2013-2014 Year in Review - The Department of Medical Education & Scholarship

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2013-2014 Academic Year in Review

The FUTURE of TEACHING & EDUCATION at SJHC

a community-academic health centre affiliated with...


2013-2014 Academic Year in Review


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CONTENTS LETTERS FROM THE CHIEFS

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EDUCATION DEVELOPMENT

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DEPARTMENT OF MEDICAL EDUCATION & SCHOLARSHIP

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RESEARCH & SCHOLARSHIP

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UNDERGRADUATE MEDICAL EDUCATION

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UofT IMPACT

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POSTGRADUATE MEDICAL EDUCATION

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NATIONAL IMPACT

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RESIDENT EDUCATION

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INTERNATIONAL ACTIVITIES

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CONTINUING EDUCATION

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FUTURE OF DMES AT SJHC

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UPCOMING CME COURSES

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LETTERS FROM THE CHIEFS CHIEF, STAFF AND INTERIM VP MEDICAL AFFAIRS This has been an incredibly exciting time for teaching and education at SJHC. The DMES team has made wonderful strides in improving the educational experience for our medical trainees, physicians and faculty here at SJHC. The DMES exemplifies the mission, vision and values of SJHC and truly shows how we embrace the future of teaching and education at SJHC. I want to congratulate the team for the exceptional work they have done in the past year. I am looking forward to see what they will accomplish in the upcoming academic year. Sincerely,

Ted S. Rogovein BA AGDM MDCM FRCPC FCCP

Chief of Staff Interim VP Medical Affairs St. Joseph's Health Centre

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CHIEF, DEPARTMENT OF MEDICAL EDUCATION & SCHOLARSHIP We have seen a steady increase in the number of medical trainees coming through our doors and growing number of faculty members over the past two years. The Department of Medical Education & Scholarship has grown and is taking on many new projects, we have recently completed our strategic plan and we are working on the development of various educational and research projects.The pillars identified in our strategic plan include:

‣ Strengthening undergraduate and postgraduate education ‣ Enhancing faculty, preceptor and continuing education & professional development ‣ ‣

(CEPD) Increasing our research, scholarship and evaluation productivity Optimizing our organizational capability to achieve SJHC’s Vision

Throughout this publication you will be able to see all of the steps that we have taken toward our goals during the 2013-2014 academic year. We appreciate the commitment and support we have received from so many different areas of the Health Centre and the University of Toronto and look forward to the upcoming academic year and all of the great initiatives to come! Sincerely,

Jerry Maniate, MD, MEd, FRCPC

Chief, Medical Education & Scholarship, SJHC Educator Researcher, Wilson Centre for Research in Education Academic Educator, Centre for Faculty Development Assistant Professor, Faculty of Medicine, UofT

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DEPARTMENT OF MEDICAL EDUCATION & SCHOLARSHIP STRUCTURE The department is responsible for the overall educational experience of Undergraduate (UG) and Postgraduate (PG) medical trainees and physicians based at SJHC. The Department works with all of the clinical departments to ensure the trainees and physicians based at SJHC are provided an excellent hands-on experience in a community setting. Various new educational experiences have been implemented throughout the Health Centre and the trainees and physicians are already beginning to notice positive changes.

Family Medicine Residents and Dr. Navika Limaye

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PROCESSES AND POLICIES DMES Roles and Responsibilities

‣ Orientation and onboarding of trainees ‣ Creating resident on-call schedules for numerous departments. ‣ Development of a robust continuing medical education (CME) curriculum that ‣

allows physicians and staff to enhance their clinical skills at SJHC. Providing hands-on education / faculty development to help clinicians be able to provide high quality education to all SJHC health professions trainees.

