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Chatham-Kent Program Curriculum

Features of our Chatham-Kent Program 

This is a new program designed by community Family Physicians with the practice goal of comprehensive Family Medicine in mind. The preceptors are highly involved in hospital work in this community as Most Responsible Physicians for 65 Medicine patients, 60 Rehab and Continuing Care patients, Intrapartum Obstetrical Care with shared on-call for GP Obstetrics, and coverage as CCFP / CCFP EM for a busy Emergency Department in a 300-bed Community Hospital. 

The curriculum in Chatham-Kent is a hybrid curriculum that combines a rotation-based curriculum in PGY1 and a horizontal curriculum in PGY2. This design is to allow residents to optimally experience being a family physician in their PGY2 year where he/she will comprehensively care for his/her own practice while allowing for continued enrichment experiences via longitudinal electives.

Residents are expected to live in Chatham-Kent in their PGY1 & PGY2 year. 

PGY1 Year
Rotation Duration Location / Notes
Family Medicine 16 weeks Chatham-Kent Assigned Family Practice Location
Family Medicine - elective 4 weeks Family practice with special interest or elective choice
Pediatrics 4 weeks Default rotation:
-Chatham-Kent Health Alliance*

Other choices (depending on availability):
-Pediatric Emergency at London Health Sciences Centre
-Pediatric Clinical Teaching Unit in Windsor*
-Community Pediatrics in St. Thomas*
-Community Pediatrics in Stratford*
Emergency Medicine 4 weeks Default rotation:
-Chatham-Kent Health Alliance*

Other choices (depending on availability):
-London Health Sciences Centre
-St. Thomas Elgin General Hospital*
-Chatham-Kent Health Alliance*
-Windsor*
Obstetrics/Gynecology 4 weeks Default rotation:
-Chatham-Kent Health Alliance*

Other choices (depending on availability):
-London Health Sciences Centre
-Grand River Hospital in Kitchener*
-Windsor*
-Owen Sound Hospital*
-Bluewater Health in Sarnia*
General Surgery 4 weeks Default rotation:
-Chatham-Kent Health Alliance*

Other choices (depending on availability):
-London Health Sciences Centre
-St. Thomas Elgin General Hospital*
-Stratford General Hospital*
-Windsor*
-Owen Sound Hospital*
Psychiatry 4 weeks Chatham-Kent Health Alliance*: mental health and addiction clinic, urgent care outpatient psychiatry
Medicine 4 weeks Default rotation:
-Chatham-Kent Health Alliance*

Other choices (depending on availability):
-Hospital General Internal Medicine Clinical Teaching Unit at London Health Sciences Centre
-Hospital General Internal Medicine Clinical Teaching Unit and ambulatory experience in Windsor*
-Owen Sound Hospital*
Medicine – Geriatrics (combined with Palliative Care rotation in Chatham Kent) 2 weeks -Chatham-Kent Health Alliance*
Palliative Care (combined with Geriatrics rotation in Chatham Kent) 2 weeks -Chatham-Kent Health Alliance*
Medicine - selective 4 weeks Choices:
-Hospital General Internal Medicine Clinical Teaching Unit at London Health Sciences Centre
-Ambulatory G.I.M. at London Health Sciences Centre
-Ward Cardiology at London Health Sciences Centre
-Hospital general internal medicine clinical teaching unit OR ambulatory (office and clinic) experience in Windsor*
-Chatham-Kent Health Alliance*-HOSPITALIST in ICU/PCU, ENDOCRINOLOGY, GENERALIST CARDIOLOGY
-St. Thomas Elgin General Hospital*
-Stratford General Hospital*
-Owen Sound Hospital*
*=community hospitals 

PGY2 Year
Rotation Duration Location / Notes
Family Medicine 10-12 months (depending if family medicine elective is taken) Chatham Kent County Assigned Family Practice Location
-minimum of 6 half-days per week spent in practice-based activities (including protected academic time of 1 half-day)
-Practice-based activities include:
-office care
-inpatient care: acute, chronic, surgical,
palliative, ICU, pediatrics
- hospitalist care for the unattached.
-nursing home
-emergency room shifts / fast track shifts
-house calls
-intrapartum obstetrics
-OR assists
-Ambulatory care Minor Surgical Procedures
FM – elective(s) 8 weeks (optional) -Resident’s choice
Longitudinal electives 10-12 months (depending if family medicine elective is taken) -Maximum of 4 half-days per week may be spent with allied health professionals, family physicians with special interests or focused practices, or specialists
-Choices of longitudinal electives will need to be approved by family medicine preceptor. Choices include ED, Fracture Clinics, Endocrine/IM Clinics, Psychiatry, Child Mental Health, Ophthalmology, Anesthesia, ENT,
FM Obstetrics & Allied Health professionals. Potential choices in Chatham-Kent include:
http://www.ckha.on.ca/Site_Published/internet/Program-Services.aspx
All other experiences available in the rest of the residency program will be available: London, Windsor, St. Thomas, Stratford, Owen Sound (ie: Dermatology, Rheumatology, Plastics not available locally)
*=community hospitals
Other mandatory requirements for completion of residency
  • Residency project
    • Choices: clinical audit, case report, clinical research project, comprehensive literature review, major essay, other (requires approval from family medicine preceptor)
    • Resident will present project either as a poster or presentation

  • Academic program
    • Every Wednesday afternoon (on or off-service) will be protected for completion of the academic program
    • Must complete a minimum number of credits; minimum credit requirements exist for certain topics to ensure full coverage of topics to be learned
    • Credits can be accumulated via self-directed learning or attending pre-scheduled teaching sessions on Wednesday afternoons
    • Activities are logged online in order to receive credits
    • Participation in Behavioural Medicine and Ethics Curriculum

  • Procedures and obstetrics delivery log
    • Allows residents to track their own learning
    • Helps accomplish delivery targets
 
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