2018-2019 UNDERGRADUATE TEACHING - OPPORTUNITIES IN MISSISSAUGA - MD Program
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OVERVIEW Trillium Health Partners (THP) is a learning organization dedicated to providing high-quality patient-centered care, and committed to educating the next generation of physicians and health professionals. Physicians and interprofessional team members have many opportunities to participate in a wide range of exciting experiences across multiple teaching locations, including all THP sites, the Terrence Donnelly Health Science Complex (TDHSC) at the University of Toronto Mississauga (UTM), St. George Campus of the University of Toronto (UTSG), and community offices. MD PROGRAM Through THP’s affiliation with the University of Toronto In 2017-18, UofT medical students fully (UofT), we are part of a Medical Education Campus transitioned to the new Foundations curriculum. together with the Mississauga Academy of Medicine Further information can be found on the University (MAM). Accordingly, we have a mandate to provide all of Toronto’s website: four years of undergraduate medical education to https://www.md.utoronto.ca/curriculum. learners from MAM. We also provide elective opportunities to undergraduate learners from other For teaching support, please refer to 2017-18 universities. By participating in direct teaching to Academic Calendar medical learners and providing regular clinical https://md.calendar.utoronto.ca/. This Academic supervision, your support will enhance our Calendar offers a guide to essential aspects of the collaborative approach to the delivery of education at MD Program. THP. FACULTY APPOINTMENT Physicians who teach medical trainees are https://medicine.utoronto.ca/faculty-staff/faculty- required to hold an academic appointment with appointments-and-promotions their appropriate department at the University of Toronto (UofT) to meet accreditation standards The Education Office will facilitate the application and facilitate teaching payments. process for Trillium Health Partners (THP) physicians. For assistance in obtaining a faculty For further information on a UofT faculty appointment, please email or call Kim Bradley at appointment, please visit: kim.bradley@thp.ca or 905.848-7580 ext. 1749. Further information can be obtained through the Education Office by emailing abeera.abbasi@thp.ca. Thank you for your continued support!
CONTENTS 2018-19 COURSE BREAKDOWN YEARS 1 & 2 - FOUNDATIONS ........................................................ 4 COURSE OVERVIEW............................................................................................................................................................ 5 CONTENT OVERVIEW ......................................................................................................................................................... 6 2018 ..............................................................................................................................................................6 2019 ..............................................................................................................................................................7 DIRECT TEACHING OPPORTUNITIES ACROSS MD PROGRAM ................................................................................ 8 CASE-BASED LEARNING (CBL) ........................................................................................................................................ 9 CLINICAL SKILLS – YEAR 1 AND 2 ................................................................................................................................. 10 ENRICHING EDUCATIONAL EXPERIENCES (EEE) ...................................................................................................... 11 ETHICS AND PROFESSIONALISM .................................................................................................................................. 12 FAMILY MEDICINE LONGITUDINAL EXPERIENCE (FMLE) – YEAR 2...................................................................... 13 HEALTH IN THE COMMUNITY (HC) – YEARS 1 AND 2 ............................................................................................. 14 HEALTH SCIENCE RESEARCH (HSR) – YEAR 1 AND 2 .............................................................................................. 15 PORTFOLIO - YEARS 1 AND 2 ........................................................................................................................................ 16 SEMINARS/WORKSHOPS ............................................................................................................................................... 17 CONTACTS – YEARS 1 & 2 ................................................................................................................... 18 HOSPITAL-BASED ADMINISTRATIVE CONTACTS EDUCATION OFFICE, TRILLIUM HEALTH PARTNERS .... 18 CLINICAL SKILLS 1 & 2 ..................................................................................................................................................... 