Background: According to WONCA-CIMF, Family Medicine residency training should follow the needs of each country, while respecting the precepts of the specialty and ensuring quality education. Furthermore, as Family Medicine is a novel specialty in many countries, it is known that the teaching process during residency training in different parts of the globe shares several similarities while also varying significantly.
Aim: We aim to assess if Family Medicine residency training across the world is currently structured to equip graduates with the necessary tools to effectively provide universal, integral, and equitable patient care in a standardized way. This workshop is an opportunity to have meaningful group discussions and create standard milestones for training around the globe.
Method: A brief presentation will be held on comparing current milestones from Brazil and the United States. Participants will be encouraged to engage in small group discussions about the similarities and differences among the main required competencies during training in their own countries. A member of each group will present the most significant discussion findings. A second discussion will take place to list the main required milestones in common for every family doctor regardless of location or type of practice.

Results/ Conclusions: Residency training in Family Medicine should produce family doctors that are competent in providing what their communities need, delivering comprehensive longitudinal care while focusing on health promotion. We believe similar competencies can be standardized to ensure the best care is being provided to patients across the globe. By understanding the similarities and differences among the learning trajectories regarding knowledge, skills, and attitudes residents around the world gain during their training we can highlight significant points in trainees’ development to assess learner competency in different key areas of medical education and hopefully boost the development of family medicine globally.

1. Describe the milestone for family medicine.
2. Discuss the importance of milestones for family medicine across the world.
3. Enhace the training for future family doctors

Aims: To explore whether and how COVID-19 influenced the career opinions of nursing students.
Methods: Using the grounded theory, the semi-structured telephone interviews were conducted to explore their career perspectives.
Results: Participants, the majority of whom were female, showed a large spectrum of emotions and strong emotional needs. One nursing student attempted to leave her profession, and the remaining 16 decided to follow nursing profession. Most participants were concerned about increased risk of occupational exposure plus physical and mental pressure on the medical community during the epidemic, which led to appearance of fear and powerlessness among some respondents. Almost all the participants were motivated by the strength of the role model, as well as the support of society and family. Overall, they received more positive influences.
Conclusion: High-risk occupational exposure, high emotional needs, public attitudes, and positive role models during the epidemic have great influences on participants' career perspectives.

1.The COVID-19 outbreak is a special event that may examine nursing students to indicate whether they are appropriate for this profession or not.
2.High-risk occupational exposure, high emotional needs, public attitudes, and positive role models during the epidemic have shown greater influences on participants' career perspectives compared with other factors.
3.Although the COVID-19 outbreak has exerted numerous influences on the nursing profession, the majority of the nursing students would not alter their career perspectives.

Objective
To explore the effect of the blended learning mode based on Moodle platform in the training of general practice faculty and provide a reference for improving the teaching level of general practitioner in community using diversity methods in China.
Method
The 22 community faculties from the McGill University-Tongji University Blended Learning Program from September 2020 to September 2021 were selected as participates and follow-up was conducted in 2022 to evaluate the satisfaction of the teaching platform, curriculum and blended learning model through group interviews and questionnaire surveys. Qualitative and quantitative analysis was used for data analysis.
Result
The blended learning program had a total of 12 teaching modules. The average age of participants was 34±5.3 years, with 1 male (4.5%) and 21 females (95.5%) in the program. Overall satisfaction with the program: 18 (81.8%) participates would recommend the program to their peers, and 19 (86.4%) considered it as a very valuable teaching experience. All of the participates affirmed that the training helped them develop a sense of social responsibility for the resident health. Course content: Most (95.5%) teachers considered the knowledge and skills of this training to be relevant to practical work and help them prepared for teaching. The most helpful course was "Teacher-Learner Relationship".
Conclusion
The Moodle platform enables general practice faculties use network resources for course learning and interactive discussion to make fragmented time effective for continuing education of teaching. The blended learning model helps to improve the mastery and practice of teaching methods for general practitioners in community health centers. More attentions should be paid to the importance of teaching and the improvement of teaching abilities of the community faculties in China during the daily work.

At the conclusion of my presentation attendees will take away
1. A new teaching platform and model practice
2. The evaluation of the blended learning model
3. More understanding of Chinese community general practitioners

Background: The World Health Assembly (2022) and the Declaration of Astana 2018: new pathways for primary health care acknowledge the significant contributions of family physicians (FPs) in clinical and primary healthcare. Given the lack of resources and low numbers of FPs coupled with the contextual nature of family medicine (FM), the scope of practice of African FP is likely to differ from that of colleagues in America and Europe.

Methods: This cross-sectional qualitative study was conducted through in-depth interviews with FPs who are working in Uganda. Participants who work in public and private healthcare systems including non-governmental organisations and in all geographical regions were purposively selected. Interviews were conducted from July 2021 to June 2022. Qualitative thematic content analysis of the transcripts was performed using a framework approach.

Results: The study team identified three and six thematic roles and challenges, respectively, from the interview transcripts. The roles were clinician, leadership and teaching and learning. Challenges included lack of common identity, low numbers of FPs, conflicting roles, unrealistic expectations, poor organizational infrastructure and lack of incentives.

Conclusion: The major roles of FPs in Uganda are similar to those of their counterparts in other parts of the world. Family physicians provide clinical care for patients, including preventive and curative services; providing leadership, management and mentorship to clinical teams; and teaching. However, their roles are exercised differently as a result of lack of proper institutionalization of FM within the Uganda health system. Family physicians in Uganda have found many opportunities to contribute to healthcare leadership, education and service, but have not yet found a stable niche within the healthcare system.

1. Updated knowledge from recent advances in family medicine
2. Career opportunities and connections
3. New research and ideas

Background: Performance status offers important clinical clues for medical teams to evaluate patient’s quality of life, prognosis and even life spam in terminal cases. This study tried to establish the clinical conditions associated with better or poor performance status.
Methods: This study recruited a total of 361 patients with terminal disease who were visited by hospice home-care staffs in a medical center located in central Taiwan between 1/1/2020-12/31/2020. Inclusion criteria included both cancer and non-cancer patients with terminal stage, defined by National Health Insurance Administration. Our staffs reviewed patient’s medical chart and recorded patient’s performance status with the Barthel Index(the higher the better) as well as their clinical condition including malignant bowel obstruction(MBO), pressure sore, short of breath and pathway to get nutrition. Independent sample t test was used for data analysis.
Outcomes: Patients who were able to intake orally (mean: 31.53 vs 12.67, p<0.05) and those without pressure sore (mean: 29.46 vs 12.56, p<0.05) were significantly associated with better performance. Patients without short of breath also showed better performance but the study did not show statistical significance. There was no significance between MBO and patient’s performance; furthermore, patients with MBO had higher score in Barthel index compared to those without MBO.
Discussion: It was compatible with previous studies that patients would have better capacity to live in absence of pressure sore or being able to intake orally. Other factors including MBO and short of breath was showed no statistically significant association with the outcome. However, only relatively few patients enrolled in this study was reported either MBO or short of breath. We need more research on this topic to work on.

At the conclusion of my presentation attendees will take away
1. Terminal patient who was free of bed sore is more likely to have better performance.
2. Patients being able to get nutrition through mouth have more chance to maintain their ability to daily life
3. More sophisticated research is needed