Preparing for Your Rural Rotation
Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM
Director Faculty Development, SMP
My wife and I watch Celebrity Apprentice
Disclosure
Background Clinical Cultural Boundaries Safety Summary
Outline
Montreal, Vancouver, Boston, Seattle Nelson, Burns Lake, Princeton, Kaslo
Background
You know you are a rural resident when…◦ Jonathan Kerr, MD◦ Tim Van Aerde, MD◦ Gabe Woollam, MD◦ Amy Jongerius, MD
Background
“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
Clinical
Local expertise, protocol based care BC Bedline/HART teams Tertiary care connections Up to Date/Dynamed/Handheld applications Outcome
Clinical
Clinical
ATLS, CARE, CASTED Regional trauma service Provincial trauma service Air ambulance Outcome
Clinical
“I just need a refill of my allopurinol”
Clinical
Clinical
“Your idea of a wild weekend is a barn dance and a plowing competition”
Cultural
Rodeo, barn dance pictures
Cultural
“You've spent time in a sweat lodge”
Cultural
“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
“You've hit a deer with your car.”
Safety
Clinical Cultural Boundaries Safety
Summary
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