Department of Family Medicine - Dalhousie University
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Department of Family Medicine TEN SITES MULTIPLE PROGRAMS ONE LEARNING COMMUNITY test
Transcript of Department of Family Medicine - Dalhousie University
Department of Family Medicine
TEN SITES
MULTIPLE PROGRAMSONE LEARNING COMMUNITY
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Family Medicine in Canada
Ten Teaching Sites – One Learning Community
Who’s Who In Family Medicine
Dr. David Gass
Interim Department Head of Family Medicine
Dr. Karlyne Dufour
Postgraduate Program Director
Dr. Kathleen Horrey
Undergraduate Program Director
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Dr. Chris Gallant
Moncton
Dr. Stephanie Langley
Cape Breton
Sydney/Inverness
Dr. Sasha Sealy
Saint John
Dr. David Vaillancourt
Fredericton
FAMILY MEDICINE SITE DIRECTORS
Dr. Shannon Curtis
Prince Edward
Island
Dr. Abir Hussein
South West Nova
Dr. Roop Conyers
Annapolis Valley
Dr. Peter Ross
FMEM
Dr. Deanna Field
North Nova
Dr. Susan Ripley
Halifax
Dr. Kate Wood
Halifax
Assistant Site Director
2020 First-Round Match
Annapolis Valley: 4 Ministry-funded positions, 1 IMG position
Cape Breton - Sydney: 5 Ministry-funded positions, 1 IMG position
Cape Breton – Inverness: 2 Ministry-funded positions
Fredericton: 7 Ministry-funded positions
Halifax: 16 Ministry-funded positions, 1 IMG position
Moncton: 7 Ministry-funded positions
North Nova: 5 Ministry-funded positions
Prince Edward Island: 4 Ministry-funded positions, 1 IMG position
Saint John: 4 Ministry-funded positions, 1 IMG position
Saint John Integrated FMEM: 2 Ministry-funded positions
South West Nova: 4 Ministry-funded positions, 1 IMG position
EXPERIENCE self-directed learning opportunities supported by strong, centralized curriculum.
Dalhousie Family Medicine
successfully completed
Accreditation (as of November 2018)
Program Structure
•6 combined rotation/longitudinal sites
•4 longitudinal-based sites
•1 integrated family medicine/emergency medicine program
Program Highlights
•All-site participation in development of program curriculum that is delivered in a context appropriate for that site.
•Strong focus on timely, one on one feedback in a competency based-assessment environment.
•Ongoing review of curriculum and assessment components with extensive resident input.
•Yearly all-site Resident Education Weekend.
….more Program Highlights
•Funding provided for NRP, ALARM, ATLS and an ACLS refresher. $500 CPD funding available for residents who choose not to take ATLS.
•Funded annual Resident Education Weekend.
•Exam preparation, teaching skills and practice management.
•Every resident has a primary Family Medicine preceptor and a faculty advisor.
PGY1 Educational Experiences
• PGY1 learning experiences are longitudinal or
rotation based, depending on site.
• All core rotations occur in the home site except
for some Halifax rotations.
• Longitudinal learning experiences occur over the
entire year.
• Selectives occur in the core sites.
PGY2 and PGY3Educational Experiences
• Learning experiences may be rotation based or
longitudinal experiences.
• All Residents experience a rural/community family
medicine placement in a small Maritime community
where they live and work.
• Up to four weeks of elective time may be spent
outside the Maritime provinces.
• Indigenous and Global Health options.
Continuity of Care
Half day back, week back or longitudinal family medicine
experiences allow residents to build their own practices.
Family Medicine
Continuity
Family Medicine Continuity:Building a Practice in Residency
WE ARE ALL CONNECTED ... each site has a role
Distributed Program Administration
Program Director: Moncton based
Chair, Evaluation Sub-Committee: Saint John based
Chair, Curriculum Sub-Committee: Saint John based
Chair, Resident Project Sub-Committee: Halifax based
Chair, Selection Sub-Committee: Halifax based
Resident Education Weekend
Resident Interaction
• Regular Associate Chief
Resident meetings through
technology.
• Resident participation on all
program committees.
• Resident Participation in
CaRMS.
• Educational and social events at
sites.
ACQUIRE SKILLS in a dynamic, learner-friendly environment.
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Working Environment
• Minimal competition for learning experiences
• Committed, enthusiastic specialty and family
medicine teachers.
• Family Medicine-oriented hospitals.
• Very collegial working environments.
• Supervised learning with graduated responsibility.
• Great depth and variety in practices.
• Wide selection of excellent rural Family Medicine rotations.
• Ample elective time to round out experiences.
TAILOR YOUR RESIDENCY to meet your individual goals
Residency Choices
•Choose the site which best suits your personal learning style and objectives.
•Choose preceptors who share special interests.
•Work in very busy, comprehensive family practices.
•Gain experience caring for people in all areas of the hospital and community.
•Use selective/elective time to focus your learning.
