{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T09:39:08Z","timestamp":1790069948480,"version":"4.0.1"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:00:00Z","timestamp":1653436800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T00:00:00Z","timestamp":1653436800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100000018","name":"The College of Family Physicians of Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000018","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Prim. Care"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The global COVID-19 pandemic led to rapid changes in both medical care and medical education, particularly involving the rapid substitution of virtual solutions for traditional face-to-face appointments. There is a need for research into the effects and impacts of such changes. The objective of this article investigates the perspectives of Family Medicine Residents in one university program in order to understand the impact of this transition to virtual care and learning.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a qualitative focus group study. Four focus groups, stratified by site type (Rural\u2009=\u20091; Semi-Urban\u2009=\u20091; Urban\u2009=\u20092) were conducted, with a total of 25 participants. Participants were either first or second-year Residents in Family Medicine. Focus group recordings were analyzed thematically, based upon a five-level socio-ecological model (individual, family, organization, community, environment and policy context).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Two main themes were identified: (1) Residents\u2019 experiences of Virtual Learning and Virtual Care, and (2) Living and Learning in Pandemic Times. In the first theme, Residents reported challenges both individually, in their family context, and in their training organizations. Of particular concern was the loss of hands-on experience with clinical skills such as conducting physical examinations. In the second theme, Residents reported disruption of self-care routines and family life. These Residents were unable to engage in the relationships outside of the workplace with their preceptors and peers which they had expected, and which play key roles in social support as well as in future decisions about practice location.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>While many patients appreciated virtual care, in the eyes of these Residents it is not the ideal modality for learning the practice of Family Medicine, and they awaited a return to normal times. Despite this, the pandemic has pointed out important ways in which residency training needs to adapt to an evolving world.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12875-022-01728-5","type":"journal-article","created":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T04:02:31Z","timestamp":1653451351000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["An unexpected transition to virtual care: family medicine residents\u2019 experience during the COVID-19 pandemic"],"prefix":"10.1186","volume":"23","author":[{"given":"Neale","family":"Smith","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie","family":"Newton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demetra","family":"Barbacuta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7987-4338","authenticated-orcid":false,"given":"Olivia Ling-I","family":"Tseng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,25]]},"reference":[{"key":"1728_CR1","doi-asserted-by":"publisher","first-page":"216","DOI":"10.3389\/fpubh.2020.00216","volume":"8","author":"R Keni","year":"2020","unstructured":"Keni R, Alexander A, Nayak PG, Mudgal J, Nandakumar K. COVID-19: emergence, spread, possible treatments, and global burden. Front Public Health. 2020;8:216.","journal-title":"Front Public Health"},{"key":"1728_CR2","volume-title":"Coronavirus: B.C. declares public health emergency amid 3 new deaths and 83 new cases: Global News","author":"S Little","year":"2020","unstructured":"Little S. Coronavirus: B.C. declares public health emergency amid 3 new deaths and 83 new cases: Global News 2020 [Available from: https:\/\/globalnews.ca\/news\/6691983\/bc-coronavirus-update-tuesday-march-17\/."},{"issue":"12","key":"1728_CR3","doi-asserted-by":"publisher","first-page":"e1008274","DOI":"10.1371\/journal.pcbi.1008274","volume":"16","author":"SC Anderson","year":"2020","unstructured":"Anderson SC, Edwards AM, Yerlanov M, Mulberry N, Stockdale JE, Iyaniwura SA, et al. Quantifying the impact of COVID-19 control measures using a Bayesian model of physical distancing. 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Med Educ. 2017;51(12):1250\u20139.","journal-title":"Med Educ"},{"issue":"Supplement_1","key":"1728_CR7","doi-asserted-by":"publisher","first-page":"i9","DOI":"10.1093\/fampra\/cmab012","volume":"38","author":"NS Awadallah","year":"2021","unstructured":"Awadallah NS, Czaja AS, Fainstad T, McNulty MC, Jaiswal KR, Jones TS, et al. The impact of the COVID-19 pandemic on family medicine residency training. Fam Pract. 2021;38(Supplement_1):i9\u2013i15.","journal-title":"Fam Pract"},{"issue":"1","key":"1728_CR8","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1186\/s12875-021-01576-9","volume":"22","author":"H \u00c7evik","year":"2021","unstructured":"\u00c7evik H, Ungan M. The impacts of the COVID-19 pandemic on the mental health and residency training of family medicine residents: findings from a nationwide cross-sectional survey in Turkey. BMC Fam Pract. 2021;22(1):226.","journal-title":"BMC Fam Pract"},{"issue":"3","key":"1728_CR9","doi-asserted-by":"publisher","first-page":"e001144","DOI":"10.1136\/fmch-2021-001144","volume":"9","author":"J Fashner","year":"2021","unstructured":"Fashner J, Espinoza A, Mainous Iii AG. COVID-19 disruption to family medicine residency curriculum: results from a 2020 US programme directors survey. Fam Med Community Health. 2021;9(3):e001144.","journal-title":"Fam Med Community Health"},{"issue":"2","key":"1728_CR10","doi-asserted-by":"publisher","first-page":"00195","DOI":"10.1183\/23120541.00195-2020","volume":"6","author":"E Papoutsi","year":"2020","unstructured":"Papoutsi E, Giannakoulis VG, Ntella V, Pappa S, Katsaounou P. Global burden of COVID-19 pandemic on healthcare workers. 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Can Fam Physician. 2017;63(6):436\u201341.","journal-title":"Can Fam Physician"},{"key":"1728_CR18","volume-title":"We are committed to lifelong learning Ontario, Canada The College of Family Physicians of Canada","author":"The College of FAmily Physicians of Canada","year":"2021","unstructured":"The College of FAmily Physicians of Canada. We are committed to lifelong learning Ontario, Canada The College of Family Physicians of Canada 2021 [Available from: https:\/\/yourfamilyphysician.ca\/lifelong-learning\/."}],"container-title":["BMC Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-022-01728-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12875-022-01728-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-022-01728-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,25]],"date-time":"2022-05-25T04:03:53Z","timestamp":1653451433000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcfampract.biomedcentral.com\/articles\/10.1186\/s12875-022-01728-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,25]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1728"],"URL":"https:\/\/doi.org\/10.1186\/s12875-022-01728-5","relation":{},"ISSN":["2731-4553"],"issn-type":[{"value":"2731-4553","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,25]]},"assertion":[{"value":"19 November 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was carried out following the relevant guidelines. Ethics approval from the University of British Columbia (UBC) Behavioral Research Ethics Board was not required per TCPS2 2018 Article 2.5 stating \u201cQuality assurance and quality improvement studies, program evaluation activities, and performance reviews, or testing within normal educational requirements when used exclusively for assessment, management or improvement purposes, do not constitute research for the purposes of this Policy, and do not fall within the scope of REB review\u201d. (). All participants signed e-consents to participate in this study and to have their interviews recorded. E-consent was developed using a survey tool, Qualtrics, sponsored by UBC (see Additional file ).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All participants consented to the study findings being published.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"CN volunteers her time to serve as the President elect of the College of Family Physicians of Canada (CFPC) Board and as Director-at-Large of the Foundation of Advancing Family Medicine (FAFM).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"127"}}