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Quebec's Compulsory 2-Year Training Program: Effects on family medicine teaching.

J Lescop, M W Davis

Canadian Family Physician Medecin De Famille Canadien

|January 15, 2011

Summary

Quebec expanded family medicine residencies in 1987, replacing rotating internships. This reform presented challenges for training programs, requiring adaptation and problem-solving to meet new educational demands.

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Area of Science:

Medical Education
Public Health Policy

Background:

Quebec's 1987 regulations significantly altered medical training.
The reform aimed to increase family medicine physicians while ending rotating internships.

Purpose of the Study:

To analyze the context and impact of Quebec's 1987 family medicine residency expansion.
To identify challenges and solutions in implementing the new residency model.

Main Methods:

Descriptive analysis of regulatory changes.
Examination of challenges faced by four Quebec residency programs.
Review of attempted solutions and anticipated outcomes.

Main Results:

Rapid expansion of residency positions created logistical and educational hurdles.
Programs adapted by modifying curricula and supervision structures.
Ongoing issues related to resource allocation and training quality persist.

Conclusions:

The 1987 reform necessitated significant adjustments in Quebec's family medicine training.
Programmatic adaptations were crucial for managing the expansion.
Sustained attention is required to address remaining challenges in family medicine education.