Vancouver Island – Strathcona

Site Director Message

 

Strathcona Site Director message pic

 

Three Communities, One Site – We are Strathcona!

Strathcona Site wishes to acknowledge the lands on which we work and learn are the traditional territories of the Laich-kwil-Tach Peoples and the K’omoks First Nation.

Welcome to Strathcona, so what are “we”?

We are a UBC Family Medicine Residency Site on the East Coast of Vancouver Island.

We are One Site embracing three teaching communities of Campbell River, Courtenay & Comox.

We are a Distributed Site within a distributed UBC FM Residency Program.

We are Rural.

We are Family Physicians with a spectrum of talents from full scope, full-service practices including ER and OB to office or hospital-based care.

We are learner-centred and our Site experience has educational theory at its core.

We are a Site of inspirational and supportive teachers who create a rich learning environment in which we want our learners to flourish.

We have the majority of your 2-year Residency experience centred in your FM office.

We are respectful and embrace our Teaching Clinical Faculty and Community of patients who generously offer their time and experiences to our learners.

We are a Site that prepares our learners for Rural Family Practice.

We are the Mountains & the Ocean with all the fun that they can offer.

We are BC.

We are Strathcona!

Take a moment and consider ‘what’ makes the ideal residency experience?

Do you wish to be part of defining your learning experience at the Site?

I wonder if it may excite you to consider what your needs are during each experience to help align the learning outcomes with your needs and the National College’s desire to graduate Residents competent in all aspects of family practice, from birth to grave care?

When thinking about the ideal Residency experience, how would you measure its success? What would that look like?

To answer, I may say, “well it all depends”. It all depends on you as an individual with your individual needs and your individual desires. That individuality is something we recognize and embrace at Strathcona as we place our learners at the centre and at the heart of their learning experience.

We have a structured learning program and we place you at its heart and ask you to help define your learning experience to make it unique and directed towards addressing your learning needs to guide you towards competence in all aspects of Family Practice.

R1 is dedicated towards specialist rotations including family medicine and R2 is dedicated to family medicine in your home community and can include a (remote) Rural elective and optional 8-week elective time.

We work hard to achieve our measures of success. We value our learners feedback, we value the National College’s desire for Generalist Family Physicians who are able to work anywhere in Canada and use this to guide our Site progression.

Strathcona continues to evolve to meet the ever-changing needs of FM Residency education to remain relevant for Resident teaching year upon year.  We achieve this by embracing a dynamic attitude and a desire to embrace change as an opportunity.

My measures of success include graduate readiness and confidence for independent practice, Resident preparedness for the college exam, work life balance satisfaction, opportunities to remain locally to practice and to support rural, underserved communities locally and throughout BC.

My greatest passion is to see happy teachers and happy learners.

Over 75% of our graduates have remained locally; Over 86% remain on Vancouver Island and over 90% remain in BC.

The majority of our graduates embrace full service privileges including OB and EM care.

We love where we live and work.

We are Strathcona!…….Maybe you are too?

Dr. Peter Gee,
Strathcona Site Director
MB, ChB, DRCOG, DFFP, MRCGP, CCFP
UBC Clinical Assistant Professor; UVic Associate Clinical Professor

 

Chief Resident Message

Nature itself is the best physician – Hippocrates

Our site is named for Strathcona Provincial Park, which is the beautiful playground that unites our three communities; Courtenay, Comox and Campbell River. We are fortunate enough to live in an area of the world surrounded by nature. In one day it possible to ski, cycle, kayak and canoe – you can even compete in a race which features all of those activities!

Our Site, Our Residents and Our Staff:

Our site is unique in that we serve three mid-sized communities. This offers both exciting opportunities and it’s own challenges. Our hospitals do see lower volume than the larger urban centers, which translates to a heavy focus on general medicine and less exposure to highly specialized cases. We are fortunate to have a wide range of local specialists who are readily accessible and very supportive of the residency program. We are usually the only learners at our site and this offers us the opportunity to be first call for codes, deliveries and surgical assists. You may see an interesting surgical case in emergency and be invited to follow the same patient into the OR with the surgical team.

Our site is very focused on resident driven learning both in the clinical setting as well as our academic half days. We all take turns running “resident as teacher” sessions for our colleagues and we choose the content of these lectures. In terms of clinical exposure, we have many interesting selective opportunities locally, which residents may choose to engage in depending on their interests. For example, we have access to cancer care/chemo, maternity clinic and methadone/addictions to name a few.

