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Fédération des médecins résidents du Québec

FMRQ Express Vol. 8, No. 5 November 2011

Medical residents, an essential link in access to care FMRQ Express is a publication of the Fédération des médecins résidents du Québec which reports on developments with regard to the main issues to which special attention is paid and on decisions made by Federation bodies, notably the Executive Committee, Board of Directors and Delegates’ Assembly.

QUEBEC CAREER DAY 2011 – MORE THAN 850 PARTICIPANTS

PEDIATRICS CERTIFICATION EXAMS

INTERNAL MEDICINE CERTIFICATION EXAMS

HARMONIZATION OF THE FAMILY MEDICINE CERTIFICATION EXAM AND THE MEDICAL COUNCIL OF CANADA QUALIFYING EXAM (MCCQE II)

FELLOWSHIPS /MANAGEMENT PROCEDURES

YEAR-END HOLIDAYS

WELLNESS CAPSULE WELLNESS AND BALANCE IN RESIDENCY AND BEYOND

BURSARIES OF $6,500 PER YEAR FOR FAMILY MEDICINE RESIDENTS IN DECENTRALIZED SETTINGS

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ALDO-QUEBEC AND RESTRICTIVE PERMIT–RESIDENT RESTRICTIVE PERMIT–RESIDENT/MOONLIGHTING


QUEBEC CAREER DAY 2011 – MORE THAN 850 PARTICIPANTS  On Tuesday, October 25, 2011, the Federation held the 16th edition of its Quebec Career Day, in Room 210 of Montreal’s Palais des congrès convention centre.  Taking part in the Day were 125 health care establishments from all regions of Quebec.  They welcomed more than 850 physicians in training in family medicine and the other specialties, with whom they discussed the positions available in the short and medium term.  Quebec’s Minister of Health and Social Services, along with Members of the National Assembly and the presidents of the Fédération des médecins omnipraticiens du Québec and the Fédération des médecins spécialistes du Québec also attended Quebec Career Day this year.  For the occasion, Dr Bolduc had released the physician resource plan in family medicine and the five-year physician resource plan for other specialties.  For further information on PREMs, feel free to get in touch with us by calling 514-282-0256 or 1-800-465-0215 or emailing fmrq@fmrq.qc.ca.

PEDIATRICS CERTIFICATION EXAMS    

Following discussions with the RCPSC Pediatrics Examination Executive Committee, the Royal College is proposing a new schedule for the pediatrics certification exam. In 2013, the written component will be offered in the first week of April, instead of in May. Candidates will have to pass the written exam in order to be able to sit the oral component (OSCE). For those able to sit the oral exam, the two components will be combined, as is presently the case.

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INTERNAL MEDICINE CERTIFICATION EXAMS      

The Royal College of Physicians and Surgeons of Canada (RCPSC) recently notified us that the form of the Internal Medicine certification exam will be changing, starting in 2012. The written component remains the same. The structured oral part will now be an objectively structured clinical exam (OSCE) involving multiple stations. The content will still be based on the same training goals. To see the revised format, click here Eligible candidates will be receiving their notice of registration for the exam between mid-November 2011 and January 2012.

HARMONIZATION OF THE FAMILY MEDICINE CERTIFICATION EXAM AND THE MEDICAL COUNCIL OF CANADA QUALIFYING EXAM (MCCQE II)      

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The College of Family Physicians of Canada (CFPC) and the Medical Council of Canada have developed an enhanced family medicine certification exam that will be launched in spring 2013. Candidates passing this exam will receive two qualifications: family medicine certification from the CFPC, and the title of Licentiate of the Medical Council of Canada (LMCC). The advantages, according to the CFPC and the MCC: (1) less of a burden for candidates; (2) a single exam instead of two exams; (3) shorter travel time and lower cost; (4) enriched exam; (5) maximum cost-effectiveness owing to pooling of the two organizations' resources. R2s as of July 1, 2012 will be invited to register for the enhanced exam in fall 2012, and will take the exam the following spring. They will not have to sit the MCCQE II in the fall. The enhanced (harmonized) exam will be offered twice a year, in spring and fall, starting in spring 2013. Structure of the exam (duration: 1 day) o A broadened, computerized Short Answer Management Problem (SAMP) component; o A broadened component concerning clinical competencies  8 objectively structured clinical exam (OSCE) stations  4 simulated medical interview stations From 2013 onward, only the enhanced Family Medicine certification exam will be offered. The MCCQE II will continue to be offered to candidates in the other specialties in the spring and fall. All candidates who passed the MCCQE II before 2013 but are specializing in family medicine will nevertheless have to pass the enhanced exam in order to obtain their certification. Candidates for this exam will receive all the documentation in that regard during 2012. For further information: o College of Family Physicians of Canada Education Department: 905-629-0900 harmonizedexam@cfpc.ca o Medical Council of Canada Exams: 613-520-2240 mcc_admin@mcc.ca

