Postgraduate Residency Program Details: Royal Victoria Regional Health Centre Barrie

RVH Family Medicine Teaching Unit (FMTU)

Quick Facts

  • Number of residents: 9 PGY1 & 9 PGY2
  • Curriculum type: horizontal (residents maintain a family practice three half days per week throughout the two-year program)
  • PGY1 elective blocks: 1 (residents maintain their family practice commitment during elective time)
  • PGY2 elective blocks: 3 (residents maintain their family practice commitment during elective time)
  • Program includes 3 blocks of emergency medicine and 2 blocks of hospitalist medicine
  • Obstetrics: 2 blocks in 1st year. Residents also follow and deliver their own family medicine patients throughout their residency, under the supervision of a family medicine physician who practices obstetrics
  • Program is focused on general family medicine

Program Highlights

  • Manage your own roster of patients within the Family Medicine Teaching Unit (FMTU) with an electronic medical record system.
  • Learn through a competency based curriculum and call schedule structured within a horizontal teaching model.
  • Deliver comprehensive care to a broad patient population in an office and hospital setting.
  • Work in a non-competitive, non-service residency environment that offers maximum practical learning opportunities with experienced faculty.
  • Upon completion of the RVH program, residents will also be comfortable practicing emergency, hospitalist and low-risk obstetrics medicine.
  • Live in an energetic, vibrant young city with four season recreational amenities within 45 minutes of Toronto and Muskoka.

Hospital, Community, Teaching Unit and Program

You and your roster of up to 200 patients are part of the FMTU, which is a member of the Barrie Community Family Health Team (BCFHT). The BCFHT is one of the largest in the province and offers a multi-disciplinary team approach to patient care. You work in this team and some of the teaching is done by allied health team members. You are also on call for your roster of patients should they be admitted to the hospital for inpatient care.

The combination of teaching unit, hospital rotations and other community placements offers an excellent mix of inpatient and outpatient experiences to maximize your training.

Due to the limited number of specialty residents and undergraduates, our family medicine residents enjoy the benefits of functioning as primary house staff and the hands-on learning opportunities this offers. Instruction is provided by teachers with vast experience in family medicine training. Highly skilled and enthusiastic sub-specialty instructors, working directly with you, will provide a broad, comprehensive and rewarding experience. These learning interactions create mentor-student relationships that foster confidence and competency in patient and practice management. Learning is enhanced by call requirements with speciality faculty. Call on most rotations ends at 11:00 pm, with the exception of 24-hour call while on obstetrics rotation.

RVH also has core U of T family medicine clerks that spend five weeks in the FMTU. You participate with staff physicians and allied health team members with clerk teaching, as well as academic sessions coordinated between Barrie’s medical staff, other U of T teaching sites and U of T core days.

Curriculum

In addition to continuous family medicine, the RVH experience will include internal medicine, paediatrics, obstetrics, women’s health, surgery, emergency medicine, mental health, palliative/oncology, public health, MSK, geriatrics, and hospitalist medicine. You experience many of Royal Victoria Regional Health Centre’s medical and surgical sub-specialties offering a wide array of clinical expertise from highly skilled and knowledgeable physicians.

Family Medicine

In this horizontal model, you spend three half days each week in the Family Medicine Teaching Unit (FMTU) managing and maintaining your own practice over the two-year residency. The teaching unit is part of the Barrie Community Family Health Team offering a team, multi-disciplinary approach to patient care and learning. Family medicine enrichment opportunities in the areas of office procedures, dermatology, community and public health, accessing resources in the community will be offered.

Internal Medicine/ICU/Hospitalist

You have ample learning opportunities in ICU medicine; sub-specialty clinics; one-on-one consult medicine plus inpatient management. You also complete two core blocks in hospitalist medicine.

Emergency

You experience working 10–12 shifts per month in one of the province’s busiest emergency departments with CCFP (EM) teachers and Royal College emergency medicine specialists.

