NOMEC Logo NORTHEASTERN ONTARIO FAMILY MEDICINE PROGRAM (NOFM)

How to contact us:

NOFM Mailing Address:

Northeastern Ontario Family Medicine Program

1942 Regent Street South

Unit G, Suite 120

Sudbury, Ontario

P3E 3Z9

NOFM Location Address:

Northeastern Ontario Family Medicine Program

Health Sciences Education Resource Centre

Laurentian University Campus

935 Ramsey Lake Road

Sudbury, Ontario

P3E 2C6

NOFM Phone Number: (705) 688-0200

or Toll Free: 1-800-461-8777

NOFM Fax Number: (705) 671-1688

NOFM Internet Number: nofm@nofm.laurentian.ca



NORTHEASTERN ONTARIO FAMILY MEDICINE RESIDENCY PROGRAM

Here in the Northeastern Ontario Family Medicine Program, we believe that postgraduate medical education is primarily the responsibility of you the resident learner. Assuming the responsibility for this important stage in your medical education NOW will accomplish two main objectives.

In the first instance, taking control and ownership of your residency training will maximize your motivation to seek out the highest quality educational opportunities and experiences over the next two years of your professional career. If done successfully we feel that you will achieve a level of training equal to and probably better than any postgraduate Family Medicine Program in Canada.

Secondly, the skills you obtain that facilitate self directed learning will bring you lifetime professional rewards for both you and your patients. As a modern health professional of the twenty-first century you MUST continually monitor your knowledge, skills and attitudes, and seek out new knowledge or improve areas of weakness in order to maintain the highest standards of care. Your patients deserve this care and you owe it to both them and yourself. Society expects these standards of competence and, with you, the College of Family Physicians of Canada feels a shared responsibility to maintain these standards.

This cooperative effort is in effect a contractual situation between the College and the certificant.

In our preceptor based learning environment you must always remember to respect all of your preceptors' patients as if they were your own. As a professional learner you should maintain and respect the codes of ethics and conduct of the profession itself in all of your personal and professional activities. As you assume an ever increasing role as a physician with authority, trust and respect you must accept the responsibilities that are a condition of these privileges. One of our many Program objectives is to foster these attitudes in all the teachers, learners and support staff associated with this Residency Program and thereby with the Faculty of Medicine at the University of Ottawa.

It is our custom to make the following statement to each incoming group of new family medicine residents:

THIS IS YOUR PROGRAM.... IT WAS CREATED FOR YOU BY THE PEOPLE OF ONTARIO WITH WHOM YOU ARE ENTERING INTO A SOCIAL CONTRACT TO PROVIDE BOTH LEADERSHIP AND SERVICE IN HEALTH CARE. THE TREATMENT OF ILLNESS, THE MONITORING OF WELLNESS, THE CREATION AND PROMOTION OF PREVENTATIVE HEALTH MEASURES, RESEARCH AND PROFESSIONAL DEVELOPMENT ARE ALL PARTS OF THIS CONTRACT.

MISSION STATEMENT

1. The program will facilitate educational activity at undergraduate and postgraduate levels.

2. The program will be based in Northeastern Ontario and the clinical training will be available in both official languages.

3. The aim of the training program will be to provide excellence in medical practice through research and scholarship and by virtue of being situated in the Northeast will have as a major priority - the retention of physicians in Northeastern Ontario.

4. The program will strive to impart the highest possible level of skill and knowledge to the learners so as to ensure their competence and value to any location in Ontario, Canada and the world.

ELIGIBILITY CRITERIA

All graduates of Canadian Medical Schools are eligible for admission. All applicants should possess the ACLS certificate or obtain it within six months after becoming a resident in the program. Upon satisfactory completion of the two-year Residency Program, candidates will be eligible to sit the Certification Examination in Family Medicine of the College of Family Physicians of Canada.

BILINGUALISM

The Northeastern Ontario Family Medicine Program is bilingual and has the capability of providing clinical training in either English or French.

OBJECTIVES

The two-year Residency Program in Family Medicine is designed to train medical graduates for the practice of Family Medicine and meets all the requirements for medical licensure in the Province of Ontario. In addition, the program provides graduates with special skills and experience for practice in small communities in rural and remote settings.

PRACTICE To encourage the development of family physicians who will practice a humanistic approach to problems presented by the patient as a member of the family unit.