18 2018-19 COURSE BREAKDOWN YEARS 3 & 4 - CLERKSHIP ............................................................. 19 TRANSITION TO CLERKSHIP (TTC) COURSE (YEAR 3) ............................................................................................. 20 CLERKSHIP TEACHING OPPORTUNITIES (YEARS 3 & YEAR 4) .............................................................................. 21 PORTFOLIO COURSE (YEARS 3 & 4) ............................................................................................................................. 22 CLERKSHIP & POSTGRADUATE SCHEDULING COORDINATORS ......................................................................... 23 EDUCATION PROGRAM CONSULTANTS .................................................................................................................... 23 EDUCATION OFFICE – TRILLIUM HEALTH PARTNERS............................................................................................. 23 HOSPITAL-BASED ADMINISTRATIVE CONTACTS .................................................................................................... 23 POSTGRADUATE MEDICAL EDUCATION .......................................................................................... 24 INTERPROFESSIONAL EDUCATION ................................................................................................... 25 TEACHING OPPORTUNITIES .............................................................................................................. 27 3
COURSE OVERVIEW There are five courses that run throughout the UofT Course Directors: two years: TBD Introduction to Medicine Introduction to Medicine– Year 1 11 weeks in Year 1 Dr. Lori Albert Introduces basic & social sciences relevant to Concepts, Patients, Communities 1 – Year 1 medicine, cognitive science, clinical skills & Dr. David Chan community health. Concepts, Patients, Communities 2 – Year 2 Dr. Hosanna Au Concepts, Patients, & Communities 1 Life Cycle – Year 2 25 weeks in Year 1 Dr. James Owen Instruction on health and the diagnosis and Complexity & Chronicity – Year 2 treatment of disease relevant to all of the body’s systems MAM CBL TOPIC Group Leaders: Concepts, Patients & Communities 2 Year 1 16 weeks in Year 2 Instruction on health and the diagnosis and TBD (1 vacancy) treatment of disease relevant to all of the body’s Dr. Jennifer Everson systems Dr. Robert Goldberg Dr. Ahmed Hassan Dr. Tanzil Rahman Life Cycle Dr. Naveed Syed 9 weeks in Year 2 Instruction on health & disease from conception, Year 2 development, birth, infancy, childhood, TBD (1 vacancy) adolescence, aging, and for patients who are dying Dr. Pearl Behl Dr. Jamsheed Desai Dr. Stephen McKenzie Complexity & Chronicity Dr. Melanie Spring 11 weeks in Year 2 Consolidation of the program with emphasis on Dr. Corey Stein chronic disease management, & complex problems with preparation for clerkship MAM Foundations Course Coordinator: Elizabeth Day 5
Content Overview The following provides a very brief list of the 2018-19 unit topics covered across the 72 week curriculum. 2018 Year 1 CBL Topic Date Year 2 CBL Topic Date Genes 30-Aug-18 Orthopaedic Trauma 29-Aug-18 Chromosomes 06-Sep-18 Rheumatology 05-Sep-18 Molecules 13-Sep-18 Peripheral Nervous System and Spinal Cord Diseases 19-Sep-18 Regional Musculoskeletal Summary & Application and 23-Sep-18 Cell Biology 20-Sep-18 Paediatric Disorders Motor System and Somatosensation I: Pyramidal 26-Sep-18 Tissues and Organs 27-Sep-18 System, Somatosensation and Stroke Motor System and Somatosensation II: Extrapyramidal 03-Oct-18 Embryology 04-Oct-18 and Cerebellar Systems and their Disorders Growing Up 11-Oct-18 Pain, Headache and Epilepsy 10-Oct-18 Lifestyle Medicine 18-Oct-18 Neuro-ophthalmology, Multiple Sclerosis and Sleep 17-Oct-18 Consciousness, Higher Cortical Functions and 31-Oct-18 Drugs I 01-Nov-18 Cognitive Impairment Psychosis Personality Disorders, and Attention- 07-Nov-18 Drugs II 08-Nov-18 Deficit/Hyperactivity Disorder Investigations 15-Nov-18 Anxiety and Mood Disorders 14-Nov-18 Microbiology I 22-Nov-18 Addiction and Substance-related Disorders 21-Nov-18 Neuropsychiatry of Traumatic Brain Injury/Concussion 28-Nov-18 Microbiology II 20-Nov-18 and Somatic Symptom & Related Disorders Immunology I 06-Dec-18 Ophthalmology - Anterior Segment and Red Eye 05-Dec-18 Posterior Segment and Ophthalmological Causes of 12-Dec-18 Immunology II 13-Dec-18 Visual Loss Blood I 20-Dec-18 Otolaryngology and Head & Neck Surgery 19-Dec-18 6
