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Can Fam Physician. 2018 Nov;64(11):e498-e506.

Family medicine training in housecalls: Survey of residency program directors across Canada.

Author information

Care of the Elderly Fellow at the University of Toronto in Ontario.
Academic family physician and Assistant Professor at the University of Toronto and the physician lead of the South East Toronto Family Health Team.
Physician lead for the PrimaryCare@Home Program at Taddle Creek Family Health Team, a psychotherapist and Medical Director of the Al & Malka Green Artists' Health Centre at Toronto Western Hospital, an investigating coroner for the Province of Ontario, and Lecturer in the Department of Family and Community Medicine at the University of Toronto.



To assess the current landscape of home-based primary care (HBPC) or home visit training for Canadian family medicine residents.


Online survey.


Canada's 17 family medicine residency programs.


Family medicine residency program directors.


Program characteristics, current HBPC training, barriers and enablers to training, and program directors' attitudes toward training.


There was a 76% response rate (13 of 17 program directors). Respondents' programs ranged in size from 75 to 300 residents (median 160) and closely reflected actual resident distribution of family medicine residents in Canada. Twelve of the 13 programs offered HBPC training including home visit experiences. Six programs had HBPC-related didactic lectures. None of the respondents had a formal program-wide clinical home visit curriculum, and HBPC training availability and requirements varied across programs. The most frequently cited barriers included logistical constraints, limited faculty availability, and safety concerns. Program directors generally agreed that HBPC training is essential to family medicine training, that it provides valuable learning experiences for family medicine residents, and that it effectively prepares residents in core family medicine competencies. None thought that HBPC training was too difficult to coordinate or that its barriers outweighed its educational benefits.


There is increasing need for HBPC delivery in Canada, and program directors agree that HBPC training is important and worthwhile. However, barriers exist. Current HBPC training in Canada varies in its availability and requirements, and structured program-wide home visit curricula are absent. We recommend development of a central framework for a structured HBPC curriculum that is competency-based and adaptable.

[Indexed for MEDLINE]
Free PMC Article

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