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2018-2019 Board of Directors & Official Observers

LEADING IN RESIDENCY november 2018 | issue 38 13-14

Interview with Dr. David Kim


Movember: compete, fundraise, know the hairy facts

The purpose of Resident Doctors of BC is to support residents in fulfilling their education to become well-informed, prepared and professional physicians to enhance patient care. MISSION STATEMENT • • • • •

To To To To To

advocate for contractual matters support members’ education and encourage excellence in the teaching environment promote its members’ professional, personal and financial well-being foster collegiality among its members throughout British Columbia facilitate collaboration with the community and other professional groups

CONTACT US Phone 604-876-7636 | 1-888-877-2722 Email Facebook Resident Doctors of BC Twitter @ResidentDocsBC Instagram @ResidentDocsBC 350 - 1665 West Broadway Vancouver, BC V6J 1X1

CONTENTS 2 3 4 5 7 8 9 11 13 15 16 17 19 21

A Word From Our President Upcoming Events Parenting Workshop Board of Directors 2018-2019 Official Observers & Committes Council of Program Representatives Resident Spotlight: Dr. Brandon Tang Resident Innovation Fund Interview with Dr. David Kim Resident Awareness Week Awards of Excellence Movember Fundrasier Movember Facts The Habits That Make You a Great Leader in Medicine

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Rural Health Conference UBC Med Student Wins Leadership Award for QI Initiative Holiday Events Around BC Distributed Site: New Westminster

A WORD FROM OUR A WORD PRESIDENT FROM OUR PRESIDENT Dear Colleagues, A key theme of this issue of the PULSE is leadership and governance. As someone who has had the opportunity to get involved in a few leadership roles over the course of my training, I have valued these experiences and feel that they have positively impacted my development as a physician and a professional. That being said, incorporating the rigours of leadership responsibilities into the demands of our residency requirements is no easy task and does take courage and commitment. As residents, balancing our roles as learners as well as healthcare providers can be demanding, therefore it’s not surprising that additional involvement in leadership and governance activities may not be at the top of many residents’ minds. However, as residents, each and every one of us are called to demonstrate our leadership skills through our everyday practice; from running a code team, to leading a service team, to teaching junior colleagues. These skills not only can help us as doctors, they can also be utilized to help us become engaged members of our very own Resident Doctors of BC organization. I believe we just need to have the courage and will to recognize and apply these skills. A leader once said that “courage is what it takes to stand up and speak. Courage is also what it takes to sit down and listen.” I feel that being an engaged member and leader is an opportunity to learn, to listen, and to be heard. This is an especially important message this year for our members as we enter into our collective agreement negotiations. Our team at RDBC have been keenly listening to your thoughts and suggestions regarding our collective agreement over the past year and we look forward to continuing to hear your feedback over the upcoming months. I encourage members to reach out to the RDBC staff, the Board Directors, and your Council of Program Representatives to learn more about the negotiations process. It’s very important that we stand united as Resident Doctors and I am optimistic that we can use this negotiation cycle as an opportunity to improve the lives of our colleagues across B.C. Thank you for all the work that you do for patients across B.C, thank you for your leadership, and I look forward to discussing further how Resident Doctors of B.C. can help improve your personal and professional lives. Sincerely, Dr. Nicholas Monfries President of Resident Doctors of BC


Parenting Workshop

November 21

Council of Program Representatives Meeting

December 14

Innovation Fund Applications Deadline

December (TBD)

Christmas Market Social


If you do not have a dosimeter and need one, contact your supervisor to get connected with the correct admin. If they are unable to provide one, please contact the VCH Resident Safety Advisor, Jesse Cooper (604-875-4111 ext. 69717 or


Presentation by Dr. Carla Fry Cultivating Generations of Happiness: The developmental science and the actionable tools to raise happy children who grow in to happy adults

Parenting & Family Planning Workshop Saturday, November 17, 2018 12:00 - 3:00 PM The Great Escape 20645 Langley Bypass, Langley An ind play-p oor kids, g lace for ive aw ays and m ore! Did you remember to RSVP? Join RDBC at “The Great Escape�, a family friendly indoor entertainment centre for an afternoon of fun for children and adults alike! Enjoy the variety of indoor playgrounds and activties; presentations on family planning, finances, benefits, leave; and more! Spouses and little ones welcome! Please note, Laser Tag & the Air Trek Course require running shoes be worn. Both activities are included in the Parenting & Family Planning Workshop.



