Coastal

Site Director Message

The Coastal Family Practice Residency site evolved in a unique manner, with high aspirations. A group of physicians from the North Shore, Pemberton, Whistler, Squamish, Sunshine Coast and Powell River planned this site, to develop exceptional clinical skills – for rural, remote and urban environments.

We see our residents as an important part of our health communities, and key members of the team.

We also see the program as an opportunity to consider ‘big picture’ issues in health: to foster an awareness of the social determinants of health, through the diversity of our participating communities, and through opportunities in public health, First Nations, electives, high needs populations, and more.

First year, on the North Shore, encompasses a wide range of urban Family Practice settings, along with acute care experience at Lions Gate Hospital. The brand new HOpe Center, situated beside LGH, provides teaching rooms, library, call rooms, a simulation center (soon) and a great deal more, to support resident learning needs.

In second year, Residents spend four months in a rural community, making our program “rurally strong”, and creating an excellent opportunity to work, learn and live in a rural environment. Each community offers a broad range of clinical experience with committed practitioners. We feel these communities offer some of the best primary care learning opportunities around.

The Coastal Family Practice site offers something for everyone. Vancouver is a multicultural city with all of the urban perks, and an incredible range of recreational opportunities including sailing, kayaking, golf, great cycling, and lovely green spaces such as the renowned Stanley Park. Our Coastal Communities offer a variety of outstanding clinical and recreational opportunities. The communities range from a 45 minute to 2.5 hours’ drive from Vancouver, while some are a short ferry or flight away.

The North Shore has various rental accommodations, including apartments, houses, suites in houses, etc. During the second year, 4 month rural rotation, funding support is provided for accommodation.

We’re confident that our wide range of clinical and academic environments, and exciting lifestyle opportunities, will attract strong Residents who want to work hard, benefit from the recreational and cultural activities in our communities, and gain skill and insight in all aspects of Family Practice and health care.

Dr. Dean Brown

dvbrown@shaw.ca

Chief Resident Message

Welcome to Coastal! Our site aims to produce full service Family Doctors who will be comfortable working in any setting when they graduate. Throughout our first year, residents complete family medicine rotations at one of the family medicine clinics within the North Shore region (including North Vancouver, West Vancouver, Deep Cove, and Bowen Island). Most other rotations are based out of Lions Gate Hospital, which is a great community hospital with a strong family practice presence. Being the only core group of residents based out of Lions Gate Hospital means that we have direct access to staff and are generally the first residents in line for hands-on experiences. In second year, the program diversifies to include 4 months in one of the rural communities in the Coastal region which includes the Sunshine Coast and the Sea-to-Sky corridor. This makes Coastal the only urban program that is rurally strong.

With only 8 (recently increased to 9) residents per year, Coastal residents get to know each other well and we support each other throughout the two year program. Our Site Director, Dr. Dean Brown, and our enthusiastic team of faculty leads go above and beyond for the program and its residents. Jana, our amazing Site Coordinator, works her magic to make all our rotations run smoothly. We are well taken care of in the Coastal family!

See you there!!

Sincerely,

Drs. Justine Spencer and Nam Phan

jspencer@alumni.ubc.ca
nam.phan@alumni.ubc.ca

Number of Residents: 4 CMG, 4 IMG
Location: North Shore, Vancouver, various Coastal Communities
Community: 250,000
Hospitals: Lion’s Gate Hospital, Pemberton Health Centre, Whistler Health Centre, Squamish General Hospital, St. Mary’s Hospital, Powell River General Hospital

Curriculum Type: Partially Integrated
Elective Time: 
12 weeks
Contacts: Site Director – Dr. Dean Brown – dvbrown@shaw.ca / Site Coordinator – Jana Ogdenova – jana.ogdenova@familymed.ubc.ca
Chief Resident: Justine Spencer – jspencer@alumni.ubc.ca / Nam Phan – nam.phan@alumni.ubc.ca

 

Overview

COASTAL

Introduction

The Coastal Family Practice Residency site evolved in a unique manner, with high aspirations.  A group of physicians from the North Shore, Pemberton, Whistler, Squamish, Sunshine Coast and Powell River planned this FP Residency, to develop exceptional clinical skills for rural, remote and urban environments, across a full spectrum of clinical care settings.

