Preparing for Your Rural Rotation

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Preparing for Your Rural Rotation Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM Director Faculty Development, SMP

description

Preparing for Your Rural Rotation. Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM Director Faculty Development, SMP. Disclosure. My wife and I watch Celebrity Apprentice. Outline. Background Clinical Cultural Boundaries Safety Summary . Background. Montreal, Vancouver, Boston, Seattle - PowerPoint PPT Presentation

Transcript of Preparing for Your Rural Rotation

Page 1: Preparing for Your Rural Rotation

Preparing for Your Rural Rotation

Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM

Director Faculty Development, SMP

Page 2: Preparing for Your Rural Rotation

My wife and I watch Celebrity Apprentice

Disclosure

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Background Clinical Cultural Boundaries Safety Summary

Outline

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Montreal, Vancouver, Boston, Seattle Nelson, Burns Lake, Princeton, Kaslo

Background

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You know you are a rural resident when…◦ Jonathan Kerr, MD◦ Tim Van Aerde, MD◦ Gabe Woollam, MD◦ Amy Jongerius, MD

Background

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“You've hurled obscenities at your computer after being instructed by "Up-To-Date" that the only way to make a diagnosis is to get a STAT CT scan.”

Limited resources, high acuity patients

Clinical

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Clinical

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Local expertise, protocol based care BC Bedline/HART teams Tertiary care connections Up to Date/Dynamed/Handheld applications Outcome

Clinical

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Clinical

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ATLS, CARE, CASTED Regional trauma service Provincial trauma service Air ambulance Outcome

Clinical

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“I just need a refill of my allopurinol”

Clinical

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Clinical

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“Your idea of a wild weekend is a barn dance and a plowing competition”

Cultural

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Rodeo, barn dance pictures

Cultural

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“You've spent time in a sweat lodge”

Cultural

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“At the local grocery store, one of your patients asks you to check her breast lump… right there in the middle of the aisle!”

Defining boundaries Knowing your patients

Boundaries

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“You've hit a deer with your car.”

Safety

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Clinical Cultural Boundaries Safety

Summary