Dr. Nicholas Monfries, President | R3, Emergency Medicine Originally from Edmonton, Nick studied at the University of Alberta prior to completing medical school at the University of Calgary. Having previously been the Director of Finance, Nick is familiar with the workings of RDBC. As President, he is eager to represent Resident interests in the upcoming Collective Agreement bargaining to get the best possible results for the membership. Dr. David Kim, Immediate Past President | R3, Emergency Medicine Originally from Nanaimo, David pursued both undergraduate and medical degrees at UBC. David is the immediate past president of Resident Doctors of BC this year and hopes to bring his experience to the table to advance the interests of the association and residents, and to advocate for better patient care. Dr. Geoff Frost, Director of Communications | R3, Physiatry This is Geoff’s second year serving as the Director of Communications. After a stint as an engineer and then an exciting time as a medical device entrepreneur, Geoff entered medical school at McMaster University. You can always catch Geoff tinkering with a new invention, playing volleyball, skiing, and enjoying a good board game. Dr. Alana Fleet, Director | R2, Physiatry Alana previously served as an Official Observer to the Board. She is looking forward to working with RDBC to help improve outreach to Residents, as well as bettering Resident representation provincially and nationally. She is especially interested in Resident education, and Residents as teachers. Dr. Patrick McDonald, Director | R3, Physiatry Patrick is a big advocate for Resident wellness, as well as representing Resident interests in the up-coming Collective Agreement negotiations. He enjoys staying active through sports such as skiing, hockey, rugby, soccer, running, coaching wrestling, and hiking. Dr. Marianne Schwarz, Director | R3, Adult Neurology Marianne is eager to bring to the Board her passion for physician wellness, especially in the context of complex patient care central to modern medicine. Her academic interests include sleep neurology and physician health, specifically identifying those systemic risk factors for poor health within the medical profession.


Dr. James Wang, Vice President | R3, Pediatrics With a second year on the Board, James plans to continue working on initiatives which include increasing funding for resident social events and retreats, the Resident Innovation Fund to promote projects led by Residents for Residents, and communicating with the Ministry of Health to inform legislators about how their policies affect residents. Dr. Emily Stewart, Director of Finance | R3, Emergency Medicine Emily left the west coast of BC to complete her undergraduate degree in Economics & Environmental Science at Dalhousie University in Nova Scotia. After working overseas for a year, Emily completed medical school at the University of Toronto. She is excited to serve as the Director of Finance, having previously served as the Vice President of Resident Doctors of BC. Dr. Aleksandar Brezar, Director | R2, Family Medicine (Rural Okanagan) Before moving to the west coast, Aleks completed an undergraduate degree in Biopharmaceutical Sciences at the University of Ottawa and worked as a risk communication specialist at Health Canada. He is a proud advocate for rural health, an avid traveller, and an amateur yogi. Dr. Meriem Latours, Director | R2, Pediatrics Meriem served on the Council of Program Representatives this past year, and plans to continue her involvement in this committee this coming year. In her position as a Director, she hopes to be an advocate for the residents of BC and provide support in the upcoming negotiations. Her academic interests lie in pediatric allergy and clinical immunology, and her favourite way to stay active is playing soccer. Dr. Chantal McFetridge | R2, Emergency Medicine Chantal has previously served as an Official Observer to the Board, as well as been on several committees. She is looking forward to bringing a focus to Resident interests and wellness, and further developing the positive relationship that has been established between the Ministry of Health and RDBC. Dr. Ashley Yip, Director | R1, Internal Medicine Ashley was born in Coquitlam, grew up in Kelowna and attended medical school in Victoria. She is now an R1 in Internal Medicine in Vancouver. She is interested in working with the Director of Communications in producing future episodes of the Pulse Podcast, and hopes to be a voice in her Resident community to advocate and support her colleagues’ best interests through being involved on the Board.



Dr. Brandon Chau

Official Observer R1 Emergency Medicine

Dr. Naima Kotadia Official Observer R1 Anesthesiology

Dr. Daphne Lu

Official Observer R1 General Surgery

Dr. Sarah Silverberg

Official Observer R1 Obstetrics & Gynecology

Dr. Brandon Tang

Mr. Harry Gray

Official Observer R1 Internal Medicine

Dr. Conrad Tsang

Executive Director

Mr. Devon Mitchell

Official Observer R3 Population & Public Health

Medical Undergraduate Society Representative

Dr. Vincent Wong

Official Observer R2 Family Medicine

Dr. Linda Zhou Official Observer R1 Dermatology

INTERNAL COMMITTEES Committees play a major role in the association’s projects and initiatives. We encourage you to get involved, be heard, and join a committee. The following committees are open to the general membership; if you are interested in joining a committee please email for more information. ADVOCACY COMMITTEE


Represents resident views to the public and stakeholders, and engages in dialogue around relevant healthcare issues

Develops internal and external communications for the organization, and promotes resident achievements and initiatives



Members represent their individual programs and act as liasons between the association and program members


Encourages resident heath and well-being by facilitating events and negotiating discounts of interest for the membership

JOIN THE COUNCIL OF PROGRAM REPRESENTATIVES! The Council meets two to three times a year, with additional meetings at the request of the Chair. As a program representative, you would be responsible for sharing information with your colleagues from Resident Doctors of BC and relaying any issues and concerns to us. Council members are also encouraged (but not required) to participate on internal committees and to facilitate cross-program collaboration.

