Undergraduate Medical Education

Clerkship Manual Med 4

2017-2018

Please do not save a copy of this manual. The UGME website now provides much of the information referenced in this manual, including frequently used forms, policies, and manuals. The original is always available on the website. http://undergraduate.medicine.dal.ca/

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GENERAL STRUCTURE OF THE CLERKSHIP In Phase 2, there is a scheduled block that is designed for clerks to participate in 18 weeks of elective time, as well as two PIER blocks, specifically designed to assist in preparing students for CaRMS, Medical Council examinations, and entry into postgraduate training. Vacation time and CaRMS interviewing time are to be scheduled around the clinical rotations. PIER 3 – 2 weeks Electives – 12 weeks Non-Tertiary/Community – 3 (consecutive) weeks Interdisciplinary/Inter-Professional – 3 (consecutive) weeks Research in Medicine (longitudinal unit) Skilled Clinician in Clerkship (longitudinal unit) PIER 4 – 6 weeks ALL UNITS HAVE PASS/FAIL CRITERIA. For all rotations, students must develop individualized learning objectives, structured around the CanMEDS format. For a detailed outline of the CanMEDS framework, please review the website: http://rcpsc.medical.org/canmeds/bestpractices/framework_e.pdf DEFERRED OR SUPPLEMENTAL EXAMS Clerkship deferred exams and Clerkship Supplemental MCQ and OSCE exams are scheduled to occur during Phase II Clerkship. If you are required to write a deferral or supplemental exam, you will need to pre-arrange to be in Halifax or Saint John during the scheduled exam dates. ITERS (IN-TRAINING EVALUATION REPORT) Elective (Med 4) – successful completion of a Formative ITER for each Elective, as well as successful completion of a Summary ITER encompassing all Electives. Interdisciplinary/Inter-Professional (Med 4) - successful completion of a Summative ITER. Non-Tertiary/Community (Med 4) - successful completion of a Summative ITER.

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CLERKSHIP - PHASE 2 PIER 3 PIER 3 is designed to facilitate the transition from third year to fourth year, while both reviewing and building on key clinical components. There will be opportunities to engage with Program Directors on an informal basis, allowing students to explore potential career opportunities in advance of submitting their CaRMS application. RESEARCH IN MEDICINE In the fourth year of RIM, students should ensure they have met all RIM requirements, or are planning to, by the end of their Med 4 year, and are required to meet with their Unit/Site Director in September or October. The required components include both a presentation and a written submission. Further details on the RIM Unit, including final due dates, are available from the RIM Office. SKILLED CLINICIAN IN CLERKSHIP Through the use of a variety of assessment methodologies and a learning portfolio, this four-year program helps you keep track of your learning and development throughout the MD program. PIER 4 This Unit is scheduled as the last six weeks in fourth year and is intended to help transition students from Undergrad into Postgrad. Sessions will be offered to assist students with preparing for their Medical Council of Canada Part 1 exams and their first year in Residency. A focus will be on the basic science and clinical correlations of common clinical presentations. An Advanced Cardiac Life Support (ACLS) course is required for all PGY1 programs and will be offered to all 4th year students. NOTE: Students are expected to complete the PIER Units at their home campus. Special

accommodation will be considered only with support from the Office of Admissions and Student Affairs.

ELECTIVES The objective of the Electives is to provide flexibility and opportunities in order to:

Gain experience in aspects of medicine not offered in the regular curriculum

Study particular areas of the curriculum in greater depth

Explore career opportunities Students are encouraged to be creative in their selection of electives. Electives in basic science, medical education, Bioethics, and Health Law are encouraged. Additionally, students should choose areas that are complimentary to the specialty of major interest (i.e. for an interest in Orthopedic Surgery, an experience in Radiology and/or Anaesthesia would provide excellent complimentary experiences). Agree in principle with the Joint UGME/PGME Committee Policy on Electives approved at the AMFC meeting on Sunday, April 20, 2006 that:

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"Electives in Clinical Clerkship must be organized so that by December 1* of the final year each student has had an elective experience in a minimum of three disciplines** each of which shall take place for a minimum of two weeks",

With the modifications: *December 1 should read ‘Academic Year’ and the **interpretation of the word "Discipline" in the broadest possible term, with students encouraged to select diverse electives and to view the regulations of the Postgraduate Departments they are interested in. CRITERIA FOR ELECTIVES 1. Each rotation must be a minimum of two consecutive weeks in one specialty with the same

preceptor(s). One week electives are not permitted. 2. Students must complete twelve (12) weeks of electives, with a minimum of three (3) different

specialties.

