GENERAL DESCRIPTION OF RESIDENCY PROGRAM DESIGN PEDIATRIC RESIDENCY PROGRAM UNIVERSITY OF MANITOBA

GENERAL DESCRIPTION OF RESIDENCY PROGRAM DESIGN PEDIATRIC RESIDENCY PROGRAM UNIVERSITY OF MANITOBA

PGY-4 Junior Attending Study Period PGY-3 PGY-2 Comm Rural Comm Urban PGY-1 Comm Urban Ambulatory Skills Night Float YEAR Content and Sequence of Rotations Based on 13 Blocks of 4 Weeks Each 1 2 3 4 5 6 7 8 9 10 11 12 13 Junior Junior Junior IMCN Academic Skills PEM CPC/ Psych Selective Selective Elective PICU PICU NICU St. B PEM Adol/ Psych Amb Night Float Selective Elective Comm Remote NICU HSC Develop PEM Night Float Selective Selective Selective Elective Elective Develop Comm Urban NICU (IMCN, St. B or HSC) Elective Elective Elective Elective Elective Elective Elective Elective Version 6.0 Jan 2016 2

GENERAL GOALS AND OBJECTIVES University of Manitoba Pediatric Residency Program MEDICAL EXPERT -Educate and train in diagnosis and management of common and uncommon pediatric medical problems, including approach to patient history, physical examination, investigations, consultations and interventions -Provide clinical opportunities for advancing medical expertise, including procedural skills -Assist residents in developing mature clinical judgment and skills in problem analysis, prioritization and solving COMMUNICATOR -Demonstrate and educate in empathetic relationships and respectful communication with patients, families, and other professionals -Model and assist with developing skills in oral presentation and written documentation -Foster an environment in which opinions and ideas are respected COLLABORATOR -Encourage a multidisciplinary team approach with a focus on inter-professional education and collaboration -Model and teach proficiency in respectful negotiation and conflict resolution LEADER/MANAGER -Provide graduated leadership and teaching opportunities with early and supported transition to supervisory responsibilities -Expand knowledge of the financial infrastructure behind a health care system and the monetary implications of health care decisions -Model and teach effective time management skills HEALTH ADVOCACY -Foster an environment of health advocacy, as it applies to disease prevention and health promotion, with opportunities for change both globally and locally -Increase social awareness and appreciation of the impact of societal, cultural and geographic influences on patients and their families -Facilitate patient-centered practice SCHOLAR -Promote involvement in research, quality improvement and patient safety -Promote scholarly activities such as critical appraisal of the literature and its application to clinical practice -Enable teaching opportunities and provide constructive and timely feedback -Assist in establishing routines for career-long entrustable professional activities PROFESSIONAL -Educate and demonstrate a commitment to respect, diversity, responsibility and integrity in medical practice -Provide and support learning around work-life balance, personal insight and self-awareness Version 6.0 Jan 2016 3

GENERAL EXPLANATION of ROTATION DESIGN The Pediatric Residency Program is designed to fulfill the Specialty Training Requirements in Pediatrics from the Royal College of Physicians and Surgeons of Canada (RCPSC). The residency is designed such that residents who successfully complete their initial three years of training will have completed all mandatory core rotations and subspecialty selective rotations as required by the RCPSC. Residents may choose to enter subspecialty training as a PGY4 without the need to adjust subspecialty training to meet RCPSC requirements for general pediatrics. The Pediatric Residency Program provides resident choice in rotation selection. Residents have at least one elective experience each year, which may be used for an outside or a research elective rotation. Residents are allowed to choose selective rotations and elective rotations within the Department of Pediatrics and Child Health. Selective rotation choices are those that meet the RCPSC requirement of pediatric subspecialty selective rotations (allergy/immunology, cardiology, complex chronic care, endocrinology, gastroenterology, genetics/metabolics, hematology/oncology, infectious diseases, nephrology, neurology, palliative medicine, respirology, and rheumatology). Elective rotation choices include the above subspecialty selective rotation choices and other rotations available as electives, such as dermatology, sports medicine, adolescent gynecology, and many others. Residents are required to participate in six weeks of rural/remote pediatrics during their three core years of training. Currently, PGY2 residents have a rotation in Brandon, Manitoba (rural) and PGY3 residents have a rotation in Thompson, Manitoba (remote). FIRST YEAR The emphasis for the first training year in pediatric residency is an exposure to general pediatrics (inpatient pediatrics, outpatient hospital-based pediatrics, and outpatient community-based pediatrics), emergency medicine and neonatology. In addition, a dedicated academic period, which occurs simultaneously for all residents, provides a strong background in research and teaching skills. Community preceptors in Manitoba provide both consultative and well-child care, which provides early exposure to preventative and developmental aspects of pediatrics. The first residency year focuses on the development of general pediatric knowledge, clinical skills and general procedural skills. Clinical Rotations (one period each unless otherwise noted): Ward Clinical Teaching Unit Junior Resident (3) (Oak, Elm and Pine services) Neonatology Intermediate Care Nursery (IMCN) Pediatric Emergency Medicine ((PEM) Child Protection/Child Psychiatry Academic Skills Rotation Ambulatory-Based Pediatrics (0.5) Community-Based Pediatrics, Urban (0.5) (Winnipeg) Skills Rotation (0.5) Night Float (0.5) Selectives (2) Elective (may be outside elective) Version 6.0 Jan 2016 4

