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University of Manitoba - Family Medicine - Rural Steinbach

2023 R-1 Main Residency Match - first iteration
CMG Stream for CMG

Last approved on December 05, 2022

Summary of changes

Approximate Quota:

 5 

Accreditation status : Accredited

Provincial Criteria


Dr. Tamara Buchel
Family Medicine 
University of Manitoba  
P228-770 Bannatyne Avenue
Winnipeg, Manitoba, R3E 0W3
(204) 977-5663
About Our Program:
Provincial Criteria for Manitoba:

Program Contacts

Dr. Tamara Buchel
Postgraduate Program Director

Shannon Rankin
Postgraduate Program Coordinator
shannon.rankin@umanitoba.ca
204-977-5663

Dr. Karen Toews
Site Director/Assistant Director, Education


Important Information

The University of Manitoba campuses are located on original lands of Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and on the homeland of the Métis Nation.  The Department of Family Medicine additionally participates in clinical programs in Inuit communities.  We respect the Treaties and Agreements that were made on these territories, we acknowledge the harms and mistakes of the past, and we dedicate ourselves to move forward in partnership with Indigenous communities in a spirit of reconciliation and collaboration.

 

The CASPer Test - Computer-Based Assessment for Sampling Personal Characteristics 

All applicants to the Family Medicine Residency Program, at the University of Manitoba are required to complete an online assessment (CASPer), to assist with our selection process. Successful completion of CASPer is mandatory in order to maintain admission eligibility.

CASPer is an online test which assesses for non-cognitive skills and interpersonal characteristics that we believe are important for successful students and graduates of our program, and will complement the other tools that we use for applicant screening. In implementing CASPer, we are trying to further enhance fairness and objectivity in our selection process. 

In order to take CASPer, you will be responsible for securing access to a computer with audio capabilities, a webcam, and a reliable internet connection on your selected test date. CASPer can be taken practically anywhere that you can satisfy the aforementioned requirements. No exceptions will be provided for applicants unable to take CASPer online due to being located at sites where internet is not dependable due to technical or political factors.

Please go to www.takeCASPer.com to sign up and reserve a test using your student identifier and a piece of government-issued photo ID. You will be provided with a limited number of testing dates and times. Please note that these are the only testing dates available for your CASPer test. There will be no additional tests scheduled. Please use an email address that you check regularly; there may be updates to the test schedule.

Please direct any inquiries on the test to support@takecasper.com. Alternatively, you may use the chat bubble in the bottom right hand corner of your screen on the takecasper.com website.

The CASPer test is comprised of 12 sections of video and written scenarios. Following each scenario, you will be required to answer a set of probing questions under a time contract. Each response is graded by a different rater, giving a very robust and reliable view of personal and professional characteristics important to our program. No studying is required for CASPer, although you may want to familiarize yourself with the test structure at takeCASPer.com, and ensure you have a quiet environment to take the test.

CASPer test results are valid for one admissions cycle. Applicants who have already taken the test in previous years will therefore be expected to re-take it.

 

ZOOM INFORMATION SESSIONS:

CaRMS General Overview session:  Monday, January 9 from 7:00-8:30pm CST via Zoom.

Registration link:  https://umanitoba.zoom.us/meeting/register/u5Utf-mtqDgoEtFKqCjVlvg3-i-fpnX3FNzd

 

CaRMS Information Deeper Dive – Bilingual & Rural Programs: Tuesday, January 10 from 7:00-8:00pm CST via Zoom

Registration link:  https://umanitoba.zoom.us/meeting/register/u5Isf-ChqTkjGtQuL1Q5QlldECaH0qZL-AUy

 

CaRMS Information - Resident Sessions (hosted by our Lead Residents): 7:00-8:00pm CST via Zoom

  • Monday, January 16
  • Wednesday, January 25

Registration link:  https://umanitoba.zoom.us/meeting/register/u5Avc-mrqTIsGNGkmMG7a78zS8-LudkUBFNI

 

MANDATORY ORIENTATION SESSIONS:

The mandatory full day Postgraduate Medical Education Orientation for all residents will be held on Thursday, June 29, 2023

The mandatory full day Family Medicine Residency Orientation will be held on Friday, June 30, 2023

 

Advanced Cardiac Life Support (ACLS)

Prior to the commencement of training, matched applicants must provide proof of ACLS certification that is current as of July 1, 2023. The ACLS Provider course must be certified by the Heart and Stroke Foundation of Canada or the American Heart Association. ACLS training that is not certified by one of these two organizations and/or is completed entirely through an online course will not be accepted. Applicants are responsible for all costs associated with obtaining ACLS certification. We provide a re-certification course in your second year of residency prior to graduation.