Obstetrics/Women’s Health

You have a 24-hour call, in a busy birthing unit and deliver up to six births per shift, as well as consulting on any ER or hospital patients. You also participate in prenatal and gynecological clinics in the community. Procedural skills such as IUD and endometrial biopsy can be developed through office as well as colposcopy clinics.

Paediatrics  

Residents have ample opportunity for emergency consultant on call and working in neonatology clinics. Additional opportunities exist in community paediatric clinics.

Public Health

The RVH program offers a unique opportunity in second year for you to complete a rotation in public health. You work directly with staff of the local public health unit to provide an understanding of how public health works with the rest of the health care system, including primary care.

Palliative Care/Oncology

You round on inpatient palliative and oncology patients before attending scheduled oncology clinics. The new patient clinics are an excellent environment for you to learn about oncology and how your primary care practice intersects with the oncology world.

Geriatrics

The geriatric rotation at RVH engages you in caring for seniors with complex medical needs while learning about the patient’s life story and its impact on their health care needs. The rotation is held at various sites and includes: primary care geriatrics, long-term care, hospital based geriatric clinics, geriatric outreach services and the local inpatient psychogeriatric unit. Our faculty from the areas of primary care, care of the elderly focused practice, geriatrician and geriatric psychiatrists welcome the residents to this rotation and eagerly share their passion and wisdom of caring for seniors. The rotation is complemented by skilled allied health professionals including nurse practitioners, physiotherapists and specialized geriatric pharmacist.

Mental Health

You have the opportunity to participate in inpatient and outpatient psychiatric care. The rotation also includes scheduled time to visit and learn about community resources that can be used in their general practice.

Surgery  

During the surgery rotation, you work with general surgeons of RVH in the operating rooms, ambulatory care clinics, endoscopy suites and private clinical offices. One of these weeks will be dedicated to the Acute Care Surgical Service when the resident and a primary preceptor will handle all emergency room consults, as well as hospital consults. This will incorporate the majority of call responsibilities. There is also the opportunity to attend a varicose vein clinic and a lumps and bumps clinic in the FMTU procedure room with one of the general surgeons.

Musculoskeletal

On MSK rotation, you spend a specified number of half days rotating through various clinics and hospital settings including: orthopedic surgery (Fracture Clinic and operating room), sports medicine, physical medicine and rehabilitation, Hand Clinic, physiotherapy, rheumatology, and chiropractic.

Electives

Elective opportunities are available throughout first and second year of the program. The expectation is for you to maintain your family practice responsibilities in the Family Medicine Teaching Unit during the elective.

If you have additional questions, please contact:

Dr. Stuart Murdoch
Program Director
murdochs@rvh.on.ca 705-728-9090 ext. 23015
Carolyn Brooks
Program Assistant
 brooksc@rvh.on.ca 705-728-9090 ext. 23010
Dr. Sarah Foohey
Chief Resident
sarahfoohey@gmail.com  
Dr. Christopher Blake
Chief Resident
christopher.william.blake@gmail.com  
     

RVH Sample 2 Year Rotation Schedule

Outline of the Two Year Rotation Schedule

1st Year

Family Medicine - horizontal

Rotation Duration

Internal Medicine

2 Blocks

Obstetrics/Women’s health

2 Blocks

Emergency Medicine

2 Blocks

Paediatrics

2 Blocks

Mental Health

1 Block

Musculoskeletal

1 Block

Surgery

1 Block

Hospitalist Medicine

1 Block

Elective

1 Block

2nd Year

Family Medicine – horizontal

Rotation Duration

Teaching Practice

2 Blocks

Geriatrics

2 Blocks

Palliative/Oncology

2 Blocks

Intensive Care Medicine

1 Block

Hospitalist Medicine

1 Block

Emergency Medicine

1 Block

Public Health

1 Block

Elective

3 Blocks

 

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