Sites: Health Sciences Centre/Children s Hospital of Winnipeg Women s Hospital Intermediate Care Nursery (Neonatology) Misericordia Hospital (Skills) Offices of Community-Based Pediatricians SECOND YEAR The second year of the residency transitions the resident to greater responsibility as a senior resident. The resident has increased responsibility in clinical decision making, as well as advanced supervisory and educational roles. Exposure to pediatric intensive care and an additional rotation in emergency medicine provides critical care experience and greater development of procedural skills. Residents in second year have two weeks of community pediatric experience in the city of Brandon, Manitoba for their rural pediatric experience. The resident is provided with opportunities to tailor their education with an elective rotations to explore aspects of pediatrics in other programs (including other countries), and research opportunities. To allow additional exposure to external programs, PGY2 residents who are applying to the CaRMS match with plans to start subspecialty training after three core pediatric years may ask to schedule their PGY3 outside elective during the second year. These residents may also ask to move a PGY3 research elective into PGY2, if desired. Clinical Rotations (one period each unless otherwise noted): Ward Clinical Teaching Unit Resident (2) Pediatric Intensive Care Unit (2) Neonatology NICU at St. Boniface General Hospital Ambulatory-Based Pediatrics Community-Based Pediatrics, Urban (Winnipeg) (0.5) Community-Based Pediatrics, Rural (Brandon) (0.5) Emergency Pediatrics Adolescent Medicine/Child Psychiatry Selective Elective (may be outside elective) Night Float Sites: Health Sciences Centre/Children s Hospital of Winnipeg Office of Community-Based Pediatricians Brandon General Hospital THIRD YEAR The third year of residency is designed to consolidate clinical skills and to complete mandatory residency training requirements. Residents in third year have four weeks of their community pediatric experience in the city of Thompson, Manitoba for a remote pediatric experience. The resident is again provided with opportunities to tailor their education with elective rotations. Version 6.0 Jan 2016 5

Clinical Rotations (one period each unless otherwise noted): Ward Clinical Teaching Unit Resident (2) Neonatology - NICU at Health Sciences Centre Community-Based Pediatrics, Remote (Thompson) Emergency Pediatrics (including two weeks as Admitting Resident) Developmental Pediatrics Selective (3) Elective (2) (one may be outside elective) Night Float Sites: Health Sciences Centre/Children s Hospital of Winnipeg Centre for Specialized Services for Children and Youth Offices of Community- Based Pediatricians Thompson General Hospital FOURTH YEAR Residents doing a general fourth year of pediatric residency complete a year of training designed to transition them to practicing pediatricians. Rotations include junior ward attending where a resident functions as a ward attending on a closed teaching unit. The resident is also provided with a weekly outpatient continuity clinic, gaining experience in office pediatrics (outpatient consultations, follow-up of patients, well-child care, and preventative medical care). Other mandatory rotations include developmental pediatrics, neonatology and community-based pediatrics. The goal of the fourth general year is to provide the necessary skills to function as a pediatrician in either a community-based or tertiary-hospital based setting. In Manitoba, residents may choose to complete a fourth year in general pediatrics before beginning subspecialty training. Clinical Rotations (one period each unless otherwise noted): Ward Clinical Teaching Unit - Junior Attending (0.5) Developmental Pediatrics Neonatology IMCN, NICU at St. Boniface or NICU at Health Sciences Centre Community-Based Pediatrics, Urban (Winnipeg) Elective (8) (three may be outside electives) Study week (0.5) Outpatient Continuity Clinic (one half-day per week; longitudinal for one year) Sites: Health Sciences Centre/Children s Hospital of Winnipeg Centre for Specialized Services for Children and Youth St. Boniface General Hospital (Neonatology) Offices of Community- Based Pediatricians Version 6.0 Jan 2016 6