The Family Medicine Teaching Centre

Presentation to Full Dept. Meeting

Thursday April 22, 2010

William Osler Health System

Our namesake is

inherent to medical teaching

Our Vision• To produce high quality Family Doctors

who are truly patient centered• To build a Teaching Centre lead by

stimulated faculty who are student focused• To create a learning environment that is:

Enjoyable/fun, inspiring/scholarly, supportive/empowering

For both residents and faculty

The Brampton Family Medicine Teaching Centre

Continues to Grow!

The number of residents continues to increase over the first 5 years

2008 2009 2010 2011 2012

R1 1st Year 7 9 9 10 10

R2 2nd Year 3 7 9 9 10

Total 10 16 18 19 20

Teaching Program FacultyJudy

Maynard

Faculty Development

Evidence Based

Medicine

BehaviouralSciences

ProgramFaculty

Family PracticeTeaching Sites

JeannieFlowers-Correa

Brameast

Brammed

Queen’s Square

Rexdale

Westbram

Wise Elephant

Louella Lobo

Harmeet Bami

Lauren O’Connor

David Borts

Carrie Bernard

SpecialtyTeachingFaculty

Emergency

Pediatrics

OB & GYN

Internal MedicineHospitalist

QA

Praveen Bansal

Asim Masood

PBSG

Susan Hayward

Elen Kostopoulos

Palliative Care

Geriatrics

Surgery

Caroline Collins

Brampton East

Heart Lake

Georgetown

Woodbridge

Brampton Civic Hospital

The residents are doing rotations in our two hospitals and out in the community.

EtobicokeGeneral Hospital

How are we doing?

• The residents seem very pleased with their programs and are actively promoting the site to future family medicine residents

• We have just learned of our 9 new residents for next July; 2 IMG’s & 7 CMG’s

• More Family Physicians are being drawn into the Teaching Centre as the number of Teaching Practices grows from 9 to10.

• The Faculty at WOHS are very engaged and excited about teaching at the hospital. The size of the specialist teaching faculty is growing to provide new teaching programs (i.e. geriatric, palliative care, IM outpatient, surgery)

How are we doing?

What have we done since last year?

• Developed new biweekly educational rounds for the residents: ▫ Internal Medicine rounds; didactic and at the

bedside ▫ alternating with their PBSG sessions• Education Council meetings monthly with representation by

residents, tutors, primary preceptors and Education Assistant• Developed local awards for resident professionalism and Preceptor

of the year that will be presented at our Grad night in May • QA presentations will be presented locally this June at Dept. of FM

meeting at BCH/WOHS• Samps and SOO prep sessions for R2’s were developed • We are presenting AHD sessions locally and we are planning a

CBRT faculty development session for the fall of 2010; teaching ethics to be presented by Dr. Carrie Bernard

• We have many more of our faculty with appointments with McMaster University and we are tracking their teaching hours

What are our goals for the future?

• Grow to the full complement of residents and faculty• Continue to look for more formal teaching for the residents (rounds,

lectures, skills & drills, etc.)• More faculty development for faculty to continually improve their

teaching skills (we sent 4 physicians to FMF this past October 2009)• Grow our infrastructure and administration to support more

residents (eg. adding more on call rooms within BCH, hire an Admin backup for Jeannie)

• Work with MOH and politicians to try and help our IMG’s stay local when they finish as our community needs them and they can help our teaching centre continue to grow

• Site visits every 2 years with the teaching practices• Build a new Family Medicine Teaching Centre at the old Peel

Memorial Site which will have a Family Health Team with a focus on teaching residents and medical students. This initiative will grow the number of residents beyond our planned targets.

What Makes Our Teaching Centre Unique?

1. Totally Community Practice Based

• All Residents are out in community practices• Supervision of Residents is done by practicing Family

Physicians • The number of community

practices in Brampton, Woodbridge, Etobicoke and Georgetown is expanding to 10 in 2010

What Makes Our Teaching Centre Unique?

2. Obstetrics at BCH

• Residents work primarily with the Family Physician On Call Rota System in which 24 doctors share a 24 hour hard call doing plenty of low risk deliveries. The Rota docs and residents are also manning an early pregnancy loss clinic in the last year.

• Family Physicians, Nurses and Obstetricians are accredited in the MoreOB program and Residents can review the modules as well.

• Nurses are helping with the teaching of residents and specifically are running them through emergency drills; shoulder dystocia, postpartum haemorrhage etc.

• Residents are presenting cases regularly in the Dept of OB meetings

A Labour and Delivery Room at Brampton Civic Hospital

• More than 7,100 births per year (the largest obstetrical program in the province)

What Makes Our Teaching Centre Unique?

3. The Family Medicine Residents are our only learners at WOHS

• Residents are never bored• They have the opportunity to

see lots of patients with different acuity levels, ages and cultures

• There is a genuine interest in teaching by all of the Specialists, Family Physicians and our Support Staff

What Makes Our Teaching Centre Unique?

4. The Teaching Centre Office is Hospital Based

• The Teaching Centre office is situated in the middle of anew, state of the art BCH hospital providing Residents with close access to specialists, allied health professionals, medical technology, our medical librarian plus the educational support team.

What Makes Our Teaching Centre Unique?

5. Video Conferencing Facilities

• Regular video conferencing with the Hamilton Teaching Centresfor academic half days and meetings keeps the university affiliation close.

What Makes Our Teaching Centre Unique?

6. A Resident Centred Web Site Powered by

• The Teaching Centre’s web site is www.fmteaching.com • The public portion of the website provides all the information

required by prospective residents to understand what ourTeaching Centre has to offer.

• The secure portion of the web site has been developed only for the residents and faculty to share information relevant to their teaching programs such as: Full Teaching Centre calendar of meetings and clinics Individual Resident schedules Contact information of faculty and students Links to McMaster policies and Rotation Objectives & Goals Info on Selectives and Electives available New Resident only side site developed this year

Public Website – Home Page

Public Website – Map of Teaching Locations

Inside Website – HOME PAGE

Online Calendar of meetings and rounds

Electives/Selectives available for Residents

Contacts – Students and Faculty

Awards Information

Our Core Strengths

• Totally Community Based Family Medicine experience.

• Obstetrics; Family Physician Rota

• They are busy!!

• A lovely new facility with lots of space

• Our website to connect us together (www.fmteaching.com)

Live a simple and a temperate life, that you may give all your powers to your profession. Medicine is a jealous mistress; she will be satisfied with no less. William Osler