3. For Canadian sites each proposal must be submitted through one45 at least four weeks prior to the start of the rotation.

4. For International sites each proposal must be submitted through one45 at least eight weeks prior to the start of the rotation. If you are applying for an International rotation please below for further instructions.

5. The Formative ITER must be completed through one45 within 48 hours of completion of the rotation.

INTERDISCIPLINARY/INTER-PROFESSIONAL The goals of the Interdisciplinary/Inter-Professional rotation are:

To learn about the inter-professional management of patient care.

To have students work with an inter-professional team (i.e. PT, OT, dieticians, nurses, etc.), and participate in decision-making and medical education of patients and their families.

To have a focus on outpatient ambulatory care, when possible, and various inpatient services may be considered appropriate for this rotation. Please Note: Acute care services such as MTU, ICU, and Emergency Medicine are focused primarily on acute care, and the interdisciplinary nature of the care provided is not planned or consistent. For this reason, they are not generally considered appropriate for this rotation.

To allow students to further their knowledge, skills, and attitudes related to inter-professional teamwork.

NON-TERTIARY/COMMUNITY The goals of the Non-Tertiary/Community rotation are:

For students to learn about the differences in healthcare delivery in a smaller community versus a tertiary-care setting (i.e. a facility that doesn't provide tertiary care services; examples of tertiary care services are specialist cancer care, neurosurgery, burns care, and plastic surgery).

To allow students to broaden their clinical skills through their application in non-acute care settings, and community settings.

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Rotations at the Victoria General, Halifax Infirmary, IWK, Nova Scotia Hospital, or Saint John Regional Hospital WILL NOT meet the criteria of a Non-Tertiary/Community Rotation. CRITERIA FOR INTER-PROFESSIONAL AND NON-TERTIARY/COMMUNITY ROTATIONS Students must complete a single rotation for each Unit, each for a minimum of three consecutive weeks. These rotations must include active student participation in patient care. Each experience must have sufficient clinical density to ensure good learning and minimize unproductive time. During these rotations students will be able to access a broad range of experiences in order to accomplish the global goals of the rotations. Overall, the experiences should allow a student to reinforce self-assessment, as well as independent and lifelong learning skills. 1. Each rotation must be three (3) consecutive weeks in one specialty with the same

preceptor(s). 2. For Canadian sites each proposal must be submitted through one45 at least four weeks prior

to the start of the rotation. 3. For International sites each proposal must be submitted through one45 at least eight weeks

prior to the start of the rotation. If you are applying for an International rotation please below for further instructions.

4. The Summative ITER must be completed through one45 within 48 hours of completion of the rotation.

Additionally, as one of the goals of these rotations is to learn about different health care systems, international electives tend to qualify for both the Interdisciplinary/Inter-Professional and Non-Tertiary/Community rotations.

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ARRANGING ROTATIONS IN MED 4 When arranging your rotations, please be specific on the requirements of the rotation (i.e. Inter-Professional vs. Elective). If you set up rotations that do not meet the requirements, you may be required to cancel them, as they may not fit the objectives. WITHIN THE DALHOUSIE SYSTEM Please contact the appropriate Administrator in the Department or Medical Education Office that you are interested in – do not contact the preceptor directly. As a 4th year student you have more to contribute to the overall management of patients, and are much more useful on the clinics and wards as a contributing member of the health care team. Electives, Non-Tertiary/Community, and Interdisciplinary/Inter-Professional – to arrange rotations within the Maritimes, please contact the appropriate Administrator (see Contacts on pages 15-19).