Seats are still available for some programs. If you are interested, please email to sign up



RESIDENT SPOTLIGHT (AUGUST, 2018) Dr. Brandon Tang, PGY-1, Internal Medicine DURING MED SCHOOL, you also completed a master’s degree related to health systems leadership. What made you interested in this area so early in your career? I completed medical school at the University of Toronto, where I was very fortunate to receive a Leadership Education and Development (LEAD) Scholarship that allowed me to complete a master’s in System Leadership and Innovation concurrent to my medical studies. This was a new postgraduate program aimed at developing physician leaders, focusing on systems-level topics including health policy, strategy, and research methodology. However, what really sparked my interest in health systems were the practical components of the program which allowed me to effect real systems-level change. Through this degree, I’ve worked on several projects over the years, with some highlights including: developing a physician performance feedback tool at Trillium Health Partners; providing key student-perspective during the first curriculum renewal at the University of Toronto medical school in over 20 years; learning how to critically appraise and evaluate novel health technologies at the Women’s College Hospital Institute for Health System Solutions and Virtual Care (WIHV); and studying determinants of cancer drug access in Trinidad & Tobago through The Hospital for Sick Children. This work was incredibly rewarding and contributed immeasurably to my own personal development. In addition, it connected me with mentors who encouraged me to take a systems-


perspective on issues in healthcare, and inspired me to be a leader for positive change. Like most others, I went into medicine out of a desire to help others, though I soon realized that healthcare providers face countless DR. MEAGAN MCKEEN systemic barriers to providing high quality care. My master’s degree and the experiences that came with it have provided me with a means to achieve my goal of helping others on a broader scale – to transform health systems to provide better, more efficient, and more satisfying care for patients and providers alike. On top of having been a medical student (and now a Resident), you’ve worked on app development as well. How did you initially get involved in this area? One of my favourite experiences during medical school was leading the creation of two unique apps geared toward medical students – a recipe generator app called Univore, to help students learn how to cook healthy and simple meals, and OSCEr, a checklist app to help medical students prepare for their clinical exams. My interest in app development initially stemmed from a broader desire to innovate and improve in the area of medical education. As mentioned earlier, I was heavily involved in my medical school’s curriculum renewal and was influenced by mentors who were constantly challenging how we could modernize medical education, improve upon it, and make it more sustainable. One potential solution is FOAM (Free Open Access Medical Education), in which access to world class educational resources in medicine are available freely online. Moreover, using apps as

a medium for FOAM stood out to me, because as a millennial myself, I felt that apps had inherent appeal to my audience of interest. Importantly, I do not have a background in computer science or programming, and hence had zero aptitude to program the app myself. However, for both of my app projects, I served as a bridge between the backend process of programming, and frontend process of designing the app based on user needs. My particular roles included developing the initial concept for the apps, helping to design their functionality (e.g., app screens and user flow), and coordinating between large teams including designers and programmers. Though I didn’t know how to code an app myself, I still had an important role in conceptualizing and driving the projects forward to completion. And to me, this represented an important point, as it mirrors the role that many physician leaders play – bridging worlds via our unique perspectives in clinical medicine and other fields, such as medical education or the implementation of novel health technologies. You are a co-founder of the app Univore, which aims to help users (particularly students) prepare dietician-approved meals with the ingredients they already have in their kitchen. Can you talk more about the idea behind the app, and the process of creating it? I cut a tomato for the first time in my 20s, which was a wakeup call that I finally needed to learn how to cook. However, this also sparked a broader realization that many students struggle to cook healthy meals, particularly when moving away from home for the first time. Inspired by our personal experiences, I co-founded Univore with a classmate from medical school as a solution to this problem. For this project, we were fortunate to work under the guidance of the University Health Network (UHN) OpenLab, a healthcare-focused think tank in Toronto, Ontario.

