The resident should apply to EI as soon as work is stopped (1-800-206-7218 or www.hrdc-drhc.gc.ca under Employment Insurance). 360-degree assessment is a way of providing feedback about progress by placing the persons to be evaluated at the “hub of the wheel”. Demonstrate effective, appropriate, and timely application of preventive and therapeutic interventions relevant to Gastroenterology, including, but not limited to: Surveillance for hepatobiliary malignancy. The primary goal of this rotation is to provide in-depth exposure to complex GI problems in an adult tertiary care, referral population. Knowledge, skills and attitudes are further developed in a self-directed choice of area across the curriculum. The Committee discussion forms the basis for the Program Director’s completion of FITER reports. Once the cognitive aspects of competency has been taught and assessed, teaching of psychomotor skills necessary for endoscopy can be addressed. Maintain clear, concise, accurate and appropriate records of clinical encounters and plans Canadian Institutes for Health Research, Canadian Association of Gastroenterology, Canadian Digestive Health Foundation, American Society for Gastrointestinal Endoscopy, American College of Gastroenterology, Crohn’s and Colitis Foundation of Canada), the private sector, or the Department of Medicine (e.g. Basic approaches to the interpretation of GI radiology are reviewed. Academic Half-Day sessions occur on Wednesday mornings throughout the year. Final evaluations are discussed with the resident. Alternative coverage for these clinics will need to be arranged with another resident in the event of vacation / professional leave. 2.5. The topics are derived from the interests and leadership of the resident planners who are the steering committee of the Postgraduate Medical Education Office. Mock Examinations Maintain excellence in research at an international level. The Residency Program Committee meets semi-annually to compile a collective rotation and faculty evaluation, respecting anonymity. At the beginning of each Hepatology rotation / elective, the residents are expected to meet with the Hepatology curriculum coordinator for orientation to review both the clinical setting, and objectives and expectations specific to the rotation. 2004; 16 (12): 600-9. Trainees identify interesting cases from the inpatient and outpatient services, and GI pathologists present interesting specimens from other sources. It is the expectation that the resident will review one consultation letter with an attending staff and have the evaluation form completed for each outpatient clinic rotation. “Restricted Registration” is a certificate offered by the College of Physicians and Surgeons of Ontario (CPSO) to Residents who meet agreed on criteria. Attending staff on-call remains available for advice either by phone or in person. The frequency of call is designed to provide optimal and adequate exposure to urgent clinical problems and endoscopic procedures. Here, an adverse treatment outcome or procedure complication is discussed, with review of ethical issues related to consent and disclosure. Provide a productive and innovative training environment. Describe the principles of maintenance of competence At the end of each working day or prior to weekend, the resident will update the signover list of inpatients in Citrix, and sign out critically ill patients to the resident on call to ensure continuity of care. We expect each resident to develop into a consultant sub-specialist over 2 years of training. Identify and explore problems to be addressed from a patient encounter effectively, including the patient’s context, responses, concerns, and preferences 2.2.2. * Multi-disciplinary hepatobiliary rounds (optional) on Friday 7-9 am. The resident is expected to present a topic of interest or a journal article during this session. OSCE stations are generated by the OSCE Coordinating Committee and reviewed by the OSCE Coordinator and the Program Director before being implemented. 1.9. Residents are encouraged to seek informal verbal feedback throughout the Pediatric Gastroenterology outpatient experience concerning their proficiency at managing clinical problems. Understand the causes of chronic gastrointestinal diseases that are prevalent in society, and to develop new strategies for their diagnosis, treatment and prevention. To facilitate this objective, at least one half day is set aside per week for self-directed learning of topics and diseases encountered in the clinics. Ambulatory block rotation can be combined with Motility, Clinical Nutrition, or Hepatology curricula. 1.4. There is a clinical research center within the institute that conducts clinical trials, meta-analyses, epidemiological studies in affiliated hospitals as well as on a national and international basis. Perform a GI specific history and physical exam (including specific maneuvers i.e. An orientation session (with Dr. J. Pham) will take place during the first week of the rotation to discuss the goals and description of this rotation with the resident. A mechanism for dealing with any shortcomings will then be discussed with the resident and the Research Mentor, and subsequently at the Residency Program Committee meeting. One responsibility of the Mentor is to provide career counselling. The timing of this notification depends on the resident’s stage of training, and subject to the judgment of the resident. In addition to WHMIS, the residency training program must ensure that there is an initial, specialty, site-specific orientation available to the trainee. Gregorio Maranon, Madrid, Spain. Demonstrate a confident approach to the management of common GI disorders seen in both an outpatient and inpatient setting, with a specific focus on community health related issues and practices. The Academic Half Day Coordinator is responsible for assisting the Program Director in developing, monitoring and evaluation of the academic half day curriculum in the Adult Gastroenterology Training