Resident Home Location and Travel Requirements

As a resident in the Steinbach stream, you will be expected to maintain a residence in Steinbach or surrounding area.

Vacation Allowance

Vacation in PGY1 can be taken in the following ways:

  • Two weeks in each of two blocks in conjunction with an approved elective or Family Medicine Block Time in the remaining two weeks of the same blocks
  • Vacation in 1 week blocks can be taken during Family Medicine Block Time
  • One 4 week vacation block

*Vacation is not allowed in Block 1 in PGY1. 

Though the program tries to accommodate residents’ specific vacation period requests, constraints of scheduling often requires flexibility and not all requests will be approved.


General Instructions

Program application language: English

You are required to fulfill ALL of the most current Provincial Criteria for Canadian Medical Graduates for Manitoba.

The criteria can be found at:  https://www.carms.ca/match/r-1-main-residency-match/eligibility-criteria/manitoba/

 

 

Program application language: English


Supporting Documentation / Information

Canadian citizenship
CaRMS partners with third-party organizations to verify your citizenship or permanent resident status. If your status is verified by one of these organizations, you will not need to provide citizenship documents in your application. If your citizenship status is not verified, you must provide one of the documents listed below.
Document must be notarized/certified
Required
Submit one of the following documents to verify your Canadian citizenship:
• Canadian Birth Certificate or Act of Birth
• Certificate of Canadian Citizenship
• Confirmation of Permanent Residence in Canada
• Passport page showing Canadian Citizenship
• Canadian Citizenship Card (both sides of card)
• Canadian Permanent Resident Card (both sides of card)
Notarized/certified photocopied proof of citizenship must be provided. Photocopies are accepted but citizenship documents other than what is listed above are not accepted


Language proficiency
Required
Submit one of the following documents to verify your language proficiency:
• IELTS
• Occupational English Test (OET) - Medicine
• Canadian English Language Proficiency Index Program (CELPIP) - General

Language Proficiency
English is the language of study at the Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba. All applicants whose first language is not English must submit proof of English language proficiency to CaRMS by the file review opening date.

CMG/USMG

  • If you graduated from an English medical school in Canada or the US, you are exempt from providing proof of language proficiency.

Candidates who attended medical school in Quebec or the University of Ottawa where the language of instruction or the primary language of patient care was not English, must fulfill the English Language Proficiency requirements.

Successfully completed English language proficiency tests do not have statute of limitations.

Candidates are exempted from English language proficiency testing if their undergraduate medical education was taken in English in one of the below countries that have English as a first and native language:

List of countries that have English as a first and native language: Australia, Bahamas, Bermuda, British Virgin Islands, Canada, Ireland, New Zealand, Singapore, South Africa, United Kingdom, United States of America, US Virgin Islands – Caribbean Islands: Anguilla, Antigua and Barbuda, Barbados, Dominica, Grenada, Grenadines, Jamaica, St. Kitts and Nevis, St. Lucia, St. Vincent, Trinidad and Tobago

 Please note the following:

  • Photocopies are acceptable.

Language Proficiency results will not be accepted by fax or e-mail.

Reference documents
Required
Number requested: 3

Three (3) Family Medicine Structured Reference Letters are required. Please select supervisors, preceptors or other individuals who have had ample opportunity to assess you as a candidate for Family Medicine. Ideally one of your letters should be from a family physician but this is not mandatory.

All three (3) Family Medicine Structured Reference Letters must be current and dated on or after January 1, 2022. Undated reference letters will not be accepted.  Do not arrange for more than three (3) Family Medicine Structured Reference Letters as additional letters will not be reviewed.