We began by surveying our medical class to determine their self-­assessed cooking competency and their most commonly used ingredients when cooking. These basic ingredients formed the basis for all recipes within Univore, to ensure that the app was based on what students actually have readily available. We then recruited an app designer and programmer, both students who shared our passion for cooking, to translate our vision for the app into reality. After over a year of hard work, Univore was published on the Apple App Store, free for students to use globally, and shared broadly on social media. Along the way, we were fortunate to receive funding to support our project via an Innovator Grant from the Ontario Medical Students Association, and to have presented and received awards for our work at numerous academic conferences. In the future, we envision Univore as a project that groups of medical students at the UHN OpenLab can contribute to annually, to continue to expand its reach and impact. The project was initiated by students, for students and we hope that it can continue to thrive as a student-led grassroots initiative.

For the rest of the interview, visit our website,





INTERVIEW WITH INTERVIEW WITH IMMEDIATE IMMEDIATE PASTPAST PRESIDENT PRESIDENT DAVID KIM DR. DAVID KIM is the second president in the history of Resident Doctors of BC to stay on for two consecutive terms. For this issue, we spoke with him about his thoughts on leadership, getting involved, and personal experiences leading Resident Doctors of BC.

RDBC and my residency program which made it much easier.

To start off with, could you tell us a little about yourself?

It certainly was easier the second time around. I think having the knowledge and experience of with working with the staff and the various stakeholders involved made things much easier. Of course, the great executive team and board I was fortunate to work with was a big help as well. For me, I wanted to build on what I worked on in my first term. Since a lot of our initial vision was around strategic planning, I am glad I had the opportunity to implement the strategic changes in my second term.

I’m currently a PGY-3 emergency medicine resident and grew up in Nanaimo on Vancouver Island. I was also the president of Resident Doctors of BC from 2016-2018. During my spare time you’ll likely find me out on the golf course or spending time with my family and friends. I also love trading stocks and am currently learning French! What inspired you to run for the position of President of Resident Doctors of BC? I had always been involved in student government and non-profit organizations in the past and naturally wanted to get involved at the residency level to contribute what I could to help the organization and to advance residents’ interests in the healthcare realm. What was the most difficult part, in your experience, of coming in as President, while also working hard in your residency? It was definitely time management for me! The number of meetings especially during regular working hours made it really tough to manage residency and being president at the same time. Luckily, I felt well supported by the staff at


You stayed on for a second term as President, becoming the second President to do so. How did your experience, and approach to the position, change over time?

Do you feel that Resident Doctors of BC changed overtime as an organization, from before you were involved to now? In the 2-3 years I have been involved with RDBC, there have been such tremendous changes that I am really proud of! Firstly, our strategic decision to move our office from the downtown area to now the same building that Doctors of BC operates in, is not only cost savings but a tactical move that will pay dividends for years to come. Internally within our organization, our Executive Director Harry Gray how now been with us for over a year and has been a very positive leader for the staff and our strategic direction. Additionally, as a board we looked inwards at how we can best minimize organizational risk long term.

After long consultations and multiple comprehensive planning sessions, our board was able to achieve major changes to our bylaws and constitution. All of these will help future boards, staff, and members to better manage internal risk within our organization. What were some of the challenges and accomplishments that stood out to you during your time as President? What sort of advice or words do you have for your successor, Dr. Nicholas Monfries? I think managing our relationships with our important stakeholders has been the most challenging yet most rewarding! For example, our relationship with the Ministry of Health is better than it has ever been due to the work we as an organization have done in the past 2-3 years. Our newly minted Joint Task Force has been working hard with the Ministry of Health to not only provide insight into real world policies but to help provide valuable feedback to the ministry in their future directions of healthcare delivery in BC. Additionally, we have made joint funding announcements with the Ministry of Health that will benefit graduating residents across the province in providing more sustainable and meaningful career choices as physicians that encompass team-based care delivery models. So my advice to Dr. Monfries is to continue to build positive relationships with all of our stakeholders! As Immediate Past President, you continue to be a vital part of the organization’s leadership. What are your hopes, plans and goals as to where you want to see Resident Doctors of BC head in this year, as well as the years afterwards? Well I am sure negotiations is on everyone’s mind! I believe we are in a position to work with our partners and team to deliver a strong outcome to our membership. I think the role of the board is to steer the ship in the right direction that sets us up strategically when it comes to big decisions and negotiations like this. We have done a good job of this for the