FELLOWSHIPS

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MANAGEMENT PROCEDURES  On October 20, 2011, the Conference of Rectors and Principals of Quebec Universities (CREPUQ) published the procedures that have been introduced for granting fellowship positions.

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 There are several types of fellowships, and the application procedure differs, depending on whether they have to be managed by the Canadian Resident Matching Service (CaRMS), are of six months’ duration or less, or involve a specific training program. For instance, the following specialties, namely, family medicine, intensive care, internal medicine, pediatrics and hemato-oncology, are subject to different rules. There are also rules for Fonds de recherche en santé du Québec (FRSQ) bursary recipients and those pursuing training in the Clinician Investigator Program (CIP) or the Clinician Scholar Program. For further information, we invite you to consult Les modalités de gestion pour les formations complémentaires (Management procedures for fellowships) published by the Conference of Associate Deans for Postgraduate Medical Education of Quebec’s medical faculties

YEAR-END HOLIDAYS  The year-end holidays are nearly upon us, and many of you will want to know which leave you can take.  First of all, while we do not know yet whether the new collective agreement will be in effect by then, it has been decided to apply it fully.  Article 23.05 of the 2007-2010 agreement is much the same as in the 2010-2015 agreement. At most, some elements have been clarified in the new agreement.  Thus, Article 23.05 of the 2007-2010 collective agreement stipulates that: “At Christmas or New Year’s, the resident shall be entitled to take up to five (5) consecutive days of annual vacation or accumulated statutory holidays, including Christmas Day or New Year’s Day.”  These five consecutive days are working days.  So if, as happens this year, the leave takes place during the weekend, then the weekend must be free of any clinical activity.  The dates of these five consecutive days are determined by the establishment. They vary from one establishment to another, but must include statutory holidays, and the Christmas or New Year holidays.  Traditionally, leave taken during the year-end holiday period—other than the two Christmas statutory holidays and the two New Year’s statutory holidays—is deducted from the resident’s bank of statutory holidays worked (often those you have worked or intend to work during the year-end holiday period), in line with Article 23.03.  If you would rather this leave were deducted from your bank of vacation days instead, make sure you notify the establishment before the leave begins. Moreover, a resident on call duty the day before a statutory holiday may carry over or be paid for his statutory holiday.  If you have any questions concerning your own specific situation, feel free to get in touch with Marie-Anik Laplante at the FMRQ by calling 514-282-0256 or 1-800-465-0215 or emailing malaplante@fmrq.qc.ca.

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WELLNESS CAPSULE: WELLNESS AND BALANCE IN RESIDENCY AND BEYOND On September 25, 2011, Dr Emilie Desrosiers joined Dr Ramses Wassef, director of the Student and resident aid office (BAER) at the University of Montreal, as joint facilitators of a workshop on wellness and balance in residency, as part of the International Conference on Resident Education 2011, in Quebec City. The goals of the session were for participants to recognize the main factors that hamper doctors’ wellness and balance during residency and in medical practice; identify individual steps that can be taken during residency to achieve balance and wellness; and suggest changes to residency programs to promote wellness and balance in the practice of medicine.