Additional documents
Required
Medical School Transcript 

Your medical school transcript can be submitted through one of the methods below:

  1. Obtain your medical transcript from your school and upload it directly to your CaRMS Online account. Follow your school’s policy regarding accessing or requesting your transcript;
  2. Ask your medical school to upload your medical transcript through their CaRMS Undergraduate Portal account; or
  3. International (IMGs) and United States (USMGs) medical graduates can transfer their transcript from their physiciansapply.ca account.

Medical Student Performance Record 

For current year Canadian medical graduates (CMGs), there is no action required from you. Your medical school will automatically submit your MSPR to CaRMS on your behalf for you to assign.
If your MSPR is in a language other than the program language of English or French, you are required to have the document translated.

Personal Letter 
Word count
Minimum : None
Maximum : 500

A personal letter is required. We are looking for mature, enthusiastic physicians who bring with them a broad range of life experiences, are committed to providing excellent patient care and can embrace the depth and breadth of experiences our program offers.

In 500 words or less, please address the following areas:  What life experiences demonstrate your adaptability, team skills, leadership potential, and sense of compassion?  Why do you feel the University of Manitoba would be the right choice for you?  In what ways are you connected to Manitoba?

 

Custom Résumé / CV 

Include a current CV in the Custom Resume section.  Please tailor your resume to provide us with a better understanding of your experiences and commitment to Family Medicine.

CASPer exam 

Your CASPer assessment result is sent directly to CaRMS from Altus approximately one week prior to the application deadline. Please ensure that you give Altus permission to share your results with CaRMS.
The CASPer assessment is only valid for one admissions cycle. If you have taken the assessment in a previous year, you are expected to re-take it. To register for the CASPer assessment visit takealtus.com/casper.

Optional - will be reviewed
Photo 
[Note: Photograph is used as memory aid only]

Self-identification questionnaire 

  • The University of Manitoba, Rady Faculty of Health Sciences promotes and supports a community that embraces equity, diversity and inclusion, provides for equality of opportunity and recognizes the dignity of all people. These are key values to create an inclusive community for all. The University encourages applications from Indigenous persons, persons with a disability, racialized persons, women, persons of a minority sexual orientation and/or gender identity, and all candidates who would contribute to the diversity of our community.
  • We invite candidates who have completed the voluntary CaRMS Self-Identification questionnaire as part of their application to submit their responses to our program. This is a voluntary option for anyone who wishes to confidentially share their responses with us. All information received will be maintained as part of the application, which is handled with complete confidentiality. We are in the data collection phase currently.  Candidates are not required to submit the CaRMS Self-identification questionnaire, but for those that do feel comfortable doing so, the information received would only be used for program selection improvement in future years. It will not be used for selection purposes this year. Any self-identification questionnaires received will NOT be reviewed as part of our file review process or used as an aid for file reviewers for the 2023 match.


Review Process

Applications submitted after file review has opened on January 10, 2023


Supporting documents (excluding letters of reference) that arrive after file review has opened  on  January 10, 2023


Letters of reference that arrive after the unmasking date on January 10, 2023


Applicants must apply to, and rank each of the University of Manitoba Family Medicine programs individually. There is one central review process.

The same personal letter should be used for all University of Manitoba Family Medicine applications as only one letter will be reviewed per applicant.

There will be only one interview irrespective of the number of programs to which you apply; there may be specific additional questions based on your program interests.


Interviews

Dates:

  • February 13, 2023
  • February 14, 2023
  • February 16, 2023
Monday, February 13, 2023

Tuesday, February 14, 2023

Thursday, February 16, 2023

Program will notify all applicants through CaRMS Online and will send email invitations directly to applicants selected for an interview.
Applicants who are invited for interview will participate in one structured interview, regardless of the number of sites to which you have applied.  The structured interview may have questions specific to the sites to which you have applied.

The interview is conducted as a 3-person panel interview and typically consists of 1 physician, 1 interprofessional faculty member, and 1 resident.

Candidates will be invited to attend one of the three interview days. The interview itself lasts 30 to 40 minutes.


Selection Criteria

The Department of Family Medicine at the University of Manitoba is committed to a fair, equitable, and transparent selection process. 

To address the Rady Faculty of Health Sciences commitment to equity, diversity and inclusion we take proactive measures including implicit bias training for all selection committees. We strive for diversity and cultural safety throughout the process (hiring panels, short-list of candidates, interviews). We encourage you to self-identify any aspect of diversity in your personal statement.