Dr. Neha Goyal, Family Medicine Resident

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DMES

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OUR TEAM

Nathan Learning Resources Educator Jerry Chief, Medical Education & Scholarship Axelle Manager, Medical Education & Scholarship

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Sandra Medical Education Assistant

Julia Faculty & CEPD Affairs Coordinator

Chris Administrative Assistant

Erika Medical Education Coordinator

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Family Medicine Resident Orientation Day

UNDERGRADUATE MEDICAL EDUCATION ORIENTATION & ONBOARDING

The department worked to create a more efficient and environmentally friendly orientation and onboarding process for the 2013-2014 academic year. Each departments’ orientation package was reviewed to ensure trainees were receiving the most up-to-date information for their rotations. Orientation emails were updated and sent one to two months before a trainee’s rotation as opposed to three or more months in advance. Sending the information closer to the trainee’s start date avoided confusion about upcoming rotations and elicited a greater response for necessary information for the rotation. Onboarding was abbreviated to include the most necessary information. Furthermore, a shortened package was developed for the trainees that had previously registered with the DMES team during the academic year to maximize their time spent on clinical duties.


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ASCM I SJHC has hosted one student group of the Art and Science of Clinical Medicine I course, which runs weekly on Friday mornings from September to June and is tutored by our physicians. The course focuses on having students learn in the hospital environment. They have the opportunity to practice a variety of skills for the first time outside the classroom. We look forward to continuing to build and offer this course at the Health Centre for the 2014-2015 academic year.

ASCM II

In addition to ASCM I, we also facilitated select classes for the Art and Science of Clinical Medicine II course for the 2013-2014 year. The DMES team is happy to announce that the Health Centre will increase their contributions to ASCM II by hosting one student group of the course for the full 2014-2015 academic year, which will run weekly on Thursday mornings from September to June.

ASCM I Students and Dr. Erin Kraftcheck

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Drs. Jenny Khu and Julia Kfouri

EXPANDED ROTATIONS The Department of Obstetrics and Gynecology continued their support for the Obstetrics undergraduate rotation for the 2013-2014 academic year by hosting clerkship students every two weeks for the FitzGerald and Wightman-Berris Academies. The Health Centre will be taking on a full complement of students for the 2014-2015 academic year by hosting clerkship students for their full six week Obstetrics rotation.

TRANSITION TO RESIDENCY (TTR) The Transition to Residency program was offered again this year in the Departments of Emergency Medicine, Medicine and Surgery. The DMES team worked alongside these departments to accommodate as many fourth year undergraduate students interested in the TTR program as possible.


POSTGRADUATE MEDICAL EDUCATION

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ORIENTATION DAY The DMES team revamped orientation day for the beginning of the 2014-2015 academic year. On July 2nd, 2014, the team hosted a morning orientation session which included eCare training, breakfast, registration and guided tours to receive ID badges, parking passes and dictation numbers. The orientation wrapped up with a trainee and physician welcome BBQ hosted by the DMES team.

eCARE TRAINING With the roll out of electronic patient records, residents carrying out their rotations at SJHC require training on the eCare system when they arrive at the Health Centre. The DMES team integrated the eLearning requirements into the residents’ orientation information, and ensured all residents were scheduled for the training session in order to be fully prepared for their time at SJHC. Orientation Day BBQ 2014

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Social at the Westerly during RAW

RESIDENT EDUCATION RESIDENT AWARENESS WEEK (RAW) February 24th to 28th marked the first ever Resident Awareness Week at St. Joseph’s Health Centre. The DMES hosted events throughout the week to celebrate the important role residents’ play in the care of our patients. Events included a Breakfast Forum with residents and staff physicians to discuss the transition from residency to practice; Followed by a keynote address by Master Corporal Jody Mitic, highlighting his Never Quit mentality; Lunch with Chief of Staff, Dr. Ted Rogovein; and a social at The Westerly for staff physicians and residents to encourage networking. For more information view the following link: http://www.stjoe.on.ca/about/publications/features_detail.php?id=5720


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LUNCH WITH THE CHIEF February 2014 marked the first of the quarterly Lunch with the Chief Series. Dr. Ted Rogovein, Chief of Staff at St. Joseph’s Health Centre, presented and discussed topics with residents at the Health Centre that are important to being an effective manager in healthcare. These sessions are based on the CanMEDS Physician Competency Framework to enable residents to understand and improve their managerial skills as they prepare for their futures as key providers of healthcare to Canadians.

