UBC Family Practice Residency Surrey South Fraser Site

UBC Family Practice Residency Surrey South Fraser Site

CaRMS OPEN HOUSE 2015

Billy Lin, Baldeep Toor – Co-Chief residents Patricia Lyle, Sean Harman – R1 Reps & friends!

Surrey South Fraser, UBC

Program Contacts:

•Program Director: Dr. Willa Henry

•Site Director: Dr. Art Willms [email protected]

•IMG Faculty Lead, Langley: Dr. Fagan [email protected]

•Site Admin: Kathleen McIntosh [email protected]

•Site Administration: Bridget Begin [email protected]

R2 Chief Residents: Billy Lin, Baldeep Toor [email protected]

R1 Reps: Patricia Lyle, Sean Herman

•Resident Buddy System

•Faculty Mentor

•PARBC

mailto:[email protected]





Surrey South Fraser, UBC Overview :

• Integrated CMG / IMG site – 14 Residents • Based in communities in South Fraser region: Surrey,

Langley, etc – read: you most likely need a car • Assigned to a primary preceptor / Family Practice for 2

year residency (opportunity to change after Year 1) • Community hospitals in an urban setting SMH & LMH

– Other Training Sites • Learning focused vs. service based • Competency based curriculum • Academics • Research • Support System • Social Gatherings • Extracurricular Activities • Future Prospects

The Community of Surrey OVERVIEW • Population: Over 492 000

• Second largest city in BC

– Growth approx. 8,000 to 10,000 individuals/year

– Anticipated to overtake Vancouver as largest in BC in 10 years

• 40 minutes to Vancouver by car • Easily accessible via Skytrain

– 35 minutes to Vancouver – Station 2 blocks from hospital

(approx. 12 min walk)

The Community of Surrey

• Multicultural – 40% of immigrants to BC – 70% of refugees to BC – 38 000 Aboriginal residents

• City of Parks

– Over 6 000 acres of parks and designated green space – Over 210 km bike routes – 15 Golf Courses & Driving Ranges

• Surrey Leisure Guide • http://www.surrey.ca/culture-recreation/1702.aspx

http://www.surrey.ca/culture-recreation/1702.aspx



Surrey Memorial Hospital

• Largest hospital in Fraser Health Authority • Second largest hospital in British Columbia

– 650 Beds

• Regional Care Center for: – Pediatrics – Cancer Care – Surgical Care – Renal Care – Palliative Care – Sleep Lab

• Obstetrics: – 33 Room Family Birthing Unit – Second most deliveries of any hospital in BC – 4 200 births/year – Dedicated Maternity OR

Surrey Memorial Hospital

• Emergency Medicine:

– Busiest ER in BC – More than 107,000 visits/year – Separate Pediatric ER (the only one in a community

hospital in Canada!)

• Current Expansion

– New Emergency Department • Up to FIVE times larger • Includes: Children’s ER; Mental Health & Addictions

Crisis Response Unit; Minor Treatment Unit; Acute Patient Treatment Area

– 48 bed Neonatal Intensive Care Unit – More inpatient beds – Increased Academic Space – Helipad

Other Teaching Sites:

• Jim Pattison Outpatient Centre – Unique facility: First of its kind in BC

– Opened June 2011

• Day Surgery, Diagnostic Procedures & Tests, Family Medicine & Specialized Health Clinics under one roof!

• Highlights: – New Breast Health Program

• Only one of its kind in Canada – Specialized Clinics: COPD, asthma,

DM, CHF – Day Surgery – Cardiac Rehab – AND MORE!

Other Teaching Sites:

• Community Clinics

– Maxine Wright Clinic

– Creekside Detox & Daytox

– Inpatient Adolescent Unit

– Community Mental Health Clinics

– New Canadians Clinic

– New Ted Kuhn Towers Project – Resident initiative

– Live Well Exercise Clinic, White Rock

– All Care Medical Clinic

– Laurel Place

• BCCH – UBC Pediatric Emergency Medicine

• Delta Hospital

• Peace Arch Hospital

• Community Hospital (Est.. 1948)

• Provides Primary & select secondary services

• Maternity care clinic, about 1800 deliveries/year

• Pediatric services

• Residential care facilities & hospice residence

• Surgical day care services

• Mental health & addiction services

• Emergency services & intensive care unit

Langley Memorial Hospital ( LMH)

