• Deena M Hamza and Lawrence Grierson.
• Postgraduate Medical Education, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
• J Eval Clin Pract. 2022 Jun 1; 28 (3): 468-474.

Rationale, Aims, And ObjectivesOver the last decade, policy changes have prompted Canadian medical education to emphasize a transformation to competency-based education, and subsequent development of evaluation tools. The pandemic provides a unique opportunity to emphasize the value of reflexive monitoring, a cyclical and iterative process of appraisal and adaptation, since tools are influenced by social and cultural factors relevant at the time of their development.MethodsDeductive content analysis of documents and resources about the advancement of primary care. Reflexive monitoring of the Family Medicine Longitudinal Survey (FMLS), an evaluation tool for physician training.ResultsThe FMLS tool does not explore all training experiences that are currently relevant; including, incorporating technology, infection control and safety, public health services referrals, patient preferences for care modality, and trauma-informed culturally safe care.ConclusionThe results illustrate that reflection promotes the validity and usefulness of the data collected to inform policy performance and other initiatives.© 2021 John Wiley & Sons Ltd.

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