Purpose

The Coastal site has been developed for Residents who are excited about becoming leaders in Family Practice.  The site focuses on exceptional clinical skills and experiencing all aspects of Family Practice.  This is a “rurally strong” program with extensive urban exposure, allowing Residents to work across the full range of Family Practice. The first year, spent entirely on the North Shore, starts with a common time together, to learn fundamentals and create a support network.  There is a 4 month rotation in the second year in a rural Coastal community.  There is also a 10-week elective period in the second year which can be tailored to suit individual interests. This program has a focus on creating a strong academic learning environment, supporting Residents to gain the skills and knowledge to be successful in all aspects of Family Practice.

Curriculum Highlights

There will be many opportunities for clinical skill development.  Some examples:

    • Simulation sessions at Lions Gate Hospital’s Simulation Centre
    • Extensive rural practice experience
    • Varied Family Practice office setting exposure, from private office to group settings
    • Obstetrics experience including the full spectrum from prenatal visits, labour, delivery (including c-sections) and post partum care
    • A high needs clinic for unattached patients with complex clinical and social needs in a multidisciplinary setting
    • Time with surgeons keen on supporting the development of core skills in Family Practice Residents, including anaesthesia and airway management
    • Mental health and addictions experience to develop these vital skills for Family Practice.
    • Internal Medicine, Hospitalist and Critical care experiences
    • Good exposure and training in First Nations/Aboriginal Health
    • A strong commitment to academic development, with academic and clinical leaders providing content delivery and interactive sessions

First & Second Year Curriculum

First year, on the North Shore, encompasses a wide range of urban Family Practice settings, along with acute care experience at Lions Gate Hospital. The brand new HOpe Center, situated beside LGH, provides teaching rooms, simulation centre, call rooms, and a great deal more, to support resident learning needs.

In second year, Residents will spend part of the year on the North Shore, 10 weeks in electives, and four months in a rural community, making our program “rurally strong”, and creating an excellent opportunity to work, learn and live in a rural environment. Each community offers a broad range of clinical experience with committed practitioners.

 

Rotation Duration Location/Notes
Family Practice 46 weeks Including 16 weeks of Rural FP
Emergency 8 weeks
Obstetrics/Gynecology 4 weeks
Pediatrics 8 weeks
Internal Medicine + Hospitalist 10 weeks
Surgery 8 weeks
Mental Health 4 weeks
Palliative Care 4 weeks
Sports Medicine 2 weeks
Electives 10 weeks

 

Training Sites

Resources

North Shore:  The North Shore, where the main training hospital is located, is 20 minutes from Vancouver.  It boasts three local ski mountains, internationally acclaimed mountain biking trails, hiking, sailing, many local beaches and a vibrant urban core.  Lions Gate Hospital has 238 acute care beds, serves the North Shore, and provides specialty services for all of Coastal (North Shore, Sea to Sky corridor, Sunshine Coast, Powell River, and the Central Coast).  A recognized trauma centre, one of 5 BC Neuro surgery centres, it has a large orthopedic trauma service.  LGH provides full maternity, pediatric, medicine, critical care, surgical and emergency services.  It has one of the most advanced MRI’s in Canada, and is the 4th busiest hospital in the Lower Mainland.  Family Practitioners are a strong presence, as Attending Physicians, and also as Hospitalists.  In the community, there are many group and individual Family Practice offices providing both full-service care, and focused practices.

Pemberton:  Pemberton is a strong and vibrant community, located 30 minutes North of Whistler, and 2.5 hours from Vancouver.  There are many outdoor recreational opportunities, including mountain biking, hiking, river rafting, etc, as well many Provincial Parks, and hot springs to visit.  The Pemberton Health Care Centre services a large geographic area at the north end of the Sea to Sky corridor, including Pemberton, Mount Currie, D’Arcy and the InShuck communities down the Lilloet Lake Road.  The Centre provides 24/7 emergency care, palliative care, diagnostic imaging and laboratory services.  A group (shared) Family Practice is co-located on site.  All care is provided by a small group of physicians and a team of very skilled nurses. The ER sees all types of injuries and illnesses, maternity care, critical care, etc.   Approximately 45% of the patients are First Nations.  One GP visits remote First Nations communities weekly by helicopter.  As of 2013, there is a project to provide telehealth support to the communities in between site visits.

