CURRICULUM TYPE: Block rotations with optional horizontal/ longitudinal curriculum in second year

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1 ST. MICHAEL S HOSPITAL 30 Bond Street, Toronto, Ontario, M5B 1W8 QUICK FACTS NUMBER OF RESIDENTS: 42 NAME OF TEACHING SITE(S): Family Practice Unit at 61 Queen St.; St. Lawrence Health Centre; Health Centre at 410; St. James Town Health Centre, Health Centre at 80 Bond; Sumac Creek Health Centre CURRICULUM TYPE: Block rotations with optional horizontal/ longitudinal curriculum in second year HOSPITAL TYPE: Academic Health Sciences Centre PGY1 ELECTIVE/SELECTIVE MONTHS: 1 PGY2 ELECTIVE/SELECTIVE MONTHS: 4 selectives, 4 electives PROGRAM HIGHLIGHTS Diverse clinical practices conducted at 6 clinic sites (all within walking distance) in downtown Toronto with over 34,729 rostered patients within the Family Health Team (FHT) Dedicated and award winning clinical teachers with diverse clinical, academic, administrative, and research interests including: Women s health, Obstetrical care, HIV care, Addictions medicine, Global Health, Immigrant health, GLBT health, Academic medicine, Sports medicine, Quality Improvement, and Inner City Health research Exposure to a broad patient population including marginalized individuals and inner city population Focus on Academic and Professional excellence including: EBM (Evidence Based Medicine) course, comprehensive and diverse Academic Half Day (AHD) schedule, multiple opportunities for certification exam preparation including Simulated Office Orals (SOOs) and FM-MAP (Family Medicine Mandatory Assessment of Progress) Extremely supportive Residency Program team with ongoing opportunities for resident feedback and input; resident well-being and positive residency experience a priority Graduated residents have moved forward in a variety of ways: Fellowship positions, Academic Physicians, Private clinics, Community Health Centres, Global Health, Public Health, and Consulting to name a few Interprofessional approach to patient care with resources such as: Nurse Practitioners, Nurses, Social Workers, Pharmacists, Dieticians, Chiropractic Care, Dentistry, and Psychology

2 HOSPITAL, COMMUNITY, TEACHING UNIT AND PROGRAM The Department of Family and Community Medicine at St. Michael s Hospital is a large dynamic and diverse unit comprised of the hospital itself and six affiliated Family Medicine clinics, all located in Toronto s downtown core. Our Department is strongly committed to the care of the inner city population. In addition to providing care and teaching in all aspects of basic Family Medicine, our staff has developed expertise in a number of areas in response to the needs of the community we serve. These areas include HIV primary care, addiction medicine, gay/lesbian/bisexual/transgendered (GLBT) health, care of people who are homeless or under-housed, the poor as well as adolescents and new immigrants. Clinical activities in these areas are fully integrated within the day-to-day practice of Family Medicine. We are now working in a FHT model in close collaboration with professionals from nursing, social work, psychology, chiropractic, dietitians, pharmacist and nurse practitioners. All our sites use the Practice Solutions EMR software. Our staff are dedicated to ensuring that our residents graduate from the program with a broad range of skills and are able to work in a variety of settings. The profile of our patient population varies somewhat from one clinical site to another. These sites are as follows: The Family Practice Unit at 61 Queen Street East, 3rd Floor * Diverse patient population of all ages and cultural backgrounds * Individuals working in the downtown area including St. Michael s Hospital employees * Patients with complex medical problems * Homeless / under-housed individuals The St. Lawrence Health Centre at 140 The Esplanade * Serves the local community population * Diverse patient population of all ages and cultural background, including common community family practice Problems Located within the thriving St. Lawrence Market area The Health Centre at 410 at 410 Sherbourne Street, 4th Floor * HIV Primary care * Addiction Medicine, including Methadone Maintenance Therapy * Gay, Lesbian, Transgendered health * New immigrants * Homeless/under-housed individuals St. James Town Health Centre at 410 Sherbourne Street, Ground Floor. * Diverse patient population of all ages * People with diverse cultural backgrounds, new immigrants * Some HIV primary care * Individuals with addiction * People living in high density housing