All CMG applicants will have a comprehensive and structured review of their CaRMS file including the personal letter, MSPR, CV and letters of reference.  The review will be conducted by faculty, clinic staff and current residents from any site, regardless of the sites to which you have applied.  Selection for interview will be determined by the outcome of the file review in conjunction with your CASPer™ score.

Applicants who are invited for interview will participate in one structured interview, regardless of the number of sites to which you have applied.  The structured interview may have questions specific to the sites to which you have applied. 

The rank order list is generated specific to each site based upon your file review, your interview, and your CASPer™ score.

Program goals

Program Goals

A broad knowledge base and clinical skill sets enable family physicians to work in diverse settings such as patients’ homes, outpatient clinics, emergency departments, labour and delivery suites, hospital wards, and nursing homes. Family medicine often serves as the main entry point to the health care system and the hub that provides continuity of care throughout the life cycle. As such, family medicine is the central medical discipline. The importance of primary care in quality of health and the value Canadian society places on family physicians in the delivery of this care are well known.

 

The goal of our residency program is to train family physicians who are able to provide comprehensive, high quality, continuous care in urban, rural, or remote settings.

Selection process goals

We are looking for applicants with a broad range of life experiences, interpersonal skills and a firm foundation of academic achievement that will collectively contribute to the capacity to practise the breadth of Family Medicine.  We are seeking individuals with an appropriate balance between personal and family life, engagement with community, and commitment to our profession.

On completion of their program, family physicians trained by our residency program will demonstrate the abilities to: 

  • Respond to the needs of their communities by providing comprehensive, high quality, continuous health care to their patients and families across the life cycle (including prevention, acute and chronic illness management), in a variety of care settings, and to a broad base of patients, including those from underserved and marginalized populations.
  • Recognize that the patient-physician relationship is central to their practice and strive to communicate effectively with patients.  
  • Collaborate with other physicians, health professionals, patients, and their families to optimize patient care.  
  • Mobilize the resources of the community to improve the health care delivery system.  
  • Take an active role in improving the safety and quality of health care.
  • Engage in lifelong learning.  
  • Demonstrate professional behaviours in all aspects of practice.

File review process

Review team composition : The file review teams consist of Family Medicine physicians, current residents and interprofessional faculty.

Average number of applications received by our program in the last five years : 601 +

Average percentage of applicants offered interviews : 0 - 25 %

Evaluation criteria :
File component Criteria
CV Comprehensive and well organized document
Electives Family Medicine or broad range of interests
Examinations CASPer
Extra-curricular Well rounded activities other than academics
Leadership skills Initiative and able to problem solve
MSPRs Evaluate according to the info provided by school
Personal letters 500 words or less
Reference documents 3 standardized reference letters
Research/Publications Variety
Transcripts Evaluate according to info provided by school
Other file component(s) Familiarity with the Canadian Health Care System. Identifies interest in Family Medicine.

We invite candidates who have completed the voluntary CaRMS Self-Identification questionnaire as part of their application to submit their responses to our program. This is a voluntary option for anyone who wishes to confidentially share their responses with us. All information received will be maintained as part of the application, which is handled with complete confidentiality. Candidates are not required to submit the CaRMS Self-identification questionnaire, but for those that do feel comfortable doing so, the information received would only be used for program selection improvement in future years. It will not be used for selection purposes this year. Any self-identification questionnaires received will NOT be reviewed as part of our file review process or used as an aid for file reviewers for the 2023 match.

Elective criteria

We are looking for and rewarding applicants who have completed a broad range of electives including in our discipline.
We do not require applicants to have done onsite electives.

An elective in Family Medicine either in Manitoba or elsewhere, completed before file review, is not required for application to the University of Manitoba Family Medicine Programs. However, we are looking for a demonstration of interest in, and commitment to Family Medicine.

Interview process

Interview format :



We routinely accommodate requests to re-schedule interviews for applicants.