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INTERNATIONAL ROTATIONS An international health rotation is an option for Med 4 students who may wish to build on their international experience, or work internationally. Please review the International Elective Policy for Undergraduate Medical Education Students before making any elective inquiries. In order to comply with the University Policy governing students travelling outside Canada, the International Clerkship Rotation form must be completed and submitted to GHO at least eight (8) weeks prior to commencing the elective. Funding is available for rotations organized in a developing country, through the International Health Education Program Fund (IHEP), and through the Study/Work International Fund (SWIF). Students applying for funding from the IHEP Committee must submit their application to the Global Health Office at least eight (8) weeks before their departure. Whether or not you are applying for funding, you must submit the International Clerkship Rotation form and the Clerkship Elective Proposal (with learning objectives) to the Undergraduate Medical Education Office at least eight (8) weeks prior to commencing the elective. Please Note: Electives may not be undertaken in countries where Foreign Affairs Canada has issued a travel advisory stating that non-essential or all travel should be avoided. Please visit the Foreign Affairs Canada website for up-to-date travel information and country reports: http://www.voyage.gc.ca/index-eng.asp For further information regarding International Electives, please contact: Said Msabaha Global Health Office Room C-241, Clinical Research Centre Halifax, NS B3H 4H7 Phone: (902) 494-1574 Fax: (902) 494-2799 Email: said.msabaha@dal.ca Website: http://gho.medicine.dal.ca/

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LETTER OF RECOMMENDATION/SUPPORT If you require a letter of recommendation to accompany an application, please submit to the Electives Coordinator, the name and address of the individual to whom the letter should be addressed, the dates of your rotation, the Department/Division, and name of preceptor (if known), and this will be prepared. Please ensure that application forms requiring the signature of the Dean (or Designate) are completed before making this request. CERTIFICATE OF INSURANCE If you require a Certificate of Insurance (proof of malpractice insurance) for an elective, please submit the following information to the Electives Coordinator. A Certificate of Insurance (COI) will be prepared and sent directly to the requesting institution. Student Name Dates of Elective Type/Title of Elective (Dept/Div) Preceptor Name (if known) Preceptor Mailing Address (if known) Preceptor Phone Number (if known) Preceptor Fax Number (if known) Preceptor Email Address (if known) ***** Name of Institution Name of Contact Person Title of Contact Person Contact’s Mailing Address Contact’s Phone Number Contact’s Fax Number Contact’s Email Address

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SUBMITTING PROPOSAL FORMS (I.E. OBJECTIVES) Once you have made arrangements and been accepted for a placement, you must complete all information required on the proposal form, which is accessed through the one45 system. Proposal forms with objectives are due four (4) weeks before your proposed start date (eight (8) weeks for International electives). Step-by-step instructions are available in a separate document titled “Med 4 Student Responsibilities”. You are responsible for ensuring your proposals have been approved in a timely fashion. For assistance on what we are looking for in your objectives, please refer to the handout on Writing Learning Objectives, which can be found on the following page, or the PowerPoint presentation, Writing Objectives for Electives. You are not required to write an objective for each of the CanMEDS categories (Medical Expert, Communicator, Collaborator, Manager, Health Advocate, Scholar, and Professional); however, you should have a minimum of 2-3 objectives in at least three of the categories (Medical Expert will almost always be used). If you have followed the guidelines, your proposal will be approved and you may proceed with your plans. If there is information missing on the proposal form, or your objectives are either too vague or too ambitious, it will be rejected and will not be approved until it is completed properly. Approval of the elective must be completed to ensure malpractice coverage. Please Note: If you commence any rotation without approval from the UGME office (i.e. the

proposal form approved by the Clerkship Director, Electives), you will not receive credit for the elective time.

You must submit one proposal for each rotation that you are completing.

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4TH YEAR MEDICAL STUDENT ELECTIVE PROTOCOL Process for submission of Elective Proposals

All elective proposals for 4th year are approved via the Undergraduate Office (UGME)

All approved electives will be forwarded to the relevant clinical department for allocation to a preceptor

Any physician practicing in Canada who is approached as a potential preceptor for an elective must hold a faculty appointment through Dalhousie University, or another Canadian medical school

Conflicts of Interest

Students are expected not to propose or accept electives which would involve working with, or being evaluated by, any preceptor with whom they have a close family or personal relationship

All preceptors must be able to objectively evaluate student performance and provide accurate feedback

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WRITING LEARNING OBJECTIVES WADE WATSON, MD, FRCPC, MED

As an adult learner, physicians need to be effective in writing learning objectives. This helps the physician to establish learning needs, set up appropriate learning encounters and to measure success. Your electives are not only to explore your potential future careers, but are planned learning activities. Objectives can assist your supervisors in establishing an effective educational experience. Your objectives can also establish an important initial interaction with your supervisor as a dialogue to discuss, expand or refine these objectives. You are expected to meet with your electives supervisor on the first day to discuss your objectives. Effective communication around these objectives should enhance your learning experience. Some aspects of learning objectives:

1) Specific 2) Achievable in the time available 3) Relevant and important for the learner

It is important to distinguish between goals versus objectives. A goal is a general statement that describes a major purpose of a program, course or unit of instruction. Goals help to provide direction for selection of content. A learning objective is a statement that describes what the learner will be able to do after a prescribed unit of instruction. It may be relevant for some of your experiences to write goals rather than objectives since you may not be familiar enough with the topic to write effective objectives. There are four elements of an instructional objective:

1) Audience. This is to whom the objective is intended. Since you will be writing your own objectives, obviously, this will be you.

