Okanagan South

Site Director Message

Welcome to the Okanagan South UBC Family Practice Residency Program!

Our 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.

Now in our fourth year, our site was established in 2016.  Our hospital, Penticton Regional Hospital, has been involved in medical training for some time, but the addition of the Family Practice residents has been a real benefit to our community. The residency program has been well supported by all and the residents feel like colleagues and members of the medical team here. There are a few other medical trainees to include medical students from the UBC Southern Medical Program (Kelowna based) and residents in internal medicine, surgery, pediatrics and sometimes other family practice residents.  For the most part though, you will be the “first in line” learner. There is also a very active nursing program in the hospital which further supports the medical learning environment.

The majority of your training will be through Penticton Regional Hospital, a 140-bed Affiliated Regional Centre site for the UBC Faculty of Medicine. As of spring of 2019, the new David E Kampe Patient Care Tower has been in operation.  This has greatly expanded our hospital, with upgraded space, equipment and services.  Best of all is the UBC Faculty of Medicine dedicated space which includes state of the art video conference rooms, on call rooms, lockers and showers, a learner’s lounge and study rooms, clinical skills rooms and a librarian staffed library. The space is beautiful and we feel so fortunate!

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. We have a newly operational family medicine oriented hospital service that is meeting the needs of unattached patients.

Our aim is to provide high-quality family medicine residency training with a RURAL focus. You will have five blocks of rural rotation—1 block in Princeton in R1 year and 4 blocks in a rural site of your choice in R2 year. There will be a strong longitudinal attachment to a family practice home clinic with several blocks of family medicine as well as a half day back in clinic during other rotations. Residents will be able to provide ‘continuity of care’ to family practice and hospital patients (FP patients but also FP patients that are admitted to other services). There is extensive exposure to emergency medicine as well as specialized populations such as the Martin Street Clinic that cares for patients with coexisting mental health and substance use issues. As a regional hospital, you will learn from a range of specialists that will round out your skills and expose you to a variety of sick of patients in a supported setting.

We have an active and committed Division of Family Practice, with multiple initiatives, projects, and working groups. We are the forefront of the initiative in Patient Care Networks, submitting and developing our first team-based care clinic. Residents will be involved in practice in these new care based environments and the new alternative payment contracts.

Penticton is a great place to live, play, work and raise a family. 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.

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 200+ 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.

A collegial and 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

Our program is growing up fast, we are now 4 years in since its inception. It is a family medicine driven site and the hospital is run by family doctors. You are first in line for procedures, deliveries, first surgical assist, and typically have one-on-one teacher to learner ratio. Furthermore, Penticton is also an education-based and not service-based program. We also have opportunities for addictions learning at our national award winning Martin Street Outreach Clinic.

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 have continuity of care with your patients, can develop meaningful relationships with them and can adjust management strategies 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.

Brand-New Hospital

The brand new hospital was just completed in April 2019 and we can still smell the fresh paint. It is a $312 Million dollar upgrade and it is quite incredible. Words won’t do it justice but suffice it to say we are very lucky. Although we are a rural site, our facility has a brand new onsite MRI, CT and is able to do MIBI, and 3D Cardiac ECHO.

See you at CaRMS!

From the Chief Residents Nolan Rau and Kirk Dixon

nolan.rau@alumni.ubc.ca / kirk.dixon@alumni.ubc.ca

Number of Residents: 8
Location: Penticton, Summerland and Oliver/Osoyoos, BC
Community: 90,000
Hospital: Penticton Regional Hospital and South Okanagan General Hospital

Curriculum Type: Longitudinal and Integrated
R2 Elective Time: 12 weeks
Phone: 250.492.4000 x32881
Contact: Site Director – Dr. Margie Krabbe krabbedoc@telus.net / Site Coordinator – Kristen Hart kristen.hart@interiorhealth.ca
Chief Resident:  Nolan Rau nolan.rau@alumni.ubc.ca /  Kirk Dixon kirk.dixon@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 is an active leader 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 (PRH) continues to have an active family physician hospital practice.  In recent years, with physician retirement, there has been the creation of family physician community inpatient service to care for the needs of unattached inpatient. This has been a novel collaborative effort stewarded by our local Divisions of Family practice.

PRH is the referral centre for the South Okanagan/Similkameen region, serving a population base of approximately 90,000. It provides regional care services, such as Intensive Care, Pediatrics, Obstetrics, Internal Medicine, Surgery, Renal and GP 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 block in Princeton in your R1 year and 4 blocks of rural in R2 of the residents choice matched through the rural match selection process.

Year 1 Rotation Schedule Overview

Rotation Content:

The Okanagan South curriculum is a two-year program centred in Family Medicine.

 Sample PGY 1 Rotation:

Block 1 2 3 4 5 6 7 8 9 10 11 11 12 13 13
Weeks 4 4 4 4 4 8 4 4 6 2 8 2
Resident
R1
Family Practice Family Practice Internal Medicine Peds Family Practice OB/Gyne Psych/EM Rural Princeton Surgery BCCH Pediatrics Emergency Internal Medicine Community Inpatient Service

Sample PGY 2 Rotation:

The PGY 2 year will include four months of rural rotation. There are three months of electives that will allow you to direct your learning experiences. We request a one-month minimum to be a local elective.

Block 1 2 3 4 5 6 6 7 8 9 10 11 12 13
Weeks 4 4 4 4 4 2 2 4 4 4 4 4 4 4
Resident
R2
Rural Rural Rural Rural Elective OB Surrey or KGH Internal Med.

ER

PRH/

SOGH

Local Elective Care of the Underserved Procedural Skills Elective

Palliative/

FP Clinic

Practicum

 

Highlights of a residency in the Okanagan South include exposure to unique experiences such as:

  • In PGY 1 there will be four rotations that include weekly emergency room shifts at Penticton Regional Hospital;
  • The Martin Street Outreach Clinic – an innovative clinic with a collaborative approach to stabilization and education for those with chronic mental health and substance abuse issues; and
  • Mentorship by full-service family physicians, all of whom are involved with the care of their patients in the hospital.
  • Five months of rural training including nearby locations like Oliver/Osoyoos and Princeton.
  • Exposure to Prison Medicine at the Okanagan Correctional Centre.

 

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—inpatient 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 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.