Date of Award

2009

Degree Type

Thesis

Degree Name

Master of Clinical Science

Program

Family Medicine

Supervisor

Dr Judith B. Brown

Second Advisor

Dr John M. Jordan

Abstract

Aims: This thesis explored the experiences of family physicians and family medicine residents in primary care obstetrical groups. Methods: Using qualitative approaches, interviews of family physicians and focus groups of family medicine residents were conducted. Both data sets were audiotaped and transcribed verbatim. Independent and team analysis was both iterative and interpretive. Findings: Group obstetrical practices afforded work-life balance to family physicians, among other advantages, and lessened barriers of practicing obstetrics. Although family physicians found challenges with teaching and family medicine residents experienced challenges acquiring obstetrical skills, these study groups valued their mutual interactions. Family physicians who practice obstetrics were regarded as role models by their residents. Conclusions: Group primary care obstetrical practices are promising to address the withdrawal of family physicians from obstetrics. Exposing residents to these systems has the potential to encourage future family physicians into providing obstetrical care.

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