UBC Family Practice Residency Program Kamloops, BC Welcome to - PowerPoint PPT Presentation

UBC Family Practice Residency Program Kamloops, BC

Welcome to Kamloops!

Goals of our presentation  To provide information about Kamloops and our program.  To have you understand our curriculum.  To outline challenges and opportunities.  Time for discussion, questions and answers.  Excitement!

Our Vision To provide a comprehensive Residency Program that inspires Residents, Medical Staff and Health Care System Innovation

Kamloops  Friendly, welcoming community of 90,000 people  Referral center for the 125,000 citizens of the Thompson region  Tertiary care hospital with 244 beds, 2 nd busiest ER and trauma center in BC  Approximately 1200 deliveries per year, excellent OB and NICU experience  Committed, diverse group of family doctors and specialists  Lots to do! From outdoor recreation and sports to cultural activities

Skiing at Sun Peaks

Wakeboard Nationals 2011 (downtown!)

Awesome mountain biking (we have a world champion living here!)

Spectacular hiking and camping

Farmer’s Market Downtown Kamloops

Kamloops Art Gallery and Public Library

It speaks for itself

Royal Inland Hospital (we like it!)

TCC on TRU Campus (we are the tournament capital!)

Excellent golfing – just miss the wild sheep!

Don’t miss the wild lights at Christmas

Who are we? Dr. Selena Lawrie – Site Director Dr. Kraig Montalbetti – Curriculum Dr. Shirley Sze – Faculty Development Dr. Tracey Smillie – Behavioural Medicine Dr. Peter Gorman – Assessment & Evaluation Dr. Ian Mitchell – Scholar Laurel Thompson – Site Coordinator

This is us (Dr. Mitchell was working  )

Our Curriculum Academic and Clinical Curriculum Outline

Academic Curriculum  “Academic Half-Day”: Every Wednesday morning throughout the 2-year curriculum  Lectures/Case Presentations/Seminars etc. to prepare both for MCCQE- 2/CCFP Exams and for practicing as an FP

Academic Curriculum (Cont.) “Keynote” Topic:  1-2 hour presentation, based on CFPC’s 100 “Priority Topics and Key Features”  1/week over the 2-year curriculum  Delivered by Specialists (“Stroke”) or FP’s (“Travel Medicine”)

Academic Curriculum (Cont.) Other Presentations:  “Open Invite” for other 0.5-2 hour lectures/workshops/seminars  Examples: WCB, Disaster Medicine, Cultural Education, Medical Leadership, Billing  Delivered by Specialists, FP’s, Other Healthcare Staff, as well as others from the community

Academic Curriculum (Cont.) Behavioural Medicine:  Sessions focussed on counselling, psychotherapy, family therapy, lifestyle counselling, ethics, medical errors, etc. organized by the Site Faculty for Behavioural Medicine

Academic Curriculum (Cont.) Evidence-Based Medicine/Research:  Sessions focussed on Critical Appraisals (2/R1), Evidence-Based Reviews (1/R2), etc.  Instruction/review/presentations of FP Audit Projects (R1) and Resident Research Projects (R2)  Organized by the Site Faculty for Scholar/ERI

Academic Curriculum (Cont.) Other:  Case Presentations (2/Resident/year)  Debates  Etc.

Curriculum Extras  R1 Orientation (Program-wide and Site-specific components): Late June  Resident Research Day (UBC-Wide)  ACLS, ALSO, NRP covered by UBC  ALARM, PALS, ATLS also available  OSCE/General Exam Prep: MCCQE-2/CCFP  Exams: MCCQE-2/CCFP (May of R2 Year)  Procedure Seminars?

Curriculum Extras (Cont.)  Resident Retreats (Each October and April)  ?Canoe Day  ?Ski Trips  ?Hiking Trips  Christmas Party

Clinical Curriculum Scheduled into 26 4-week “blocks”  ~52% delivered by FP’s  ~30% delivered by Specialists  ~8% Electives (2 blocks)  ~10% Academic Half-Days

Clinical Curriculum  “Exclusive Blocks” (6/26):  Family Practice Introductory Month (July of R1 Year- with Primary FP Preceptor)  Rural Practice (2 months in R2 Year)  Electives (2 months in R2 Year)  Family Practice Graduation Month (June of R2 Year- with Primary FP Preceptor)

Clinical Curriculum (Cont.)  Academic Half-Day: Each Wednesday morning  “Half-Day Back”: Resident in office with their Primary FP Preceptor each Wednesday afternoon, throughout the 2-year curriculum, to establish continuity of care with a group of patients

