Okanagan South

Site Director Message

Welcome to the newest site of the UBC Family Practice Residency Program— the Okanagan South. The Okanagan South program is based in Penticton, and together with the six regional communities of Summerland, Oliver, Osoyoos, Keremeos and Princeton the area has a population of approximately 90,000.

We welcomed our first four residents in 2016, but we aren’t new to being a training community medical facility—Penticton Regional Hospital (PRH) is currently the training site for UBC’s Southern Medical Practice Rural Family Practice Clerkships and Year 4 Electives. There are also other medical trainees, including internal medicine, surgery, and pediatric rotations done by residents and a very active nursing school program delivered by Okanagan College.

The majority of training will be through Penticton Regional Hospital, a 140-bed Affiliated Regional Centre site for the UBC Faculty of Medicine. In the Spring of 2016, we broke ground on the construction of our new Patient Care Tower, which will greatly expand our hospital, provide space for the UBC Faculty of Medicine program and offer the opportunity for medical professionals to work in a newly-designed clinical environment that will be Leadership in Energy and Environmental Design (LEED) Gold-certified.

You will benefit from a small group learning experience in a medical community of 127 family physicians, 80 specialists and 37 consulting staff with very close relationships, providing a great ratio of residents to both patients and preceptors. If you want to experience mentorship by full service family physicians, you will find that most of our local family physicians, and all of our preceptors are involved with the care of their patients in hospital—there are NO hospitalists at PRH.

Our aim is to provide high-quality family medicine residency training in keeping with the Triple C competency-based curriculum. We will provide a rural training focus with five blocks of rural rotation. There will be a strong longitudinal attachment to a home clinic incorporated with block rotations. Residents will be able to provide ‘continuity of care’ to family practice and hospital patients (e.g. family practice, maternity). The comprehensive program of education and patient care will be delivered by our diversely skilled medical staff. You, the resident will have the opportunity to both provide input to the program and to direct your learning opportunities.

We have an active and committed Division of Family Practice, with multiple initiatives, projects, and working groups. In the past year we have had two of our grassroots projects – Inpatient Care and Residential Care – spread provincially. If you want to benefit from an active division, where 46% of members are involved in quality improvement work across over a dozen projects, and there is an active and valued CME program, then Okanagan South is where you want to be.

Our site also offers exciting lifestyle and recreational opportunities, and we encourage our residents to maintain a healthy work-life balance. Although often compared to the Napa Valley, the Okanagan has more to offer than winery tours. Outdoor recreation opportunities include swimming, boating, windsurfing, kiteboarding, golf, rock climbing, hiking and cycling most of the year, and downhill skiing and snowboarding, cross-country skiing and snowshoeing in the winter. Organized athletic activities include an annual Gran Fondo and triathlon events, to include the “Ironman” like Challenge Penticton. In Penticton, the wide variety of outdoor recreational options is complemented by a large newly renovated Community Centre and the state of the art South Okanagan Events Centre, with festivals and cultural events throughout the year. This is a great place to work, play and raise a family.

And did we mention the weather? With over 2,100 hours of sunshine and only 15 inches or rain annually, it’s easy to see why the Interior Salish word for Penticton snpintktn, is commonly translated as “a place to stay forever.”

If you are looking for an opportunity to experience the full spectrum of family medicine with a strong rural emphasis, the Okanagan South program will prepare you for a career as a family physician in communities of any size from urban to remote. Our aim is to provide the skills and confidence you need to practice as family physicians in a community of any size.

We look forward to meeting you at CaRMs and hope you feel inspired to be a part of our program.

Dr. Margie Krabbe

krabbedoc@telus.net


Chief Resident Message

Penticton is a gorgeous city of 32,000 set between Okanagan Lake and Skaha Lake. It is a beautiful setting to relax after a full week of your residency training. With over 140 vineyards in the Okanagan Valley, stellar rock climbing, mountain biking trails, nearby ski hills, and water sports galore, it’s no wonder it is a mecca for athletes and vacationers. This setting has also attracted knowledgeable family practitioners and a wide variety of specialists to the area. Here are some highlights of our program.

An amazing cohesive group of doctors who are extremely knowledgeable and friendly

From the moment you are accepted into the Okanagan South program, the community opens its doors to you! The group of family doctors and members of the community are welcoming, warm and enthusiastic about having learners around. With numerous social and administrative events, members of the residency program and beyond are enthusiastic, inclusive and very family oriented. They are keen to involve residents in the quality improvement process and help your family settle in.

Learner opportunities

Starting in a new program in 2016 as the first cohort of residents, we were welcomed into the clinic and hospital environments, with many staff keen to teach full-time learners. You are first in line for procedures and deliveries, first surgical assist, and typically have one-on-one teacher to learner ratio. This makes for an education-based and not service-based program.