Among the factors identified, aside from the time issue, workshop participants mentioned the following:  Generational differences, impression of being seen as the “lazy generation” by some staff physicians, leading to feelings of guilt when medical residents try to improve their quality of life (e.g., changes to call duty schedules);  Ever-higher expectations, with pressure to publish and teach while learning;  Higher volume and complexity of cases seen in clinics;  Negative feedback more frequent than positive comments, often with little indication as to how to improve what we are being criticized for;  Unpredictability of work hours, leading to feelings of guilt toward family and friends;  Judgment among medical residents when vacation or sick leave is taken;  Lack of sleep, unhealthy diet and lack of time for physical exercise. Some solutions are already in place, while others could apply in your programs. Among possible solutions mentioned by participants were the following:  Mentoring between senior and junior residents, to help with integration and reduce stress at start of residency;  Holding morbidity-mortality-type meetings among medical residents, discussing how you feel when you make errors and how to improve, so as to help get these difficult situations out into the open and talk about them;  Planned happy-hour-type events, once or twice a month, to give medical residents a chance to get together;  Party to greet medical residents informally before they start their residency;  Resident wellness half-day or day once a year per program, at which talks or workshops on wellness and balance could be given in order to target specific action to be taken for the program;  Using program committees to remind program directors of their role in their residents’ wellness. The Resident Wellness Committee (RWC) will ensure that these elements are integrated into its current work, so as to serve Federation members’ interests more closely with respect to living a balanced life during residency. Furthermore, some of these solutions can be easily implemented by medical residents in their training sites, and we invite you to discuss them with your colleagues and program directors.

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BURSARIES OF $6,500 PER YEAR FOR FAMILY MEDICINE RESIDENTS IN DECENTRALIZED SETTINGS

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The Ministry of Health and Social Services recently announced the introduction of a Bursary program for studies in decentralized settings available to family medicine residents in the Family Medicine Units targeted by the program. This bursary, worth $6,500 a year, will be accessible from July 2012 onward to medical residents pursuing their studies in targeted settings (see list below). These settings were chosen for their remoteness or the low numbers of residents interested in working there over the past few years. The Ministry hopes this new financial incentive will help fill residency places in these Family Medicine Units and show future medical residents the numerous personal and professional advantages of practising medicine in those settings. For any information, feel free to get in touch with Karine Huard by emailing her at karine.huard@msss.gouv.qc.ca or calling 418-266-6960.

FAMILY MEDICINE UNITS TARGETED BY THE PROGRAM OF BURSARIES FOR STUDY IN DECENTRALIZED SETTINGS 2012-2013 REGION FAMILY MEDICINE UNIT Bas Saint-Laurent

UMF Les Basques – KRTB UMF Rimouski

Saguenay–Lac-Saint-Jean

UMF Alma

Mauricie–Centre-du-Québec

UMF Cité de l’Énergie - Shawinigan

Abitibi-Témiscamingue

UMF Amos UMF La Sarre UMF Rouyn-Noranda UMF Vallée-de-l’Or

Côte-Nord

UMF Baie-Comeau

Gaspésie–Îles-de-la-Madeleine

UMF Gaspé UMF CH Baie-des-Chaleurs - Maria

Chaudière-Appalaches

UMF des Etchemins

Laurentides

UMF Mont-Laurier

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ALDO-QUEBEC – CALENDAR FOR 2011 (registration required one month prior to training session) N.B. We invite you to consult the Collège site to check that certain sessions have not been postponed. DATE November 29 December 6 December 13

CITY Montreal Montreal Quebec City

LOCATION University of Montreal (FRE) McGill University (ENG) Laval University (FRE)

ALDO-Quebec training sessions run from 1 pm to 4 pm, unless indicated otherwise. The registration form is available on the Collège site, and must reach the department responsible at least one month prior to the training session in which you wish to participate. You may register after the deadline, but additional fees could be charged. For further information, consult the Collège des médecins du Québec site at www.cmq.org, under Students, Residents and Fellows/Examinations and ALDO. RESTRICTIVE PERMIT–RESIDENT/MOONLIGHTING Deadline for sending in documents

Collège meeting

December 7

December 15

Permits are issued a few days after the meetings. Enjoy the newsletter!

Charles Dussault, MD President For further information, please contact the FMRQ by phoning 514-282-0256 or 1-800-465-0215 or emailing fmrq@fmrq.qc.ca, or visit our Web site at www.fmrq.qc.ca.

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 B URSARIES OF $6,500 PER YEAR FOR FAMILY MEDICINE RESIDENTS IN DECENTRALIZED  I NTERNAL M EDICINE CERTIFICATION EXAMS  P EDIATRICS CERTI...