Community IM

Please see the below information for your Grande Prairie rotation.   Required readings are listed below.

Call stipends are to be sent to mednim@ualberta.ca for submission.

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager Level, PGY3 is Educator Level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centered manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Patient Advocacy: The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated.

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice:  The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Assessment

We use the following In-Training Evaluation Report (ITER):

• Community GIM

Entrustable Professional Activities (EPAs)

This rotation is done during Core of the Discipline and is an ideal learning environment for the following EPAs:

• CD1: Assessing, diagnosing and managing patients with complex or atypical acute medical presentations

• CD2: Assessing, diagnosing, and managing patients with complex chronic diseases

• CD3: Providing internal medicine consultation to other clinical services

• CD5: Performing the procedures of Internal Medicine

  • E.g. Central Lines, Joint arthrocentesis, Lumbar puncture, Paracentesis, Thoracentesis

• CD6: Assessing capacity for medical decision-making

• CD7: Discussing serious and/or complex aspects of care with patients, families, and caregivers

  • futility of care; breaking bad news;

• CD8: Caring for patients who have experienced a patient safety incident (adverse event)

• CD9: Caring for patients at the end of life

• CD10: Implementing health promotion strategies in patients with or at risk for disease

  • e.g. Diabetes counselling, Vascular risk reduction, Smoking cessation in Asthma/COPD

• Continued use of FD7: Identifying personal learning needs while caring for patients and addressing those needs which will be assessed with TP7

Grande Prairie Rotation Supervisor

Dr. Jack Keegan
jkeegan@ualberta.ca

Admin Assistant for Internal Medicine and Accommodations

Corrie Merchant
gpmeded@ualberta.ca 

Phone: 780.830.4847 Fax: 780.538.7277

Rotation Information

Pam Nacinovich will you contact 6 weeks prior to your start date via email with a lead preceptor as well as requesting information to help set up computer and hospital access.

Accommodations  

While you are in Red Deer, accommodations will be arranged for you via Pam Nacinovich. 

On Call Duties

ICU Expectation is 1:4. This is to be done as In-House call only.

GIM/Subspecialty: Call is not mandatory on GIM but is highly recommended. Can be done as In-House or Home-Call.

Call Payments: Print off the Call Schedule your program uses.

Ensure your preceptor you worked with during your call shift has signed off on your call stipend paperwork (linked below). 

Submit the Call Stipend form (linked below) to mednim@ualberta.ca.

Orientation

Pam Nacinovich will meet with you on your first day to provide orientation. 

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager Level, PGY3 is Educator Level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centered manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Patient Advocacy: The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated.

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice:  The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Assessment

We use the following In-Training Evaluation Report (ITER):

• Community GIM

Entrustable Professional Activities (EPAs)

This rotation is done during Core of the Discipline and is an ideal learning environment for the following EPAs:

• CD1: Assessing, diagnosing and managing patients with complex or atypical acute medical presentations

• CD2: Assessing, diagnosing, and managing patients with complex chronic diseases

• CD3: Providing internal medicine consultation to other clinical services

• CD5: Performing the procedures of Internal Medicine

  • E.g. Central Lines, Joint arthrocentesis, Lumbar puncture, Paracentesis, Thoracentesis

• CD6: Assessing capacity for medical decision-making

• CD7: Discussing serious and/or complex aspects of care with patients, families, and caregivers

  • futility of care; breaking bad news;

• CD8: Caring for patients who have experienced a patient safety incident (adverse event)

• CD9: Caring for patients at the end of life

• CD10: Implementing health promotion strategies in patients with or at risk for disease

  • e.g. Diabetes counselling, Vascular risk reduction, Smoking cessation in Asthma/COPD

• Continued use of FD7: Identifying personal learning needs while caring for patients and addressing those needs which will be assessed with TP7CONTA

Interim - Red Deer Rotation Supervisor

Dr. Adam Hall

Adam.Hall@albertahealthservices.ca

Program Administrator

Ms. Pam Nacinovich 

pam.nacinovich@ualberta.ca

Phone: 587.377.4128 

Important steps before rotation:

1. An email will come from Pam Nacinovich regarding your accommodations (these are shared and cannot accommodate your partner or families).

2. Only rotations organized by the Program Director are permitted for Yellowknife.

3. Please be sure to read carefully the below-attached document for booking flights to Yellowknife - DO NOT book flights directly - bookings must be made in compliance with the directions provided.

4. Fill out the education permit application (below and send it to April Lau).

5. She will then send you an email with instructions about arriving at the accommodation.

6. Expenses associated with your elective in Yellowknife are not reimbursed by the program or your RPD.

7. Call stipends are to be sent to mednim@ualberta.ca for submission.

**If you take a taxi from the airport to Stanton Suites Hotel, get a voucher at the front desk for your trip!

By the end of this rotation, residents will be graded as “progressing as expected” in each of the following and in the Global Rating.  The expected level of performance in the PGY1 year is Interpreter level,  PGY2 is Manager Level, PGY3 is Educator Level (See Program Information - Overall Goals and Objectives).

1. Medical Expert

• Data Collection and Clinical Reasoning: The resident appropriately collects and synthesizes clinical information to formulate a primary diagnosis and appropriate differential.

• Clinical Decision Making: The resident is able to make appropriate and cost-effective investigation and management decisions based on the context of the case and best available evidence.

2. Communicator

• Patient and Family Communication: The resident communicates with and about patients and family in a patient-centered manner.

• Documentation and Verbal Presentation: The resident appropriately documents and presents cases for new consults, progress notes, and handover of care (succinctly organized, prioritized, summarized) including answering the question asked by the referring service.

3. Collaborator

• Interdisciplinary Team: The resident works well in a team, shares work, and interacts with referring physician and other healthcare providers effectively.

4. Leader

• Efficiency: The resident prioritizes tasks and manages time effectively.

5. Health Advocate

• Patient Advocacy: The resident addresses disease prevention, risk factor reduction, and health surveillance when indicated.

6. Scholar

• Personal and Team-based Learning:  The resident demonstrates an effective personal learning strategy (reading around cases, appropriate use of resources) and shares knowledge with other team members.

7. Professional

• Scope of Practice:  The resident is trustworthy and responsible, knows limitations (asks for help appropriately), and responds well to feedback.

Yellowknife Supervisor

Dr. Meghan Leitch
meghan_leitch@gov.nt.ca

Program Coordinators

April Lau

April_Lau@gov.nt.ca

Pam Nacinovich 

pam.nacinovich@ualberta.ca