2019 Year 1 CBL Topic Date Year 2 CBL Topic Date Blood II 10-Jan-19 Gynecology I 9-Jan-19 Sex & Gender Based Medicine & 16-Jan-19 Dermatology 17-Jan-19 Gynecology II Cardiovascular I 24-Jan-19 Obstetrics I 23-Jan-19 Cardiovascular II 31-Jan-19 Obstetrics II 30-Jan-19 Cardiovascular III 07-Feb-19 Neonate & Infant 06-Feb-19 Cardiovascular IV 14-Feb-19 Child 13-Feb-19 Respirology I 21-Feb-19 Adolescent 20-Feb-19 Respirology II 28-Feb-19 Geriatric 27-Feb-19 Respirology III 07-Mar-19 Palliative Care 06-Mar-19 Endocrine I 21-Mar-19 Pain n/a Endocrine II 28-Mar-19 Intersectionality & Equality 27-Mar-19 Endocrine III 04-Apr-19 Medical Psychiatry 03-Apr-19 Endocrine IV 11-Apr-19 Surgery 10-Apr-19 Gastrointestinal I 18-Apr-19 Trauma 17-Apr-19 Gastrointestinal II 25-Apr-19 Complexity I - Diabetes 24-Apr-19 Gastrointestinal III 02-May-19 Complexity II - HIV 01-May-19 Complexity III – Developmental 08-May-19 Gastrointestinal IV 9-May-19 Disability / Transition in Care Kidney and Urinary Tract I 16-May-19 Cancer 15-May-19 Kidney and Urinary Tract II 23-May-19 Global Health 22-May-19 Kidney and Urinary Tract III 30-May-19 Infectious Disease Outbreak 29-May-19 7
DIRECT TEACHING OPPORTUNITIES ACROSS MD PROGRAM Within each course/year, the content is taught through a number of modalities. Role Scheduled Teaching Days Targeted Recruitment Case-Based Learning (CBL) Year 1 – Thursday pm Sub-specialists based on Tutor weekly content and Generalists Year 2 – Wednesday am (UTM-based) Clinical Skills Tutor Year 1 – Friday am Generalists with support from sub-specialists based on (Hospital-based & Community Year 2 – Thursday am weekly content Offices) Health in the Community (HC) Year 1 – Tuesday pm Community-focused clinicians Tutor (co-tutor format with a health Year 2 – Thursday pm (UTM-based) care professional) Health Science Research (HSR) Year 2 – Wednesday pm Physicians and/or health Tutor professionals with a focus on (UTM-based) research Portfolio Academy Scholar Year 1 – Tuesday pm Physicians with a skill in engaging trainees and earning (Years 1 & 2 - UTM-based) Year 2 – Wednesday pm their trust, while providing (Years 3 & 4 Hospital-based) Year 3 – Thursday 4-6 pm honest and helpful feedback Year 4 - Thursday 4-6 pm (3 (co-facilitation format with a sessions only in early 2019) resident or another physician) Lecturer Year 1 – Monday am/Friday pm Sub-specialists based on weekly content (UTM-based) Year 2 – Friday am/Wednesday pm Seminar / Workshop Leader Varied Subject experts based on (UTM-based) weekly content Clerkship Seminars Varied and dependent on Subject experts rotation and specialty 8
CASE-BASED LEARNING (CBL) Student’s Experience of a CBL Case: group will have a longitudinal relationship with a few faculty tutors.). The faculty will review the This is a virtual patient online module that outlines answers with the group, challenge their thinking, the case of the week. A group of 8-10 students answer questions (tutor-guide for the case will be will go through the CBL module on campus, provided by the content experts), and present without a faculty tutor. The students follow the other similar cases to help the students transfer journey of a patient (or a family) navigating the their knowledge to other contexts. The tutors will health care system in the case. They will explore also identify any confusing or challenging the trigger questions, patient-directed questions, concepts remaining at the end of the session and resources, videos, imaging, EMR screenshots, and inform the central teaching team. These concepts lab results findings, etc. in the case. In addition, will be discussed with students further at a later there are around 10-15 questions that the group time in the Integrated Summary & Application will have to answer and submit to the faculty tutor Lecture (see page 17). by the end of this self-guided group session. Refer to the following for an example of a virtual During the week, the students will independently case: explore the resources (e.g., guidelines, clinical http://emodules.med.utoronto.ca/UME/191/013/ skills videos, etc.) embedded in the CBL module to story.html solidify their understanding. Faculty information to support case-based A few days later, the same group will attend a 2.5- teaching can be found in the Appendix – A Primer hour CBL session with a faculty tutor (note: each for Case-Based Learning (CBL) tutors. Summary of TOPIC CBL Year 1 and 2 Teaching Requirements: Day of the Week: Year 1: Thursday PM Duration & Interval 2.5 hours Year 2: Wednesday AM Weekly (Sept – May) Total # of Tutorials 72 across the two year curriculum Faculty Support/ Yes # Tutors 6 Development Required/Session Assessments Review of Student # of 9 Assignment required Students/Group prior to the CBL session Teacher Qualifications CBL tutors can be generalists, specialists, or clinician scientists – there is an opportunity for all medical faculty who are interested in teaching through analysis of clinical cases. Generalist physicians from many disciplines may be able to take on more cases to provide longitudinal continuity, but sub- specialists will also provide added support. See pages 6 and 7 for weekly content areas. 9
