expanding medical education in british columbia within a socially responsible framework
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Expanding Medical Education in British Columbia within a Socially Responsible Framework. Oscar Casiro, MD, FRCPC Head, Division of Medical Sciences, UVic Associate Dean, Island Medical Program, UBC. Challenges. Shortage of physicians Recruitment and retention problems - PowerPoint PPT PresentationTRANSCRIPT
Expanding Medical Education in Expanding Medical Education in British Columbia within a Socially British Columbia within a Socially
Responsible FrameworkResponsible Framework
Oscar Casiro, MD, FRCPCOscar Casiro, MD, FRCPC
Head, Division of Medical Sciences, UVicHead, Division of Medical Sciences, UVic
Associate Dean, Island Medical Program, Associate Dean, Island Medical Program, UBCUBC
ChallengesChallenges
Shortage of Shortage of physiciansphysicians
Recruitment and Recruitment and retention problemsretention problems
Maldistribution of Maldistribution of physiciansphysicians
British ColumbiaBritish Columbia BC provides only a fraction of the 300 - 400 BC provides only a fraction of the 300 - 400
new physicians it needs each year.new physicians it needs each year. Only 26% of physicians practicing in the Only 26% of physicians practicing in the
province are UBC graduates.province are UBC graduates. BC has the lowest medical student spaces BC has the lowest medical student spaces
per capita in Canada.per capita in Canada. Shortages of physicians in rural/northern Shortages of physicians in rural/northern
communitiescommunities Growing, ageing populationGrowing, ageing population
B. McBride & J. Cairns, B. McBride & J. Cairns, 20012001
University of Northern BritishColumbia:
Northern Medical Program (NMP)
University ofBritish Columbia:
Vancouver-Fraser Medical Program(VFMP)
University of Victoria:
Island Medical Program (IMP)
The MD Undergraduate Program Distributed The MD Undergraduate Program Distributed
Model of ExpansionModel of Expansion
Changes in Student Enrolment in the Changes in Student Enrolment in the UBC Faculty of Medicine 2003 - 2010UBC Faculty of Medicine 2003 - 2010
N=1024
N=512
Proposed changes to undergraduate Proposed changes to undergraduate enrolment by year 2003 - 2013enrolment by year 2003 - 2013
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Current 04 05 06 07 08 09 10 11 12 13
Year 4
Year 3
Year 2
Year 1
N=504
N=1024
Degrees Of Distribution
University of British Columbia Faculty of MedicineUndergrad Program – Degrees of Distribution
UBC
UVic UNBC
VCHA/FHAVGH/SPH/RCH
VIHAVic Gen/RJH
NHAPGRH
Rural & Remote
PHSABCCWH/
BCCA
Affiliated Regional CentresAffiliated Regional Centres – Types 1 & 2 Phases 5&6
Dispersed Sites - Rural & RemotePhases 3, 5, 6
Clinical Academic CampusesPhase 4, 3rd Year
Partner University Campuses1st & 2nd Year
IHA
KGH
Community Based Sites
Uses of TechnologyUses of Technology
Planning: Planning: • MeetingsMeetings• Team roomsTeam rooms
Administration:Administration:• Curriculum meetingsCurriculum meetings
Faculty developmentFaculty development• Tutor meetingsTutor meetings
InstructionInstruction• LecturesLectures• LabsLabs• PBL groupsPBL groups
Student supportStudent support• Student connectionStudent connection• Student counselingStudent counseling
EvaluationEvaluation• ExamsExams• Faculty/course Faculty/course
evaluationevaluation
Medical Sciences Building: Medical Sciences Building: Home of the Island Medical ProgramHome of the Island Medical Program
Officially opened Officially opened December 2004December 2004
““Green” buildingGreen” building Students have Students have
24-hour access 24-hour access (coded security (coded security cards)cards)
Designed to Designed to accommodate accommodate students and students and staff with staff with disabilities.disabilities.
Medical Sciences Building:Medical Sciences Building: FacilitiesFacilities
Two state-of-the-art Two state-of-the-art lecture theatres lecture theatres
Seven PBL roomsSeven PBL rooms Two research labsTwo research labs Computer labComputer lab Reading roomReading room Gross anatomy labGross anatomy lab State-of-the-art State-of-the-art
multipurpose labmultipurpose lab
Medical Sciences BuildingMedical Sciences Building
Island Medical ProgramIsland Medical ProgramVancouver Island Health Authority (VIHA)Vancouver Island Health Authority (VIHA)
Clinical Academic CampusClinical Academic Campus
Royal Jubilee HospitalRoyal Jubilee Hospital• 656 bed acute care656 bed acute care• Clinical skills facility for Clinical skills facility for
11stst & 2 & 2ndnd year IMP students year IMP students
Victoria General Victoria General HospitalHospital• 379 bed acute care379 bed acute care
Educational Centres in Educational Centres in Central and North Central and North IslandIsland
Class of 2008Class of 2008
The Island Medical The Island Medical Program’s most Program’s most important asset!important asset!
““I had high expectations I had high expectations when I decided to participate when I decided to participate in the Island Medical in the Island Medical Program, and those Program, and those expectations have been expectations have been exceeded! I love being able exceeded! I love being able to study with a small group to study with a small group of students, and I love the of students, and I love the interaction with IMP staff – interaction with IMP staff – they know all the students by they know all the students by name!”name!”
• Pre-Med
• Undergraduate Medical Education
• Postgraduate Medical Education
• Continuing Professional Development (CME)
Continuum of Medical EducationContinuum of Medical Education
Develop core clerkships in Victoria Develop core clerkships in Victoria Build infrastructure to support Build infrastructure to support
medical education outside Victoriamedical education outside Victoria Community-based integrated Community-based integrated
clerkships in Central or North Islandclerkships in Central or North Island Community-based rural electives Community-based rural electives
and selectivesand selectives
MD Undergraduate ProgramMD Undergraduate ProgramYears 3 and 4Years 3 and 4
• Phase III- Community Practice (4-8 week Phase III- Community Practice (4-8 week practicum in rural and underserved practicum in rural and underserved communities)communities)
• Phase IV- (48 weeks) required clinical Phase IV- (48 weeks) required clinical clerkshipsclerkships
• Phase V- selectives and electives (first 16 Phase V- selectives and electives (first 16 weeks of year 4)weeks of year 4)
• Phase VI- Effective Learning Skills for Phase VI- Effective Learning Skills for Medical Practice (16 weeks including a 2 Medical Practice (16 weeks including a 2 week LMCC preparation course and 4 week LMCC preparation course and 4 week senior elective)week senior elective)
Undergraduate Curriculum and Planning Model Undergraduate Curriculum and Planning Model Years 3 & 4Years 3 & 4
III Rural Practice: 4 to 8 week Practicuum in Rural Communities
IVCore Clerkships (Internal Medicine, Surgery, Paediatrics, Obstetrics and Gynaecology, Psychiatry, Emergency Medicine)
V Advanced Clerkships (Electives and Selectives)
VFMP IMP NMP
VIEffective Learning Skills for Medical Practice (weekly themes: Pharmacology & Therapeutics, Health Care & Epidemiology, Health Care Policy, Ethics, Law, Advanced Communication Skills, Palliative Care)
Throughout British
Columbia
Phase
4
Course
3
Location Year