One of the most exciting aspects of our site this year is the new hospitals in both Campbell River and Courtenay.  We get to be a part of brand new facilities with state of the art SIM labs, innovative teaching facilities and cutting edge medical technology.

Our residents are a motivated and passionate group of people. Whether volunteering with search and rescue, pulling injured skiers off the mountain with ski patrol or competing in the Snow to Surf race – Strathcona residents are keeners who jump at the chance to be a part of their communities.

Our preceptors are incredible community physicians. True “jack of all trades” family docs keen to support us in our learning and help us succeed. We also have an amazing team of site faculty and staff who are passionate about our education and are always looking to bring forward exciting learning opportunities.

Our Education:

Two years of residency is not a long time to prepare yourself for life as a family doctor, however our graduated residents have all come out of our program feeling confident and ready to take on independent practice. We have regular SOO/SAMP/OSCE preparation nights, which helps us to feel confident with the CCFP and LMCC exams. Academic half day happens on Friday afternoon and is a mix of  both general and specialist lectures as well as resident led sessions, often followed by an Après-Half Day visit to one of the local watering holes!

Our site is rural/regional and our focus is on this aspect of medicine. If you come to Strathcona you will see a wide variety of cases and have little competition for procedures. We are however, a smaller center and while that offers us many opportunities, the challenges lie in volume – if your goal is to place 100 chest tubes by the end of R2 an urban site might be a better fit!

The Lifestyle:

One thing we do well in this area of the world is lifestyle. We work hard and we play hard. The local area surrounding our community is full of opportunities – whether you love to hike, camp, kayak or ski – you’ll find it here. We have great schools including French immersion as well as post-secondary education at North Island College.

So Why Come to Strathcona?

At the end of the day you need to choose a site that is going to be the best fit for yourself and your family. We pride ourselves on the health and happiness of our residents and the people who support them. If you are motivated, self-directed and looking for a challenging but welcoming environment, Strathcona may be the site for you!

 

Melissa Dekker

Strathcona Site Chief Resident 2018-2019

melissa.dekker@alumni.ubc.ca

 

“We are Strathcona” CaRMS 2018:

https://www.youtube.com/watch?v=QFS60NqG510&feature=youtu.be

Strathcona backyard:

http://www.youtube.com/watch?v=QNuP29ZwhtA

Residents 2013 Intro to Rural:

http://www.youtube.com/watch?v=o3sq0QLw3_w

Strathcona Site 2014

https://www.youtube.com/watch?v=3VcjNX2G3WU&feature=em-upload_owner

Strathcona Rural Night 2014

https://www.youtube.com/watch?v=IkC0Vz84iwg&feature=em-upload_owner

https://www.youtube.com/watch?v=3VcjNX2G3WU&feature=em-upload_owner

Strathcona Rural Night 2014

https://www.youtube.com/watch?v=IkC0Vz84iwg&feature=em-upload_owner

 

Number of Residents: 4 CMG, 4 IMG
Location: Campbell River, Courtenay and Comox
Community: Campbell River 35,000, Comox Valley 65,000
Hospitals: North Island Hospital: Comox Valley Hospital and Campbell River & District General Hospital

Curriculum Type: Partial Integrated
R2 Elective Time: 8 Weeks
Contacts: Site Director – Dr. Peter Gee peter.gee@ubc.ca / Site Coordinator – Pam Blake pamblake@mail.ubc.ca
Chief Resident: Melissa Dekker –  melissa.dekker@alumni.ubc.ca

Program Highlights

As a Family Physician community, we provide care to around 100,000 people from Campbell River to the Comox Valley. Our community is rural, diverse, and rich with recreational and cultural opportunities. The rewards for living and working here are huge; Strathcona Park is one of the most beautiful back yards. Summer or winter, mountain or ocean, the choice of activity is immense. Our Site can support your drive to learn and become a complete rural Family Physician and supports the opportunity to go out and have fun with family and friends providing harmony to the challenge of work/life balance.

Campbell River is 50km north of the Comox Valley (comprising the communities of Courtenay & Comox). Our hospital care is based in the North Island Hospital of Campbell River General Hospital (CRGH) and Comox Valley Hospital (CVH)

When matched to our Site, we ask you to provide a short “bio”. This information helps us match you to a community that supports your desires and needs and becomes your “home community” for the next two years.