RESIDENT EDUCATION DEVELOPMENT (RED) The DMES is in the initial stage of developing a unique Resident Education Development (RED) program that will address the learning needs of residents in distinct CanMEDS roles that are not usually part of a clinical rotation. This program would be the first of its kind in a community-teaching hospital.

Dr. Ted Rogovein and Residents at Lunch with the Chief

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Resident for a Day Press Conference

RESIDENT FOR A DAY: SURGICAL EDUCATION The Department of Medical Education (DMES) organized a “Resident for a Day� event on April 10th. The Federal Minister of Health, the Honourable Rona Ambrose, came to SJHC and became a surgical resident. Minister Ambrose rounded on various surgical patients, observed various surgeries and was paged along with the residents to different consults. For more information view the video online. http://www.stjoe.on.ca/about/publications/features_detail.php?id=5730

CTU PROJECT The Clinical Teaching Unit (CTU) is a phenomenon of Academic Health Sciences Centres (AHSCs). Teams of medical trainees at multiple levels of training cover a subset of patients, work with interprofessional staff, and are taught by a faculty appointed physician. July 2014 marked the first time this style of rotation was offered at SJHC. The CTU was developed to provide Family Medicine Residents with their Internal Medicine educational requirements while enhancing the rotation for Internal Medicine Trainees. This also brings to light the size of the medicine program both in terms of the number of beds and faculty members.


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FM APPRECIATION / GRADUATION DINNER The annual Family Medicine Resident Appreciation and Graduation Dinner took place Thursday May 8th, 2014 at Pizzeria Defina. The dinner celebrated the Family Medicine Residents’ work through their two years of residency at SJHC and graduating residents were presented with their St. Joseph’s Health Centre recognition certificates. Drs. Neha Goyal and Karan Johar, Family Medicine Residents

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Dr. Brian D. Hodges, James Starr Simpson Memorial Lecturer 2013

CONTINUING EDUCATION AT SJHC By providing continuing medical education courses onsite, we hope to engage physicians in their everyday community setting. Our goal is to produce educational sessions relevant to the work our physicians perform as well as to ensure this education can be completed conveniently, in the west end of Toronto. Thus far, we have received exciting feedback which we will continue to implement in our ongoing courses. We expect that these types of activities will have a positive impact on the care of our patients and will contribute to our vision of becoming Canada's Best Community Teaching Hospital.

PAIN MANAGEMENT SERIES This course has run twice since its inaugural date in April 2013. This year’s course objectives included understanding the importance of carefully set boundaries and limits, acquiring knowledge and skills to communicate effectively with patients with chronic pain and implementing specific communication strategies to negotiate narcotic requests.


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GERIATRIC CARE MANAGEMENT SERIES This September 2013 course included focused on cognition, dementia, “choosing wisely� and cardiovascular optimization. The presentations informed positive quality improvements initiatives for geriatric patients both at SJHC and in the community.

58TH ANNUAL CLINICAL DAY Our Annual Clinical Day is the biggest event of its kind at SJHC, taking place on the first Friday of November. Drs. Andrew Howlett, Maria Pasic and Carlos Lopez presented on Psychiatry, Laboratory Medicine and Orthopaedic Surgery respectively. Dr. Dorothy Lo led the Clinical Pathology Conference (CPC) Rounds which focused on Paroxysmal Nocturnal Hemoglobinuria (PNH). CPC Rounds employed digital polling for the first time. The James Starr Simpson Memorial Lecturer was Dr. Brian D. Hodges, VP Education at the University Health Network. With his discussion on Quality, Education and the Patient Experience, Dr. Hodges focussed on what quality means, how quality and education relate to the patient experience and how hospitals function to enhance quality. This is the second year workshops have been incorporated into the Clinical Day program. These interactive sessions covered both clinical and teaching skills. Topics included: Assessment of Upper Extremity - Wrist / Hand presented by Dr. Amr ElMaraghy Communication/Conflict Resolution & Management: Standardized Patient Program presented by Dr. Kerry Knickle & Dr. Nancy McNaughton Teaching Professionalism presented by Dr. Stacey Bernstein & Dr. Tina Martimianakis Wound Care Basics presented by Leslie Heath, RN stjoe.on.ca/dmes FOLLOW DMES ONLINE: @ SJHCMedEd / SJHCMedEd