EDUCATION To encourage the development of family physicians who possess self-awareness and who demonstrate initiative to participate in lifetime learning. This will include the acquisition of critical judgement on the significance of new scientific evidence.

ORGANIZATION To encourage the development of family physicians who will critically evaluate the cost of health care and who will assist in determining the rational use of society's health service resources.

COMMUNITY To encourage the development of family physicians who are sensitive and responsive to the legitimate needs of society.

CHANGE To encourage the development of family physicians who can assume a meaningful role as agents of change in the health care system. This will include participation in primary care research, in the development of demonstration models and development of more efficient methods of health care delivery.

LIFESTYLES To encourage the development of family physicians who are happy in their chosen specialty and who can maintain a proper balance between work, recreation, family life and service to their community.

As required by the Canadian College of Family Physicians, the Program must include and demonstrate the four cardinal principles of Family Medicine. They are:

1. The Doctor/Patient Relationship Is Central To What We Do As Family Physicians:

This incorporates the notions of continuity of care and comprehensiveness of care including caring for a patient in the context of the family and society. This also includes your role as patient advocate.

2. The Practice Of Family Medicine Is Community-Based

The context in which patients are seen may include office, hospital and home. The practice of family medicine is significantly influenced by community factors.

3. The Family Physician Is A Resource To A Defined Patient Population:

The physician must be able to apply knowledge and skills efficiently including the ability to evaluate new knowledge and its relevance to practice in the community. It is important to possess an awareness of one's own limitations, a knowledge of and a willingness to utilize community resources such as consultants and other health professionals or agencies.

4. The Family Physician Must Be A Skilled Effective Clinician:

The Family Physician must be a sound clinician with an ability to deal effectively with a wide range of clinical problems that may be present in the family practice setting. The College believes that the involvement of colleagues in other disciplines and other health professionals must always be guided by the goals and principles of Family Medicine.

CURRICULUM

The two-year curriculum consists of block time in Family Medicine and a series of community and hospital-based rotations. The following is an outline of the present curriculum. Please be advised that the rotation schedule is created with the participation of many different communities and on average, each resident can expect fifty percent of rotations to occur away from Sudbury and the Academic Resource Centre at Laurentian University.

FIRST YEAR NUMBER OF WEEKS
Family Medicine

Rural Family Medicine

Medicine

Pediatrics

Behavioural Medicine/Mental Health

Emergency

Surgery

Obstetrics & Gynaecology

16

8

4

8

4

4

4

4

SECOND YEAR NUMBER OF WEEKS
Family Medicine **

Rural Family Medicine

Medicine

Emergency

Obstetrics & Gynaecology

Elective

16

8

8

4

8

8

** Please note that the Family Medicine rotation has a 4-week optional selective.

FAMILY MEDICINE

The block time experience in Family Medicine will take place in the community practices of the preceptors to which the residents are assigned. These community practices have been selected from the region of Northeastern Ontario. Each resident will spend 16 weeks of block time with the same preceptor. They will provide continuous care to their own patients within the practice, as well as participating in the care of all in-hospital patients from the practice. In effect, the residents work with their preceptors in all that they do. Educational activities consist of seminars, supervised hospital ward rounds, and direct supervision during office sessions. Residents learn to work with other allied health professionals, and learn the appropriate use of community resources and consultants in the provision of quality care to patients. Horizontal electives may be arranged during Family Block time. Family Medicine block time (16 weeks) and Rural Family Medicine (8 weeks) in both years will take place in different communities. The residents will be assigned to family medicine preceptors who may have ready access to consultants, but preceptors frequently work much more independently in a smaller community.

During the second year, the last 4-week block of the 16-week Family Medicine rotation may be chosen as a "Selective" in which case the resident may choose to do an additional core rotation training in one of Surgery, Medicine, Pediatrics or Reproductive and Women's Health.

SEMINARS

Throughout the entire year, seminars dealing with clinical problem solving, psycho-social aspects of family health care, critical appraisal of the literature, ethics, business management and clinical specialty subjects that are relevant to Family Medicine are presented. All residents return to the Health Sciences Education Resource Centre for scheduled academic learning sessions and residents' travel costs will be appropriately funded by the Program at an established rate. All residents are strongly encouraged to have their own automobile.