past few years and I’m excited to see where we’re headed! Leadership is something many Residents aspire to gain experience in, but may have difficulty achieving due to busy schedules, Resident burnout, and other various reasons. Do you have anything to offer to Residents who may be struggling as leaders in their lives, or with the idea of dedicating time and energy to becoming involved? I think the first priority for all residents is their wellness, both mental and physical! If you aren’t well or healthy, there is not much you can do. So always take care of yourself, take time to reconnect with friends, family, and loved ones. And if you ever need extra support or resources, it’s okay to reach out. There are so many places you can go to whether it be the physician health program, wellness office, RDBC, or other external resources. Please don’t forget to prioritize your health. But I truly believe anyone can be a leader, just get involved, be willing to learn and work together in a team and anything is possible! What was your favourite part of being President? Honestly, it was all the wonderful interactions I had with the people. The people I worked with at RDBC, the relationships we built with stakeholders, and all the residents I got the chance to talk and work with! There are some amazing residents out there and one thing I am excited to have implemented during my presidency was the Resident Innovation Fund! They are 4 grants of $2500 each supporting resident-led projects across the province in various areas of scholarly activity, patient advocacy, physician wellness, and healthcare systems improvement. I got to read all the amazing applications and was so impressed at how much residents across the province are contributing to such wonderful initiatives in their own areas of passion. I absolutely loved learning about the wonderful people and working with them during my presidency!


RESIDENT AWARENESS WEEK From February 4 to 8, residents across the country will be celebrating and participating in their 18th annual Resident Awareness Week. This week-long event aims to raise awareness about who resident doctors are and what their role is in the healthcare system. With 1300 resident doctors training in British Columbia this year, that number continuing to grow as programs expand into new training sites. It is more important now han ever that everyone understands the role residents play in our medical care. Last year, we received an official proclamation from the Province of British Columbia declaring the week of February 5 to February 9, 2018, as Resident Awareness Week. As we move into 2019, our aim has been set even higher. Please continue following our announcements and events as we continue developing our plans for Resident Awareness Week in 2019. We encourage all residents, patients, students. and the broader community to come together and reflect on the immense and irreplacable work they do in our communities!

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Awards o f Excelle nce 2018 Three awards are given each year to outstanding individuals in the field of medicine. recipients receive:

Commemoration on a plaque at the Resident Doctors of BC office A personal commemorative award $1000 donation to the charity/charities of their choice AWARD OF MERIT The purpose of this award is to recognize a Resident whose outstanding achievements and/or leadership reflect the aims and objectives of Resident Doctors of BC. The award will be presented annually to a Resident who has shown outstanding initiative in any of the following areas: • Resident health and well-being • Promotion of the role of residents in the healthcare system • Advocacy and representation of Residents leading to improved work or learning environments

DR. PATRICIA CLUGSTON MEMORIAL AWARD FOR EXCELLENCE IN TEACHING The purpose of this award is to recognize a physician clinical educator for his or her contributions to Residents’ medical education. The recipient will have created a safe learning environment that encourages self-inquiry, supports adult learning, and fosters within learners a desire to achieve their highest potential.

All nominations require a nominator, a letter of support, and contact information for two references.

AWARD OF MERIT The purpose of this award is to recognize an individual who displays significant interest in issues of importance to Residents. The award will be presented annually to a person who advocates for the personal. professional or educational advancement of Residents.

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Resident Doctors of BC will donate $5.00 to the Movember Foundation for every participant in this year’s Movember campaign. Submit a photo of your ‘stache (real or fake) by email and you will receive a $5 Starbucks gift card! After November 30, members will vote for the best ‘stache, and the winner will receive their choice between a hot shave (for the Mos) and a spa of their choosing (for the Mos and MoSistas alike)! All Mos and MoSistas are encouraged to participate. Visit to join the RDBC Team or donate to the cause!







THE HABITS THAT MAKE YOU A GREAT LEADER IN MEDICINE Alphil Guilaran, Co-Founder & Financial Coach Financial Literacy Counsel

AS MY TEAM and I look back on 15 years of serving medical professionals, witnessing their growth from medical students to leaders in their families, practices and communities, we can’t help but highlight the habits we see as we journey alongside hundreds of physicians by increasing their financial literacy rates through personalized financial coaching and financial planning through Vancouver Coastal Health’s Employee Wellness Program/ EFAP and Resident Doctors of BC. HABIT NUMBER 1: GREAT LEADERS TRANSFORM FROM “ME” TO “WE” Over the years, we’ve seen how true lasting leadership is based on “servant leadership” wherein you aspire and become the type of leader that gives birth to future leaders. Leaders such as Dr Santa Ono (UBC’s President), Nelson Mandela, LEADERS AS DIMINISHER “ME FOCUSED”

Martin Luther King Jr and Mother Theresa are well known servant leaders. According to leadership author Liz Wiseman, there exists only two types of leaders in this world: you will either be a Diminisher or a Multiplier. A Diminisher is the type of leader who is always “ME” focused whereas the Multiplier lives out servant leadership by being “WE” focused. THE ME PHASE = SURVIVAL This is the first and lowest level of maturity as a leader because it is all about you being number one and extremely focused on your survival. Your strategy is simple and that is to stay alive, it’s all about you and you’re only looking out for yourself. It reminds me of a quote in the Marvel movie “Doctor Strange” related to why the LEADERS AS MULTIPLIER “WE FOCUSED”

