NOMEC Logo NORTHEASTERN ONTARIO FAMILY MEDICINE PROGRAM/EMERGENCY MEDICINE (NOFM/EM)

THIRD YEAR EMERGENCY MEDICINE RESIDENCY PROGRAM

(Follows after the second year of the Family Medicine Residency Program)

The Northeastern Ontario Family Medicine/Emergency Medicine (NOFM/EM) Residency Program accepts two residents per year. The candidates should be in the second year of their Family Medicine, CCFP Program or should have successfully completed their CCFP exams. Candidates with the intention of practising in Northern Ontario after completion of the program are given preference; however, out of town residents are considered on an equal footing with NOFM residents. It is also strongly encouraged that candidates have certification in ACLS, ATLS, and if possible PALS.

The main objective of the program is to learn to distinguish between those patients who are truly sick and those who are not. More specifically, urgent and emergent presentations of illness involving all body systems will be addressed. There will be special emphasis given the trauma patient, the unconscious patient, the shocked patient, the intoxicated or poisoned patient, the sick child, the acutely psychotic, violent or suicidal patient, and environmental emergencies. In addition, residents are trained to manage concurrently, multiple sick patients with establishment of appropriate priorities. Pre-hospital care and disaster planning is addressed. Critical appraisal and self evaluation is practiced. Procedural skills are also emphasized. Critical appraisal is taught using eight interactive problem based and didactic sessions over the course of several months, and culminates in a research project to be prepared by each resident and presented at the end of the year at a conference.

The year consists of the following:

28 weeks Emergency (Sudbury General Hospital)

4 weeks ICU (Sudbury General Hospital)

4 weeks ICU/CCU (Ottawa General Hospital)

4 weeks Anesthesia (all hospitals)

4 weeks Plastics (Sudbury General Hospital)

4 weeks Orthopaedics (Sudbury General Hospital, Laurentian Hospital)

4 weeks Elective

In addition, a trauma rotation is spent at Shock Trauma in Baltimore, Maryland. Attendance at a C.R.I.T. course and a P.A.L.S. course (if not already done) is encouraged. There is also a one week rotation available at the Canadian Disaster Preparedness College at Arnprior, Ontario to obtain expertise in disaster systems and management.

The Emergency Department's schedule involves approximately 140 hours scheduled per 4 week rotation. While in the Emergency Department, the resident is paired with an attending staff one on one at all times to facilitate more intensive and personalized teaching. Most staff are CCFP(EM), FRCP(C), or ABEM certified emergentologists.

Evaluations are carried out with the preceptor at the end of each shift while in the Emergency Department. This involves a ten to fifteen minute discussion of the high points of the shift and the setting of appropriate learning objectives. There is a small note made of the highlights on an evaluation form which is carried around by the resident and serves as a formative evaluation over the course of the rotation. It is also used for the summary evaluation carried out at the end of the rotation. Practice oral exams with the attending staff are carried out at regular intervals in the second half of the year. Videotaping of encounters in the resuscitation and ambulatory areas is available. Teaching in the off-service settings involves a one-to-one interaction with preceptors, as well as on-going rounds on the particular service. Evaluations are encouraged at the two-week and four-week mark on the off-service rotations.

The services available include libraries and full sub-specialty coverage at all hospitals; casting clinics at two hospitals; crisis intervention and pastoral care at the Sudbury General Hospital.

Non-clinical teaching occurs one half-day a week. The third year residents are responsible for conducting a teaching session for the junior residents weekly. There is a variety of problem based, didactic and procedure oriented sessions. A year long curriculum is followed to prepare the resident for examination. There is a journal club held approximately every two months. On site computer services are available, making Grateful Med literature searching available to residents while on shift, on a 24 hour basis. There is also a small library of text books and Poisindex in the Emergency Department.

There is funding available for conference leave, out-of-town rotations, and books. This amounts to a total of $2,300.00 per year per resident.

We are based at the Sudbury General Hospital Emergency Department, a 300 bed hospital with 60,000 outpatient visits per year. It serves as the trauma base hospital for Northeastern Ontario with 24 hour access to specialties, radiology and CAT scanning. There is a paramedic and fully dedicated air ambulance service with two helicopters, and access to fixed winged aircraft.

The city of Sudbury has a population of 90,000 with another 80,000 in the nearby area. There are several lakes in the city, the hospital being right on the beach. There is a tremendous wealth of outdoor sporting activities, ie. water sports, cross-country and downhill skiing, snowmobiling, mountain biking, hiking, fishing, etc. It has a number of festivals including a five day International Film Festival. The people are friendly, supportive, and hold a strong work ethic. It is a 4 hour drive from Toronto and a 5 1/2 hour drive from Ottawa with cheap direct flights to Toronto, Ottawa and Montreal.

Applications to the NOFM/EM Residency Program can be directed to the following:

Christopher A. Bourdon, MD, CCFP(EM)

Acting Director, NOFM/EM Residency Program

Northeastern Ontario Family Medicine Program

1942 Regent Street, Unit G, Suite 120

Sudbury, Ontario

P3E 3Z9

Phone: (705) 688-0200 or 1-800-461-8777

Fax: (705) 671-1688

The deadline for receiving applications is September 15 for the following July 1st.


Northeastern Ontario Family Medicine Residency Program

Northeastern Ontario Electives Program

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