CLINICAL SKILLS – YEAR 1 AND 2 The Clinical Skills portion of the ICE component is Clinical Skills Director: hospital-based and provides students with Dr. David Wong instruction on how to take a patient’s history and Clinical Skills Site Coordinators: perform physical examinations. Year 1: This teaching runs across the first two years of Dr. Suleman Remtulla (CVH) the MD Program. Dr. Christopher Gilchrist (MH) Year 2: Dr. Shelley Kraus (CVH) Dr. Lori Coman-Wood (MH) THP Preclerkship Coordinators: René deHooge (CVH) Paty Callaghan (MH) Summary of Clinical Skills Teaching Requirements: Day of the Year 1: Friday AM Duration & 4 hours weekly Week: Year 2: Thursday AM Interval 8 am–12 noon (Sept – May) Total # of Approximately 36 Total Teaching Year 1: Approx. 140 hours of Tutorials weeks in year 1. Time teaching encompassing full year - Approximately 20 shared commitment between weeks in year 2 physicians. taught by generalists. Year 2: Approx. 80 hours of teaching spread throughout the year – shared commitment. Faculty Yes # Tutors Approximately 9 across sites for Support/ Required/ Session each year Development Assessments Evaluations, Case # of 6 Reports + OSCE Students/Group Teacher This teaching opportunity is attractive to generalists – any physician who enjoys Qualifications teaching the basics will enjoy teaching Clinical Skills. For year 2, specialists are recruited for sessions requiring content experts, such as Psychiatry, Paediatrics, Geriatrics and Neurology. Many tutors commit to returning year-over-year. Postgraduate medical trainees and Clinical Fellows with program permission can also be recruited as required. 10
ENRICHING EDUCATIONAL EXPERIENCES (EEE) Students must complete 24 hours in 2 years. The experiences include “shadowing”, with at least EEE Director: one experience involving exposure to a designated population. While, at this time, the experience Dr. Jon Novick doesn’t have to be organized specifically around a designated population, it must expose the student THP Preclerkship Coordinators: to a preceptor working with that population in René deHooge (CVH) some manner. When students register an Paty Callaghan (MH) experience, they will indicate if it satisfies the “designated population” requirement - these experiences will be student-driven and student- reported. Summary of EEE Teaching Requirements: Day of the Week: Year 1: Wednesdays or during Duration & As agreed upon other free time Interval between supervising physician & student Year 2: Tuesdays or during other free time Total # of N/A Total Teaching Negotiable Tutorials Time Faculty Support/ No # Tutors N/A Development Required/Session Assessments No # of N/A Students/Group Teacher Physician support for accepting observership experiences is required in order to Qualifications meet the student’s curriculum needs. The location for observerships can be hospital-based or clinic/office-based. 11
ETHICS AND PROFESSIONALISM The ethics curriculum is designed to provide students Faculty Lead: with the opportunity to grapple with ethical and Dr. Erika Abner professional dilemmas drawn from both student and faculty experiences, and the bioethics and MAM Physician Coordinator: professionalism literatures. The teaching for this Dr. Rob Boyko content runs across years 1 and 2. MAM Foundations Course Coordinator: Elizabeth Day Summary of Ethics Teaching Requirements: Day of the Week: Year 1: Thursday morning Duration & Interval 1.5 – 3 hours (varied) or Friday afternoon Year 2: Monday morning or afternoon (Sept – May) Total # of Seminars Year 1: 2 Total Teaching Time 21 hours Year 2: 5 Faculty Support/ Yes # Tutors 3 Development Required/Session Assessments No # of Students/Group 18 Teacher Sessions are facilitated by two tutors who have an interest/experience in Qualifications ethics and professionalism – a clinical ethicist paired with a clinician. 12
FAMILY MEDICINE LONGITUDINAL EXPERIENCE (FMLE) – YEAR 2 This 2nd year course is managed centrally by the supplied by the University. DFCM. Interested Family Medicine physicians should contact the FMLE Coordinator The FMLE provides students an opportunity to (fmle.recruit@utoronto.ca or 416-946-5249) if experience clinical care in the community-based, they are interested in supporting this course. primary care setting. Students have the opportunity to participate in the daily activities of Students participate in six community-based a clinic and find out what it’s really like to be a family medicine clinics over a three to four month family physician, practice and hone their interview period. Students are assigned preceptors through and physical examination skills while discovering a match process, after which the six clinic dates the incredible options that a future in family will be arranged and agreed on jointly by the medicine offers. student and preceptor, from a list of dates 13
