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Byron Family Medical Centre, London

Victoria Family Medical Centre

St. Joseph's Family Medical and Dental Centre

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Southwest Middlesex Health Centre, Mount Brydges

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Victoria Family Medical Centre

TRAINING SITE/PRACTICE DESCRIPTION

First established at Victoria Hospital in 1970, the Victoria Family Medical Centre (VFMC)is affiliated with the London Health Sciences Centre (LHSC) and The University of Western Ontario (UWO). Victoria Family Medical Centre has four clinical teaching teams led by experienced family physicians who are faculty members at UWO. Clinical care at the centre is team based with input from family practice nursing staff, social work, mental health team and a public health nurse. Family medicine residents training at Victoria Family Medical Centre will gain experience in a wide spectrum of activities in family medicine including obstetrical and infant care, acute hospital medicine, nursing home visits, house calls, community agencies, chronic hospital care and palliative care. Residents will experience continuity with a family medical practice over the 2 year residency program.
VFMC is a family health organization and part of the Thames Valley Family Health Team.

PATIENT PROFILE

VFMC has been located for over 40 years in an area of London whose population is enriched by cultural and ethnic diversity, but not socio-economic advantage.

INTERESTS OF FACULTY

Forensic medicine

Family medicine obstetrics: 2 faculty provide intrapartum obstetrics

Palliative care

Primary care procedures

Domestic violence

EDUCATIONAL OPPORTUNITIES

The present building was erected in 1993 and was purpose-built to train medical students and residents in the patient-centred approach to primary care. Victoria Family Medical Centre prides itself on providing academic family medicine services with a community focus. In addition to a wide variety of formal teaching by clinical faculty, including didactic presentations, case conferences, critical appraisal, and problem-based small group learning, residents benefit from an informal teaching setting with their readily available preceptors.

There is an active centre-wide research committee that supports resident projects and resident research. The centre also participates in clinical trials and collaborative projects with researchers from the Centre for Studies in Family Medicine and from other UWO departments.

Faculty to resident ratio: 1:2
Hospital care: London Health Sciences Centre – Victoria Hospital
Palliative care: Patients’ homes
Obstetrics: London Health Sciences Centre – Victoria Hospital and St Joseph’s Hospital
Elderly care: Office, Parkwood Hospital
Procedural room on-site
House calls are part of regular patient care
Academic activities:

Teaching every Wednesday morning

Mental health care: Residents may participate in care concurrently with psychiatrist and psychiatric nurse clinician

RESOURCES ON-SITE

Social worker
Public health nurse
Fully-equipped procedural room for office-based minor surgical procedures and casting
Laboratory services
Shared Mental Health Care Program: a psychiatrist and a nurse clinician provide on site consultations one and a half days a week

TYPICAL WEEK FOR RESIDENT

	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
08:00 - 09:00	Visit patients in hospital	Visit patients in hospital	Visit patients in hospital	Visit patients in hospital	Visit patients in hospital	Hospital Rounds (for resident on-call)	Hospital Rounds (for resident on-call)
09:00 - 12:00	Office	Office	Resident Teaching	Office	Conference Office	Weekend Clinic (for resident on-call)
13:00 -17:00	Resident meeting / Office	Resident meeting / Office	Academic half day	Resident meeting / Office	Resident meeting / Office	Sign-out rounds (1300-1400) Office (1400-1700)
17:00-20:00	Evening Clinic (for resident on-call)	Evening Clinic (for resident on-call)	Evening Clinic (for resident on-call)	Evening Clinic (for resident on-call)			<