The Red Book - The College of Family Physicians Canada

intensive exposure to meet defined competencies. In addition to actual office-based patientcontacts, this practice-centred experience can include weekend clinics or rounds, hospital visitsto patients admitted through the practice, and other patient care activities directly related to thepatients of the practice. Residents must maintain continuing responsibility for their patients invarious settings—such as hospital, home, and long-term care institutions. Residents must beinvolved in providing after-hours care as part of their patient care responsibilities during theircore family practice experiences. Residents must learn to communicate verbally and in writingwith other health care professionals about their patients, including other specialists, and mustlearn how to follow up on their referrals.The overall practice-based experience should provide a reasonable balance of acute andchronic care, ambulatory care, and hospital care. It should also provide a breadth of involvementwith patients from all age groups and in a sufficient variety of clinical domains, includingobstetrical patients.There must be a progression of responsibility and activities as a resident advances throughthe program, ultimately approaching the level of function expected of a practising familyphysician. Therefore, within the context of learning defined above, residents must haveappropriate exposure to the following domains of care.Emergency care:Residents must be exposed to acute care settings and be provided with an opportunity to learnthe skills required for emergency diagnosis and care.Care of children and adolescents:Residents must have exposure to a volume of pediatric patients that will allow them to studychildren’s normal growth and development and to learn the diagnosis and management ofcommon pediatric and adolescent problems that present in the family practice setting. Trainingin neonatal resuscitation must be provided.Maternity care (antepartum, intrapartum, postpartum):The resident must gain confidence and competence in maternity care by following pregnantpatients and conducting deliveries with family physician role models. Competencies include the19