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Dr. Richard Choi, Chair of the Annual Cardiovascular Update

RECOGNITION & TREATMENT OF OPIOID DEPENDENCY WORKSHOP This course was so highly reviewed it has already been run twice since January 2014. This interactive workshop focused on the recognition of opioid addiction, treatment strategies, and long-term maintenance using tools such as role play. Be sure to look out for the next offering of this course!

7TH ANNUAL CARDIOVASCULAR UPDATE The 7th Annual Cardiovascular Update returned to SJHC in February 2014 and was supported by the DMES. In years past, this high quality course has been hosted outside of the walls of SJHC. Nearly 130 participants joined the session this year making it our second largest continuing medical education course. Topics included: principles of heart failure diagnosis, applying practical algorithms to diagnose atrial fibrillation and principles/pearls for cardiac syncope. Presenters included: Drs. Richard Choi (Chair), Anjali Anselm, Luke Drzymala, Mark Fisher, Giri Logsetty and Peter Mitoff.


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WILSON CENTRE GLOBALIZATION SYMPOSIUM This symposium, held in March 2014, was the third in a series of annual meetings that have been organized to encourage discussion and reflection of the effects of globalization on health professions education. The DMES was able to bring our digital model for CME to the event by enabling online registration and evaluation as part of the administration of the event.

UPDATES IN MEN’S HEALTH SERIES

Wayne Hartrick of the Men’s Health Initiative of British Columbia opened this new course in March 2014 with an illuminating talk surrounding the reasons men do not go to the doctor. Dr. Joel J. Heidelbaugh of the University of Michigan Health System presented on the “well male” exam which provided a update on what primary care providers should focus on with male patients. Together, these put into context SJHC’s own Dr. David Greenberg’s overview of the new and soon to be distributed Canadian Men’s Health Guidelines. The second half focused on clinical case applications and a few of the controversies in men’s health today. Missed the presentation? You can view portions of the presentation here: http://www.youtube.com/channel/UCbP9dJ3ioGnyu-t39dQvf3Q

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DIABETES MANAGEMENT DAY Our moderator Dr. Patrick Safieh welcomed Dr. Alice Cheng, an endocrinologist from St. Michael’s Hospital, to present her work with the Canadian Diabetes Association in updating the diabetes guidelines for primary care providers. Doug Macnamara (President & CEO (Interim), Canadian Diabetes Association) then spoke on the patient perspective of living with diabetes. An interdisciplinary interprofessional panel discussed complications associated with diabetes. This interactive session included Q&A with our panel: Elaine Clark, Dr. Luke Drzymala, Leslie Heath, Dr. Michael D. Mills, Dr. Myura Rao and Eliot To. Joyce Kim and Alina Lalani presented on oral antiglycemic medications and insulin initiation; Dr. Aparna Swaminathan and Lindsey Peacocke discussed services available to diabetic patients in the FM Clinic; and Dr. Donna Arab-O’Brien introduced the shift from a step-wise approach to concurrent treatment as the most appropriate regimen for patients.


