Surrey-South Fraser SiteUBC Family Practice ResidencyCaRMS Open House 2020

Amyna Fidai & Varun Bajaj, Chief Residents

Lara Brewster & Hark Bawa, R1 Reps

Site Contacts● Site Director: Dr. Darryl Samoil ● Langley Site Faculty Leader: Dr. Jeff Plante ● Administrators:

○ Surrey: Kathleen McIntosh (kathleen.mcintosh@fraserhealth.ca) ○ Langley: Bridget Begin (bridget.begin@fraserhealth.ca)

● Chief Residents ○ Amyna Fidai (afidai@ucalgary.ca)○ Varun Bajaj (varunmudki@yahoo.com)

● R1 Reps ○ Lara Brewster (lara.brewster@gmail.com)○ Hark Bawa (harkbawa@alumni.ubc.ca)

Overview● Integrated CMG-IMG site

○ 9 CMGs and 8 IMGs this year

● Family Practice preceptor based in Surrey or Langley

○ Same preceptor across the 2 years○ Opportunity to seek exposure at alternate

clinics after 1 year

● Home-base: Surrey Memorial Hospital ○ May have rotations at Langley Memorial,

Delta or Peace Arch Hospital

● Learning focused site

Surrey● Population: > 520, 000

○ Second largest city in BC

● Multicultural & diverse population○ 40% of immigrants to BC○ 70% of refugees to BC○ 40, 000 Aboriginal residents

● Easily accessible to Vancouver○ 40 min by car or skytrain○ 2 blocks from King George Station

Surrey Memorial Hospital

● Largest hospital in Fraser Health Authority ● Second largest ER in Canada

○ 100, 000 visits/year

● Dedicated Peds ER ○ 150 visits/day

● Family Birthing Unit ○ 4200 births/year

● Acute Palliative Care Unit● Newly renovated academic space, SIM labs,

resident lounge and call rooms

Township of Langley

● Population: 120, 000○ Fastest growing municipality in Vancouver

● Great place to live○ Cheaper cost of living ○ Cozy community feel

● Increasing number of new immigrants and refugees ● 45 min from Vancouver along Hwy 1

Langley Memorial Hospital

● Community Hospital ○ Many GPs follow their own patients in hospital

● 166 acute and 224 extended care beds ● Palliative care

○ New hospice in planning stage

● Maternity care ○ 1800 deliveries/year

Other Teaching Sites

● Jim Pattison Outpatient Care and Surgery Centre ● Delta Hospital ● Peace Arch Hospital ● Addictions Centres

○ Creekside Detox & Daytox ○ Maxxine Wright

● Laurel Place Hospice

Academics● Academic Full Day every 2nd and 4th Thursday

○ Half day faculty lectures or clinical skills sessions ○ Half day resident-led sessions focused on 99

topics

● Exam prep: SOOs, SAMPS and OSCE cases ● Sim labs in house - 4-6 sessions/year● Residents as Teachers (RaT)● Bedside Clinical Teaching with medical students● Funded courses:

○ NRP ○ ACLS ○ ALARM○ Indigenous Cultural Competency Course

R1 Curriculum

● Family Medicine - 12 weeks ● OBGYN - 8 weeks ● Pediatrics - 6 weeks ● Emergency - 4 weeks ● General Surgery - 4 weeks ● MSK/Ortho - 2 weeks

● Palliative Care - 4 weeks ● Hospitalist - 4 weeks ● Infectious Disease - 2 weeks ● Addictions - 2 weeks ● IM Consults - 2 weeks ● Cardiology/Nephrology/Neurology - 1 week each

Detailed Look: R1 Curriculum● Family Medicine - 12 weeks

○ Surrey or Langley Community○ All R1s start on FM for 4 weeks and the remaining 8 weeks are spread across the rest of the year ○ Full day call-back every 1st, 3rd and 5th Thursday

● Obstetrics and Gynecology - 8 weeks ○ High volume obstetrics - low and high risk with GPs and OBs○ Clinics - prenatal visits, gyne consults, infertility, MFM, Diabetes in pregnancy, etc.○ 1:4 24-hour call

● Pediatrics - 6 weeks ○ 4 weeks in hospital - inpatient ward, outpatient consults in teaching clinic, newborn exams, ER consults

■ 2 days of outpatient community clinic exposure ■ 1:4 24-hour call

○ 2 weeks in BCCH ER

Detailed Look: R1 Curriculum● Emergency Medicine - 4 weeks

○ Surrey Memorial, Delta or Peace Arch Hospital○ 14-15x 8-hour shifts, 2x 8-hour shifts on Peds ER

