Surrey-South Fraser Site

UBC Family Practice Residency

CaRMS Open House 2018

Indy Sahota & Samuel Vijayan, Chief

Residents

Saima Ali & Andy Minhas, R1 Reps

Site Contacts

● Site Director: Dr. Darryl Samoil

● Langley Site Faculty Leader: Dr. Jeff Plante

● Administrators:

○ Surrey: Kathleen McIntosh (kathleen.mcintosh@fraserhealth.ca)

○ Langley: Bridget Begin (bridget.begin@fraserhealth.ca)

● Chief Residents

○ Indy Sahota (issahota@ucalgary.ca)

○ Samuel Vijayan (pravinsamuel@hotmail.com)

● R1 Reps

○ Saima Ali (saima.ali@alumni.ubc.ca)

○ Andy Minhas (mandeepminhas@doctors.org.uk)

Overview

● Integrated CMG-IMG site

○ 8 CMGs and 6 IMGs per year

● Family Practice preceptor based in

Surrey or Langley

○ Same preceptor across the 2 years

○ Opportunity to seek exposure at

alternate clinics after 1 year

● Home-base: Surrey Memorial Hospital

○ May have rotations at Langley

Memorial, Delta or Peace Arch

Hospital

● Learning focused site

Surrey

● Population: > 520, 000

○ Second largest city in BC

● Multicultural & diverse population

○ 40% of immigrants to BC

○ 70% of refugees to BC

○ 40, 000 Aboriginal residents

● Easily accessible to Vancouver

○ 40 min by car or skytrain

○ 2 blocks from King George Station

Surrey Memorial Hospital

● Largest hospital in Fraser Health Authority

● Second largest ER in Canada

○ 100, 000 visits/year

● Dedicated Peds ER

○ 150 visits/day

● Family Birthing Unit

○ 4200 births/year

● Acute Palliative Care Unit

● Newly renovated academic space, SIM labs,

resident lounge and call rooms

Township of Langley

● Population: 120, 000

○ Fastest growing municipality in Vancouver

● Great place to live

○ Cheaper cost of living

○ Cozy community feel

● Increasing number of new immigrants and refugees

● 45 min from Vancouver along Hwy 1

Langley Memorial Hospital

● Community hospital

○ Many GPs follow their own patients in hospital

● 166 acute and 224 extended care beds

● Palliative care

○ New hospice in planning stage

● Maternity care

○ 1800 deliveries/year

Other Teaching Sites

● Jim Pattison Outpatient Care and Surgery Centre

● Delta Hospital

● Peace Arch Hospital

● Addictions Centres

○ Creekside Detox & Daytox

○ Maxxine Wright

● Laurel Place Hospice

Academics

● Academic Full Day every 2nd and 4th Thursday

○ Half day faculty lectures or clinical skills sessions

○ Half day resident-led sessions

■ Case of the week, M&M Rounds, Journal

club, McMaster modules, etc.

● Exam prep: SOOs, SAMPS and OSCE cases

● Sim labs in house - 4-6 sessions/year

● Residents as Teachers (RaT)

● Funded courses:

○ NRP

○ ACLS

○ ALARM

○ Indigenous Cultural Competency Course

R1 Curriculum

● Family Medicine - 12 weeks

● OBGYN - 8 weeks

● Pediatrics - 8 weeks

● Emergency - 4 weeks

● General Surgery - 4 weeks

● MSK/Ortho - 2 weeks

● Palliative Care - 4 weeks

● Hospitalist - 4 weeks

● Infectious Disease - 2 weeks

● IM Consults - 2 weeks

● Cardiology/Nephrology/Neurology - 1 week each

Detailed Look: R1 Curriculum

● Family Medicine - 12 weeks

○ Surrey or Langley community

○ All R1s start on FM for 4 weeks and the remaining 8 weeks are spread across the rest of the year

○ Full day call-back every 1st, 3rd and 5th Thursday

● Obstetrics and Gynecology - 8 weeks

○ High volume obstetrics - low and high risk with GPs and OBs

○ Clinics - prenatal visits, gyne consults, infertility, MFM, Diabetes in pregnancy, etc.

○ 1:4 24-hour call

● Pediatrics - 8 weeks

○ Hospital rotation - inpatient ward, outpatient consults in teaching clinic, newborn exams, ER consults

○ 2 days office exposure in a community clinic

○ 1:4 24-hour call

Detailed Look: R1 Curriculum

● Emergency Medicine - 4 weeks

○ Surrey Memorial, Delta or Peace Arch Hospital

○ 15 8-hour shifts

● General Surgery - 4 weeks

○ Clinic, consults and OR - “choose your own adventure”

○ Clinics - Lumps & Bumps, Breast Health, Urology, Wound care, etc.