Empire Builder

Hoards power and influence + underuses talent to come out ahead

Talent Manager

The Tyrant

Creates tension and suppresses others to stay ahead “I’m great, you’re not” mentality + shows off intelligence

The Liberator

Drives results by always becoming personally involved

The Investor

The Know It All

Micro Manager


The Challenger

Attracts talented people who choose to follow them because they develop other leaders Creates an environment that encourages others to do their best work Clearly defines opportunities that encourage people to stretch and grow Gives people ownership of the results + invests in their well being

Table Source: Liz Wiseman, Multipliers: How the best leaders make everyone smarter

antagonist Dr. Stephen Strange couldn’t progress to the next level of greatness. “Your arrogance and fear still keep you from learning the simplest lesson of all – it’s not about you.” THE WE PHASE = INTERDEPENDENCE At some point every doctor who is committed to becoming a leader needs to make the decision to move from the “ME” phase to the “WE” phase, which is marked by interdependence and growth via collaboration. Crossing over from the “ME” to “ WE” phase can be correlated to when a physician decides to enter into a serious relationship, get married, start a family or adopt a child. Residents have also shared with me that the crossover tends to happen when they realize that if the people who report to me “HAVE TO” follow me, then they give me the least amount of effort. Becoming an interdependent servant leader who multiplies others in the “WE” phase, echoes one of the must read books I encourage every medical professional to read as they grow into leadership, “The 7 Habits of Highly Effective People” written by Stephen Covey.

HABIT NUMBER 2: GREAT LEADERS SAY “THANK YOU”, “I’M SORRY” AND “TELL ME YOUR STORY” One of my greatest heroes today is Dr. Rod Wilson, a Psychologist and a thought leader in how to ensure your leadership transcends generations and he simply puts it this way, to be a lasting leader that inspires others, practice the following 3 phrases: “THANK YOU” Dr. Wilson points out, it is often difficult to say “thank you” in a world of entitlement, when we think that we are better than others because of our titles, incomes, education and accomplishments. Moreover, when we withhold saying thank you, we ultimately diminish the self worth of others and move closer towards using others to get our own way. As leaders we need to choose to make it a habit of saying “thank you” because it has a pay it forward effect which builds up others beyond the person we say it to. A recent Harvard study by Dr. Francessca Gino found that “receiving expressions of gratitude makes us feel a heightened sense of self-worth, and that in turn triggers other helpful behaviors toward both the person we are helping and other people, too,” She describes the scope of the “gratitude effect” as “the most surprising part” of her research. “I’M SORRY” According to Dr. Wilson, it is also difficult to say “I’m sorry” when we are both entitled and living in a world of victimization and blame shifting. We now live in a world where people are finding it harder and harder to take responsibility and ownership for how they hurt others.

Diagram Source: Stephen Covey, 7 Habits of Highly Effective People

The reality is we are all going to hurt someone and admitting that you made a mistake is always going to be the first step toward self-improvement as well as stronger


and better relationships with those around you.

the practice of medicine as you utilize your clinical skills coupled with genuine care.


In closing, we look forward to getting to know your story as a resident and we hope this article will encourage you on your journey as well as help build you up to be a leader. Don’t hesitate to reach out to us as we are committed to your success as part of Resident Doctors of BC’s (RDBC) mission to promote the professional, personal and financial well-being of residents. We work alongside Dr. Stacy Sprague and her team at VCH EFAP to act as a care team blending personal coaching, counselling and financial literacy to ensure that you have the necessary resources to build healthier relationships, get your financial house in order and effectively manage work and family commitments.

If you ever get to know me, you’ll quickly notice that my left eye is experiencing severe macular degeneration and entering late stage glaucoma. A vitreous corneal specialist explained that prolonged hydrocortisone exposure via rubbing my eye as a child with eczema on my left hand contributed to my condition. Four years ago, a glaucoma specialist stepped in to surgically install an Ahmed Valve to help reduce eye pressure and I’m on the surgical slate for an evisceration in the coming year. Of all the amazing Ophthalmologists who have served and helped me through this journey, one stands out as a great servant leader in their field and that is Dr. Simon Holland because of one simple habit he practices. He intentionally takes the time to learn about your story, in fact he even personally transports me to the surgical theatre and takes a genuine interest in how I am doing as a person. I don’t know about you, but I dislike being treated like a transaction regardless if it is a medical procedure, lining up for food, buying a car or real estate or dealing with someone at the bank. What I admire about Dr. Holland is that he practices cure with care and he uplifts me as a person. Dr. Henri Nouwen, a former Harvard and Yale Professor wrote, “cure without care is dehumanizing” and that is profound in


