65. Concurrent pursuit of degrees and courses during community medicine residency: Challenges, policies and proceduress
Bibliographic record
Abstract
We describe the policies and practices of Canadian Community Medicine (CM) residency programs regarding the Royal College requirement for one year of academic course work. We surveyed 10 Program Directors (PD) of the 11 Canadian CM residency programs (excluding our university) by either telephone interview or written completion of a structured interview guide. Questions addressed: what is currently allowed and/or encouraged; the policies in place; and the benefits and challenges to concurrent pursuit of degrees by CM residents. Of particular interest were policies regarding residents studying off-site and what actions PDs take if courses or degrees desired by a resident were not available at the home university. Seven of 10 PDs replied. Most programs did not have written policies to deal with requests to study off-site; decisions were made on a case-by-case basis. When approved, residents received salary support and bore all costs of off-site education. Several CM programs require degree acquisition during the academic year; others encourage degree acquisition. While CM program websites indicate degree completion is possible within one calendar year, often practicum placements run concurrently with resident clinical rotations or projects are competed during residency rotations. Most programs prefer residents to stay on campus for their contribution to rounds and on-call, socialization of the cohort, and continuity. It would be helpful to programs generally if PDs had policies to guide decisions; it would be particularly useful for the specialty if this were (to the degree possible) a common policy across universities. PDs and universities wish to make academic learning more readily accessible. We suggest a focus on the development of quality distance learning and innovative strategies to share course development and improve residents’ access to learning without the need to go off-site. Zweifler J, Evans R. Development of a residency/MPH Program. Fam Med 2001; 33(6):453-8. Tilak GS, Baker SR. Self-subsidization of educational expenses by senior radiology residents. Acad Radiol 2007; 14:105-9. Walter DA, Rosenquist PB, Bawtinhimer G. Distance learning technologies in the training of psychiatry residents; a critical assessment. Acad Psychiatry 2004; 28(10):60-5.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.020 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.010 | 0.005 |
| Scholarly communication | 0.004 | 0.002 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".