title: Satisfaction with civilian family medicine residency training: Perspectives from serving general duty medical officers in the Canadian Armed Forces.
abstract: OBJECTIVE
  To evaluate satisfaction with civilian residency training programs among serving general duty medical officers within the Canadian Armed Forces.
  
  
  METHODS
  A 23-item, cross-sectional survey face-validated by the office of the Surgeon General of the Canadian Armed Forces.
  
  
  METHODS
  Canada.
  
  
  METHODS
  General duty medical officers serving in the Canadian Armed Forces as of February 2014 identified through the Directorate of Health Services Personnel of the Canadian Forces Health Services Group Headquarters.
  
  
  METHODS
  Satisfaction with and time spent in 7 domains of training: trauma, critical care, emergency medicine, psychiatry, occupational health, sports medicine, and base clinic training. Overall preparedness for leading a health care team, caring for a military population, working in isolated and challenging environments, and being deployed were evaluated on a 5-point Likert scale.
  
  
  RESULTS
  Among the survey respondents (n = 135, response rate 54%), 77% agreed or strongly agreed that their family medicine residency training was relevant to their role as a general duty medical officer. Most respondents were either satisfied or very satisfied with their emergency medicine training (77%) and psychiatry training (63%), while fewer were satisfied or very satisfied with their sports medicine (47%), base clinic (41%), and critical care (43%) training. Even fewer respondents were satisfied or very satisfied with their trauma (26%) and occupational health (12%) training. Regarding overall preparedness, 57% believed that they were adequately prepared to care for a military patient population, and 52% of respondents believed they were prepared for their first posting. Fewer respondents (38%) believed they were prepared to work in isolated, austere, or challenging environments, and even fewer (32%) believed that residency training prepared them to lead a health care team.
  
  
  CONCLUSIONS
  General duty medical officers were satisfied with many aspects of their family medicine residency training; however, military-specific areas for improvement were identified. Many of these areas might be addressed within the context of a 2-year residency program without risking the generalist nature of family medicine training. These findings provide valuable data for residency programs that accept military trainees across the country.
authors.affiliation: Assistant Professor in the Department of Family Medicine at Queen's University in Kingston, Ont, and a family physician with the Queen's Family Health Team. brent.wolfrom@dfm.queensu.ca.
authors.forename: Brent
authors.initials: B
authors.lastname: Wolfrom
authors.affiliation: Professor in the Department of Family Medicine at Queen's University.
authors.forename: Geoff
authors.initials: G
authors.lastname: Hodgetts
authors.affiliation: Director of the Queen's University International Centre.
authors.forename: Jyoti
authors.initials: J
authors.lastname: Kotecha
authors.affiliation: Research associate at the Centre for Studies in Primary Care in the Department of Family Medicine at Queen's University.
authors.forename: Emily
authors.initials: E
authors.lastname: Pollock
authors.affiliation: Research associate at the Centre for Studies in Primary Care in the Department of Family Medicine at Queen's University.
authors.forename: Mary
authors.initials: M
authors.lastname: Martin
authors.affiliation: Research associate at the Centre for Studies in Primary Care in the Department of Family Medicine at Queen's University.
authors.forename: Han
authors.initials: H
authors.lastname: Han
authors.affiliation: Colonel in the Canadian Armed Forces working as Royal Canadian Air Force Surgeon in the Canadian Forces Health Services Group Headquarters in Ottawa, Ont.
authors.forename: Pierre
authors.initials: P
authors.lastname: Morissette
mesh_terms: D000328:Adult; D002170:Canada; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000193:education*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007396:Internship and Residency / Q000592:standards*; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000193:education*