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PGME NEWSLETTER COLLEGE OF MEDICINE
PGME NEWSLETTER S U MM E R 2 0 15 COLLEGE OF MEDICINE We would like to extend a warm welcome to the new cohort of postgraduate trainees. The new trainees gathered for the Annual New Trainee Orientation on June 29, 2015. Trainees were welcomed by Dr. Brian Postl and Dr. Cliff Yaffe followed by the opportunity to meet the University Associate Dean’s of First Nations, Metis and Inuit Health, Student Affairs, Professionalism and Diversity. Trainees were also welcomed by our partners at the College of Physicians and Surgeons of Manitoba (CPSM), Medical Staff Administrative Services (MSAS), Winnipeg Regional Health Authority (WRHA) Payroll & Benefits, Professional Association of Residents & Interns of Manitoba (PARIM) and Doctors Manitoba. The new College of Medicine Wellness initiative is well under way. The wellness group has been working hard on gathering information for the new website that will be launched in the fall. Targeted areas that will be listed on the website are financial and legal, academic and career, community/social and family, nutrition and fitness, spiritual, and mental and physical health. There will be a survey emailed out to all postgraduate trainees for your input on a wellness app. Please take the time to fill it out. umanitoba.ca/medicine WELCOME PGME would like to extend a warm welcome to Ainslee Armstrong who has started in this new role in Student Affairs Medicine. Ainslee will be in contacting all Postgraduate Program Directors in the near future as she is currently working to develop a Career Services program to meet your needs. We are excited that our residents and undergraduate medical students now have a dedicated career consultant for medicine working in conjunction with Dr. Michael West and the Student Affairs – Medicine team. Pediatric Dentistry In addition to our role in overseeing medical residency and fellowship training programs the PGME Team also oversees Post doctoral training programs; Oral and Maxillofacial Surgery, Clinical Health Psychology, Clinical Biochemistry, Clinical Genetics, Molecular Genetics and Cytogenetics and Dental Interns. The newest arrival to our cohort is Pediatric Dentistry. Manitoba has a big demand for the services of Pediatric Dentistry and we welcome this new group with open arms. PARIM REPRESENTATIVES The PGME office extends a special thank you for all the hard work and dedication to our outgoing PARIM representatives for the FPGME Executive Committee: Dr Annie Ducas and Dr Andrew Weiss. Welcome to the 2015-16 new PARIM representatives: Dr. Leslie Anderson and Dr. Rebecca Renkas. SAVE THE DATE: 2016 New Trainee Orientation Wednesday, June 29, 2016 ACCREDITATION Defining Accreditation in lay words. Accreditation is defined by the RCPSC as an “assessment process that ensures excellence in the provision of the highest-quality medical education”, however the concept of accreditation for the day to day work for residents, faculty and staff remains obscure and external. The concept and expectations that our community have regarding accreditation needs to be revamped. The aim of Accreditation is to create a culture of continuous quality improvement where programs take ownership of the process such that critical self-appraisal coupled with self-improvement takes the place of external judgement and a culture of blame. What is Accreditation? Accreditation helps us to measure “what we do” against “what we are supposed to be doing”. It is an external lens that describes the levels of attainment of our day-to-day work against best practice. It is an examination of all the processes and resources involved in the provision of high quality education. It is a systematic review that will show how well our functions and activities: teaching and academic programmes, research and scholarship, staffing, buildings, faculties, equipment, services to the community and the academic environment meet the needs of our residents, the university and the general public. Accreditation provides a reliable vehicle for quality improvement: It is an opportunity for each of the parties involved in the formation of our future specialists, to improve function, structure and performance. It is a vehicle for change! What’s in it for us? Organisations that provide quality and value in the provision of their educational services are likely to grow and prosper. Such organisations gain benefits like stronger student and staff loyalty, lower vulnerability to economic changes/budget cuts, ability to command higher funding and more autonomy from the state in policy development The primary goal of medical education is to improve patient care. Accreditation enables teams to constantly take time to reflect and ask, “How do we know we are doing good work?” and, “Where and how can we improve to ensure that there is added value in the ways we provide services?” At the end we would all be contributing to make better doctors who would in return provide better care to us. Please refer to the PGME Accreditation webpage for quick links and guidelines for submission of documents to the RCPSC. AWARDS Dean of Medicine’s Education and Research Fellowship Fund Dr. Danielle Desautels – matched funding for a combined total of $72,500.00 Dr. Diane Biehl Research