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Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada

BACKGROUND: There is no CanMEDS-FM-based milestone tool to guide feedback during direct observation (DO). We have developed a guide to support documentation of feedback for direct observation (DO) in Canadian family medicine (FM) programs. METHODS: The Guide was designed in three phases with the col...

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Autores principales: Lacasse, Miriam, Renaud, Jean-Sébastien, Côté, Luc, Lafleur, Alexandre, Codsi, Marie-Pierre, Dove, Marion, Pélissier-Simard, Luce, Pitre, Lyne, Rheault, Christian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Canadian Medical Education Journal 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909829/
https://www.ncbi.nlm.nih.gov/pubmed/35321416
http://dx.doi.org/10.36834/cmej.72587
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author Lacasse, Miriam
Renaud, Jean-Sébastien
Côté, Luc
Lafleur, Alexandre
Codsi, Marie-Pierre
Dove, Marion
Pélissier-Simard, Luce
Pitre, Lyne
Rheault, Christian
author_facet Lacasse, Miriam
Renaud, Jean-Sébastien
Côté, Luc
Lafleur, Alexandre
Codsi, Marie-Pierre
Dove, Marion
Pélissier-Simard, Luce
Pitre, Lyne
Rheault, Christian
author_sort Lacasse, Miriam
collection PubMed
description BACKGROUND: There is no CanMEDS-FM-based milestone tool to guide feedback during direct observation (DO). We have developed a guide to support documentation of feedback for direct observation (DO) in Canadian family medicine (FM) programs. METHODS: The Guide was designed in three phases with the collaboration of five Canadian FM programs with at least a French-speaking teaching site: 1) literature review and needs assessment; 2) development of the DO Feedback Guide; 3) testing the Guide in a video simulation context with qualitative content analysis. RESULTS: Phase 1 demonstrated the need for a narrative guide aimed at 1) specifying mutual expectations according to the resident's level of training and the clinical context, 2) providing the supervisor with tools and structure in his observations 3) to facilitate documentation of feedback. Phase 2 made it possible to develop the Guide, in paper and electronic formats, meeting the needs identified. In phase 3, 15 supervisors used the guide for three levels of residence. The Guide was adjusted following this testing to recall the phases of the clinical encounter that were often forgotten during feedback (before consultation, diagnosis and follow-up), and to suggest types of formulation to be favored (stimulating questions, questions of clarification, reflections). CONCLUSION: Based on evidence and a collaborative approach, this Guide will equip French-speaking Canadian supervisors and residents performing DO in family medicine.
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spelling pubmed-89098292022-03-22 Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada Lacasse, Miriam Renaud, Jean-Sébastien Côté, Luc Lafleur, Alexandre Codsi, Marie-Pierre Dove, Marion Pélissier-Simard, Luce Pitre, Lyne Rheault, Christian Can Med Educ J Contributions Importantes BACKGROUND: There is no CanMEDS-FM-based milestone tool to guide feedback during direct observation (DO). We have developed a guide to support documentation of feedback for direct observation (DO) in Canadian family medicine (FM) programs. METHODS: The Guide was designed in three phases with the collaboration of five Canadian FM programs with at least a French-speaking teaching site: 1) literature review and needs assessment; 2) development of the DO Feedback Guide; 3) testing the Guide in a video simulation context with qualitative content analysis. RESULTS: Phase 1 demonstrated the need for a narrative guide aimed at 1) specifying mutual expectations according to the resident's level of training and the clinical context, 2) providing the supervisor with tools and structure in his observations 3) to facilitate documentation of feedback. Phase 2 made it possible to develop the Guide, in paper and electronic formats, meeting the needs identified. In phase 3, 15 supervisors used the guide for three levels of residence. The Guide was adjusted following this testing to recall the phases of the clinical encounter that were often forgotten during feedback (before consultation, diagnosis and follow-up), and to suggest types of formulation to be favored (stimulating questions, questions of clarification, reflections). CONCLUSION: Based on evidence and a collaborative approach, this Guide will equip French-speaking Canadian supervisors and residents performing DO in family medicine. Canadian Medical Education Journal 2022-03-22 /pmc/articles/PMC8909829/ /pubmed/35321416 http://dx.doi.org/10.36834/cmej.72587 Text en © 2022 Lacasse, Renaud, Côté, Lafleur, Codsi, Dove, Pélissier-Simard, Pitre, Rheault; licensee Synergies Partners https://creativecommons.org/licenses/by-nc-nd/4.0/Cet œuvre est mise à disposition selon les termes de la Licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International. Vous êtes autorisé à partager copier, distribuer et communiquer le matériel par tous moyens et sous tous format. Vous devez créditer l'Œuvre, intégrer un lien vers la licence et indiquer si des modifications ont été effectuées à l'Oeuvre.
spellingShingle Contributions Importantes
Lacasse, Miriam
Renaud, Jean-Sébastien
Côté, Luc
Lafleur, Alexandre
Codsi, Marie-Pierre
Dove, Marion
Pélissier-Simard, Luce
Pitre, Lyne
Rheault, Christian
Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada
title Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada
title_full Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada
title_fullStr Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada
title_full_unstemmed Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada
title_short Développement et mise à l’essai du Guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au Canada
title_sort développement et mise à l’essai du guide de rétroaction francophone pour l’observation directe des résidents en médecine familiale au canada
topic Contributions Importantes
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8909829/
https://www.ncbi.nlm.nih.gov/pubmed/35321416
http://dx.doi.org/10.36834/cmej.72587
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