Interview evaluation criteria :
Interview components Criteria
Collaboration skills Interprofessional collaboration
Collegiality Treats others with respect & knows professional boundaries
Communication skills Ability to listen and communicate in a clear manner
Health advocacy Affirming and sharing the vision and values of health promotion
Interest in the discipline Demonstrates genuine interest through electives, extra curricular activities, volunteering, etc.
Interest in the program Demonstrates ongoing commitment to Family Medicine
Leadership skills Ability to guide and help others
Professionalism Carry themselves in a professional manner
Scholarly activities Pursuing further education, previous accomplishments
Other interview component(s) Commitment to underserved populations, resilience

Information gathered outside of CaRMS application

Specifically, we may consider:







Ranking process

The behavior(s) exhibited below during the interview process may prevent an applicant from being ranked by our program :
   
   
   


Program Highlights

Overview of Department

https://umanitoba.ca/medicine/department-family-medicine

The University of Manitoba is committed to the principles of equity, diversity & inclusion and to promoting opportunities in hiring, promotion and tenure (where applicable) for systemically marginalized groups who have been excluded from full participation at the University and the larger community including Indigenous Peoples, women, racialized persons, persons with disabilities and those who identify as 2SLGBTQIA+ (Two Spirit, lesbian, gay, bisexual, trans, questioning, intersex, asexual and other diverse sexual identities).

For more than 40 years, the University of Manitoba’s Department of Family Medicine has been positively influencing the health of individuals, families and communities across Manitoba. Through clinical work, teaching and innovative research, family medicine is making a difference.

We offer residents the chance to learn with interprofessional faculty, such as dietitians, pharmacists, nurse practitioners and other health care professionals. This collaborative learning model teaches our students and residents the basic principles of health care professions, when to use them in their care of patients and how to make appropriate referrals.

This program, accredited by the College of Family Physicians of Canada, promotes whole-person medicine through a combination of patient-centred care and structured seminars. During clerkship, learners are distributed in over 20 communities throughout Manitoba.

Family Medicine is a wide-ranging discipline, with the chance to impact a diverse spectrum of patients in various communities. Manitoba is one of the most diverse provinces in the country, providing an excellent opportunity to work with patients from a variety of backgrounds.


Training Passionate Family Physicians

After completing a four-year undergraduate degree in Medicine, students who enter the two-year Family Medicine residency choose a learning stream tailored to their practice interests.

Here is a video with a general overview of our Family Medicine Program at the University of Manitoba.

https://www.youtube.com/watch?v=5vieoIArQFM&list=PLCNj2OCRLILF6vOq6gtxYSY3_M-wuE57r&index=6

 

Streams:

  • Urban
  • Northern Remote
  • Northern Thompson
  • Bilingual
  • Rural - Boundary Trails
  • Rural - Brandon
  • Rural - Interlake Eastern
  • Rural - Parkland
  • Rural - Portage la Prairie
  • Rural - Steinbach
  • Integrated Clinician Scholar (3 year program)

 

Each stream provides a broad and balanced experience that prepares well-rounded family physicians who can practice with confidence in a variety of settings.

Enhanced Training

In addition to the postgraduate program, Family Medicine also offers enhanced skills training which allows Family Medicine doctors to continually shape and reshape their careers. Enhanced training is available in the following areas:

  • Addictions (new in 2021)
  • FM Anesthesia
  • Cancer Care
  • Care of the Elderly
  • Emergency Medicine
  • Obstetrical Surgical Skills
  • Palliative Care
  • Sports & Exercise Medicine

This training requires an additional 6–12 months of study. Residents finishing their second year and practicing family physicians may apply.

Inspiring Young Minds - Our Faculty

The Department of Family Medicine has over 500 faculty members who excel at sharing knowledge, building competencies, and maximizing learning opportunities for students.

Our faculty are integral participants in all stages of medical education. Some have major Undergraduate teaching roles, providing comprehensive Family Medicine and generalist content as well as their unique perspectives on health care.

Integrative Medicine in Residency Program Option

The Integrative Medicine in Residency (IMR) program is a two-year program of study exploring the integration of Complementary and Alternative therapies with conventional family practice in an evidence-based manner. This program is being offered in conjunction with the University of Arizona Center for Integrative Medicine, and is a 200-hour, interactive web-based curriculum that is completed longitudinally alongside the Family Medicine residency program. This program option is available to residents in all streams. Visit the Integrative Medicine in Residency Program page for full details.

Innovative Research

The Department of Family Medicine provides exciting opportunities to perform research with practical outcomes on the health of Canadians. The department promotes and supports the development of research skills and provides workshops to all Family Medicine residents.