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3RD ANNUAL ACADEMIC ACHIEVEMENT DAY On June 13th, DMES and Interprofessional Education and Collaboration (IPE&C) hosted SJHC’s 3rd Annual Academic Achievement Day (AAD) to celebrate academic scholarship at the Health Centre. Academic scholarship includes the work we do to prepare the next generation of health professionals, and to create a culture that learns, innovates, and uses new knowledge to improve care. The event focused on recognizing winners of internal and external teaching awards, and showcasing best practice research and quality improvement studies. The festivities included the presentations of our top two Academic Abstracts and also marked the inaugural year for both the Interprofessional Education Mentorship Award and Excellence in Medical Education Award – Small and Large Program. For a complete list of all internal and external award winners and Poster Fair presenters please follow this link: http://www.stjoe.on.ca/education/awards/index.php

Poster Fair, 3rd Annual Academic Achievement Day

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Residents at Continuing Medical Education Course

UPCOMING CME COURSES ART & SCIENCE OF CARDIAC PHYSICAL EXAM This well established course offered at SJHC has now become a part of DMES Curriculum! DMES is committed to enhancing this unique course and engaging as many learners as possible. Our commitment to this course will be evident on September 26-27th, 2014.

BONE HEALTH DAY / BUGS & DRUGS DAY Other new courses being offered this year are Bone Health Day on September 20th, 2014 and Bugs & Drugs Day on October 1st, 2014. Our department has built on our knowledge gained through coordinating other courses to develop an engaging format for these courses this Fall.


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EDUCATION DEVELOPMENT LEADERSHIP GRAND ROUNDS This new program has featured an engaging group of speakers that included Deepak Dath, MD, MEd, FRCSC - McMaster University and Larry Harmon, PhD - University of Miami. These sessions have focused on helping interdisciplinary interprofessionals improve their leadership skills. Sessions have focused on understanding the roles that leaders play and how this affects the leadership of tomorrow as well as why we fear feedback and how to effectively employ feedback in our daily practice.

FACULTY DEVELOPMENT SESSIONS The Department is in the initial stage of creating a unique Education Development program to support all staff and physicians who are actively involved as teachers, supervisors or preceptors at SJHC. This will focus on essential / foundational tools and tips for teaching, as well as professional development topics to encourage and support their learning.

Dr. Larry Harmon, Leadership Grand Rounds Presenter

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LEADERSHIP DEVELOPMENT PROGRAM

This was the first year the physician and management groups united to participate in the Leadership Development Program. The outcomes included many great projects that will have direct impacts on the care patients receive at SJHC: Marie Eason Klatt and Dr. Amr ElMaraghy worked together with the Canadian Orthopaedic Foundation and Cancer Care Ontario on the impact of pre-op smoking cessation on orthopaedic healing; David Hancock, Dr. Maria Pasic and Jianhui Xiong focused on improved turnaround times from blood collection to receipt in the lab; Eloise Czekalla followed up on a Kaizan event with an action plan for the Paediatric Consultation Clinic; Krita Teeluckdharry partnered with clinical managers to locate service equipment increasing the level of proactive equipment maintenance across SJHC; Victoria Crowder-Bansen and Erin Doherty developed a partnership between the Cardiac Care Unit and telemetry service by creating a float team and building capacity; Marcia Sivilotti built a Clinical Nutrition Services Model and Process of Care; Jenni Glad-Timmons, Tony Plati, Paula Podolski and Jiten Jani established structure and process to bring quality improvement to the bedside by connecting interventions and data; and Julie Cookson, Dr. Brian Chisamore and Dr. Ashis Chawla expanded the Model for Physician Collaboration with the SJHC Foundation.