The majority of your clinical activity will occur within your “home community” with some travel required for some specialist rotations and for Academic Half Day (AHD)

We have 8 Residents in each teaching community of Campbell River and Comox Valley (4 R2, 4 R1 and 50:50 blend of CMG & IMG residents)

Academic Half Day (AHD)

Academic teaching takes place each Friday afternoon in Comox Valley or Campbell River. This means travel for half of our Residents from one teaching community to the other. The AHD comprises three one hour teaching topics, typically one led by a specialist and two led by Residents and facilitated by a Family Physician. We call the latter Work-place Generated Teaching (WpGT) as our Residents share learning around their clinical experiences to help prepare for CCFP and independent Practice. We cover the 99 topics, hot topics, guidelines, McMaster Modules, behavioural medicine and whatever your passion or need may be. We hope to keep these sessions active and fun.

Each week you will have a dedicated Resident-only meeting led by the Site Chief prior to AHD to support resilience through near-peer support and to support Site orientation.

‘Home’ Clinics & Preceptors

You will be attached to a Primary Preceptor who takes on responsibility to collaborate with you on planning your schedule and for evaluations. You may also be attached to a secondary Preceptor(s) either in the same clinic or a nearby clinic.

An expectation is for you is to develop competence in all aspects of Family Medicine care, from womb to tomb. It is unlikely that a preceptor practice alone is able to provide that need and so we encourage a shared preceptor model to achieve all the experiences required to develop competence in all domains of care by design rather than by chance. This multi preceptor model also provides the opportunity to experience differing styles of preceptorship, diverse office EMR familiarity, variety of staff and models of practice including running an office and the ‘Business of medicine’.

Site Curriculum

There are opportunities for you to manage your own patient population from the beginning of residency training and to support the development of your professional identity.

In July you begin with a month in your home clinic and then begin specialist rotations which occupies the majority of R1. Specialist rotations include OB (8wks), Child and adolescent health (4 weeks), Mental Health (4 weeks), Surgery (6 weeks), Hospital Medicine (8 weeks – 4 weeks IM and 4 weeks Hospitalist) ER (5 weeks and longitudinal sessions) and Family Medicine (12 weeks)

Each rotation begins with a conversation with your rotation lead to consider goal setting to help define your specialist experience. Each specialist experience is unique for each learner, guided by your needs and CCFP curriculum expectations. An example of this is Surgery. If you have plenty of experience in general surgery for example and little in orthopedics, plastics and ophthalmology, we encourage you to create a surgery rotation schedule to reflect those needs. We wish for you to identify your needs and learning gaps, so we may help you progress them to competence. During the majority of specialist rotations you will have a day back in your “home” clinic to support your longitudinal FM experience

The whole of R2 is dedicated to Family Medicine and can include optional (remote) Rural Elective time and 8 weeks of (optional) elective time. You also have the opportunity to integrate longitudinal experiences into your FM week including ER, OB, MSK, Dermatology, Indigenous Health clinics.

The majority of your two years is spent in the Family Medicine office. In the last few weeks of residency Residents may have the opportunity to cover their FM preceptor office (GP Practicum) for a maximum of 2 weeks.

Electives

We have up to 8 weeks optional elective time available. All electives are discussed and agreed with the Site Director and Primary Preceptor to help align them with your educational needs and learning gaps.

After the CCFP exam in R2, elective time may directed toward ‘transition to practice’ (e.g. intensive OB experience prior to commencing independent practice that includes OB)..

Exam Preparation

We have 4 SAMP preparatory tests in two years

We have 5 formal SOO preparations sessions commencing in R1

AHD provides an opportunity for exam preparation sessions to support the formal learning

We encourage you to develop Learner study groups .

Our graduates have identified exam preparation as a Site strength.

Site Ethos

We offer a lot of flexibility to help create an experience which is unique within the overarching program structure. We want you to realise your potential as a Family Physician through identifying your leaning gaps and addressing those needs locally though rotations and longitudinal experiences. If we cannot deliver your needs locally, we identify together where that may be met and utilize this through elective time.

We want you to embrace your medical passions to develop competence and excellence. We want you to create strong foundations for your professional identity as you progress from medical student to independent practitioner. We want you to have fun learning by engaging in and defining your learning experience. Our Clinical Teaching Faculty are role models for rural family practice and inspire our learners with the joys of community care. Our teachers create a safe and rich learning environment in which you and our learners may flourish. You are placed at the heart of your experience.

