title: How do Ontario family medicine residents perform on global health competencies? A multi-institutional survey.
abstract: BACKGROUND
  There is an increased interest in global health among medical students, family medicine residents, and medical educators. This paper is based on research to assess confidence in knowledge and skills in global health in family medicine residents in five universities across Ontario.
  
  
  METHODS
  A web-based survey was sent to 166 first-year family medicine residents from five universities within Ontario. Descriptive statistics were used to analyze residents' confidence in their knowledge and skills in global health. The strength of association between each of the self-perceived knowledge and skills variables was assessed by the Spearman correlation coefficient.
  
  
  RESULTS
  The response rate ranged from 29% to 66% across the five universities. Self-perceived knowledge scores revealed that 34.3% of the respondents were very confident, 51.9% were somewhat confident, and 13.8% were not at all confident about their global health knowledge. Participants' confidence scores were lower in relation to knowledge of access to health care for low income nations (44.3%), and were better on their global health skills related to working in a team (70.9%) and listening actively to patients' concerns (64.6%).
  
  
  CONCLUSIONS
  The global health competency scale has identified key areas of strengths and weaknesses of family medicine programs in global health education. This can be used to evaluate and analyze progress over time.
authors.affiliation: Center for Global Health, University of Ottawa, Ontario, Canada.
authors.forename: Mirella
authors.initials: M
authors.lastname: Veras
authors.affiliation: Department of Family Medicine, University of Ottawa, Ontario, Canada.
authors.forename: Kevin
authors.initials: K
authors.lastname: Pottie
authors.affiliation: Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ontario, Canada.
authors.forename: Tim
authors.initials: T
authors.lastname: Ramsay
authors.affiliation: Bruyere research institute, University of Ottawa, Ontario, Canada.
authors.forename: Vivian
authors.initials: V
authors.lastname: Welch
authors.affiliation: Bruyere research institute, University of Ottawa, Ontario, Canada.
authors.forename: Peter
authors.initials: P
authors.lastname: Tugwell