The Red Book - The College of Family Physicians Canada

STANDARD B.4: RESOURCESThere must be sufficient resources, including teaching faculty, the number and variety ofpatients, physical and technical resources, and the supporting facilities and services necessary, toprovide the opportunity for all residents in the program to achieve the defined competencies.Clinical Teaching Sites1. The overall educational experience must provide an adequate patient volume and variety toallow residents an opportunity to experience all aspects of family practice, includingintrapartum care. Teaching practices must allow a resident to acquire the identity of afamily physician. There must be an opportunity for continuity of care to allow residents toobserve the natural progression of disease, as well as a requirement that residents beavailable to and responsible for a group of patients over time. The practice must beorganized in such a manner that residents can build and maintain a defined panel ofpatients. Resident responsibility should be such that patients recognize the resident as oneof their personal physicians and that residents are directly responsible for the delivery ofcare to those patients with whom they are identified.2. Clinical services and other resources used for teaching must be organized to achieve thedesired competencies.a) Teaching staff must exercise the double responsibility of providing high-quality, ethicalpatient care and excellent teaching. Staff members who fail to meet these obligations, asjudged by the internal evaluation procedures of the faculty, should be relieved ofteaching duties.b) Learning experiences that demonstrate how practices respond to population healthneeds must be offered.c) There must be an experience-based learning process that provides training incollaboration with other physicians, particularly in the referral/consultation processand shared models of care.d) A portion of each resident's training should take place in sites involving practitionersfrom other health professions in order to facilitate acquisition of the competenciesnecessary for good interprofessional collaboration.13