Award in Postgraduate Medical Education Dr. Fredrick Zeiler - $2,700.00 Dr. William McIntyre - $1,000.00 Dr. Sylvain Lother - $1,000.00 Dr. Megan Delisle - $1,000.00 Dr. T.J. Lamont Memorial Prize Dr. Lindsay Porteous - $2,625.00 Sanofi/Aventis Heart & Stroke Foundation of Manitoba Award in Cardiology Dr. Mehrdad Golian - $10,000.00 S.W. Prowse Memorial Award for Clinical Research Selection occurred late May 2015 – Pending Announcement. R. Samuel McLaughlin Award – MMSF Research and Education Fellowship in Medicine Dr. Ilan Schwartz - $35,000.00 Dr. Murdoch Leeies -$35,000.00 AWARDS DATABASE Interested in applying for an Award? Check out the University of Manitoba, Financial Aid & Awards Database! RESEARCH The Biostatistical Sessions for residents have a new title: “Biostatistical Consulting for Resident Research projects”. They are a valuable resource offered free of charge that can greatly help researchers complete their studies in a timely manner. The are only two requirements: 1) Register for your session – PGME Upcoming Events 2) Cancel as soon as you know that you cannot attend as sessions with less than 5 residents will be cancelled. The next session will be on September 30, 2015, 10:00-11:30 a.m. We are also offering again the “Practical Biostatistics workshop Series” for 2015-16. The series is delivered by the Biostatisitc Group to provide statistical support for resident research programs. The series consist of 1.5 and 2 hour lectures/laboratory sessions on the following topics: • Study Design, Sample Size, and Power Calculations • Introduction to Data Analysis through the Generalized Linear Model • Introduction to Statistical Computing in R CLINICIAN INVESTIGATOR PROGRAM (CIP) On July 13 2015, The Royal College of Physicians and Surgeons of Canada advanced our CIP accreditation status from new program to full accreditation with regular review. One trainee completed all requirements in 2014 and transitioned to a faculty position in Internal Medicine. Another 11 residents are either currently actively participating in the program, finishing up all requirements, or starting in 2015-2016. These include residents from the Departments of Internal Medicine, Obstetrics, Pediatrics, and Surgery. CIP training may serve as a formal introduction to research, an intermediate step in research career training, or as the final research training experience prior to faculty appointment. The deadline for applications for a 2016-2017 start is November 1, 2015. Click for more info or contact the CIP office at: [email protected]. RESIDENT RESEARCH COORDINATORS The Resident Research Coordinator’s Council is now meeting twice per year and primarily consists of each residency program committee’s resident research coordinator. THE RRCC’s overarching goal is to promote research and the success of our resident researchers, residency programs and the PGME as a whole. To do so, members of the RRCC work collaboratively toward pertinent matters such Royal College Milestones/ Competencies on Resident Research, accreditation standards, CIP awareness, and identifying resources and support such as the George and Fay Yee Centre for Health Care Improvement Biostatistical Consulting Unit. The next meeting will be Thu 12 Nov 2015 5-6 pm, Theater B, Basic Medical Sciences Bldg. (note time change). Clinician Investigator Program Two trainees graduates this summer and fall. Four new residents have been provisionally accepted to start late this year and in early 2016. The new round of application for a commencement date in 2016 has started. The dead line for applications is 1st Nov. If you are interested in research and would like to make it the foundation for your clinical practice, CIP may be for you. The program’s ultimate goal is to provide you with the research training necessary to become successful clinician scientists. Click for more info or contact the CIP office at: [email protected]. Canadian Resident Matching Service – CaRMS 2015-16 R-1 Match For the 2015-16 Academic year, the R-1 matches were successful at the U of M. R-1 Match First Iteration results were released on March 4, 2015. After the first iteration, 215 vacancies in 16 Universities were available across Canada; 12 of which were at the University of Manitoba. The second iteration results were released April 14, 2015. After the second iteration, there were 73 vacancies across Canada at 7 universities, 1 at the University of Manitoba. The University of Manitoba did not participate in the post-match for the R-1 vacant spots. All Universities that have vacancies after the second iteration have the option of participating. Out of the 7 universities with vacancies, only one opted to participate in the post-match. The post-match process opened on April 17 and closes on May 12. The post-match is handled in a different manner than the regular first & second iteration – once the applicant submits their application, programs are able to view it immediately. All interviews, offers, etc., are coordinated between the postgraduate office, the program and the applicant; CaRMS is not involved beyond the applicant submission. R-4 PSM Match (Pediatric Subspecialty Match) The 2016 PSM Match results were available on June 4, 2015. There was one position matched out of the five positions available. For the 2016-17 Academic year