Department of Family Medicine TEN SITES MULTIPLE PROGRAMS ONE - - PowerPoint PPT Presentation

Department of Family Medicine TEN SITES MULTIPLE PROGRAMS ONE 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 dfmhead@dal.ca

• Dr. Karlyne Dufour

Postgraduate Program Director karlyne.dufour@dal.ca

• Dr. Kathleen Horrey

Undergraduate Program Director khorrey@dal.ca

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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 PGY3 Educational 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
• utside 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 murrayj@dal.ca

• Dr. Valerie Lewis, Care of the Elderly

vlewis@dal.ca

• Dr. Bijon Das, Emergency

bijondas@dal.ca TBD, Palliative Care allister.barton@dal.ca

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 communities Friendly 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

• f 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

• cean view, with

breathtaking beaches no more than 10- 15 minutes away and a Harbour view from the hospital rooms.” Amanda Glenn-PGY1

HALIFAX, NOVA SCOTIA

2 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
• utdoor 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 - Sydney Cape 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 Nova Moncton

Our Rural Teaching Sites

Annapolis Valley Cape Breton-Inverness Prince Edward Island South West Nova North Nova

Primary Care Research Opportunities

Halifax Saint John Fredericton

Comparing Our Sites: PGY2 Electives

Site 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: Demographics

Site 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

• r our microsite at:

maritimefamilymedicine.ca to find more information and contact details

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Questions?

Thank you!

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