2) Behaviour. This is specific, observable action or behaviour the learner is to perform. 3) Condition. The condition is the relevant factors affecting the performance. 4) Degree. This is the level of acceptable performance.

Objectives need to be relevant to the learner, understandable, measurable and achievable. Educational objectives can be used to in different learning domains, including cognitive domains (facts), psychomotor domain (skills), and effective domains (attitudes). An example of a goal would be that, by the end of the elective in Radiology, the student would be able to be more effective in interpreting radiographs. An objective would be that the student would be able to describe five steps in a logical approach to evaluating a chest radiograph. As you can see, a goal is a very general statement while an objective gives some idea of how successful you would like to be. Try to be as specific as possible if you can. Please give this some thought in your generating of your goals and objectives for your electives. Hopefully, this will increase your satisfaction and decrease the stress around your electives.

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CANCELLING ELECTIVES If you commit to doing an elective, changes can be accommodated up until the effective cancellation policy of the University affected. For Dalhousie-arranged electives there is a four week cancellation policy, and for Non-Dalhousie electives the policy is generally six weeks (please refer to the specific cancellation policy of each University). Only under exceptional circumstances will this change. A detailed letter outlining your reason for changing the elective with short notice will be required before a change will be considered; however, this will not guarantee that the change will be allowed. Many Departments receive numerous requests for electives and there are limited spots available in each of these Departments. Usually, they are approved on a first-come, first-serve basis. If an elective spot is approved for one student, there may be several other students who have been turned down for that spot because of sheer numbers and an inability to accommodate them. Should a student then cancel their elective at the last minute, an open spot is left that could have been filled by other students who truly wanted to do that specialty. It is impossible to give this spot to another student. This leaves a rather uncomfortable and unpleasant feeling within the Department affected. We realize that agreeing to an elective is not a binding contract; however it does speak towards the issue of professionalism. Sometimes, we are unable to have our first choice in life and so we pursue our second or third choice. Once we decide on the second or third choice, it really becomes our first choice.

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MED 4 ELECTIVE ITERS – RESPONSIBILITIES OF STUDENTS Students are responsible for their education. As Dalhousie Med 4 students, the onus is on you to provide evidence of having met the requirements of your elective experiences; this means ensuring that your ITERs are completed and submitted to UGME in a timely manner. Especially considering that many Med 4 electives do not take place locally, it is imperative that students ensure that their ITERs are submitted shortly after their elective ends to avoid a last-minute rush. Students who have missing ITERs at the end of their Med 4 year will NOT have their names submitted to Faculty Council for graduation. To ensure your ITERs are submitted on time, you are expected to take the following steps during your electives:

1. When you begin your elective, book a meeting with the faculty member who is tasked with completing your ITER. This meeting should take place during the last week of your elective, preferably within the last two days.

2. ITERs should be completed through one45. If your preceptor does not receive your ITER, please inform Vanessa Voerman (vanessa.voerman@dal.ca), who will ensure that the preceptor receives the ITER through one45.

3. Always keep on hand hard copies of the Med 4 ITER. These should ONLY be used as a last resort after all other avenues for having the ITER available through one45 are exhausted.

4. The UGME office should receive your ITER within 48 hours of the completion of the elective. In addition to jeopardizing your eligibility to graduate, failure to take these steps may be considered a professionalism issue.