We invite you to connect with us if you have any questions or concerns by emailing us at or stacy.sprague@

Join other rural physicians and other allied healthcare professionals from across BC for interactive, relevant, accredited CME/CPD at the BC Rural Health Conference (RHC). ●

Both office and emergency medicine topics relevant to rural practises

Hands-on skills workshops

Small and large group learning sessions

Additional learning opportunities before and/or after the conference (e.g., The CARE Course)

Opportunities to network and socialize with colleagues: wine and cheese reception, social Saturday evening

Wellness breaks: yoga, early family friendly morning runs /walks, massage

Complimentary child care during conference sessions

Bring your entire family and bike, hike, paddle or explore beautiful and historic Hub City of Nanaimo.

Join us Friday morning before the RHC for rural locum CPD and networking!

Rural Locum Forum | May 24

Are you interested in becoming a rural locum in British Columbia? Join rural residents, new to rural practice locum physicians, and rural communities for a half day of exploration and networking! ●

explore rural locuming in BC

learn about available locum supports

network with BC rural locums

Registration opens in February! For more information, email 24


UBC MED STUDENT WINS LEADERSHIP AWARD FOR QI INITIATIVE onboard MD Team THIS ARTICLE PROFILES Jenna SmithForrester, a winner of the CFMS–MD Financial Management Leadership Awards. The awards recognize passionate, dedicated and caring medical student leaders throughout Canada who have made innovative contributions to their schools and communities.

Jenna at IHI National Forum - Poster Presentation

Quality improvement (QI) isn’t something that comes immediately to mind when students and young physicians think about how they can make a difference in the world of medicine. But that’s not the case with Jenna Smith-Forrester, a fourth-year student in the University of British Columbia’s Northern Medical Program. She has made it her mission to advocate for – and help the medical community better understand – the principles of Quality Improvement. And it has already resulted in big changes for one of Canada’s most prominent medical schools.

training offered through the Institute for Healthcare Improvement’s (IHI) Open School, learning as much as she could around Quality Improvement methodology. When Jenna started her medical training at UBC, she brought some of that vision – and the confidence to enact it – with her. How could she apply those principles and capitalize on the enthusiasm of new medical students to get them interested in Quality Improvement?

Jenna credits a volunteer-based trip to Honduras with the Mayo Clinic Medical School for helping her recognize her own potential for catalyzing change. The leaders of the trip had a unique way of bringing their team together and enhancing communication: a simple cue card exercise that team members did every morning. “I was amazed that something as simple as cue cards were able to get 60 people working together effectively over the course of a single week. The camaraderie and sense of altruism the exercise generated was inspiring.”

“Most people know the term Quality Improvement, but they don’t have a good sense of what it really means,” Jenna says. “It’s become a buzzword. While many people think of it in the context of research, it really should be thought of as a framework to improve your daily work activities: a way to identify, measure, and implement changes in rapid, incremental cycles with the aim of creating a more efficient, streamlined system that reduces redundancy and waste. And in the world of health care, that can make a life-or-death difference.”

After that trip, Jenna completed online



Jenna wanted to help medical professionals, and particularly medical trainees, reframe their thinking around QI. She began to advocate for introducing IHI’s Quality Improvement training into the UBC curriculum. “When you’re in your clinical years, you’re so overwhelmed,” SmithForrester says, “you’re not thinking about how to do things better, but how you’re going to do them at all.” She knew that introducing the foundational principles of QI in the first or second year of medical training would give students new tools to solve problems. “QI isn’t simply another skill to learn or process to memorize—it’s a new way to approach the training itself. It’s almost philosophical, and the impact will influence your approach not only to problems and processes within medicine, but even in your everyday activities.” STRENGTHENING QI NETWORKS THROUGHOUT CANADA Jenna introduced her fellow students to resources from the Institute for Healthcare Improvement (IHI), brought in QI experts, led detailed discussions of where and how it was relevant to their current level of training—and where it would be relevant in their future careers. In her second year of medical school, she served as one of the main organizers and hosts of a national conference, Health Innovation for All, that united all 21 Canadian chapters of IHI’s Open School and put the spotlight on student-led QI efforts. This event alone united over 400 student and professional attendees from across the health disciplines, strengthening local, provincial and national QI networks. The feedback of her collective efforts has been so overwhelmingly positive that she was able to put forth a case for making IHI’s QI training mandatory in UBC’s Medical Program.