ELECTIVE TIME

Eight weeks of elective time in the second year provides flexibility of individual training programs, and enables the residents to tailor their training to suit the needs of the community in which they plan to practice. Residents are able to select elective experiences outside the core communities. Horizontal electives during block Family Medicine time are encouraged in both years of the Program.

RESEARCH/CRITICAL APPRAISAL/EVIDENCE-BASED MEDICINE

Research in Family Medicine is an important activity of the Program and there is presently an active and interested research group. A resident research project is mandatory in each year of the program and residents are strongly encouraged to become involved in either the ongoing research projects of the faculty or to initiate their own projects during the two-year program. All residents receive curriculum scheduled learning opportunities in the areas of critical appraisal of medical literature and the principles of evidence-based medicine.

PATIENT ENCOUNTER TRACKING PROGRAM

This compulsory data collection project involves the resident learners recording essential elements of their patient encounters for the purpose of monitoring the appropriateness of the learning experience with respect to the specific rotation objectives. Data entry into this tracking procedure is mandatory and is an important evaluation instrument for several areas of our program.

OTHER FEATURES OF THE FAMILY MEDICINE PROGRAM

The equivalent of thirty two weeks of Family Medicine block time is spent in the Family Medicine practice of the preceptors to which the residents are assigned. In addition, the equivalent of sixteen weeks over the two years is spent in rural community teaching practices. These sixteen weeks are preferably spent in remote Northern communities. Thus a total of forty-eight weeks are in Family Practice in the one hundred and four week curriculum. In each year of the Program, when block Family Medicine rotations occur, it should be noted that they cannot both be in the same community. Similarly, the 8-week rural rotations cannot both be in the same community.

The NOFM program offers the unique opportunity for hospital-based training in an environment where there are few other housestaff present. This provides increased hands-on experience for the residents and provides the opportunity for continuous first call coverage in all specialty areas. In some communities and in some practices, certain specialty residents or undergraduate medical students may enhance their learning opportunities and professional collegidity. In special circumstances, residents married with children may apply for consideration of same community block family rotations.

There may be opportunities to do an occasional rotation in one of the core specialties within the parent program in the Ottawa area.

ACCOMMODATIONS

The Program maintains a network of rented apartments and houses for the use of our learners. Strict policies are in place regarding the use and care of our facilities and all residents must declare one community their area of prime residence for the purposes of this program. In the declared community, all residents must arrange for their own personal accommodation, and only when moving on rotations away from the declared community, may they stay in program sponsored housing.

APPLICATION MECHANISM

In applying to our Family Medicine program you, the student, must:

1. Complete the CaRMS application form. This form can be obtained by writing to

CaRMS, 151

Slater Street, Suite 801

Ottawa, Ontario K1P 5N1.



2. Submit to the Northeastern Ontario Family Medicine Program

c/o Dr. John Mulloy, Program Director

1942 Regent Street South, Unit G, Suite 120

Sudbury, Ontario, Canada

P3E 3Z9.

an autobiographical letter specific to our program in which you outline:

a) your personal history and elective experiences, those issues which you feel particularly apply to Northeastern Ontario;

b) why you have chosen Family Medicine as a career and what areas or issues within family medicine particularly attract you;

c) personal attributes you possess that fit you for this career, outside interests;

d) where and in what type of community you would prefer to practice upon completion of your training;

e) what aspects of the Northeastern Ontario Family Medicine Program are attractive to you.

The autobiographical letter should be received by the program on/or before October 31st.

INTERVIEWS

A large number of interviews will be granted on the basis of the quality of the application. The applications will be reviewed as early as possible. Interviews are held mid-January in Sudbury. Specific dates will be given when you are contacted for the interview. Each interview team is composed of three interviewers, two faculty and one resident already in the program. In order to help prepare you for the interview, the program offers a brief orientation session to all applicants on the evening prior to the scheduled interview. Final grading of applicants will be based on scores achieved in the grading of:

1) The CaRMS Application

2) Autobiographical Letter

3) Personal Interview

PROGRAM PERFORMANCE

The Northeastern Ontario Family Medicine Program and the Department of Family Medicine at the University of Ottawa is both proud and pleased with the performance of all our graduates on the Certification examinations of the College of Family Physicians of Canada.


NOFM Emergency Medicine Residency Program

Northeastern Ontario Electives Program

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