencies in FNs, impacting skill acquisition. Further research should explore factors influencing residents’ perceptions FNs and how to best assist residents in becoming competent, confident practitioners. |
format |
Text |
author |
Zaki, Nicole Cavett, Teresa Halas, Gayle |
author_facet |
Zaki, Nicole Cavett, Teresa Halas, Gayle |
author_sort |
Zaki, Nicole |
title |
Field note use in family medicine residency training: learning needs revealed or avoided? |
title_short |
Field note use in family medicine residency training: learning needs revealed or avoided? |
title_full |
Field note use in family medicine residency training: learning needs revealed or avoided? |
title_fullStr |
Field note use in family medicine residency training: learning needs revealed or avoided? |
title_full_unstemmed |
Field note use in family medicine residency training: learning needs revealed or avoided? |
title_sort |
field note use in family medicine residency training: learning needs revealed or avoided? |
publisher |
BioMed Central |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394107/ http://www.ncbi.nlm.nih.gov/pubmed/34452637 https://doi.org/10.1186/s12909-021-02883-6 |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
BMC Med Educ |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8394107/ http://www.ncbi.nlm.nih.gov/pubmed/34452637 http://dx.doi.org/10.1186/s12909-021-02883-6 |
op_rights |
© The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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CC0 PDM CC-BY |
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https://doi.org/10.1186/s12909-021-02883-6 |
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BMC Medical Education |
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21 |
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