program. The St. Joseph’s Site offers a busy clinical Gastroenterology service with specialized interests in gastrointestinal motility and functional disorders. In the rare event this occurs, residents should notify the clinical supervisors on call. Welcome to the Adult Gastroenterology Training Program. Demonstrate accountability to professional regulatory bodies Outpatient Experience While on the inpatient rotation, trainees attend at least one outpatient clinic each week, where they have the opportunity to assess new and return patients with a wide variety of gastrointestinal, hepatic and pancreatic conditions under the supervision of a faculty attending physician. Select effective teaching strategies and content to facilitate others’ learning At the beginning of each Clinical Nutrition rotation / elective, the residents are expected to meet with the Nutrition Curriculum Coordinator for orientation to review both the clinical setting, and objectives and expectations specific to the rotation. Motility, 24-hour pH-metry and combined pH-metry/impedance studies are conducted by specially trained nurses daily from Monday to Thursday, under the supervision of Drs. Diagnostic (including biopsy and brushing) This will include acute gastrointestinal bleeding, acute diarrhea, inflammatory bowel disease, chronic and end-stage liver disease, acute liver disease, foreign body ingestion, pancreatitis and gallstone disease, functional bowel disease and complications of endoscopy. At 6 month intervals, the Program Director receives and reviews cumulative summary evaluations for every individual faculty member, and each faculty member receives his/her summary evaluation as feedback. achalasia), Multi-system diseases and their effect on GI motility (e.g. The purpose of the RPAGE program is to monitor and document the trainee’s progress and development in endoscopic skills. 1.1. Include how the trainee would alert the supervisor if they felt at risk during an encounter, identification of potentially problematic patients at the beginning of the encounter, so they could be monitored. dieticians, speech language pathologists, physical and occupational therapists, social workers, pain specialists and psychiatrists), and contribute effectively to the collaborative investigation, management and disposition of patients, Reserve time for reading and keeping current with the literature to optimize patient care, Demonstrate good time management in an inpatient setting by assessing patients accurately, comprehensively and efficiently with timely diction of consultation notes and / or procedure notes, Access and apply various information sources of information in managing inpatients with gastrointestinal disorders, Institute effective and efficient management plans for patients with gastrointestinal disease by utilizing the available resources in an inpatient setting, Exercise time management to optimize the investigation and treatment while minimizing length of stay, Demonstrate knowledge of the different roles and responsibilities of patients, physicians, nurses, and allied health professionals in the inpatient management of gastrointestinal conditions, Coordinate in-hospital care with ambulatory and community based resources for follow-up, Demonstrate an understanding of the health care needs of patients with gastrointestinal diseases in an inpatient setting, Identify non-medical factors (e.g. 1.3. The specific objectives of the resident will be discussed and an attempt made to integrate these objectives into the overall objectives of the rotation. These rounds are attended by residents and faculty. Select medically appropriate investigative methods in a resource-effective and ethical manner in a community-based setting, including: Demonstrate an ability to collaborate with health care professionals by interacting directly and effectively with other physicians, and developing a management plan for patients in collaboration with various members of an interdisciplinary team within and between hospitals, other health care facilities and collaborative groups, Understand the type of collaboration between specialists and general practitioners in a community setting, Understand how provincial and hospital governance influence the ability to provide health care in the community setting, Investigate and manage patients with GI disorders in a cost effective manner, while ensuring the optimal patient care and outcome, Recognize limitation of resources in a community setting, and develop judgment for when transfer to a larger centre is necessary for optimal patient care, Demonstrate time management skills necessary to balance inpatient consultations, outpatient procedure, clinic and educational opportunities, Demonstrate the ability to balance personal and professional activities and use their time to optimize patient care and continuing professional development, Understand office administration, practice management and billing, Understand the operational and administrative aspects of an inpatient hospital service and a private endoscopy centre in a community setting. The institute has a large complement of technical staff, graduate students and research fellows as well as administrative staff. Gastroenterology, McMaster University, Hamilton, Ontario, Canada; 15Division of Pediatric Gastroenterology, University of North Carolina, Hospital-Children’s Specialty Clinic, Chapel Hill, North Carolina; and 16 Division of Gastroenterology, Royal These consultations will be completed under the supervision of the attending physician responsible for inpatient consultations. The mandate of Farncombe Family Digestive Health Research Institute encompasses its leadership role in research, innovation and training as it relates to intestinal diseases. Surveillance for hepatobiliary malignancy To facilitate this objective, at least one half day is set aside per week for self-directed, integrated learning related to topics and diseases encountered in the clinics.

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