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MED 5 PROGRAM – GUIDELINES FOR TRAINEES DESCRIPTION The Med 5 program will provide MD trainees from Dalhousie, who remain unmatched after the second iteration of the CaRMS match, with an opportunity to enrich their knowledge, experience, and skill sets while reviewing and/or redefining their career paths. These trainees will embark on an individualized/customized program of study that will consist of experiences tailored to the specific needs and career goals of the individual. The continuation of their studies will provide access to clinical and research opportunities that would not otherwise be available to these individuals. In so doing, these students will have a comprehensive and competitive application to the CaRMS match in the subsequent year. A continuation fee of $4120 (subject to change) will be charged to the trainees. They will also be charged the standard Medicine incidental fees. OVERALL STRUCTURE AND DURATION Trainees are only eligible to apply in the academic year that immediately follows the fulfillment of their MD requirements. Applications open the day following the confirmation of graduation of the student by Faculty Council (early May). Trainees will register in elective courses and will have the same rights and privileges as undergraduate medical education students (with the same licence privileges and restrictions – e.g. they will not be permitted to write prescriptions) by the College of Physicians and Surgeons of NS, NB, or PEI. They will begin by meeting with the Associate Dean, Undergraduate Medical Education, or delegates, to begin to identify specific clinical and/or research-based experiences that would potentially assist them in successfully matching to their residency program(s) of choice. The curriculum may also include sessions on elective planning, interview skills, and letter writing strategies determined on an individual basis; these sessions would be provided by Student Affairs at the trainee’s request. All trainees are subject to the Faculty of Medicine, Promotion/Assessment Regulations – i.e. students will be subject to identical assessments, code of conduct, professionalism guidelines, and the academic appeal process. ADMISSION REQUIREMENTS All students admitted to the program must meet the following requirements:

1) Have Canadian citizenship or permanent residency. 2) Have met all MD requirements the academic year immediately preceding the target Med 5

year. 3) Remain unmatched after the first and second iterations of the CaRMS match AND provide

evidence of using best efforts to match to a residency position by demonstrating broad application across Canada during the second iteration of the CaRMS match in the year of application.

4) Upon completion of this additional year, students are not allowed to reapply if unsuccessful in the CaRMS match.

Students are to apply in writing to the UGME office (ugme@dal.ca). In the application the student must demonstrate that he/she meets the application requirements. More detailed information regarding registration and elective applications will be available to students who are accepted into the program.

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MED 4 ELECTIVE CONTACTS

DEPARTMENT CONTACTS - HALIFAX METRO (UPDATED MAY 2017) (CONTACT INFORMATION CAN ALSO BE FOUND BY SEARCHING DALMEDIX)

It is your responsibility to schedule your own rotations in consultation with the appropriate department contact. A list of departmental contacts for Dalhousie is included to assist you in making your choice.

Anaesthesia Jessie Purvis (902) 473-2325 Jessie.Purvis@nshealth.ca

AnesRes@dal.ca Laura Harris Buffett (902) 473-8883 laura.harrisbuffett@nshealth.ca

Emergency Medicine

Andrew Steele Moore HI Site (902) 473-8921 andrew.steelemoore@nshealth.ca

Dr. Albert Williams DGH (902) 465-8300 albertrwilliams@hotmail.com

Dr. Chandra Avery IWK (902) 470-3725 Avery@dal.ca The only possible availability is over Christmas

Dr. Michael Clory Dawn Maxwell

Cobequid (902) 869-6141 (902) 869-6101

cloryfamily@bellaliant.net dawn.maxwell@nshealth.ca

Family Medicine Linda Guy (902) 473-4748 dfm.undergrad@dal.ca *Please copy Family Medicine on confirmation of any electives you arrange outside of Halifax, but within the Maritimes (NS, NB, and PE).

Internal Medicine

Karmal Brouwer (902) 473-7722 DoMUndergrad@nshealth.ca

Includes all inquiries for the Divisions of Medicine: Cardiology, Critical Care (ICU), Dermatology, Endocrinology, Gastroenterology, General Internal, General Internal Intermediate Care Unit, General Internal/ICU Combination @ DGH (maximum of 2 weeks), Geriatric Medicine, Haematology, Infectious Diseases (minimum of 4 weeks), Medical Oncology, Nephrology, Neurology, Palliative Care, Physical Medicine & Rehabilitation, Respirology, and Rheumatology. **Please note that Internal Medicine limits students to a combined maximum of eight (8) weeks.**