○ 1:4 call until 11PM

● MSK/Ortho - 2 weeks

○ Clinic, consults and OR

○ Clinics: cast clinic, joint injections, back pain, knee clinic, etc.

○ 2 call shifts until 11PM

Detailed Look: R1 Curriculum

● Palliative Care - 4 weeks

○ Surrey Memorial, Langley Memorial or Delta hospital

○ High acuity symptom management, ER and inpatient consults, hospice and community care

○ No call or weekend shifts

● Hospitalist - 4 weeks

○ Comprehensive service - admits, inpatient wards, discharges

○ 1:4 call 24h call

● Infectious Disease - 2 weeks

○ Consulting service - ER and inpatient

○ No call or weekend shifts

Detailed Look: R1 Curriculum

● IM Consults - 2 weeks

○ Consulting service - ER and inpatient

○ No call or weekend shifts

● Cardiology - 1 week

○ Inpatient rounding on new CCU, ER and inpatient consults, clinics

○ Clinics - Heart Function, Heart Failure, Lipids, Cardiac Rehab etc.

○ No call or weekend shifts

● Neurology - 1 week

○ Clinics and consults

○ Clinics - Movement Disorders, Headache, Stroke, Neuro-Ophthalmology, etc.

○ No call or weekend shifts

● Nephrology - 1 week

R2 Curriculum

● Family Medicine - 16 weeks

● Rural Medicine - 8 (to 16) weeks

● Hospitalist-CTU - 4 weeks

● Electives - 12 weeks

● Psychiatry - 4 weeks

● Geriatric Medicine - 4 weeks

● Global Health - 4 weeks

Detailed Look: R2 Curriculum

● Family Medicine - 16 weeks

○ Same preceptor as R1 year (opportunities to alternate / change clinics in R2 year if requested)

○ Longitudinal opportunities based on personal learning objectives - 2 half days per week

○ Residential care exposure

○ Full day call-back every 1st, 3rd and 5th Thursday of every block

● Rural Family Medicine - 8 weeks

○ Can opt to do enhanced rural rotations (16 weeks) if interested in rural FM

● Hospitalist-CTU - 4 weeks

○ Goal is to increase comfort in managing 10 to 14 acute medical patients

○ Teaching opportunities with med students rotating through

○ 1:4 24h call

Detailed Look: R2 Curriculum

● Psychiatry - 4 weeks

○ Inpatient ward, clinic and ER consults

○ Clinics - Rapid Access, Reproductive Mental Health, community

○ Call until 11PM

● Geriatrics - 4 weeks

○ Clinic and inpatient

○ No call or weekend shifts

● Global Health - 4 weeks

○ Choose from a variety of experiences - Aboriginal health, Addictions, HIV/HCV, New Canadian Clinics,

Prison Health, Maxxine Wright Community Health Centre, Population and Public Health research

○ International electives can be arranged (but start early!)

Detailed Look: R2 Curriculum

● Electives - 12 weeks

○ 4 weeks maximum OOP or International

○ Distributed throughout the R2 year

● Longitudinal Hospitalist Call

○ Scheduled for Hospitalist evening shift until 11PM throughout the year during FM rotations and non-call

rotations (except rural)

○ First call for ward issues on all admitted hospitalist patients

○ Hospitalist staff are in-house during this shift for backup

Our Family

Resident Wellness

● Warm, tight-knit community of residents,

faculty and preceptors

● Social events

○ Welcome dinner

○ Resident retreat

○ Holiday party

○ Birthday celebrations

● Strong Surrey-North Delta & Langley

Divisions of Family Practice Chapters

Challenges

● Less community pediatrics exposure

○ High volume of bread and butter cases

○ ER consults and outpatient teaching clinic during Peds rotation & Pediatric ER shifts on EM rotation

● Less interaction with Royal College Residents

○ Allows for family medicine-oriented learning on services

○ Resident Doctors of BC events

○ Awesome co-residents and strong community here!

● Having a vehicle is helpful

So Why Choose Us?

● Learning-based, not service-based site

● Home base for FM residents only

● 1:1 learner to preceptor ratio on most rotations

● High volume of diverse patients

● Enthusiastic and supportive preceptors

● Excellent (and busy!) hospitalist, emergency and

obstetrics rotations

● Receptive faculty

● Welcoming, tight-knit community

● Return of Service in Fraser region (for IMGs)

Questions?