HEALTH IN THE COMMUNITY (HC) – YEARS 1 AND 2 HC teaches the fundamental principles of community health. There is currently a HC Course Director: combination of academy-based sessions and field Dr. Fok-Han Leung visits to community agencies and patient home visits. Academy-based tutorial sessions review the HC Course Site Coordinator: principles of community health Dr. Maria Upenieks learned/highlighted in the field visits. These sessions are co-tutored with an allied MAM Administrative Coordinator: healthprofessional at UTM. Starting in the Spring Frances Rankin of Year 1, students and tutors are assigned to a community partner agency . Students work to develop and complete their community based service learning component (CBSL) during 2nd year. Summary of HC Teaching Requirements: Day of the Week: Year 1: Tuesday (1:30- Duration & Interval Year 1: 3 4:30 pm) hours/session Year 2: Thursday (1:30- Year 2: 3 4:30 pm) hours/session (September – May) Total # of Tutorials Year 1: 5 sessions Total Teaching Time Year 1 = 15 hours Year 2: 4 sessions plus Year 2 = 12 hours Community Forum event Faculty Support/ Yes # Tutors 9 physicians + 9 allied Development Required/Session health professionals Assessments Yes # of Students/Group 6 Teacher Physician tutors are community-focused clinicians who are paired as co-tutor Qualifications with a health care professional. 14
HEALTH SCIENCE RESEARCH (HSR) – YEAR 1 AND 2 With curriculum renewal and the development of activities, scholarly activities and clinical the Foundations curriculum, HSR has been re- practice and the care of patients. conceptualized as a two-year component. The 4. Allowing students to build up their scientific first year of the two-year component will research knowledge, develop research commence in September of 2017. competencies such as critical-thinking, problem-solving, life-long learning, The HSR component is an introduction to the hypothesis formulation, methodology principles of research, directed at helping students delineation, results interpretation and data understand and use research to contribute to communication both orally and textually. improving the health of people and populations, 5. Developing positive attitudes towards including First Nations, Inuit and Metis peoples, in research and encouraging productive Canada and globally. The change from a one year engagement in undergraduate research course to a two-year longitudinal component is activities aimed at: 1. Integrating research knowledge and skills at HSR Director: the start of the student’s medical education Dr. Debra Katzman 2. Allowing for a robust curriculum to be taught, processed and assimilated over a 2-year Associate Course Director: period. Dr. Tony D’Urzo 3. Providing a solid foundation in research MAM Administrative Coordinator: knowledge and skills for prospective research Frances Rankin Summary of HSR Teaching Requirements: Day of the Week: Year 2: Wednesday PM Duration & Interval 2 hours/session (Sept – May) Total # of Tutorials Year 2: 8 Total Teaching Time Approx. 22 hours across two years Faculty Support/ Yes # Tutors 9 Development Required/Session Assessments Yes – Evaluations # of Students/Group 10-12 Teacher • Must be MD, PhD, or MD/PhD and actively engaged in research Qualifications • Effective teacher who is enthusiastic about health science research and the importance of developing life-long skills in this area • Expertise in 1 or more Canadian Institutes of Health Research (CIHR) pillars • Experience supervising / mentoring students on independent research • Comfortable meeting the individual needs of students who have entered medical school with a wide range of research experiences • In short, tutors should be a “hybrid” faculty person – one who is both an excellent educator/teacher and researcher. 15
PORTFOLIO - YEARS 1 AND 2 Portfolio offers an opportunity for guided mentor and advisor to each student on two reflection on what students are learning and occasions during the academic year, to review the incorporates frequent, low to moderate stakes Learner Chart compiled by the student, consisting assessment exercises, including written tests, of formal assessments, student’s reflections and clinical skills observations, clinical application learning plan related to these assessments. This exercises, among others. Results of these teaching in years 1 and 2 takes place at UTM. assessments are gathered by students in an Learner Chart throughout the year, and are Portfolio Director: regularly reviewed with faculty mentors to ensure Dr. Nirit Bernhard students are staying on track, and receiving help Associate Course Director: where it is needed. Dr. Susanna Talarico Physicians supporting this course are referred to MAM Physician Site Coordinator: as Academy Scholars. Academy Scholars will Dr. Sarah McClennan facilitate and guide group discussion about experiences as medical students and will give MAM Administrative Coordinator: longitudinal feedback to students. The Scholar is a Frances Rankin Summary of Portfolio Requirements: Day of the Week: Year 1: Tuesday PM Duration & Interval 2 hours for 6 sessions Year 2: Wednesday PM and (Sept – May) 5 hours for 2 sessions Total # of Tutorials 6 + 2 individual meetings Total Teaching Approx. 30 hours/year of 30 minutes/student Time Faculty Support/ Yes # Tutors Required/ 12 across the two years – Development Session 6/year (there is a potential for 2 physicians to share commitment) Assessments Yes - Reflections # of Students 3-5 Teacher Academy Scholars are respected teachers in their clinical departments, with Qualifications comfort and skill in engaging trainees and earning their trust, while providing honest and helpful feedback in a supportive fashion. Physician Academy Scholars co-facilitate this teaching with a Junior Scholar (generally a resident). 16