the R1, R3 FMER, R4 PSM, R4 MSM will be on the new Carms online system. CORE CURRICULUM - updates for 2015-2016 ●● All new trainees have been added to the online courses TDP 1, TDP 2 and Conflict Management in UM Learn. ●● Practice Management will now be offered twice this year, once in the fall and once right after the New Year. Residents must attend 1 session in their senior years of residency. ●● There will no longer be two parts to the TDP 3 course. Therefore residents will no longer be required to complete the Part 2 Follow-up Session. ●● Online Session (TDP 1, TDP 2 and Conflict Management)- To access online sessions residents should sign into D2L using their UMnetID and iridium password to access the course. ●● Attendance will be updated in VENTIS after every didactic session and once a week for online courses (courses with assignments may take longer to mark therefore check VENTIS regularly). Please refer to VENTIS – COURSES for your core curriculum results. Detailed instructions on how to view your course list in VENTIS can be found here. ●● Didactic Session – refer to PGME Upcoming Events page to register. WORKSHOPS in a Box Together with the Department of Medical Education we are developing ‘Workshops in a Box’ which are available in UM Learn or can be presented at your Academic Day. If you have any questions regarding adding this course to your program’s core or mandatory course listing, please contact Dr. Fraser. Diversity Module is now available in UM Learn. This course is meant to offer a small snapshot of diversity and consideration for providing culturally proficient care. Depending on previous education, training and life experiences, residents will bring different knowledge, attitudes and skills to this learning. As they go through this course, the residents are asked to think about their own beliefs and experiences regarding culture and diversity. The course considers three populations served by the health care professions: the onus is on the resident to apply concepts appropriately in cases that are not directly addressed. Three populations considered within the module are First Nations, Inuit and Metis; immigrant/refugee and LGBTQ populations. Life-Long Learning Plan- in development This is a new session that we are developing that will focus on developing a life-long learning plan, how to evaluate the evidence, and how to keep up with learning while in practice. Optional additional Core Curriculum Offerings: Prescription Writing Course- To enable residents who are PGY3 or above to write prescriptions, including the need to write prescriptions for Tylenol 3’s after surgery. There are some obstacles to full implementation, including the Pharmaceutical Act that will need to be changed to accommodate this. PHIA- PHIA is part of the registration requirements for residents. The information for this course will be available online including a short quiz and a place where they can sign their pledges. Residents require PHIA for eChart access. PHIA is tracked in the VENTIS system. If your trainees require a refresher course in PHIA please provide [email protected] with the trainee names. COMPETENCY BASED EDUCATION Applying competency-based practices to residency education To contribute to the success of Canadian physicians and the delivery of high-quality patient care, the Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competencybased medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative, called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process. CBD will use time as a framework rather than the basis for progression. It is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages, and each stage will have a series of milestones based on required competencies. These milestones will create more targeted learning outcomes and involve more frequent, formative assessments within the clinical workplace to ensure residents are developing and receiving feedback on the skills they need. Residents entering Otolaryngology – Head and Neck Surgery or Medical Oncology programs in July 2016 and beyond will experience competency-based training. To find out when each specialty and subspecialty is adopting CBD, please view the Phased Plan for CBD Implementation and the Proposed CBD Rollout Schedule. All programs implementing CBD will continue to undergo the same rigorous accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees in both CBD and traditional programs will include the completion of a Royal College examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones (documented within an electronic portfolio) and the Royal College examination must be successfully completed to achieve certification. For more information, please contact cbd@royalcollege or PGME Competence by Design webpage. ARETS Committee ARETS COMMITTEE CHAIR Dr. Dana Moffatt has resigned as Chair of the ARETS Committee due to responsibilities in his new role as Director of Endoscopic Services for the WRHA. Dr. Moffatt has done great work with the Committee over the past few years and we thank him for his time and dedication. We are pleased to introduce and welcome Dr. Tamara Buchel as the new Chair of the ARETS Committee, we look forward to working with her in this capacity. NATIONAL TRANSFER POLICY The National Transfer Policy was updated at the most recent