Continuity of care

With your entire first year and half of your second year based in Penticton, it is easy to develop relationships with patients and physicians alike. With a minimum of one day in your Family Practice clinic each week, you can easily follow-up with patients yourself and adjust management accordingly. Additionally, having no hospitalists in Penticton means that you manage acute illnesses for your family medicine patients, sometimes even when on a specialty rotation.

Great rural opportunities in neighbouring locations

Throughout the curriculum there are experiences in the small towns of Princeton, Oliver, and Osoyoos. Our experiences in these sites has been fantastic with excellent learner opportunity and a range of acuity. The second year curriculum in development currently incorporates experiences with aboriginal populations in Osoyoos and with marginalized populations in the local prison in Oliver.

New hospital coming 2019

A new hospital patient care tower is currently under construction at Penticton Regional Hospital with plans of being complete in 2019. You will have the chance to use the new facilities for at least part of your residency experiences. Our community is quite excited about this new development.

See you at CaRMS!

Dr. JoyAnne Krupa

 

Number of Residents: 4
Location: Penticton, Summerland and Oliver/Osoyoos, BC
Community: 35,000
Hospital: Penticton Regional Hospital and South Okanagan General Hospital

Curriculum Type: Longitudinal and Integrated
R2 Elective Time: 8 weeks
Phone: 250.492.4000 x2248
Contact: Site Director – Dr. Margie Krabbe – krabbedoc@telus.net / Site Coordinator – Kristen Hart – kristen.hart@interiorhealth.ca
Chief Resident:  JoyAnne Krupa – joyanne@alumni.ubc.ca

Program Highlights

The Okanagan South program is in a unique location that will give you the skills and knowledge to practice in an urban, semi-rural, rural or remote setting. Your home base will be in a family practice clinic in Penticton or Summerland, where you will be paired with a preceptor for continuity throughout the program, and have the opportunity to follow patients in these communities. Our medical community are active leaders in team-based care and collaborative strategies that have spread to other areas of the province, and our preceptors are among the physicians who lead the way in our community.

The Penticton Regional Hospital is a primary care-run hospital so there are no hospitalists. It is the referral centre for the South Okanagan/Similkameen, serving a population base of approximately 90,000. It provides regional care services, such as Intensive Care, Pediatrics, Obstetrics, Internal Medicine, Surgery, Renal and Oncology for six communities, which include Penticton, Summerland, Oliver, Osoyoos, Keremeos and Princeton. The specialty rotations and learning experiences are delivered by a supportive group of specialists who work directly with family physicians in the 140-bed hospital.

In addition, the South Okanagan General Hospital covers the towns of Oliver and Osoyoos and surrounding rural areas, offering outpatient ambulatory, acute care, and a 24/7 emergency department.

Often compared to the Napa Valley, the South Okanagan is a place where balanced lifestyle opportunities are close at hand: whether it’s recreational opportunities on the water and in the hills, music, food and wine festivals in the valley or the amenities of BC’s third-largest metropolitan area one hour to the north in Kelowna.

Program Overview

The Okanagan South curriculum will provide a diverse set of learning opportunities, designed to meet the CFPC requirements. The resident will have 1-2.5 days per week of family practice experience. We are committed to an enhanced rural training experience with five blocks of rural rotation including 1 month in Princeton in your R1 year.

Year 1 Rotation Schedule Overview

Block 1 2 3 4 5 6 7 8 9 10 11 12 13
Weeks 4 4 4 4 4 8 4 4 8 8
Resident
R1
Orientation
Home Clinic
Peds/OB Psych/EM Surg/Gyn IM Peds/OB Psych/EM Rural Princeton Surg/Gyn IM

The first year is a longitudinal block format with continuity experiences in FP, Emergency and Maternity clinics.

Year 2 Rotation Schedule Overview

Block 1 2 3 4 5 6 7 8 9 10 11 12 13
Weeks 4 4 4 4 4 4 4 4 4 4 4 4 4
Resident
R2
South
Okanagan
Rural
Elective
Rural
Elective
Rural
Elective
Rural
Elective Obstetrics ER – PRH
ER – SOGH
Selective MSK
Rheum
Procedural
Skills
Elective Palliative
Geriatrics
Peds
Hospice
Practicum
Schedules are subject to change – for information purposes only

The PGY 2 year will include 4 months of rural rotation (1 month in Oliver/Osoyoos and 3 months in your location of choice). You will have opportunities with electives and selectives that will allow you to direct your learning experiences. We have an active resident-driven process of ongoing curriculum review to continually improve and refine our program.

Our training site

The region’s health facilities consist of the regional hospital in Penticton and two community hospitals in Oliver and Princeton, along with health centres in Summerland and Keremeos. Primary care is provided in GP offices, and the following clinics: primary OB, mental health and addictions, chronic pain clinics and chronic disease management clinics.