The Community of Langley

OVERVIEW

• New Family Practice Site Started JULY 2012

• Main training Site-LMH

• 4 Pioneer Residents

• Expansion- 6 IMGs 2013

• Integrated CMG/IMG 2013


Extra Curricular activities • Langley Golf Club

• Langley Flying School

• Fort Langley

• Willowbrook Mall

• Lots of beautiful places to visit around

• Easy access to downtown Vancouver


Academic Opportunities • July – Introduction /Orientation to

Family Practice Program • AHD at SMH every 2nd and 4th Thursday • Interactive lectures from faculty • Case presentations by residents • Image of the week by residents • Journal Club /EBM • NRP course • SOOs • SAMPS • OSCE • Indigenous Cultural Competency Course • St. Paul’s Primary Care Conference • R3 Years (after ROS)

* Program funded: • ALSO course • ACLS course

Curriculum R1 • Family Medicine 8 weeks • FP CTU 4 weeks • OBGYN 8 Weeks • Hospitalist Medicine 6 weeks • Pediatrics 8 weeks • Emergency 4 weeks • MSK 2 weeks

Name Ju

ly 4

-10

Ju

ly 1

1-1

7

Ju

ly 1

8-2

4

Ju

ly 2

5-3

1

Au

g 1

-7

Au

g 5

-14

Au

g 1

5-2

1

Au

g 2

2-2

8

Au

g 2

9-S

ep

t 4

Se

pt

5-1

1

Se

pt

12

-18

Se

pt

19

-25

Se

pt

26

-Oct

2

Oct

3-9

Oct

10

-16

Oct

17

-23

BLOCKS 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4

RES. 1 FM FM FM FM ER ER ER ER MED HOSP

MED HOSP

MED HOSP

MED HOSP FM FM FM FM

RES. 2 FM FM FM FM MSK MSK MSK MSK CARDIO RESP NEPH NEURO OBS OBS OBS OBS

RES. 3 FM FM FM FM OBS OBS OBS OBS OBS OBS OBS OBS PED PED PED PED

RES. 4 FM FM FM FM MED HOSP

MED HOSP

MED HOSP

MED HOSP

PALL PALL PALL PALL ER ER ER ER

RES. 5 FM FM FM FM

RES. 6 FM FM FM FM PED PED PED PED PED PED PED PED SX SS

SX SS

SX SS

SX SS

• General Surgery 4 weeks • Palliative Care 4 weeks • Subspecialty Medicine 4 weeks • Vacations 4 weeks

Curriculum: Year One

•Family Medicine – 8 Weeks

•2 x 4 week rotations

•First rotation beginning July 1 as orientation to Residency & Surrey Memorial Hospital

•Full day call-back to family practice every second Thursday during other rotations to provide continuity of care

•Call with preceptor (max 1:3, home call to midnight)

• FP CTU – 4 weeks Resident of the Month

•2 other weeks of night-time home-call coverage off service

•Manage 10-bed medicine ward with GP Preceptors and 4th year Medical Students


•SMH Internal Medicine – 10 Weeks

•6 week block hospitalist medicine (MRP for all patients except ICU and CCU)

•No call – some overnight shifts

•4 x 1 week subspecialty rotations (no call)


• Obstetrics/Women’s Health – 8 Weeks

– 8 week block rotation

– Call 1:4 (max), 24 hour call shifts

– Clinic opportunities: infertility clinic, colposcopy, gyne office, prenatal clinic, nausea/vomiting clinic, maternal-fetal medicine, etc.

• Pediatrics – 8 Weeks

– 6 weeks inpatient hospital rotation

– 2 weeks Peds Emerg at BCCH and peds office exposures

– Call 1:4 (max), 24 hour call shifts

– Pediatrics ward, ER consults, teaching clinic, newborn exams, NICU exposure


• Surgery – 8 Weeks

– 2 week block surgery subspecialty

– 4 week block general surgery

• General Surgery Consults & Call

– Call 1:4 (max), call to 2300h

• ALSO: Anesthesia, Pain Service, Wound Care, IV team, Lumps & Bumps, Radiology opportunities, breast clinic, ophthalmology clinic, ostomy nurse

– ~ 2 days ENT combined Family Medicine 2 week block

• Musculoskeletal – 2 Weeks

– Clinic opportunities: sports injury, Office, OR, cast clinic


• Emergency Medicine – 4 Weeks (SMH, LMH, Delta)