3 Health Centre at 80 Bond Street at 80 Bond Street * Diverse patient population of all ages and cultural backgrounds * New immigrants * Urban professionals * Homeless/under-housed individuals Houses inter-professional alliances with Chiropractic care, Dentistry, and Ryerson Psychology Sumac Creek Health Centre * DFCM s newest clinic, opened in July 2015 * S Diverse and growing patient population, including the priority neighborhoods of Regent Park, Moss Park and St. Jamestown * Interprofessional team-based approach to care, including many FHT-wide services * Strong orientation to Social Determinants of Health in day-to-day care * Co-located with SMH lab, diagnostic imaging and FOCUS mental health services St. Michael s Hospital is a tertiary care teaching hospital. The Hospital shares its neighbourhood with both the wealthy financial and cultural districts of Toronto and some of the poorest areas of the city. It offers a wide range of specialty and sub specialty services both in the in-patient and ambulatory settings. Our residents have access to highly rated hospital rotations with excellent clinical teachers. St Michael s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future health care professionals in 27 academic disciplines. Inner city health, critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the hospital s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto. In addition to the sites described above, our residents have access to a wide array of agencies which are staffed by members of our department. They include: Covenant House, Youthdale (psychiatric adolescent care), Seaton House, Casey House, Yonge Street Mission, the Hassle Free Clinic (sexual health) to name a few. Though our program is situated in downtown Toronto our graduates acquire the skills to work in settings ranging from academic to rural, remote and international. Each year a few of our residents elect to continue their training in academic medicine or third-year programs. TESTIMONIALS My two years at St. Michael s were amazing. I feel comfortable handling the bread and butter problems of Family Medicine, but also complex issues like HIV/AIDS, addictions, trauma, neonatal care and refugee health concerns. The teachers are awardwinning and have a real interest in meeting your learning needs. I wouldn t have gone anywhere else. St. Mike s is not only a great place to learn about inner city health, but also provides opportunities to mix this unique set of skills with general family practice knowledge. As well, for your PGY2 year, you have the choice of doing a block year or a longitudinal year, which is unique to our site. The residents here feel that the flexibility offered here makes St. Mike s a great place to be!

4 CURRICULUM The Family Medicine curriculum includes both a longitudinal and a block (rotation-based) component. In the horizontal/ longitudinal experience, residents are assigned to one of our four clinical sites and return to the clinic, one half day per week, throughout their residency. The main goal of the clinical half day (CHD) is for residents to develop a practice and provide continuous care to a defined group of their own patients. Block Family Medicine rotations (four in first year and two in second year) include clinical activities in Family Medicine as well as enrichment experiences, one to two half days per week, in a discipline chosen by each resident. During two consecutive Family Medicine block months, residents provide care to the clients of Seaton House, one of the largest men s hostels in Canada. An extensive academic program is also integrated into the residency program. Throughout the year, residents return to the department every Wednesday morning for presentations by residents, family physicians and consultants, on topics in Family Medicine. During block time, additional sessions in evidence-based medicine and behavioural health are incorporated into the rotation. The Family Medicine experience is based on a team approach to care. Team members, including nurses, nutritionists, social workers, pharmacists, occupational therapists and addictions counselors, play a central and essential role in both patient care and teaching. In addition our residents complete the NRP (neonatal resuscitation) and ATLS (trauma) courses. In first year, one of the four months of Family Medicine has been modified to emphasize inner city health. During that month residents may spend up to four clinical half days per week in community agencies and clinical settings which serve the inner city community. The schedule is kept flexible to allow residents to select both clinical and enrichment activities that correspond to their learning needs and interests. Similarly, the flexibility of our second-year curriculum recognizes the need for residents to identify their learning objectives and select rotations accordingly. Mandatory experiences are outlined (one month in each of internal medicine selective, women s health, palliative care +/- mental health) but residents choose and arrange the type of rotation which meets their learning needs. Residents in good academic standing have the opportunity to complete their second-year requirements on a longitudinal/ horizontal basis. Residents are provided with support for completion of their resident academic project (RAP). A dedicated resident academic project coordinator physician and the departmental research assistant provide guidance while other departmental research activities provide opportunities for exploring Family Medicine research. In short, our residents, the expertise of more than 80 staff representing all members of the health care team, our commitment to a diverse, challenging and rewarding patient population and our central role in one of the leading tertiary care centres in this country make our department a rewarding learning environment where the basics of Family Medicine are extended to the integrated care of those marginalized by our society. CONTACTS PROGRAM DIRECTOR & EDUCATION COORDINATOR Dr. Charlie Guiang Tel: x 8313 guiangc@smh.ca Mr. Ed Ang Tel: ange@smh.ca

5 CHIEF RESIDENTS Dr. Erin Lurie Dr. Michael Benusic