How do residents learn the Care of Children and Adolescents?
A variety of experiences are available within the eight weeks dedicated to care of children and adolescents. Residents attend one month of pediatric emergency at the Stollery Children’s Hospital and one month of pediatric activity providing a broad spectrum of in-patient, out-patient and/or Neonatal Intensive Care Unit (NICU) contacts. There is an option to do a two week elective experience in Child Psychiatry in PGY2.
All of the full-time academic preceptors and most of the community preceptors have children and adolescents in their practices. Residents are exposed to family medicine pediatrics during their blocktime in the Family Medicine centres or in the community preceptor’s office, as well as during the clinical half-days back.
How are residents taught the Care of Adults?
"Family Physicians should learn in environments in which family practitioners participate significantly in patient care”. In addition to the core experiences in Family Medicine, Internal Medicine and the Cardiac Care Unit, there are several opportunities to bring residents in contact with role models for care of adults in Family Medicine. Many of our Family Medicine preceptors work in a wide range of settings: clinics, long-term care settings, palliative care, house calls as well as the inpatient acute care setting. These can all be experienced during a typical work week and expose residents to possibilities available following graduation.
An ongoing focus in our resident training experience is Family Medicine hospital care teams (such as the PCHT or HCT). These Family Medicine teams demonstrate models of personal patient practice responsibility, large call-group hospital care, and promote family physicians integrating group care of hospitalized patients into active Family Medicine practices.
How are residents taught the Care of the Elderly?
The Family Medicine Centers and community practices have patient populations reflective of the increasing proportion of elderly in our society. A large part of the patient population seen is elderly, particularly in the hospital, whether they are encountered in the Emergency department on Family Medicine hospital teams, or on the ward.
In addition to Family Medicine care of the elderly, all residents participate in a four-week Geriatric rotation.The learning objectives include formal and informal teaching sessions, along with patient care experiences on geriatric rehabilitation units and outpatient clinics. We also have a diploma program in the Care of the Elderly.
How do residents learn and experience the care of the dying and their families?
Residents each have a two-week rotation in Palliative Care during their second year. This is a 2-week inpatient hospital-based rotation. If you desire to obtain outpatient palliative experience you will need to book that as an elective or through an integrated palliative experience. During an integrated rotation you would follow patients over the course of their palliative condition until their deaths. This integrated experience can take place at any time during their two years of Family Medicine. The time that would have been spent on a Palliative rotation would then be available for electives.
How do residents acquire surgical and procedural skills?
Many opportunities to develop surgical skills arise in the Family Medicine experiences and include office procedures such as biopsies, circumcision, lumps and bumps, I&D, toe nail resection, cryosurgery, vasectomy, joint injection / aspiration, endoscopy, pap smears and other miscellaneous procedures.
At some sites there are additional procedures including sigmoidoscopy, laryngoscopy, IUD insertion and endometrial biopsy.
Procedural Skills Workshops
These happen throughout residency training and at the Resident Education Retreat in Jasper each year. Workshops can cover joint injection, central lines, LPs, umbilical cord canulation, episiotomy and episiotomy repair, IUD insertion, endometrial biopsy and more.
Formal Surgical Training
Residents participate in 8 weeks of formal surgical training. Included are four done at the Royal Alexandra Hospital (Orthopedic trauma center, high volume, multiple preceptors) or in Camrose at the St Mary's Hospital with their Orthopedic Surgeon (smaller community hospital). General Surgery is based at one of two community based hospitals - Grey Nuns or Misericordia.
Electives and Enhanced Skills
There is an Anesthesia elective for PGY2 residents. PGY3 Enhanced Skills programs through the Department of Family Medicine offer a unique opportunity to build skills to the level of Family Practitioner Anesthetist.
How do residents learn Obstetrics?
Maternity and newborn care is integrated in Family Medicine blocktime with a mix of Primary Care Obstetrics clinics and call (providing continuity over at least 6 months), 24-hour hospital based obstetrics call shifts, and women's health and maternity academic sessions. At our Westview teaching site, maternity is integrated into 8 months of PGY1.
The learning objectives during the 24-hour O&G call shifts are high volume labour and delivery, C-section assist, management of labour, ER consults and managing peri-natal/post-natal and surgical complications.
We have a Primary Care Obstetrics Coordinator who oversees the integration of maternity and newborn care including the academic programming. The Coordinator has administrative support and liaises with the various Primary Care Obstetrics and hospital-based site leads.
How do residents learn Acute Care and Emergency Medicine?
Our residents take one month of mandatory training in Emergency Medicine in each year of residency as well as one month in Pediatric Emergency. One of the two months of general ER must be spent in a trauma-care centre. Additionally, some of our Family Medicine preceptors have after-hours clinics with both an appointment-based style and a walk-in style of access to the physician. These clinics often address a broad range of acute care needs