Squamish:    Celebrated as “The Outdoor Recreational Capital of Canada”, Squamish has an active population with an average age of 36, and a large proportion under age 10.  Squamish is situated half way between Whistler and Vancouver, an enjoyable 45 minute drive either way.  Squamish General Hospital is a 22 bed acute care facility with a 9 stretcher Emergency Room.  Hospital services include general medicine, surgery, obstetrics, psychiatry, palliative care, physiotherapy, pharmacy, diagnostic imaging, laboratory, ambulatory care, chemotherapy and dialysis.  Family Practitioners provide a variety of services including GP anaesthesia, inpatient care, and maternity care, with support from  a general surgeon and visiting specialist services.  Squamish General Hospital is the community hospital for the Sea to Sky corridor including Mount Currie and the First National’s communities along Lilloet Lake.

Gibsons/Sechelt:  The Sunshine Coast runs approximately 180 kilometres from Langdale to Lund, with many beautiful small communities along the way, including Gibsons and Sechelt.  The Sunshine Coast, a short 40 minute ferry ride from West Vancouver’s Horseshoe Bay, is home to the highest per capita population of artists, artisans and crafters in Canada.  It boasts spectacular hiking, kayaking, diving, beach combing , and  a myriad of other outdoor pursuits.  St. Mary’s Hospital, a 42 bed acute care facility serving over 100 km of the Sunshine Coast, is located in Sechelt, and serves a number of communities along the coast.  This facility was recently renovated and expanded with new acute care patient rooms, ER department, diagnostic imaging and a new special care unit for high acuity patients.  Renovations of the ambulatory care area are underway.  Family Practitioners are an integral part of St. Mary’s, providing ER and inpatient care.  While there are several consulting specialties available, including General Medicine, General Surgery, Psychiatry and Obstetrics, the Family Physician is always the most responsible physician.

Powell River:  Powell River is located on the Northern Sunshine Coast at the gateway to Desolation Sound, has outstanding mountain biking, kayaking and hiking and is a destination for tourists from around the world because of its natural beauty, music and facilities.  Powell River General Hospital is a modern self-sufficient 33 bed facility supporting many services including oncology, dialysis, cast clinic, endoscopy full time GP anesthesia, medicine, surgery, and OB Gyn coverage.   Powell River is a site where GP’s practice full service medicine and are the most responsible physician for medical and obstetrical patients. Residents will be exposed to in-patient care, palliative care, extended care and nursing homes as well as exposure to sports medicine geriatrics and chronic disease management.   Our emergency room is moderately busy and a great venue to become increasingly comfortable with emergency care.  We have excellent GP, specialist and anesthesia back up.   Residents will be exposed to truly full service family medicine in a friendly community where accommodation is readily available.

 

Resident Life at Coastal

Coastal currently has sixteen residents (4 CMGs and 4 IMGs per year in a combined program), which has provided for an amazingly tight-knit group of residents.  Everyone at Coastal is extremely supportive and always seems to go the extra mile for each other.  We are constantly taking advantage of all that the north shore has to offer, including trail running, mountain and road biking, hiking, snowshoeing, skiing and snowboarding, rock-climbing, kayaking and canoeing, and volunteering at various mass-medicine events such as the Iron Man in Whistler.  In addition, the North Shore has easy access to all the culture and amenities that the cities of North Vancouver, West Vancouver, and Vancouver proper have to offer.

Many of our residents also have families, and the North Shore is a great place to enjoy family life and/or to raise children.  Finally, the rural placements in second year range from Squamish to Bella Coola, providing people with whatever type of rural adventure they’re looking for.  In summary, Coastal offers the best of all worlds with urban and active outdoors living both at the edge of your doorstep, and the capacity to make you feel welcome and at home whether you’re young and single, or married with children. Combine that with an amazing Urban/Rurally strong Family Medicine Training Program and you get the perfect combination of everything. Come join us at Coastal and see what the beautiful North Shore has to offer!!!