Aboriginal Residency Program

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1 UBC Department of Family Practice Aboriginal Residency Program Dr. Veronica McKinney

2 Are You Interested In Full Service Family Medicine Rural Medicine Urban Medicine Culture Marginalized Populations International Health Maternity Care Pediatrics Youth Health Inner City Medicine Addictions Emergency Medicine Mental Health UBC Department of Family Practice

3 First Nations Peoples of BC 198 bands in over 250 communities ~150,000 status Indian people 50% live on reserve, 50% live off reserve Approx 5% of BC is Aboriginal Fastest growing population in Canada

4 Why Have an Aboriginal Program? Inequities in the health of Aboriginal people Inadequate number of doctors working with Aboriginal peoples Inadequate understanding and skills to meet these needs Inadequate number of Aboriginal docs in the country

5 First Nations Health Status Mortality rate is 3x that of other BC residents Injuries #1 cause of death Major health issues include addictions, mental health, communicable diseases (TB, STDs), chronic diseases (diabetes, rheumatologic disorders) Other challenges include poverty, education, unemployment

6 Team Aboriginal (aka The A-TeamA Team )

7 Program Objectives To be a Resource for those working with Aboriginal Populations You do not have to be Aboriginal to be accepted into the program There is no return-of-service. You are not expected to move to an Aboriginal community upon graduation though all of our residents have gone on to do locums in these communities

8 Program Objectives To introduce residents to the unique strengths of First Nations and Aboriginal people arising from their culture and community To train residents who will have a unique understanding of the health needs of Aboriginal people, and who will have the skills to address some of these health issues To train residents who will work with individuals and communities in understanding these health issues, and will engage them in meeting these needs (community needs assessment, health status, and & long term planning)

9 We will not forget that knowledge is not wisdom, and that in addition to a good head, we need to have a good heart in order to be of service to ourselves and others.

10 Victoria, BC Capital of British Columbia Population ~ 400,000 Retirement Capital of Canada Recreation Capital of Canada Best weather in Canada (50% rain of Vancouver) Abundant natural beauty Hike, Bike, Golf, Kayak all year round Ski, Surf, Snowboard, Gardens Fine dining and friendly people

11 R1 Year Family Practice & House Call - 4 weeks Rural FP Aboriginal Community - 4 weeks Emergency - 4 weeks Intensive Care Unit - 4 weeks Surgery (General and 2 Sub-specialties) - 4 weeks Cardio and CTU - 8 weeks Obstetrics - 6 weeks Gynecology - 2 weeks Pediatrics (Inpatient, Outpatient) - 8 weeks Elective - 4 weeks

12 Alert Bay New Aiyansh

13 R2 Year Rural FP (Aboriginal Community) - 8 weeks Family Practice - 16 weeks Vancouver Native Health Centre - 4 weeks Sports Medicine - 2 weeks Palliative Care - 2 weeks Psychiatry - 4 weeks Elective - 16 weeks

14 R2 Electives & Selectives Program is flexible in letting you decide what you would like to pursue in working with the Aboriginal people Addictions Medicine Inner City Medicine Prison Medicine Community Health Additional skills for Rural practice are encouraged (Obstetrics, Emergency)

15 International Elective Residents have visited New Zealand, Vanuatu, Mexico, Australia and Tibet Strong similarities among Aboriginal people worldwide Only site that allows 8 weeks of International Elective training

16 Monthly Academic Day Day Trips (culture, history, social activities, health clinic) - Comox (sweat lodge and potlatch) - Chilliwack, Paechadt, Semona, Seabird Island Presentations - Important Aboriginal issues - Incorporating the Medicine Wheel with Family Medicine - Resident presented case studies Conferences - Indigenous Physicians Association of Canada - NACOE (Seattle) - PRIDOC (Hawaii) - Resident suggestions Retreats - Tigh Na Mara - Cowichan Bay

17 Success Stories Dr. Shannon Waters (2004) - winner of the Lloyd Jones Collins Award, College of Family Physicians of Canada's Section of Researcher's Award Dr. Evan Adams (2005) - Director of Division of Aboriginal People s Health, UBC Department of Family Practice & Aboriginal Physician Advisor, BC Ministry of Health Dr. Lisa Shah (2005) - BCCFP 1st Place Award

18 Success Stories Dr. Roman Elinson (2005) - BCCFP Award for Best Creative Project; practiced in Alert Bay and rural BC Dr. Krista Stogryn (2006) UBC Family Practice Resident Research Day 1 st place Interdisciplinary Arts category Dr. Payam Sazegar (2008) and Dr. Amy Atchison (2008) were both recipients of Research awards for their individual projects.

19 Strengths of Aboriginal Program - Incorporated into the Victoria Program (additional collegiality, know their residents during rotations and weekly academic days) - Unique Academic Teaching & Community Visits - More Flexibility (7 Aboriginal residents compared to 28 Victoria residents) - More Elective Time to Do What You Want

20 Strengths of Aboriginal Program - International Elective Encouraged (allowed 8 weeks, the most of any site) - Funding for Conferences in R1 and R2 (other sites do not allow R1 conference time) - Funding for Up to Date Software and PDA - Teaching Opportunities with Medical Expansion & Research Opportunities - Voted Sexiest Site at 2008 Residents Conference

21 Questions?

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