Courses Offered for Residents in Family Medicine*

Advanced Cardiac Life Support (ACLS)

Prior to the commencement of training, matched applicants must provide proof of ACLS certification that is current as of July 1, 2023. The ACLS Provider course must be certified by the Heart and Stroke Foundation of Canada or the American Heart Association. ACLS training that is not certified by one of these two organizations and/or is completed entirely through an online course will not be accepted. Applicants are responsible for all costs associated with obtaining ACLS certification. We provide a re-certification course in your second year of residency prior to graduation.

Advances in Labour and Risk Management (ALARM)

We mandate ALARM training during the residency and provide reimbursement upon successful completion.

Advanced Trauma Life Support (ATLS)

We mandate ATLS training during the residency and provide reimbursement upon successful completion for all non-urban residents.

Indigenous Cultures Awareness Workshop (ICAW) or Manitoba Indigenous Cultural Safety Training (MICST)

We mandate ICAW or MICST training during residency.

Neonatal Resuscitation Program (NRP)

We mandate NRP during residency and provide reimbursement upon successful completion.

Ultrasound Curriculum

The curriculum will be delivered via an ultrasound educational platform known as SonoSim.

*subject to change

 

Scholarly Curriculum*

Scholarly activities in our program include:

- participation in monthly Journal Clubs

- presentations at patient case rounds and regular guideline appraisals 

- didactic teaching  

- formal Quality Improvement curriculum

- Critical Appraisal assignments

- PEARLS exercises as offered through the College of Family Physicians of Canada

- Academic Days throughout the year

- additional core curriculum as mandated by PGME for all postgraduate program residents

* subject to change


Program Curriculum

This residency program is for 2 years.

Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.

Family Medicine Training for Steinbach residents is done in the context of the rural community.  Residents will care for their patients both at Steinbach Family Medical (SFM) and Bethesda hospital.  SFM is the home unit where residents will do both first- and second-year Family Medicine block time.  They will care for admitted patients at Bethesda hospital.

Steinbach Family Medical (SFM) is a fee-for-service private clinic which provides full service family practice to residents of the city of Steinbach (population 15,000).  The Steinbach population is mainly of Russian, Mennonite, Ukrainian and French heritage with smaller populations of Filipino and German immigrants. 

For Family Medicine training, you will be paired with a primary preceptor.  The team at SFM consist of:

- 20 family practice physicians

- 4 general surgeons

Family physicians in this clinic have specialty training in areas such as:

- obstetrics

- chemotherapy

- palliative care

- women's health.

Bethesda hospital:

- 76 acute care beds

- 4 general surgeons 

Family medicine experiences include outpatient clinics, caring for your patients admitted to the hospital, and home visits. Protected time is provided for horizontal experiences in the areas of obstetrics, emergency medicine, palliative care, pediatrics and surgery.

Steinbach is a Community Cancer Care Manitoba site with four family physicians working in the area of cancer care.  Residents will be given the opportunity to experience the delivery of cancer care in the outpatient delivery of chemo medications by spending time with the cancer care doctor.

 

Steinbach is a medium-sized rural community that has a wonderful blend of small-town doctor "culture" and well-resourced medical centre/hospital.  You will become immersed in the community and will practice full-spectrum Family Medicine with a lot of hands on experience where you, the Family Medicine resident, are central to the structure. 

Please see our "Training Sites" section for more details on this site.

PEDIATRIC EMERGENCY - rotation is based in Winnipeg

A four-week pediatric rotation is based in Winnipeg and includes time in the Emergency Department at the Children's.  There is a wide range of clinical experiences including consultation within the hospital and in the Emergency Department. 

PEDIATRICS  - rotation is based in Steinbach

In the 2013/14 academic year, we successfully piloted a new pediatrics rotation in Steinbach that was comprised of  a month of pediatrics between Bethesda Hospital and Steinbach Family Medical as well as horizontal experiences in FMBT.  During the pediatrics month, residents will round on all newborns at Bethesda every morning and then go to clinic where pediatric patients will be booked to see the resident.  ER call will concentrate on pediatrics and obs call will continue with special focus on the newborn.  All pediatric admissions to Bethesda will also be attended by the resident

ICU / CCU - rotation is based in Winnipeg

This rotation is based in a Winnipeg community hospital with a focus on both coronary care and intensive care medicine.  There are a wide range of clinical experiences including consultation within the hospital and in the Emergency Department.