SEMINARS/WORKSHOPS Clinical Decision Making workshops (CDM) how to communicate about the situation to the provide active learning opportunities for students patient and family (e.g., ECG workshops, to practice applying their knowledge and skills to a Ultrasound teaching, etc.). variety of clinical cases, reinforce what was Longitudinal theme seminars are led by a faculty covered in the other modalities, and build their or a panel of experts including non-physician clinical decision making skills. experts (e.g., ethics, leadership). Specific Skills-based workshops assist the students in information on Ethics and Professionalism is learning/practicing a specific clinical skill within a provided below. clinical context including, when relevant, learning Summary of TOPIC Seminar/Workshops Teaching Requirements: Day of the Week: Varies Duration & Interval 2-3 hours (September – May) Dependent on content requirements Total # of Seminars Year 1: 8-10 Total Teaching Varies Time Year 2: 8-10 Faculty Support/ Yes # Tutors 3 Development Required/Session Assessments Yes (sometimes) # of 18 or smaller Students/Group Teacher Qualifications Seminars/workshops are taught by content experts. Integrative Summary and Application Lecture 17
CONTACTS – YEARS 1 & 2 MISSISSAUGA ACADEMY OF MEDICINE (MAM) CONTACTS (BASED AT UTM) Elizabeth Day Frances Rankin Foundations Course Coordinator Foundations Administrative Coordinator Tel: 905-569-4618 Tel: 905-569-4602 Email: elizabeth.day@utoronto.ca Email: frances.rankin@utoronto.ca Manages: CBL, Ethics, Seminars / Manages: HC, HSR, Portfolio Workshops, Lectures at UTM HOSPITAL-BASED ADMINISTRATIVE CONTACTS EDUCATION OFFICE, TRILLIUM HEALTH PARTNERS CLINICAL SKILLS 1 & 2 Paty Callaghan René deHooge Preclerkship Coordinator & Preclerkship Coordinator & Student Liaison - Mississauga Student Liaison – Credit Valley Hospital Hospital Tel: 905-848-7580 x3587 Tel: 905-813-1100 x4856 Email: paty.callaghan@thp.ca Email: rene.dehooge@ thp.ca For a full list of the Education Office staff and their contact information, please visit the thpHUB: http://thphub/MedicalEducation/Pages/ContactInformation.aspx 18
2018-19 COURSE BREAKDOWN YEARS 3 & 4 - CLERKSHIP 19
TRANSITION TO CLERKSHIP (TTC) COURSE (YEAR 3) Transition to Clerkship (TTC) is a two week course and urgent response. Students are divided into small that runs at the beginning of clerkship in thethird groups and rotate throughout various stations year of the undergraduate medical program. This where specific skills are taught.These skills include: course strives to assist students in developing the • ABGs (mannequin arms are used for this) knowledge, skills and attitudes they require to • Airway management and NGT placement successfully progress from their role as a student to (taught in the Simulation Centre) a member of the healthcare team as a clinical clerk. • Gloving and gowning for the OR TTC is delivered for the MAM at the Terrence • Gloving and gowning for infection prevention Donnelly Health Science Complex (TDHSC) at UTM, and control with clinical days (otherwise known as Academy • IVs (mannequin arms are used for this) Days) occuring at THP. Faculty are recruited for all • ECGs (2 machines are available with small group learning sessions. standardized patients on whom to obtain the There are four focus areas with which the medical ECGs) learner will be provided an opportunity to learn: 1) Students also take part in additional workshops The Intrinsic CanMEDS roles, emphasis on and seminars during TTC, which include topics on teamwork, patient safety, managing information, professional relations, poverty & health, imaging interprofessional care, and medical-legal issues. 2) and patient saftey. Details relating to all teaching Medical Expert roles such as therapeutics, nutrition, sessions that are available during TTC are listed medical imaging, 3) The care of priority populations below. (those living in poverty, and diversity groups 4) Specific skills needed for clerkship, explored within Course Director: the Academy Days of TTC. Dr. Tatiana Freire-Lizama The three hospital-based academy days during TTC MAM Physician Site Coordinator: consist ofclinical skills days whichprovide Dr. Sarah McClennan studentsan orientation to clinical skills procedures TTC Session Preferred Specialty # of Tutors Duration Location Taught Crisis Management Psychiatry/ Family Medicine 2 2 hrs TDHSC Nutrition Registered Nurse/ Dietitian 4 3 hrs Mississauga Hospital In the OR Surgery/ Anesthesiology 2 2 hrs Mississauga Hospital In the ER Emergency Medicine 2 2 hrs Mississauga Hospital On the Ward Internal Medicine 2 2 hrs Mississauga Hospital In the Clinic Family Medicine 2 2 hrs Mississauga Hospital Medicolegal Family Medicine/ Emergency Medicine 3 3 hrs TDHSC Imaging Diagnostic Imaging 2 3 hrs TDHSC Poverty & Health Family Medicine/ Mental Health 5 3 hrs TDHSC 20