Obstetrics & Gynaecology

Mary Boudreau (902) 470-6675 mary.boudreau@iwk.nshealth.ca

Ophthalmology & Visual Sciences

Heather Fraser (902) 473-2517 ophthed@dal.ca

Otolaryngology

Brenda Oake (902) 473-2737 brenda.oake@dal.ca

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Pathology

Dr. Jennette Gruchy jennette.gruchy@nshealth.ca

Andrena Brown (902) 473-7706 andrena.brown@nshealth.ca

Pediatrics General Inquiries Bernice MacLellan (902) 470-8115 bernice.maclellan@iwk.nshealth.ca

Allergy & Immunology Sarah Patterson (902) 470-7568 sarah.patterson@iwk.nshealth.ca Cardiology Debbie Clarke (902) 470-8407 debbie.clarke@iwk.nshealth.ca Developmental Dr. Theresa Fraboni (902) 470-8483 Theresa.Fraboni@iwk.nshealth.ca Emergency Medicine Dr. Chandra Avery (902) 470-3725 Avery@dal.ca Endocrinology Mary Hill (902) 470-6955 mary.hill@iwk.nshealth.ca Gastroenterology Karen Eyking (902) 470-8784 karen.eyking@iwk.nshealth.ca General Pediatrics Tracy Sainsbury (902) 470-8534 tracy.sainsbury@iwk.nshealth.ca General Surgery Sheila Reid (902) 473-5570 sheila.reid@dal.ca Medical Genetics Marilee Ross (902) 470-8641 marilee.ross@iwk.nshealth.ca Hematology/Oncology Jennifer Curran (902) 470-8048 Jennifer.Curran@iwk.nshealth.ca Infectious Diseases Kelly LeFurgey (902) 470-7561 Kelly.LeFurgey@iwk.nshealth.ca Intensive Care Unit (PICU) Joanne Chapelle (902) 470-7515 Joanne.Chappell@iwk.nshealth.ca Neonatology (NICU) Wendy Mitchell (902) 470-6466 wendy.mitchell@iwk.nshealth.ca Nephrology Mary Young (902) 470-8195 mary.young@iwk.nshealth.ca Neurology Dr. Paula Brna (902) 470-2614 Paula.Brna@iwk.nshealth.ca Orthopedic Surgery Sheila Reid (902) 473-5570 sheila.reid@dal.ca Palliative Care Shoel Strang (902) 470-7262 shoel.strang@iwk.nshealth.ca

Radiology Elizabeth Johnson (902) 470-8060 elizabeth.johnson@iwk.nshealth.ca Respirology Kelly Purcell (902) 470-8218 kelly.purcell@iwk.nshealth.ca Rheumatology Alicia Baldasso (902) 470-7568 Alicia.Baldasso@iwk.nshealth.ca Urology Paula Taylor (902) 473-5469 PaulaA.Taylor@nshealth.ca

Psychiatry

Mandy Esliger (902) 473-4883 mandy.esliger@nshealth.ca

Radiation Oncology

Karen Watts (902) 473-6068 karen.watts@dal.ca

Radiology (Diagnostic)

Heather Langer (902) 473-5453 heather.langer@dal.ca

Margaret Garnier (902) 473-5476 margaret.garnier@dal.ca

Sports Medicine (Fenwick)

Pat Ness (902) 421-7525 Pat@stanishortho.com

Surgery

Sheila Reid (902) 473-5570 sheila.reid@dal.ca

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Urology

Paula Taylor (902) 473-5469 PaulaA.Taylor@nshealth.ca

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DEPARTMENT CONTACTS - OUTSIDE METRO (CONTACT INFORMATION CAN ALSO BE FOUND BY SEARCHING DALMEDIX)

To arrange an elective in Family Medicine in the Maritime Provinces please contact:

Linda Guy Tel: (902) 473-4748

Dept of Family Medicine Fax: (902) 473-4760

Room 8424, Abbie Lane dfm.undergrad@dal.ca Note: You may also contact the administrators listed below for Family Medicine electives, as long as you copy Dalhousie Family Medicine on all correspondence.

Nova Scotia – South Shore Region

You must forward a completed Medical Student Approval form and a letter of good standing to ensure you will be properly registered as required by their Board of Directors.

Melissa Hiltz Tel: (902) 527-5057

Assistant to the VP Medicine Fax: (902) 527-5269

90 Glen Allan Drive melissa.hiltz@nshealth.ca

Bridgewater, NS B4V 3S6 www.ssdha.nshealth.ca

Nova Scotia – South West Nova Region

You must forward a completed privilege application form to make sure you will be properly registered as required by their Board of Directors.