Enhanced Skills in
Family Medicine
Third Year Opportunities
Emergency Medicine
Care of the Elderly
(Palliative Care)
Category 2 Training
Third Year Residency Program Directors
Dr. Jock Murray,
Enhanced Skills Program Director
Dr. Valerie Lewis, Care of the Elderly
Dr. Bijon Das, Emergency
TBD, Palliative Care
GET INVOLVED with our well-developed research network promoting primary care research
in the Maritimes
Resident Research and Scholarly Activities
• Asking and learning how to get answers to clinical questions during clinical care.
• Participating in the Evidence-Based Medicine seminar series.
• Participating in QI in Core FM practice.
• Participating in Journal Club.
• Conducting a Resident Project.
Departmental Research Initiatives
•Full-time dedicated researchers (M.D.s, PhDs. and Research Associates) in Halifax, Fredericton, and Saint John.
•Many areas of research: health services, primary care renewal, electronic medical records, clinical family medicine, education, health needs of young adults, end of life care and more.
EXPLORE THE MARITIMES
Beautiful communitiesFriendly people
Outdoor adventures…
Nova Scotia
Ten Teaching Sites – One Learning Community
NORTH NOVA, NOVA SCOTIA
• The North Nova site is the third in the Dalhousie Family Medicine programs to offer an integrated competency-based program centered in family medicine.
• During the two-year program, residents will take on a panel of patients for whom they will provide care over various domains of practice including the emergency department, inpatient ward and specialist appointments.
• The curriculum allows for the development of longitudinal relationships between the resident and patients ensuring continuity of care for patients and continuity for learning.
NORTH NOVA, NOVA SCOTIA
• The curriculum is
focused on achievement
of competency rather
than on the length of
time of training.
• The program allows
residents to take
responsibility for their
learning, skill
development and
demonstrating
acquisition of
competencies.
• Residents are involved
in the teaching of
medical students and
clinical clerks.
CAPE BRETON-INVERNESS, NOVA SCOTIA
The Inverness Program focuses learning primarily in a family medicine setting with family physicians as teachers/mentors in a longitudinal experiential format rather than the traditional block or rotational format.
As such, the majority of the learning and clinical experience in this program is centered with the family medicine preceptors who practice comprehensive family medicine in a variety of settings, including offices, hospitals, nursing homes, ER, house calls and OR assists.
OPENED July 2019!
CAPE BRETON-INVERNESS, NOVA SCOTIA
Experienced, skilled family
physicians form the core of the
educational faculty. The curriculum
is focused on achievement of
competency rather than on the
length of time training.
The program allows residents to take
responsibility for their learning, skill
development and demonstrating acquisition of
competencies.
The training of residents is done primarily at
the Inverness Consolidated Memorial Hospital,
utilizing our Regional center in Sydney when
necessary.
SOUTH WEST NOVA, NOVA SCOTIA
SOUTH WEST NOVA, NOVA SCOTIA
“In South West Nova you
are never far from an
ocean view, with
breathtaking beaches no
more than 10- 15 minutes
away and a Harbour view
from the hospital rooms.”
Amanda Glenn-PGY1
HALIFAX, NOVA SCOTIA2 Dalhousie Family Medicine
Teaching Centres
4 multidisciplinary teams
2 Family Medicine Community Teaching Practices
Work in QEII Health Sciences Centre and IWK for Pediatric and Obstetrical care
More primary care obstetrics provided in Halifax than anywhere else in the country
“Imagine the vivacity of
city living, the charms of
small town life and the
pristine beauty of nature
– all in one place!”
HALIFAX, NOVA SCOTIA
Cape Breton Family Medicine Teaching Unit -Sydney
• Established in 1997
• Major referral center for CB
• 2nd largest facility in province and 2nd busiest in terms of acute admissions
• Focus on rural experiences in areas such as Arichat, Baddeck, Cheticamp, Eskasoni, and Neil’s Harbour
CAPE BRETON-SYDNEY, NOVA SCOTIA
“…second in the world for being the friendliest
people…”
Conde Nast Traveller
CAPE BRETON-SYDNEY, NOVA SCOTIA
ANNAPOLIS VALLEY, NOVA SCOTIA
Visit Kejimikujik National Park, hike Cape Split or bike the Harvest Moon Trail –
many year-round outdoor activities for all.
The majority of the learning
and clinical experience is
with family medicine
preceptors in a variety of
settings.
A longitudinal, competency-based rural program with experiences in
communities throughout Annapolis and Kings Counties.
It is Nova Scotia’s
agricultural heartland and
has become the wine and
culinary hot spot of the
province.
ANNAPOLIS VALLEY, NOVA SCOTIA
New Brunswick
Ten Teaching Sites – One Learning Community
• Main campus for Dalhousie Medicine New Brunswick
• Minutes to coastal driving, rivers and lakes for outdoor activities including Rockwood Park - one of Canada's largest municipal parks
• 445 Beds - Largest tertiary care hospital in NB
• The primary referral center for the area and to all NB for major trauma and cardiac care, with 23 sub-specialties
SAINT JOHN, NEW BRUNSWICK
- Two Programs one Site
Family Medicine Program
• Strong Comprehensive Family Medicine Practices
• Family Medicine Centered Curriculum
• Palliative and Residential Hospice Care
• Primary Care Obstetrics
• Collaborative Care
Integrated Family Medicine Emergency Medicine
Program
Do you want to practice comprehensive Family Medicine
with enhanced skills in emergency medicine in a rural
community?