– Shift work

– No call, No overnight shifts

• Hospice Palliative Care – 4 Weeks


– No mandatory call

– Primarily hospice

– Community & Tertiary Palliative Care Opportunities

Curriculum R2

• Family Medicine 12 weeks • FP CTU 4 weeks • Rural 8 weeks • Global Health 4 Weeks • Chronic Pain 2 weeks

• Electives 14 weeks

• Psych 4 weeks

• Geriatric 4 weeks • Vacations 4 weeks

Name J 1-7 J 8-14 J 15-21 J 22-28 J 29-A4 A 5-11 A 12-18 A 19-25 A 26-S1 S 2-8 S 9-15 S 16-22 S 23-29 S 30-O6 O 7-13 O 14-20

BLOCKS 1 1 1 1 2 2 2 2 3 ALSO Sep6-7 3 3 4 4 4 4

RES. 1 PSYCH PSYCH PSYCH PSYCH Elect Elect Elect Elect CP CP ADD ADD FM FM FM FM

RES. 2 Rur Rur Rur Rur Rur Rur Rur Rur GH GH GH GH CP CP Elect Elect

RES. 3 Elect Elect Elect Elect GH GH GH GH ADD ADD CP CP PSYCH PSYCH PSYCH PSYCH

RES. 4 Rur Rur Rur Rur Rur Rur Rur Rur PSYCH PSYCH PSYCH PSYCH Elect Elect Elect Elect

RES. 5 GER GER GER GER CP CP FM FM FM FM FM FM FM FM Elect Elect

RES. 6 GH GH GH GH ComCare ComCare CP CP GER GER GER GER Elect Elect Elect Elect

Curriculum: Year Two

• Family Medicine – 12 Weeks - Longitudinal opportunities based on personal learning objectives

(up to two half days per week out of designated office)

• Rural Family Medicine – 8 Weeks

• Global Health – 4 Weeks

• Aboriginal Health

• Positive Health / HIV / Hep C

• New Canadian Clinics ( Burnaby and Surrey)

• Maxxine Wright Community Health Center

• Prison Health Advocacy

• Community Health (Ted Kuhn Tower / Outreach)

• International Opportunities

• Geriatrics – 4 Weeks

• Electives – 14 Weeks - ICU, Infectious Disease, Adolescent Care, Addictions Medicine,

Dermatology, Rheumatology

• Psychiatry – 4 Weeks (SMH and LMH) - inpatient, community and reproductive mental health clinic, ER - Call is not overnight

- follow-up a total of 4-6 patients, access patients in ER, patients with chronic and persistent mental illness.

• Teaching – Family Practice CTU Year 4 Medical Students

• R2 Hospital Coverage and On-Call for Family Practice


Research

• PIP (due by end of R1)

• Scholar Project (start early, due before graduation)

Class of 2011-2013

Strengths • New(ish) Program

– Opportunity to contribute to program development

• Small cohesive group of colleagues

• Focus on Learning – Objectives based on Resident Learning Objectives

– Vs. Service Based

• Excellent Learner to Preceptor Ratio (often 1:1) – Only residency program to call Surrey ‘Home’

– Plenty of opportunity for hands on experience

• Family Practice driven Tertiary Center – Exposure AND Management of the ‘rare birds’

– Good volume to gain competence for common presentations

Challenges

●New Program Continue to actively shape the program Self directed learning and motivation is

an asset

●Best suited to flexible individuals

●Faculty Development

Skilled clinicians, but in some cases

limited formal teaching experience

Future Prospects

• Integrated Site

• Continued Growth 6 IMGs & 8 CMGs

• Rotations shared between SMH,LMH, Delta & Peace Arch Hospital


Social gatherings

• Welcome dinner

• Get together during Christmas & New year

• Langley Division of Family Practice

• Surrey Division of Family Practice

Surrey South Fraser Family Practice 2013

Surrey South Fraser

Why choose Surrey South Fraser Site? • Unique and flexible program

• Excellent preceptors

• Receptive faculty

• Enthusiastic staff & teaching

• Small community

• Hands on clinical experience

• ROS in Fraser region

Resident

Retreat

July 2013

Questions?

Documents

UBC Family Practice Residency Surrey South Fraser Site