INTERNAL MEDICINE - rotation is based in Winnipeg

This two-block rotation is based out of Winnipeg with a focus on demonstrating knowledge, clinical and technical skills and decision-making capabilities pertinent to the management of patients with medical problems.

OBSTETRICS - rotation is based in Winnipeg & Boundary Trails

This two block (one block Winnipeg, one block Boundary Trails) rotation demonstrates focus on providing pre-conception, pre-natal & intra-partum care.  Residents learn essential skills to perform low-risk deliveries, recognize & manage common intra-partum emergencies & provide postpartum care.  Along with these two dedicated blocks, obstetrics is also performed horizontally during FMBT over the 2 years of residency.

EMERGENCY - rotation is based in Steinbach

This one block rotation at Bethesda Hospital in Steinbach will have a variety of ER shifts (days, evenings and nights).  Residents will focus on improving ER skills. 

PALLIATIVE MEDICINE - rotation is based in Winnipeg

Winnipeg has one of the longest-standing traditions in Canada in providing hospital and community palliative care to its citizens. The Palliative Care rotation has been evaluated by residents as one of the most rewarding and unique to their Family Medicine training. Skills taught by palliative care family physician specialists enable residents to gain skills essential to providing symptom-based care to both patients struggling with chronic illness and during end-of-life care.  Residents will also gain palliative care experience throughout the 2 years of residency during their family medicine rotations.

SURGERY - rotation is based in Steinbach

Two blocks based out of Bethesda Hospital and Steinbach Family Medical is dedicated to the diagnosis and pre and post-management of common surgical illnesses.  Suturing materials and techniques are taught/practiced in addition to techniques of assisting, approach to excision of common lesions & the understanding of consent & obtaining consent.  During surgery rotation residents have the opportunity to assist with surgery, perform minor procedures, spend time with the anaesthetist, as well as ER, cast clinic with opportunities to do procedures in hospital medicine and in sports medicine. Second block can be with hospitalist in Steinbach, anaesthetist in Steinbach or Gold Surgery in Winnipeg.

BEHAVIOURAL MEDICINE

An integrated approach to behaviour medicine is utilized during your Family Medicine experiences.

Key areas include:

- Mental health concerns (curriculum in consultation with Department of Psychiatry)

- Helping patients develop coping skills

- Knowledge of community resources

- Communication skills

Behavioural Medicine concepts and practical applications are included in the academic curriculum.  These are coupled with a horizontal psychiatric experience with the shared care mental health worker and consulting psychiatrist.

We have 2 shared care mental health workers within Steinbach Family Medical who is part of our patients' health team and who are actively involved in student teaching.

NUTRITION EDUCATION & CARE

The family medicine block time and academic curriculum provides experience in office management of nutritional concerns that are common to family practice such as:

Diabetes

Cardiovascular Illness

Weight Management

As part of the My Health Team we have a dietitian and chronic disease nurse at Steinbach Family Medical who will be actively involved in patient care and teaching.  

In addition, there are opportunities for enhancement of health promotion skills through education to community groups. There is also opportunity to spend time with a community dietitian.


Training Sites

Steinbach Site Video:

https://www.youtube.com/watch?v=1xmfYvAziIU&list=PLCNj2OCRLILF6vOq6gtxYSY3_M-wuE57r&index=7

Major Strength of the Rural Steinbach Stream

  • An experienced and active rural teaching unit, with low preceptor to trainee ratios and the opportunity to work with medical students in a clinical teaching unit model of hospital practice.
  • Large clinical volumes with excellent variety of patients.
  • Frequent opportunities to perfect your procedural skills through clinical encounters and procedural labs.
  • Continuity of care within your preceptors practice is an educational priority, which we achieve through 6 months of family medicine block time.
  • An integrated curriculum providing training in psychiatry, obstetrics, geriatrics, community medicine, psychosocial counselling, and nutrition.

Monthly academic days in small group learning environments, rural Continuing Medical Education (CME), and an active resident-led journal club.