SAINT JOHN, NEW BRUNSWICK
MONCTON, NEW BRUNSWICK
• Core Plastics and Dermatology
• Expanding Simulation program
• Developing Quality Improvement and Patient Safety focus
• @MonctonMedEd
• Maritimes’ second largest municipality
• The Moncton Hospital
▪ 400 bed tertiary care facility
▪ 55,000 Emergency Room visits
per year
▪ Strong family medicine focus in
hospital
MONCTON, NEW BRUNSWICK
FREDERICTON, NEW BRUNSWICK• Dr. Everett Chalmers Hospital – service population of 175,000 in region
covering almost 1/3 of province with 400 beds and full range of secondary, elevated secondary and tertiary care services.
• Established in 1994 on the banks of Saint John River.
• Provincial capital; 2 universities.
• Abundance of outdoor activities.
• Vibrant arts and music community.
FREDERICTON, NEW BRUNSWICK
Prince Edward
Island
Ten Teaching Sites – One Learning Community
PRINCE EDWARD ISLAND
• A strong emphasis on evidence based medical practices that serve rural, immigrant, under-served and geriatric populations.
• PEI’s small size facilitates close collaboration with faculty and flexibility in rotations.
• Year round there are festivals and events that celebrate theatre, food, music and island culture.
A provincial program with
two main sites located in
Charlottetown and
Summerside.
PRINCE EDWARD ISLAND
Comparing Our Sites: Structure
Integrated Sites
• Annapolis Valley
• Cape Breton-Inverness
• North Nova
• South West Nova
Block-Based Sites
• Cape Breton - Sydney
• Fredericton
• Halifax
• Prince Edward Island
• Moncton
• Saint John
Comparing Our Sites: Teaching Style
Team-Based Practice
• Halifax
Preceptor Based Practice
• Annapolis Valley
• Cape Breton-Inverness
• Cape Breton-Sydney
• Fredericton
• Prince Edward Island
• Moncton
• North Nova
• Saint John
• South West Nova
Comparing Our Sites: Opportunities for Teaching Medical Students
Med 1-4 Students
•Halifax
•Saint John
LIC Clerkships
•Moncton
•Fredericton
•Cape Breton-Sydney
•Cape Breton-Inverness
Indigenous Health Opportunities
Cape Breton - SydneyCape Breton - Inverness
iFMEM - Saint John
Strong Primary Care Obstetrics
Cape Breton-Sydney
Halifax
Moncton
Saint John
South West Nova
North Nova-Amherst Site
Opportunities to Practice Your French
South West NovaMoncton
Our Rural Teaching Sites
Annapolis ValleyCape Breton-InvernessPrince Edward Island
South West NovaNorth Nova
Primary Care Research Opportunities
HalifaxSaint JohnFredericton
Comparing Our Sites: PGY2 ElectivesSite Weeks of Elective in PGY2
South West Nova 8
Annapolis Valley 8
North Nova 8
Cape Breton-Inverness 8
Cape Breton-Sydney 8
Halifax 10
Prince Edward Island 8
Moncton 8
Fredericton 8
Saint John 8
Comparing Our Sites: DemographicsSite Population of Center Distance to Airport
Annapolis Valley 6,300 (Kentville)
Kings and Annapolis Counties 81,000
120km
Cape Breton / Sydney 94,285 (CB Regional Municipality)
CB Island 132,010
14km
Cape Breton / Inverness 1,387 150km
Halifax 403,100 35km
Prince Edward Island 36,000 (Charlottetown)
All of PEI 146,283
6km
Moncton Greater Moncton Area 144,810 13km
North Nova Truro 12,261; Antigonish 4,364; Amherst
9,413; New Glasgow 9,075
From Truro 65.9lm; from Antigonish
183km; from Amherst 166km
Fredericton Greater Fredericton Area 105,688 15km
Saint John Greater SJ Area 127,766 20km
South West Nova 58,000 (Yarmouth, Digby and Shelburne
counties)
220-330km
Anticipated Changes to the Program
• Standardized Simulation curriculum across all sites
• Review and standardization of Procedural Skills teaching
• Development and implementation of Quality Improvement/Patient Safety curriculum
• Increased focus on resident wellness and social time at the annual Resident Education Weekend
• Longitudinal Integrated Clerkship opened in Sydney in September
CaRMS –Adding a Dalhousie Family Medicine Site
Deadline to add a site
Thursday, February 6, 2020
CHECK US OUT!
Visit the Dalhousie Family Medicine website at:
family.medicine.dal.ca
or our microsite at:
maritimefamilymedicine.ca
to find more information and contact details
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Questions?
Thank you!
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