CLERKSHIP TEACHING OPPORTUNITIES (YEARS 3 & YEAR 4) The year 3 & 4 curriculum is primarily comprised of The core clerkship program includes rotations in clinical skills teaching. This allows for numerous Anaesthesia, Emergency Medicine, Family Medicine, opportunities to participate as a supervising Medicine, Mental Health, Ob-Gyne, physician across many programs. Trillium Health Ophthalmology, Otolaryngology, Paediatrics and Partners provides over 90% of the 3rd year core Surgery. In addition to numerous opportunities to clerkship teaching for the MAM students and supervise 3rd and 4th year medical students within creates the opportunity for many elective and their clinical rotations, many programs have direct selective experiences within the fourth year of teaching opportunities within their mandatory clerkship as the medical students prepare for curriculum requirements. residency. The following is a summary of contact information for each of these programs: THP MEO THP Clerkship Site Program UofT Course Director Scheduling Supervisor(s) Coordinator Dr. Christopher Flynn Anaesthesia Dr. Ahtsham Niazi Yvonne McVeigh Dr. Augustine Rhee Emergency Dr. Michael Cohen Dr. Laura Hans Kay Pantarotto Medicine Dr. Amna Karabegovic Dr Azi Moaveni , Undergraduate Dr. Ruby Alvi Family Suroor Khan (MH) Director & Clerkship Director Dr. Jennifer Everson Medicine Sylvia Muir (CVH) Dr. Kimberly Kent Dr. Katherine Monkman Medicine Dr. Luke Devine Renata Leko Dr. Sumontra Chakrabarti Psychiatry Dr. Raed Hawa Dr. Ariel Shafro Renata Leko Dr. Scott Tigert Ob-Gyne Dr. Rajiv Shah Kay Pantarotto Dr. Ronnie Hakim Ophthalmology Dr. Daniel Weisbrod Dr. Devesh Varma Yvonne McVeigh Dr. Jeffrey Mendelsohn Otolaryngology Dr. Allan Vescan Yvonne McVeigh Dr. Amandeep Grewal Dr. Joanna Humphreys Paediatrics Dr. Angela Punnett Kay Pantarotto Dr. Katarzyna Gwiazda Dr. Abdollah Behzadi Surgery Dr. Jeremy Hall Yvonne McVeigh Dr. Philippe Garzon 21
PORTFOLIO COURSE (YEARS 3 & 4) The Portfolio Program in years 3 and 4 is Course Director: hospital-based. This course provides structured Dr. Nirit Bernhard guidance to medical students in their 3rd and 4th year. The current curriculum has not changed with the implementation of the Foundations Associate Course Director: curriculum - it is designed to use self-reflection Dr. Susanna Talarico as a means to assisting students with understanding the various experiences through MAM Physician Site Coordinator: their clinical rotations. Two facilitators are paired Dr. Sarah McClennan together to meet with small groups of 6-9 students to discuss the uncertainties of their new MAM Administrative Assistant: role as a junior clinician – the highs and lows on Frances Rankin each rotation; the messages they get form supervisors, patients, and peers. All sessions take place on Thursdays between 4-6 pm. Summary of Portfolio Years 3 and 4 Teaching Requirements: Day of the Week: Thursday afternoon Duration & Interval Year 3 = 2 hours monthly (Sept – May) Year 4 = Dec/Feb/Apr Total # of Tutorials Year 3: 7 Total Teaching Time Year 3 = 14 hours Year 4: 3 Year 4 = 6 hours Faculty Support/ Yes # Tutors 16 Development Required/Session (8 pairs who co-facilitate) Assessments Yes - Reflections # of Students/Group 6-7 Teacher Academy Scholars are respected teachers in their clinical departments, with Qualifications comfort and skill in engaging trainees and earning their trust, while providing honest and helpful feedback in a supportive fashion 22
EDUCATION OFFICE – TRILLIUM HEALTH PARTNERS HOSPITAL-BASED ADMINISTRATIVE CONTACTS EDUCATION PROGRAM CONSULTANTS Lorraine Ferraro Nicole Gaertner Keith Leung Program Consultant Program Consultant Program Consultant Anesthesia, Emergency, Ophthalmology, Family Medicine, Ob/Gyne & Pediatric Diagnostic Imaging, Medicine & Psychiatry Otolaryngology & Surgery Tel: (905) 848-7580 x1738 Tel: 905-848-7580 x1728 Tel: (905) 848-7580 x3312 Email: nicole.gaertner@thp.ca Email: keith.leungr@ thp.ca Email: lorraine.ferraro@ thp.ca CLERKSHIP & POSTGRADUATE SCHEDULING COORDINATORS Keri Fernandes Suroor Khan Renata Leko Scheduling Coordinator & Student Scheduling Coordinator & Student Liaison, Scheduling Coordinator & Student Liaison, Liaison, LInC & Psychiatry Trillium-Summerville Family Medicine Medicine (including Oncology), Psychiatry Tel: 905-848-7100 x1751 Teaching Unit (FMTU) & Diagnostic Imaging / Radiology Email: keri.fernandes@thp.ca Family Medicine - Mississauga Hospital Tel: 905-848-7580 x1728 Tel: 905-272-9900 x248 Email: renata.leko@ thp.ca Email: suroor.khan@ thp.ca Yvonne McVeigh Sylvia Muir Kay Pantarotto Scheduling Coordinator & Student Scheduling Coordinator & Student Liaison, Scheduling Coordinator & Student Liaison, Liaison, Surgery, Anesthesia, ENT & Credit Valley FMTU, Family Medicine Obstetrics & Gynecology, Paediatrics, Ophthalmology – Credit Valley Hospital Emergency Medicine, Pathology/Genetics/Lab Tel: 905-848-7580 x1750 Tel: 905-813-1100 x5172 Tel: 905-848-7580 x1747 Email: yvonne.mcveigh@ thp.ca Email: sylvia.muir@ thp.ca Email: kay.pantarotto@thp.ca For a full list of the Education Office staff and their contact information, please visit the thpHUB: http://thphub/MedicalEducation/Pages/ContactInformation.aspx
