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Kamloops/Tk’emlups UBC Family Practice Residency Program

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Page 1: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

Kamloops/Tk’emlupsUBC Family PracticeResidency Program

Page 2: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The PlaceLocated in the traditional territory of

the Secwepemc Nation

Thompson-Okanagan Region

Pop: 90,000 in town; regionally serves 125,000

Hot summers, mild winters

360km from Vancouver - 4hr drive, 45min flight

417km from Jasper - 4.5hr drive

Page 3: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The Community

Sun Peaks and Harper Mountain

Endless mountain biking trails

Local theatre and comedy troupes

Four microbreweries

Farmer’s Market, local parks

Hiking, cross-country skiing, river rafting

Page 4: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The Hospital

Royal Inland Hospital

254 beds, serves 225,000 catchment

Level II trauma center , Tertiary acute care center

Specialties: all except thoracic surgery, cardiac surgery and interventional cardiology

New Clinical Services Building (outpatient labs, clinics, UBC space)

New surgical tower by 2022

View from the CSB

UBC Simulation Center

Page 5: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The Medical Community

Receptive preceptors - family physicians and specialists

Welcoming and inclusive

Multiple family medicine subspecialties -addictions, palliative, transgender, elderly, obstetrics, maternity, Indigenous health

Broad scope of practice - from office focus to full spectrum

Page 6: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The Residency Program

Page 7: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The CurriculumBlock format with longitudinal family medicine 1 day per

weekLongitudinal patients in family medicine, maternity, long term care, and hospiceRevisits core rotations like OB, ER and in-hospital medicine

AHD - targeted to the CCFP 99 Key TopicsALARM, NRP, ACLS - covered by program

Partial coverage of ATLS or CARECasting teaching by orthopedics and casting techs

Dedicated Simulation SessionsCall: usually 1 in 4 (flexible)

Usually one weekend per monthFamily Medicine weekend call 6 times in the year

Page 8: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The RotationsAll core rotations - Surgery, Medicine, OB/GYN, ER, Psychiatry, Pediatrics

Two ER rotations - one in first year, one in second

Two in-hospital medicine rotations - Internal and Hospitalist

Two maternity/obstetrics rotation - OB/GYN and Family Obstetrics

Other rotations - Anesthesia, Orthopedics, Chronic Pain/Addictions, Family Obstetrics, Hospitalist, Family Practice, Care of the Elderly/Palliative, Medicine Selectives

Longitudinal FP time, as well as split blocks and first and final blocks

12 weeks of elective

8 weeks of Rural FP

Page 9: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

Limited Learners = Maximum Opportunity

6 FP residents (now 8 starting this year!)

4 MSI3 UBC students

Opportunity to teach

Visiting specialty residents

Opportunity to be taught

Max. 1-3 learners per service

Page 10: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

An established program...3rd cohort graduating this Summer

Well-established rotations, preceptors, and staff

Tradition of collaboration and support

The medical community is happy to have the residents here and want to support us

Page 11: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

...with new opportunities

Family Practice Teaching Clinic

Spring 2018

Designed with the residents to maximize FP teaching

Feedback is heard and acted on

Page 12: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

A Blend of Urban and RuralSimulation Center

Weekly Rounds, with monthly

Trauma Rounds

Well-represented specialties

Lots of acute medicine

Full-service Family Physicians

Rural ER work - Chase, Merritt, Ashcroft

Rural First Nations

Option to extend rural rotation to 4 months

Page 13: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The BonusesSingle hospital - no need to travel for different rotations

UBC Resident Space - lounge, kitchenette stocked with snacks, call rooms

Flexibility - have a special interest? You can build that into your residency!

Supportive staff - they are available and receptive

Exam Prep - at AHD, SOO practice, OSCE practice

Great medical community - inclusive and inviting

Includes former Kamloops Residents!

Ample hands on - limited learners = maximum opportunity

Page 14: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The Challenges

Autonomy + Responsibility - setting up days within rotations, contacting preceptors

Great for self-directed learners

New opportunities can also mean stumbling blocks

Be receptive to change and innovation

Expectations

No one expects you to be perfect

You have to put in that work to show you are trying and are making progress

Be willing to seek out that feedback and incorporate it

Page 15: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

The Resident PerspectiveA place for fun...

Page 16: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

...for learning...

Page 17: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

... for family...

Page 18: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

...for adventure...

Page 19: Kamloops/Tk’emlups UBC Family Practice Residency Program€¦ · UBC Family Practice Residency Program. The Place Located in the traditional territory of the Secwepemc Nation Thompson-Okanagan

...for you!