The medical community is made up of 127 family physicians, 80 specialists and 37 consulting staff. The South Okanagan Similkameen Division of Family Practice is extremely active, with two prototypes—in- patient care and residential care—spreading provincially, and multiple collaborative partnerships and team-based care strategies, including physician-led Sustainable Rural Communities and Residential Care projects and five Shared Care initiatives that enable family physicians and specialists to work together within their communities to improve patient care.

Our educational resources. The Okanagan South residency program may be new, but area physicians have been welcoming students into their clinics and hospitals and helping to train the next generation of physicians for several years. The Penticton Regional Hospital (PRH) has been a training site for UBC Southern Medical Program (SMP) Rural Family Practice Clerkships and Year 4 Electives and in addition, the South Okanagan has hosted Family Medicine Residency Rural Rotation sites in Oliver, Osoyoos, and Summerland.

Our community resources. Where most people vacation is where we call home. Situated between 113-km long Lake Okanagan and Skaha Lake, and surrounded by highlands and mountains, Penticton is a draw for outdoor recreation, including swimming, boating, windsurfing, kiteboarding, golf, rock climbing, hiking, cycling most of the year, and downhill skiing and snowboarding, cross- country skiing and snowshoeing in the winter. Organized athletic activities include an annual Gran Fondo and triathlon events. With over 2,100 hours of sunshine and only 15 inches of rain annually, the area has a comfortable climate year round.

Penticton and the south-central region are easily accessible from major urban centres by highway and by air. We are approximately 4.5 hours driving time from Vancouver and 8 hours from Calgary, with the nearest larger urban centre located 1 hour away in Kelowna. Penticton is served by a local regional airport, while Kelowna is served by an international airport.

 

Interview with a resident

JoyAnne Krupa is a member of the first Okanagan South Family Medicine group of residents. The program began in July 2016 and this interview took place in August 2016.

What attracted you to a residency in the South Okanagan?

The South Okanagan has everything you need for a positive lifestyle—ranging from beaches and wineries to hiking, biking, and other outdoor activities. Penticton is a small town with a very supportive community. I knew I would have the opportunity to be trained in providing comprehensive care.

How would you describe your learning opportunities during your residency?

If you want to become a rural doctor or value having continuity with your patients, the South Okanagan is a great place to do residency.

There is no hospitalist service here, so you can round on your patients in hospital and also see them in residential care and palliative care. You follow patients through the whole process, from admission through recovery and follow-up. This is different from my experience in urban sites, which can be mostly clinic-based with more frequent referrals.

My preceptor is part of an amazing clinic that does procedures such as joint injections and biopsies that you might not see in a big centre. Sometimes I get the chance to do home calls. The other day I visited a lady who was 101 in her home!

How is your relationship with your preceptor?

I love my preceptors. In Penticton and Summerland, you will find a caring group of physicians who make you feel like much more than just a number. Everyone I have worked with so far here is extremely friendly, skilled and knowledgeable. Preceptors tend to be very learner-centred – I can focus on my goals for the day, even if it’s just working on patient-centred care, and they are very supportive of that.

Dr. Krabbe brings me peaches and blueberries to work sometimes from her garden. This makes me extremely happy.

How did you find working with others in the medical community?

So far I have had experience with a mix of specialists and general internists. I have the opportunity to work on call and in clinics. My experience with the specialists is that they are very good and willing to spend a lot of time with you, even one-on-one. They are also really down to earth people who care about their own life work balance.

Can you tell us about a highlight of your residency?

The program has really just started, but so far I have found the program director and the other preceptors to be very receptive to individual learning styles. It’s very flexible, and there are opportunities to add your own input.

Also, everyone wears shorts to work here in the summertime, which is fabulous. The fruit selection will also knock your socks off.

What kind of activities do you enjoy outside of work in Penticton?

Rock climbing is my passion and the Skaha Bluffs are a world-class area for practically year round climbing. I’m also a backcountry skier and alpinist and there is much to be explored in the area from Apex to Manning Park and Cathedral Park. There are pretty much endless opportunities for all kinds of outdoor activities in the area, from road and mountain biking, water sports on both lakes through alpine and Nordic skiing.

What about drawbacks to your residency?

With Penticton being a vacation paradise, July can be a difficult time to find housing. We are working on that for the coming year and hope to have some options lined up for the new residents.

Being a new program, things are constantly evolving. The wrinkles and logistics will get smoothed out from year to year.

Penticton also has a lot of retired residents, which is great for chronic care management but perhaps not as much variety in demographics.

What sort of resident would do well in the Okanagan South program?

The program is very dynamic. There are lots of opportunities, but you need to be flexible. I think for anyone who is open to change, willing to try new things, adventurous, and enjoys a smaller community, this is an excellent choice.

Whether you have a family or are single, there is a great community here and plenty of hobbies to be enjoyed.