Clinical Curriculum (Cont.)  2 days/week (Monday-Tuesday or Thursday-Friday): Family Practice time, with:  Primary FP Preceptor (20 weeks)  Secondary FP Preceptors (16 weeks x2)  FP Hospitalist (8 weeks)  FP Geriatrics/Long-Term Care (8 weeks)  FP Obstetrics (8 weeks)  FP Palliative Care (Hospice) (4 weeks)

Clinical Curriculum (Cont.)  2 days/week (Monday-Tuesday or Thursday-Friday): Specialty time, with:  Internal Medicine (20 weeks)  Surgery (12 weeks)  Pediatrics (12 weeks)  Emergency Medicine (12 weeks)  Obstetrics & Gynecology (8 weeks)  Orthopedics & Anesthesia (8 weeks)  Psychiatry (8 weeks)

Weekly Schedule for 20/26 Blocks (80 Weeks) Monday Tuesday Wednesday Thursday Friday Internal Medicine (20) FP Primary Preceptor (20) Academic AM Surgery (12) FP Secondary Preceptors (32) Half-Day Pediatrics (12) FP Hospitalist (8) Emergency Medicine (12) FP Geriatrics/LTC (8) Half-Day Back Obstetrics & Gynecology (8) PM FP Obstetrics (8) with Primary Orthopedics & Anesthesia (8) FP Palliative Care (Hospice) (4) Preceptor Psychiatry (8)

Clinical Curriculum (Cont.)  Call: Mostly with relevant specialty rotation, max 1:5, should include some weekends  “Post-Call”: If resident on call overnight, off at 12:00 the next day  Vacation: 4 weeks/year, taken out of rotation time, though only 25% of any given rotation may be missed

Clinical Curriculum (Cont.) Electives  Usually Preceptor-Based  Any of above rotations, plus Dermatology, Radiology, Pathology, Ophthalmology, Addictions/Pain Management  Organized by the resident  May take place in Kamloops or elsewhere

Clinical Curriculum (Cont.) Particular Strengths  Several specialty residents to learn from and medical students to teach but not so many as to take away learning opportunities  Specialists in almost every field yielding high breadth of exposure and elective options  Our ER serves as a regional trauma center  Great city with many recreational opportunities

Clinical Curriculum (Cont.)  Rotation objectives as per the CFPC’s 100 “Priority Topics and Key Features” and 65 Core Procedures  However, the main idea is to provide residents with an exposure to the specialty as well as the knowledge they need to know in that area to practice Family Medicine (quality work-ups, when to refer…)

Clinical Curriculum (Cont.) Family Medicine Curriculum  Office with Primary Preceptor (116 days over the 2-year program):  Family Practice Introductory Month (July of R1 Year)  Family Practice Graduation Month (June of R2 Year)  Half-Day Back (each Wednesday afternoon)  2 days/week (Monday-Tuesday or Thursday-Friday): 20 weeks

Clinical Curriculum (Cont.) Family Medicine Curriculum (Cont.)  Office with Secondary Preceptors (32 days over the 2-year program with each secondary preceptor):  2 days/week (Monday-Tuesday or Thursday-Friday): 32 weeks  Delivered as 8 weeks with each of 2 different preceptors in each year of the program

Clinical Curriculum (Cont.) Family Medicine Curriculum (Cont.)  Promotes continuity of care/exposure for a select group of patients in one’s “Primary Practice” as well as exposure to different practice styles and patient populations  Allows for a gradual increase in independence/patient volumes throughout the 2-year program

Clinical Curriculum (Cont.) Family Medicine Curriculum (Cont.)  Follow along several pregnancies (pre-natal appointments + deliveries) throughout the R1 year (TRFO clinic)  Follow along Long Term Care and Hospice patients from Primary Preceptor’s practice throughout the R1 and R2 years  Exposure to PT, OT, SLP, Chiro, Massage, Pharmacy, Pedorthist, Travel Medicine, WCB  Call: with current preceptor, or with concurrent specialty rotation

Clinical Curriculum (Cont.) Rural Family Medicine Rotation  8 Weeks (2 Blocks) in R2 year  Mostly preceptor-based  Call: with MD’s in community (1 st call)  Possible Locations: All throughout BC (“draft” procedure where residents “match”)

Clinical Curriculum (Cont.) FP Hospitalist Rotation  2 days/week (Monday-Tuesday or Thursday-Friday): 8 weeks  On “off-days”, could round on patients seen the other days to increase continuity of exposure  Mostly preceptor-based

Clinical Curriculum (Cont.) FP Geriatrics/Long-Term Care Rotation  2 days/week (Monday-Tuesday or Thursday-Friday): 8 weeks  Rounds with LTC Family Physicians  Attend Care Conferences  Geriatric Psychiatry Elderly Services Program  Ponderosa Respite/CCU/Pathways to Home  Home Care and LTC Assessments