Kootenay Boundary Family Medicine Program

Kootenay Boundary Family Medicine Program

The Kootenay Boundary Family Medicine program is a distributed rural program. This program offers rural family physician training in the beautiful Kootenays. The Kootenay Lake ital has 36 acute care beds and operating rooms. The Emergency rooms sees ~12,000 visits/year and the hospital has 300 deliveries/year. There are also a few specialist services available. What does a distributive rural program mean? Residents are assigned to either Trail or Nelson. Trail residents do the majority of their rotations at The Kootenay Boundary Regional ital in Trail. Two or three rotations are completed in Nelson. Nelson residents do Emergency Medicine, tetrics and Gynecology and Internal Medicine rotations at The Kootenay Lake ital in Nelson. Surgical rotations, italist and are completed at The Kootenay Boundary Regional ital in Trail. How many residents are there at the Kootenay Boundary site? There are 8 residents in total. 4 R1 s and 4 R2 s. Each site has 2 R1s and 2 R2s. We also have 2 G spots. What are the hospitals like? Residents work primarily out of two hospitals: Kootenay Boundary Regional ital (Trail) and Kootenay Lake ital (Nelson). What are the clinics like? The family medicine clinics are spread throughout 5 towns: Trail, Nelson, Salmo, Castlegar and Rossland. Each clinic is different in the way they work and their patient population. Each resident has a primary and a secondary family medicine preceptor. Depending on the clinic, the resident will either be spending all their time with the primary preceptor or be dividing their time amongst the different doctors. Once a resident is accepted to the program, they will be provided with a description of each clinic and have the opportunity to rank the clinics. What other communities do residents work out of? The Kootenay Boundary Program is unique in the way that residents work with a wide variety of family doctors in multiple communities. Outside of Trail and Nelson, each resident does a two-week block of acute care in Castlegar. The Kootenay Boundary Regional ital is a referral center with 75 acute care beds,, Operating Rooms and a number of specialist services. The Emergency room has ~ 15,000 visits/yr and the hospital has ~250 deliveries/year. 2

What does a typical week schedule look like? Every week residents are expected to do one half day back in their Family Medicine clinic. Residents are also expected to alternate between one half day of Prenatal clinic and Residental Care every week. One-week example schedule on the Internal Medicine rotation: A M P M Monday Tuesday Wednesday Thursday Friday Family Medicine clinic Heart Function clinic Inpatient consults & Stress testing Inpatient consults & Stress testing Heart function clinic Prenatal clinic/resid ential care TIA clinic TIA clinic Diabetes clinic TIA clinic Which courses does the program cover? As with every rural program, ACLS, ATLS, NRP and ALARM are covered. Are there opportunities for other courses? There are many opportunities for other courses. These medical communities, because of location, book their own training courses such as CASTED, A etc. and there are often seats available for residents. The Kootenay Boundary Program is also currently working on developing a simulation and ultrasound curriculum. Both of these are big parts of our academic curriculum and we are lucky to have enthusiastic preceptors spearheading this for the residents. 3

What does the curriculum look like? The following are out-of-region rotations: In Kootenay Boundary Program the curriculum is a hybrid of block and longitudinal rotations. Majority of the blocks are within the first year of residency. The following are block rotations (2-6 weeks): italist Internal Medicine Emergency Medicine General Surgery Anesthesia pedic Surgery tetrics & Gynecology Pediatrics Pain Mental Health First Nations (2 weeks 4 months, depending on interest in the experience area.) Pediatric Emergency Medicine (2 weeks) tetrics (2 weeks) How many weeks of electives do residents get? Residents will have 20 weeks of elective time. This is mostly concentrated in the second year of residency and can be spent in or out of region. The following are longitudinal rotations (2 years): Family Medicine Emergency Medicine Residential Care tetrics The Kootenay Boundary Program also has a few mandatory out-ofregion rotations. The reason for this is that the volume locally is low and residents therefore have to go to a bigger center to get the experience.

- What rotations are unique to the Kootenay Boundary Program? The Kootenay Boundary program has a few unique rotations. The first is the 2 week Mountain Medicine course. This course is designed to teach residents about stabilizing patients in the outdoors, how to treat hypothermia etc. An added bonus is that resident do backcountry skiing and that the program pays to do the Avalanche Skills Training course. Other unique rotations include a 6- week Mindfulness training and optional shifts at the Shambhala tronic Music Festival medical tent. What are the call requirements? Residents will be scheduled for 8 call shifts every block. This means 1 in 4 call. When a resident is on call they are expected to manage any overnight concerns for the entire hospital. Call is typically not very busy and residents spend the majority of the time in the Emergency Department. Residents very rarely are up for 24 hours and therefore do not get a post-call day. If a resident gets less that 4 hours of sleep overnight, they are entitled to the next day off. What are the strengths of the program? One-on-one with staff physician on every rotation Lots of Emergency Medicine experience with a comprehensive patient centered perspective Exceptional preceptors invested in the success of their residents Optimal mix of big enough to train you and small enough to be rural Additional points: Monthly academic half days and quarterly academic weeks which cuts down on travelling. Multiple SAMP and SOOS practice sessions Practice management curriculum Teaching opportunities with other residents and ICC students

Kootenay Boundary Schedule 2017-18 Home Site Block 1A Block 1B Block 2A Block 2B Block 3A Block 3B Block 4A Block 4B Block 5A Block 5B Block 6A Block 6B Block 7A Month July Jul Jul Jul July Aug Aug Aug Aug Sep Sep Sep Sep Oct Oct Oct Oct Oct Nov Nov Nov Nov Dec Dec Dec Dec Start Date 1-9 10-16 17-23 24-30 31-6 7-13 14-20 21-27 28-3 4-10 11-17 18-24 25-1 2-8 9-15 16-22 23-29 30-5 6-12 13-19 20-26 27-3 4-10 11-17 18-24 25-31 Week No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 25-31 Ben Robinson Castlegar - Philip Kubara Nelson - Kate Gapp Salmo - Craig Courchesne Rossland - Nelson 1 Neslon 2 Trail 1 Trail 2 [2] [3] Pain Proc Proc Proc - [1] ICN/ ICN/ Proc Home Site Block 7B Block 8A Block 8B Block 9A Block 9B Block 10A Block 10B Block 11A Block 11B Block 12A Block 12B Block 13A Block 13B Month Jan Jan Jan Jan Jan Feb Feb Feb Feb Mar Mar Mar Mar Apr Apr Apr Apr April May May May May June Jun Jun Jun Start Date 1-7 8-14 15-21 22-28 29-4 5-11 13-18 19-25 26-4 5-11 12-18 19-25 26-1 2-8 9-15 16-22 23-29 30-6 7-13 14-20 21-27 28-3 4-10 11-17 18-24 25-1 Week No. 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Ben Robinson Castlegar - Philip Kubara Nelson - Kate Gapp Salmo - Craig Courchesne Rossland - Nelson 1 Nelson 2 Trail 1 Trail 2 An/ An/ Pain Pain Pain Pain An/ An/ EP PM EP PM EP PM EP Pain Pain PM OP OP Pain OP Pain OP -