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RESEARCH & SCHOLARSHIP WORKSHOPS The Myths of App Building: Building Mobile Apps on a Shoestring Budget

STUDIES / PRESENTATIONS Assessing the impact of a 360-degree survey on perceptions of feedback culture within interprofessional healthcare teams Assessing the learning needs of physicians at a community academic hospital Creating learning resources for doctors in the future: Applying the physicians role as a scholar within web 2.0 technology Evolution of faculty development

Julia Galbraith and Nathan Bugden, OIME Summit December 2013

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Conference Attendances

Workshop Presenter CCME 2014

AMEE August 2013 - Prague, Czech Republic The International Conference on Residency Education (ICRE) September 2013 - Calgary, Alberta 2nd Annual Sunnybrook Education Conference: Digital Learning October 2013 - Toronto, Ontario The Richard K. Reznick Wilson Centre Research Day October 2013 - Toronto, Ontario OIME Summit: Advancing Academic Excellence through Faculty Development: Learning with and from each other December 2013 - Toronto, Ontario The Hodges Education Scholarship International Symposium (THESIS) March 2014 - Toronto, Ontario The Wilson Centre’s Health Professional Education Globalized: Local Clinic International Care March 2014 - Toronto, Ontario 12th Canadian Conference on Medical Education (CCME) April, 2014 - Ottawa, Ontario stjoe.on.ca/dmes FOLLOW DMES ONLINE: @ SJHCMedEd / SJHCMedEd


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UNIVERSITY OF TORONTO IMPACT FACULTY APPOINTMENTS Over the past year, there has been a steady increase in University of Toronto (UofT) faculty appointments in our clinical departments. Currently there are 190 UofT Faculty of Medicine members at SJHC. Since August 2013, 16 new members have received their faculty appointments.

TAHSNe The Toronto Academic Health Sciences Network Education Committee has representation from the fully affiliated hospitals of the University of Toronto and the four large community-teaching in Toronto, including St. Joseph’s Health Centre. As part of our commitment to this committee, DMES has engaged SJHC’s learners in the Learner Engagement Survey. We had the greatest response rate amongst the sites in 2013 (80%) and are working diligently to continue this high level of engagement from our learners.


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TAHSNe LIBRARY WORKING GROUP The TAHSNe Library Working Group was co-chaired by Drs. Ivan Silver (VP Education, CAMH) and Jerry Maniate (Chief DMES, SJHC). Its purpose was to explore: ‣ What should the health sciences library look like in five to ten years, with regards to resources, services and physical space. ‣ Identify challenges /opportunities in the planning and operation of TAHSN hospital libraries. ‣ Identify the formal / informal relationships, and governance structure between the libraries in TAHSN hospitals, the Health Sciences Information Consortium of Toronto (HSICT, also known as “the Consortium”), and University of Toronto Libraries (UTL). The LWG has finalized their recommendations that willl be circulated to the TAHSN CEOs and other stakeholders for further discussion.

TAHSNe PATIENT FAMILY & EDUCATION WG The TAHSNe Working Group on Patient and Family Education will serve to enhance the delivery of Patient and Family Education across all TAHSN sites through sharing expertise, resources (including educational products) and best practices, developing staff skills / competencies and developing a TAHSN-wide strategy to promote excellence in patient and family education.

eLEARNING TASK FORCE Nathan Bugden has represented SJHC as part of the University’s eLearning Task Force. This task force has been designed to help inform the strategic direction for implementing eLearning solutions across the Faculty of Medicine at U of T. His contributions have included helping define the current state of eLearning by enhancing the assessments sent to both Faculty and Trainees as well as participating in a literature review that will shape the definition of eLearning used at U of T.

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NATIONAL IMPACT CANADIAN ASSOCIATION FOR MEDICAL EDUCATION (CAME) The Canadian Association for Medical Education (CAME) is a grassroots organization of medical educators dedicated to the success and improvement of medical education in Canada. Dr. Jerry Maniate previously served on the Executive Committee as the organization’s Secretary and continues to represent the organization on various projects. Nathan Bugden has been working with CAME to inform their development of a mobile app as part of the modernization of their communication strategy. Using the platform and strategies employed at SJHC, we have been able to apply our strategy for developing mobile apps on a national scale.