Health Innovation for All - Poster Presentation to study and advocate, she’s living up to the wise words of Dr. Don Berwick, one of the most recognized names in QI and the founder of IHI: “Everyone has two jobs: doing it and improving it.” This article was originally published in onboardMD. Republished with permission. onboardMD’s mission is simple: to help Canada’s next generation of doctors navigate the beginning of their medical careers. Check out onboardMD’s suite of tools and resources, including articles that bring you tips, tricks and life hacks along with real-life stories from students, residents and doctors. MD Financial Management provides financial products and services, the MD Family of Funds and investment counselling services through the MD Group of Companies. For a detailed list

Looking forward to residency, Jenna is pursuing a career in the clinical neurosciences where she can bring together her passions for QI, surgery, and systems level thinking. As she continues



The holiday period is now in full swing! Here are some of the events offered around BC. Check your city’s calendar for more events!




“THE NUTCRACKER” BALLET Dec. 7 - 23 @ Queen Elizabeth Theatre

Dec. 1 - 16 @ The Vibrant Vine WINTER WINELAND


Dec. 1 - 2 @ The View Winery & Cider

Dec. 1 - Jan. 7 @ VanDusen Botanical Garden

BREAKFAST WITH SANTA Dec. 23 @ Happy Valley Day Lodge, Big White Ski Resort

VANCOUVER CHRISTMAS MARKET Nov. 21 - Dec. 23 @ Jack Poole Plaza



FESTIVAL OF TREES Nov. 23 - Dec. 2 @ Prince George Conference and Civic Centre



THE MAGIC OF CHRISTMAS Dec. 1 - Jan. 6 @ The Butchart Gardens

Dec. 1 @ Prince George Conference and Civic Centre 25TH ANNUAL CIVIC LIGHT UP Nov. 25 @ Prince George Conference and Civic Centre


Nov. 30 - Dec. 1 @ Save-onFoods Memorial Centre

COOKIES & COCOA Dec. 1 - 27 @ The Hotel Grand Pacific

This holiday season Call your family doctor or care provider first Health concern? Same-day urgent appointments are often available

Call 8-1-1, HealthLinkBC, available Trusted health 24/7 advice?

Check for walk-in clinic wait times and hours Family doctor not available?

Call 911 or go to the nearest emergency room Critical or life threatening condition?

Speak with your pharmacist

Request that a copy of your medical reports be sent to your family doctor. To check average ED wait times for your nearest hospital, please visit:

Urgent medication refill? They can often provide short-term refills and other advice

Help your patients

Choose the right care at the right place Vancouver



Quayside Park

NEW WESTMINSTER is a vibrant city, easily accessible by skytrain for those desiring a break from the hustle and bustle of Vancouver. With beautiful waterfront views, lush parks, and its own distinct culture, Resident Doctors of BC was happy to move our 2018 New Members Orientation to this great location. Founded in 1858 by Major-General Richard Moody, New Westminster served as the capital of British Columbia until 1866.

• The Hide Out Cafe • Pacific Breeze Urban Winery • Steel & Oak Brewing Co.

It served as the largest city on the Mainland until the first decade of the 20th Century, where it was passed by the growing population of Vancouver.

• Paddlewheeler Riverboat Tours • Pier Park (with beach volleyball on the pier!) • Brunette-Fraser Trail


New Westminster is known for its culture of the arts. On a rainy day, or for some quiet enjoyment, why not check out the following:

New Westminster offers plenty of activities, food, and fun events to check out in your free time. Read on to see just a few of the many options available to you, whether you are visiting or making the city your new home for the foreseeable future.

Outdoor Adventures The city’s waterfront location offers the chance to explore on the water, as well as the numerous, picture-esque parks around. Several adventures available are:

Fun Escapes

• The Gallery at Queen’s Park • Massey Theatre • Fraser River Discovery Centre

Food And Drink New Westminster is bustling with eateries to choose from. With diverse menus, you can be assured that there will be something tasty available regardless of your diet. From hole in the wall coffee shops, to sit down restaurants and breweries, the city will keep you busy exploring. Here are some of our favourites:


For more information on the city of New Westminster, be sure to visit their website at


PU SE The Pulse newsletter is always looking for submissions from residents like you! If you have article ideas, announcements, or other interesting insights about life as a resident doctor, please contact us at:


HSSBC Benefits & Payroll 1-866-875-5306

Physician Health Program 1-800-663-6729

Employee Family Assistance Program 1-800-505-4929

Profile for Resident Doctors of BC

November 2018 Pulse Newsletter: Leading in Residency  

November 2018 Pulse Newsletter: Leading in Residency  


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