The shared goal of our Site and Teachers is to help you discover and develop the best version of you as a rural Family Doctor.

Embrace the opportunity and enjoy the journey.

We Are Strathcona!

 

Residents Life: Sophie Waterman

‘We Are Strathcona’

Going through the CaRMS process is both wonderful and awful at the same time. On the one hand, you have the stress and uncertainty of what the match will bring, and on the other, you have so much possibility ahead of you. It’s the first time in four years that you get to make a decision about where you go and what you do, and that can be an amazing process.

For me, I knew what I needed in a program. I loved taking the time to evaluate each and every place, and picturing all the different lives I could lead. In the end, I picked Strathcona, and I haven’t looked back once. As you go through the process of evaluating your needs in a program, the kind of doctor you want to be, and the kind of community you want to serve, here are a few facts about the Strathcona program that might guide you:

We’re evolving

Strathcona is a newer site, going into its sixth year. This means that the program is under development, and various aspects of training can be adjusted, often with resident guidance. For example, our call schedule has previously meant a lot of time on call with lower volume. Residents, faculty and administrative staff have been meeting over the last few months to roll out a brand new schedule that gives residents more learning and more freedom. After training internationally in a program with very little student-based decision making, I needed a program where resident concerns and well-being were first and foremost when it came to the structure of the learning environment. Being in an evolving program can be a double edged sword for some. If you want a program that you can dive into without having to be involved in its development, you might want something more established. It’s all about finding the right fit for you!

We’re Rural

The Strathcona program serves two communities that make up a diverse population of about 100,000 people. In addition, we’re often the first stop for many patients coming from the North Island and the Northwest coast. This means that you will get to manage more complicated cases, and often have continuity with patients that in larger centres would be passed on to other services. The downside is that truly complicated cases requiring specialist surgical intervention will be sent further south. If you intend to practice rurally, our site can offer you first-hand experience in managing complicated cases, and help you develop the skills to make decisions about patient transfer. Other advantages of our rural site are access to extra training in our ER that is partially run by Family physicians, and the opportunity to increase your exposure to OB with our Family Physician led maternity clinic.

We’re Un-Opposed

This means that Family Medicine is the only residency program exclusively based in our two communities, and it’s one of the main reasons that I chose this site. Although we sometimes have visiting fellows and specialist residents on their rural rotation, in many of your learning experiences you will be the only learner present. This translates to more first-hand experience with procedures, more access to teaching by both family doctors and specialists, and teachers that aren’t overwhelmed with big teams or too much teaching commitment. It also often means that your hands are actually needed, and the development of your expertise and procedural skill is an important part of patient care. For me, this was a really important change from being a medical student, where observation seems to make up the bulk of your learning. I wanted a residency program where my skills as a family doctor would be developed with an eye on providing full spectrum family care in a rural setting, including ER and OB skills. Having an unopposed residency makes it that much easier to access the learning experiences that you want.

We’re one Site covering 2 communities

The Strathcona site embraces both Courtney/Comox and Campbell River, two coastal communities that are a 40 minute drive apart. There are four R1s and four R2s in each community. Being in different communities doesn’t affect the closeness of the residency team though, because Academic Half days are shared between the two communities and with a program of just sixteen residents, we prioritize our time together.

You’re Needed Here

Like many small communities on Vancouver Island, Courtney/Comox and Campbell River have limited resources for the people who are most in need. Many of our patients come from more isolated communities further north where there are few medical facilities and social services, and access to a doctor can be a scarce resource. You can be an advocate for patients here in a way that can really improve their quality of life.

It’s An Amazing Place to Live

This was the most important factor in my residency decision. As an International graduate, I spent four years away from my family, friends, and the BC coast. I wanted desperately to come home, especially to the communities and landscape of the coast. Strathcona encapsulates everything about Vancouver Island that I think is precious; One of the most beautiful landscapes in the world; Access to mountains, ocean, rivers and exploration of all kinds. Families and communities that live entwined with the rhythms of the natural world. Being able to bike to work at the hospital along the coastal highway, right next to the ocean with eagles flying overhead and the occasional humpback whale sighting has done amazing things for my resiliency.

Whatever you decide in terms of residency, and however you choose to rank your programs, remember to think about how you would like to live, not just what you plan to learn. If you’re interested in a progressive program that values quality of life and provides incredible preparation for full spectrum family practice, Strathcona may be the place for you.