Steinbach is a thriving community of over 15,000 located 45 minutes southeast of  Winnipeg. Learning opportunities include general family practice, emergency room coverage, in-hospital patient care, obstetrics, surgical assists, chemotherapy, palliative care and personal care home visits.

Bethesda Hospital located in Steinbach has 76 acute care beds and 20 private rehab beds. A clinical teaching unit  (CTU) was established at Bethesda in October 2010. Patients who are admitted to the  CTU are looked after by the team of medical students, family medicine residents and the attending physician. An important part of the Steinbach CTU is the opportunity for residents to teach the medical students.

Steinbach Family Medical (SFM) is the home base for all learners.  SFM is a fully computerized, private, fee-for-service clinic and home to 20 family physicians and 4 general surgeons. Preceptors will generally only have one student at a time to ensure plenty of one on one teaching. Steinbach Family Medical was named the first "MyHealth Team" clinic in Manitoba.  As part of the "MyHealth Team" we have dietitians, 2 shared care mental health workers, chronic disease nurses, a wound care nurse, social worker and a clinical pharmacist. We were very excited to move into the new Bethesda Primary Health Center in August 2017!

Steinbach strengths: The clinical teaching unit (CTU) consists of 2 medical students in their core clerkship family medicine rotation and 2-4 family medicine residents.  Residents supervise the students in many different settings. Patients are admitted to the Bethesda CTU and are managed by the students and attending physician. Residents also have the opportunity to supervise the students during a same day care clinic at Steinbach Family Medical.  Each student, however, spends the majority of their time with a single preceptor to ensure plenty of one-on-one teaching. This combination of group learning and individualized instruction has been very popular. We are very excited to be part of the expanded rural family medicine program and welcome you to consider Steinbach as your home base!

Many “rotations” are done horizontally during Family Medicine Block Time in Steinbach, thereby enhancing continuity of care and allowing more time in a Family Medicine centred environment.


Additional Information

TRANSPORTATION

As you will need to move frequently about the city and province between training sites, you will need to secure a means of transportation.  You may find it easiest to maintain a personal vehicle.

 

 

Additional Points to Consider:

  • Cost of living, especially rent and automobile insurance, is one of the most affordable in Canada.
  • Full access to University of Manitoba library and its electronic resources, including UpToDate.
  • Competitive resident salaries with a solid resident contract including a well-supported maternity/paternity leave policy.  http://www.parim.org
  • Membership and registration fees are covered for University of Manitoba, College of Family Physicians and Surgeons of Manitoba, Canadian Medical Protective Association, and the initial membership in the College of Family Physicians of Canada for PGY1 year.
  • Annual two day resident retreat held in a community outside of Winnipeg.
  • All mandatory course fees are reimbursed upon successful completion.  Examples of mandatory courses include:  NRP, ALARM, ATLS, PALS, BLS and ACLS recertification. Mandatory courses vary between programs.
  • Travel costs and accommodation are provided for mandatory offsite rotations.

WHAT ABOUT FUN IN STEINBACH AND ON THE PRAIRIES?

The City of Steinbach is the third largest city and the fastest-growing city in Manitoba.  It is located a short 45-minute drive from Winnipeg.

The community is driven by both sports and by arts and culture. Steinbach residents are passionate about outdoor activities. Recreation opportunities in Steinbach include swimming, bike and running paths, golf and cross-country skiing in the winter. Ball parks, soccer fields, cycling, walking paths and a golf course help keep the community active. Several outdoor skating rinks keep the residents moving in the winter. Steinbach boasts a fairly impressive 24,000 sq ft Aquatic Centre. The facility includes a junior Olympic pool (6 lanes), 2 water slides, lazy river, feature sprays, children’s water play area, sauna, hot tub, outdoor pool and deck area, and outdoor splash park. Steinbach has numerous heritage sites as well as the Mennonite Heritage Village Museum. The active Steinbach Arts Council provides numerous cultural activities through the Cultural Arts Centre.

Websites of Interest:

http://www.steinbachfamilymedical.com/

http://www.steinbach.ca/

http://www.steinbach.ca/steinbach_life/steinbach_aquatic_centre/#facility_info

http://www.mennoniteheritagevillage.com/

http://www.travelmanitoba.com/

https://www.mysteinbach.ca/business/guide/city-visitor/


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