POSTGRADUATE MEDICAL EDUCATION THP provides educational experiences for the respective Colleges. Every rotation at THP is based approximately 400 postgraduate trainees, including on personal objectives agreed upon between the residents, fellows, and some international trainees. supervising physician and the resident. With clinical training widely distributed amongst Our hospital acts as the site for two core family our sites, within our community and at our FMTU’s, medicine teaching units, along with opportunities for we offer a unique approach to postgraduate residents to participate in educational experiences medical education and will continue to support the within our clinical programs recognized by the Royal growth of our postgraduate trainees and medical College of Physicians and Surgeons of Canada and education within our hospital and the community the College of Family Physicians of Canada. Through of Mississauga. In addition to clinical supervision of our affiliation with UofT, clinical department chairs postgraduate trainees, there are also opportunities coordinate training programs for learners and the to deliver formal presentations as part of the family duration of training varies according to curriculum medicine residency academic program. guidelines and accreditation standards determined by 24
INTERPROFESSIONAL EDUCATION OPPORTUNITY FOR INVOLVEMENT Interprofessional education is a worldwide Collaboration constructs. Please visit UofT’s CIPE initiative that aims to improve the standards of website for more information on current patient/client care, health provider satisfaction curriculum requirements: and foster the highest quality of collaborative http://ipe.utoronto.ca/interprofessional- practice. The skills that students learn as part of education-curriculum. this curriculum will enable them to be collaborative practice-ready healthcare A calendar of all IPE elective offerings currently professionals. available at THP can be found on the Education Guided through the leadership of the Curriculum page on the THP website (Link: Portfolio, the IPE Curriculum has seen major https://trilliumhealthpartners.ca/education/Docu developments in the past three years. In the IPE ments/IPE-Calendar.pdf). Curriculum, students are able to advance through If you are interested in facilitating an IPE elective the developmental levels - Exposure, Immersion or in creating an IPE elective opportunity for and Competence (See UofT IPE Competency learners, please contact Dr. Dhanjit Litt, Framework) with competencies identified in the Interprofessional Education Physician Lead. Values and Ethics, Communication and 25
FACULTY DEVELOPMENT The Office of Faculty Development, MD Program, offers a variety of opportunities to help medical educators prepare for their teaching roles in the MD Program at the University of Toronto. Medical educators can receive support to assist with development, and delivery of the various components of the Foundations and Clerkship curricula. To find self-directed learning resources and/or register for in-person education activities, visit the Office of Faculty Development website (click on logo below). On this website you have access to: • events (e.g. academy specific workshops, webinars) • resources (e.g. print material, videos, eLearning modules) For additional information, please contact Dr. Jana Lazor, EdD, Director of Faculty Development, Faculty Development - jana.lazor@utoronto.ca or Lori Innes, Faculty Development Coordinator - lori.innes@utoronto.ca Office of Faculty Development, MD Program, Faculty of Medicine, University of Toronto, 1 King’s College Circle, Toronto ON, M5S 1A8; 416-978-1699. Website links: 26
TEACHING OPPORTUNITIES Physician Name (Last, First): Program: Division: Please indicate below which teaching activities you are interested in leading or learning more about: MD Program Years 1 and 2 THP Education Office (EO) Preclerkship - Foundations Curriculum Simulation Case-Based Learning (CBL) – at UTM Interprofessional Education (IPE) Clinical Skills (CS) - in hospital Research Health in the Community (HC) – at UTM Physician Assistant (PA) Supervision Health Science Research (HSR) – at UTM Portfolio– at UTM or in hospital Student Success Seminars – at UTM Canadian Resident Matching Service Lectures – at UTM (CaRMS) Enriching Educational Experience (EEE) aka MD Program Years 3 and 4 Shadowing or Observership Clerkship Mentorship Clinical Teaching – preceptor Remediation (hospital/community practice) Examiner (iOSCE, Oral Exams) Seminars – in hospital I would like to book a one-on-one meeting to discuss teaching opportunities (optional). 27
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