● General Surgery - 4 weeks ○ Clinic, consults and OR - “choose your own adventure”○ Clinics - Lumps & Bumps, Breast Health, Urology, Wound care, etc. ○ 1:4 call until 11PM

● MSK/Ortho - 2 weeks ○ Clinic, consults and OR ○ Clinics: cast clinic, joint injections, back pain, knee clinic, etc.○ 2 call shifts until 11PM

Detailed Look: R1 Curriculum● Palliative Care - 4 weeks

○ Surrey Memorial, Langley Memorial or Delta Hospital ○ High acuity symptom management, ER and inpatient consults, hospice and community care ○ No call or weekend shifts

● Hospitalist - 4 weeks ○ Comprehensive service - admits, inpatient wards, discharges○ 2 evening shifts until 11PM, 2 overnight shifts with R2 buddy

● Infectious Disease - 2 weeks ○ Consulting service - ER and inpatient○ No call or weekend shifts

● Addictions- 2 weeks ○ Inpatient consults○ No evening or

Detailed Look: R1 Curriculum● IM Consults - 2 weeks

○ Consulting service - ER and inpatient○ No call or weekend shifts

● Cardiology - 1 week ○ Inpatient rounding on new CCU, ER and inpatient consults, clinics ○ Clinics - Heart Function, Heart Failure, Lipids, Cardiac Rehab etc. ○ No call or weekend shifts

● Neurology - 1 week ○ Clinics and consults○ Clinics - Movement Disorders, Headache, Stroke, Neuro-Ophthalmology, etc. ○ No call or weekend shifts

● Nephrology - 1 week

R2 Curriculum

● Family Medicine - 16 weeks ● Rural Medicine - 8 (to 16) weeks ● Hospitalist-CTU - 4 weeks ● Electives - 12 weeks

● Psychiatry - 4 weeks ● Geriatric Medicine - 2 weeks● Endocrinology - 2 weeks● Global Health - 4 weeks

Detailed Look: R2 Curriculum● Family Medicine - 16 weeks

○ Same preceptor as R1 year (opportunities to alternate / change clinics in R2 year if requested)○ Longitudinal opportunities based on personal learning objectives - 2 half days per week ○ Residential care exposure○ Full day call-back every 1st, 3rd and 5th Thursday of every block

● Rural Family Medicine - 8 weeks○ Can opt to do enhanced rural rotations (16 weeks) if interested in rural FM

● Hospitalist-CTU - 4 weeks ○ Goal is to increase comfort in managing 10 to 14 acute medical patients○ Teaching opportunities with med students rotating through○ 4 overnight calls: 2 calls 1:1 with preceptor, 2 calls with R1 buddy

Detailed Look: R2 Curriculum● Psychiatry - 4 weeks

○ Surrey Memorial or Peace Arch Hospital ○ Inpatient ward and Psych ER, outpatient clinics ○ Call until 11PM

● Geriatrics - 4 weeks ○ Outpatient clinic ○ No call or weekend shifts

● Global Health - 4 weeks ○ Choose from a variety of experiences - Aboriginal health, Addictions, HIV/HCV, New Canadian Clinics, Prison Health,

Maxxine Wright Community Health Centre, Population and Public Health research ○ International electives can be arranged (but start early!)

Detailed Look: R2 Curriculum● Electives - 12 weeks

○ 4 weeks maximum OOP or International ○ Distributed throughout the R2 year

● Longitudinal Hospitalist Call ○ Scheduled for 8-Hospitalist evening shifts until 11PM throughout the year during FM rotations and non-call

rotations (except rural) ○ First call for ward issues on all admitted hospitalist patients○ Hospitalist staff are in-house during this shift for backup

Our Surrey Family...

Resident Wellness

● Warm, tight-knit community of residents, faculty and preceptors

● Social events ○ Welcome dinner ○ Resident retreat ○ Holiday party ○ Monthly Birthday celebrations

● Strong Surrey-North Delta & Langley Divisions of Family Practice Chapters

Challenges

● Less community pediatrics exposure ○ High volume of bread and butter cases ○ ER consults and outpatient teaching clinic during Peds rotation ○ New rotation with BCCH ER exposure

● Less interaction with Royal College Residents ○ Allows for family medicine-oriented learning on services ○ Resident Doctors of BC events○ Awesome co-residents and strong community here!

● Having a vehicle is helpful

So Why Choose Us?

● Learning-based, not service-based site ● Home base for FM residents only● 1:1 learner to preceptor ratio on most rotations● High volume of diverse patients● Enthusiastic and supportive preceptors ● Excellent (and busy!) hospitalist, emergency and

obstetrics rotations ● Receptive faculty● Welcoming, tight-knit community ● Return of Service in Fraser region (for IMGs)

Questions?