Shirley Watson-Poole Tel: (902) 742-3542, ext. 1451

Physician Resource Manager Fax: (902) 742-0369

60 Vancouver Street shirley.watson-poole@nshealth.ca

Yarmouth, NS B5A 2P5 heather.blackler@nshealth.ca

*Copy Heather Blackler on all correspondence* www.swndha.nshealth.ca

Nova Scotia – Annapolis Valley Region

You must forward a completed privilege application form to make sure you will be properly registered as required by their Board of Directors.

Elizabeth Keast Tel: (902) 679-3766

Office of VP Medicine Fax: (902) 538-3432

5 Chipman Drive ElizabethA.Keast@ns.health.ca

Kentville, NS B4N 3V7 www.avdha.nshealth.ca

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Nova Scotia – Colchester East Hants Region

You must forward a completed privilege application form and a letter of good standing to make sure you will be properly registered as required by their Board of Directors.

Judy MacKay Tel: (902) 893-5539

207 Willow Street Fax: (902) 893-7653

Truro, NS B2N 5A1 judy.mackay@nshealth.ca

www.cehha.nshealth.ca

Nova Scotia – Cumberland Region

Shirley Symes Tel: (902) 661-1090 Ext. 22

34 Prince Arthur Street Fax: (902) 667-1125

Amherst, NS B4H 1V6 shirley.symes@nshealth.ca

www.cha.nshealth.ca

Nova Scotia – Pictou County Region

Nancy MacConnell-Maxner Tel: (902) 752-7600 Ext. 4560

835 East River Road Fax: (902) 752-6231

New Glasgow, NS B2H 3S6 nancy.macconnell-maxner@nshealth.ca

www.pcha.nshealth.ca

Nova Scotia – Guysborough Antigonish Strait Region

Danielle Murphy Tel: (902) 867-4273

25 Bay Street Fax: (902) 863-1176

Antigonish, NS B2G 2G5 danielle.murphy@nshealth.ca

www.gasha.nshealth.ca

Nova Scotia – Cape Breton Region

You must forward a completed privilege application form to make sure you will be properly registered as required by their Board of Directors.

Heather Jessome, Administrative Assistant Tel: (902) 567-7496

Kathleen Williams Tel: (902) 567-7741

Undergraduate Program Fax: (902) 567-7992

1482 George Street MedicalEducationCB@nshealth.ca

Sydney, NS B1P 1P3 kathleen.williams@nshealth.ca

www.cbdha.nshealth.ca

Prince Edward Island

Carrie Barlow** Verna McInnis

Tel: (902) 894-2537

PEI Medical Education Program Fax: (902) 620-3072

Department of Health and Social Services cabarlow@ihis.org vlmcinnis@ihis.org

Charlottetown, PE C1A 7N8 www.gov.pe.ca/health/index.php3 **NOTE: Carrie Barlow is on maternity leave as of June 27, 2016.

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New Brunswick – Moncton

Martine McKay, Clerkship Coordinator Tel: (506) 860-2331

Dalhousie Medicine New Brunswick Fax: (506) 857-5660

South-East Health Care Corporation martine.mckay@horizonNB.ca

Moncton, NB E1C 6Z8 www.serha.ca

New Brunswick – Saint John

Megan Dow, Clerkship Coordinator Tel: (506) 636-6262

Dalhousie Medicine New Brunswick Fax: (506) 648-6833

400 University Avenue, 3D South Megan.Dow@dal.ca

Saint John, NB E2L 3L6 http://www.ahscmeded.ca

New Brunswick – Fredericton

Mallory Flowers, Clerkship Coordinator Tel: (506) 447-4487

Dalhousie Medicine New Brunswick Fax:

Dr. Everett Chalmers Regional Hospital mallory.flowers@horizonNB.ca

Fredericton, NB E3B 5N5 http://en.horizonnb.ca/

New Brunswick – Miramichi

Tara Allison, Clerkship Coordinator Tel: (506) 623-3341 (Tara)

Dr. Robert Boulay, Clerkship Director Tel: (506) 778-8994 (Dr. Boulay)

Dalhousie Medicine New Brunswick Fax: (506) 623-3347

Miramichi Regional Hospital tara.allison@horizonNB.ca

500 Water Street robert.boulay@horizonNB.ca

Miramichi, NB, E1V 3G5 http://en.horizonnb.ca/