CCME Conference this past April in Vancouver. Postgraduate Medical Education Offices across Canada are supportive of transfers from institution to institution. These guidelines are intended to provide a transparent process that is clear to both the Resident and Universities involved. Prior to engaging in discussion regarding a transfer, it is the responsibility of the Resident to review the national guidelines as well as his or her home school’s transfer guideline/policy. Check out the new National Transfer Policy here. STATISTICS 2014-2015* Contact to Committee Complete Application(s) Successful Transfer(s) FM Stream Transfer(s) Refused/Failure(s) Withdrew Application Carried to Next Year 23 11 5 3 3 3 Not Available At This Time * Data from July 1, 2014 – May 1, 2015 FREQUENTLY ASKED QUESTIONS I’m interested in applying for a Transfer or Re-entry Position – what do I need to do? 1. Check out the Alternate Routes of Entry Policy and determine if you qualify. 2. Get in contact with Dr. Tamara Buchel (Chair) to arrange a meeting regarding your Transfer or Re-Entry. 3. Submit the required documents to Ms. Jenn Doroniuk (Assistant) for processing. What documents are required to apply for a Transfer or Re-entry? 1. Curriculum Vitae 2. Letter of Intent indicating reasons for Transfer or Re-entry. 3. Three (3) Letters of Reference (addressed to Dr. Tamara Buchel, Chair, ARETS Committee) Where can I find more information? Please check out the Resident Transfer page for more information. PGME Finance PGME Finance as moved to a new office: Tracy Smith will now be located at S203 Medical Services Bldg. Her phone number and email will stay the same. Staffing Changes We would like to thank the outgoing Program Directors for their dedication to their program and the College of Medicine and welcome all new staff… Thank you to Neurosurgery Program Assistant Chris Cowan who left the program April 22, 2015. Natalie Rodriguez has been assigned the new Program Assistant as of July 16, 2015. Sheila Farley-Pannu has temporarily replacing Kathyrine Girling as program assistant for Radiation Oncology replacing. New Program Assistant for Pediatric Infectious Diseases is Charisma Mendoza as of July 1, 2015. Dr. Navjot Dhindsa has resigned from Rheumatology Program with new program director Dr. Cory Ballie taking over as of July 1, 2015. Dr. Barry Cohen has resigned from Nephrology Program with new program director Dr. Leroy Storsley taking over as of July 1, 2015. Dr. Catherine Moltzan has resigned from Hematology Residency program as of July 1, 2015 with the new program director Dr. Arjuna Pannampalam taking over July 1, 2015. Dr. Carol Schneider has resigned as program director for Maternal Fetal Medicine as of June 1, 2015. Dr. Jennifer Hunt has been named the new program director. Dr. Edward Pascoe has resigned as program director for Cardiac Surgery as of July 1, 2015. Dr. Rohit Singal has been named the new program director. Dr. Elizabeth Spriggs has resigned as program director for Molecular Genetics as of July 1, 2015 with Dr. Ron Agatep taking over as of July 1, 2015. Refer to the PGME contact us for a complete listing. VENTIS PGME Implementation Update As the Faculty and Administrative Staff in each Department and Program begin to familiarize themselves with VENTIS PGME it will become difficult for PGME and the VENTIS Implementation Team to connect directly with the over 2,800 users of the system. At this point, it is important the Departments and Programs establish a communication directly with their users. The VENTIS Implementation Team heard loud and clear during the current state and town hall meetings that faculty did not want to be receiving email notifications to complete assessments in VENTIS. Therefore, until Faculty become familiar with the use of VENTIS and the completion of assessments please ensure that the Program Administrators or delegate have a system in place to remind the Faculty when they are required to login to VENTIS to complete assessments. In the absence of email notifications, the smooth function of the system is reliant upon faculty getting into the habit of checking Vents regularly. We are confident that over time this will become routine practice. However, in the meantime, it is important to engage the Faculty in the use of VENTIS. Your assistance in reaching out and encouraging your Faculty is critical. Faculty members should be encouraged to subscribe to the VENTIS calendar(s). This can give them direct access to information in their own personal use calendars (eg. ical, outlook) regarding trainee assignment to them as well as educational events within their Department and Program. Faculty members who are assigned to teach at Academic Half Days will have this information right in their calendar. There is no need to train each Faculty member. VENTIS is really a self-taught system for the average user. There are instructions on the Ventis Quick Guide about general use. Faculty should contact their own Department or Program administration initially for any assistance regarding assessments as the VENTIS Help Desk is not familiar with how each Program will be using assessments. Check out the VENTIS website for: • Weekly VENTIS tips • VENTIS Manual Questions or Comments? Email the VENTIS helpdesk at: [email protected] or call: 204-272-3089