TY - JOUR T1 - Quality of care in family practice: does residency training make a difference? JF - Canadian Medical Association Journal JO - CMAJ SP - 1035 LP - 1043 VL - 140 IS - 9 AU - A. E. Borgiel AU - J. I. Williams AU - M. J. Bass AU - E. V. Dunn AU - M. K. Evensen AU - C. T. Lamont AU - P. J. MacDonald AU - J. M. McCoy AU - R. A. Spasoff Y1 - 1989/05/01 UR - http://www.cmaj.ca/content/140/9/1035.abstract N2 - As the proportion of physicians who enter residency training in family practice steadily increases, so does the need to evaluate the impact of their training and postgraduate education on the quality of care in their practices. We audited the practices of 120 randomly selected family physicians in Ontario, who were separated into four groups: nonmembers of the College of Family Physicians of Canada (CFPC), members of the CFPC with no certification in family medicine, certificated members without residency training in family medicine and certificated members with residency training in family medicine. The practices were assessed according to predetermined criteria for charting, procedures in periodic health examination, quality of medical care and use of indicator drugs. Generally the scores were significantly higher for CFPC members with residency training in family medicine than for those in the other groups, nonmembers having the lowest scores. Patient questionnaires indicated no difference in satisfaction with specific aspects of care between the four groups. Self-selection into residency training and CFPC membership may account for some of the results; nevertheless, the findings support the contention that residency training in family medicine should be mandatory for family physicians. ER -