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ROYAL COLLEGE OF PHYSICIANS & SURGEONS OF CANADA The Royal College was established in 1929 by a special Act of Parliament to oversee the postgraduate medical education (PGME) of specialists in Canada. A number of SJHC physicians are actively volunteering with Royal College. During the past year, Dr. Jerry Maniate participated:

‣ ‣ ‣ ‣ ‣ ‣

CFPC Patient Medical Home Steering Committee RCPSC International Conference on Residency Education Planning Advisory Board RCPSC International Medical Education Leaders Forum (IMELF) Planning Committee Royal College CanMEDS Academy of Medical Educators PGME Accreditation UBC CAIR

CAIR RESIDENT PROGRAM EVALUATION (RPE) REVISED

The Canadian Association of Internes and Residents (CAIR) is the national representative body of over 8,000 Resident Physicians in British Columbia, Alberta, Saskatchewan, Manitoba, Ontario, the Maritime Provinces, and Newfoundland and Labrador. Dr. Jerry Maniate is past president and honorary life member of CAIR and has continued to serve as an education advisor. The RPE questionnaire was initially developed in 1983 and updated between 2006 and 2008 by Dr. Jerry Maniate. The questionnaire was reviewed and further revised in March 2014 by CAIR’s Education & Professionalism Committee, resident surveyor advisors and Dr. Maniate. The revised RPE was approved by the CAIR Board of Directors in June 2014 and will be used at PGME Accreditation Surveys to be held in the upcoming year.

Workshop held at SJHC

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Residents in the OR at SJHC

FUTURE OF MEDICAL EDUCATION IN CANADA: POSTGRADUATE (FMEC-PG) PROJECT STRATEGIC IMPLEMENTATION GROUP (SIG) The Future of Medical Education in Canada Postgraduate Implementation Project (FMEC PG) Project is underway, with the goal to adapt the postgraduate medical education system to changing societal needs while improving efficiencies to support a more sustainable healthcare system. Not since the Flexner Report of 1910 has such a fundamental shift in medical education been conceived for Canada and Canadians. Between April 2013 and March 2016, FMEC PG is charting a new course for major improvements to postgraduate medical education as Canada’s medical doctors move through residency and into independent practice. Dr. Jerry Maniate has represented CAME as a member of the FMEC-PG SIG.


INTERNATIONAL ACTIVITIES

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SERBIA

Through unique circumstances, Dr. Jerry Maniate has been actively working with Serbian diaspora in Canada as well as Her Royal Highness Princess Katherine of Serbia and her charitable Foundation in the establishment of the Royal Serbian Medical Board in Canada and innovative medical education projects and programs in Serbia. Part of this process included a detailed review of the existing medical education and health care system in Serbia to identify short-term and long-term projects and programs that will be explored for implementation. In recognition of his involvement, Dr. Maniate has been identified as the Liasion to Serbia for the Royal College of Physicians and Surgeons of Canada (RCPSC).

KUWAIT

In partnership with the Kuwait Institute for Medical Specialization (KIMS) and the Royal College, there is a plan to adopt Canadian PGME Accreditation standards and the CanMEDS Physician Competency Framework in Kuwait. Dr. Jerry Maniate has been appointed as RCPSC Associate Regional Director (Faculty Development) - Kuwait to work with Dr. Khalid Alothman (KIMS) with planning and providing faculty training of Kuwaiti faculty to integrate CanMEDS into their residency-training programs.

KINGDOM OF SAUDI ARABIA The Saudi Commission on Health Specialties and Ministry of Health have been working with the Royal College to introduce CanMEDS and Canadian PGME Accreditation standards to its specialty-training programs. Dr. Jerry Maniate has been regularly invited to co-facilitate 2-day CanMEDS Implementation Workshops in Riyadh, Jeddah and Damman. In addition he has participated with External Program Reviews of both Orthopaedics and Urology residency-training programs in Riyadh.

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THE FUTURE OF EDUCATION AT ST. JOSEPH’S HEALTH CENTRE

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For more information about our impact on education at SJHC, visit the SJHC Annual Report online at www.stjoe.on.ca/ar13/teaching-learning

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