The Ecology of Care

“Several challenges have emerged in clinical education over the past two decades. Health professional programs have increased in both number and size resulting in an upsurge of trainees. The unprecedented growth has increased the workload of clinicians and their office staff as they correspond with university administrators to coordinate learners’ placements. Further complicating the matter are the varying teaching remuneration models. Surrounding the system is the interplay among government, post-secondary, and professional bodies and their social contracts, values, and mandates that inform and bind the profession’s development.

Globally, the ecology of family medicine is evolving and experiencing new challenges. Concerns have been raised about the shifting dynamics and erosion of relationships between healthcare professionals and patients. Compounding matters are patients’ lack of health coverage; system pressures to find healthcare savings and efficiencies; demands for sub-specialization; and changes in the family structure and population demographics. This altered landscape and increasing divide stress the educational paradigms responsible for training learners.

The purpose of this literature review is to better understand the context, challenges, and facilitators of clinical practice education as well as how we, as institutions, can improve the experience for learners, educators, and patients.”

More on The Ecology of Care: A Review of the Literature in Clinical Learning Environments (2019) by Newton & Ashby via MedEdPublish.

Journal Club!

“Dr. Walter Freeman, left, and Dr. James W. Watts study an X ray before a psychosurgical operation. Psychosurgery is cutting into the brain to form new patterns and rid a patient of delusions, obsessions, nervous tensions and the like.” Waldemar Kaempffert, “Turning the Mind Inside Out”, Saturday Evening Post, 24 May 1941.[1]
Greetings All!

Journal Club is tomorrow at my place! A big thank you to our new Journal Club reps Drs. Zhang and Park for stepping forward and our past reps Drs. Dickinson and Hansma for doing such an amazing job handling the club’s logistics.

Dr. Iris Liu, our Site Faculty for Behavioural Medicine & Scholarship, has prepared the content for our session.

Time: Wednesday, July 17, 2019 from 6:30 – 8:30 pm

Location: Jacqui’s Place

Food: Please complete this form to confirm your attendance, your food restrictions including allergies, and your food preference.

Attendance: Please review our Academic Expectations & Guidelines 2019 regarding AHD attendance. As indicated, if you are unable to attend please contact our Faculty Lead Dr. Iris Liu.

Topic & Preparation: This month we’re focusing on the lobotomy. Please visit the StoryCorps website and review and listen to their radio show on My Lobotomy:

“Dully’s personal journey to find out about his lobotomy took him around the country as he interviewed lobotomy patients, their family members, and people who witnessed the operation. ‘This is my odyssey,’ said Dully. ‘Everyone has one thing have to do before they die, and this is mine.'”

Dr. Liu will be facilitating our discussion on this fascinating and controversial topic.

See you tomorrow!


#JournalClub #MentalHealth #Lobotomy

Peer Observation: By the Preceptors, For the Preceptors

Do you ever wonder how you’re doing as a clinical educator? Are you looking for an alternative to receiving feedback and coaching on your teaching? Would you like to share your ideas and tips? 

One of the challenges in medical education is the lack of instructional feedback and mentorship we offer physicians teaching in the clinical setting. Very few individuals truly understand the complexity of educating a person while managing an office and addressing patients’ concerns. 

Peer Observation: By the Preceptors, For the Preceptors is a two-year peer observation initiative, created by and for you, our clinical educators within the UBC Faculty of Medicine’s Family Practice Residency program. This project aims to assist you in building a supportive network of colleagues to strengthen your professional development and enhance the quality of your teaching.  

JOIN US! If you’re a UBC clinical educator and would like to participate in co-creating this platform click here to learn more and participate!

#UBCFacultyOfMedicine #UBCFamilyPracticeResidencyProgram #FacultyDevelopmentInitiativeGrant #PeerObservation

The Rural Experience


Greetings! I know many of our R2s have headed off to their rural adventure! That’s why I wanted to share the timely tweet-thread above. It’s important that we keep our mind and heart receptive to new learning experiences and opportunities that may open doors for us. Sometimes we think we have it all planned and then we intersect with a place, a person, an event, or a thought that completely shifts our paradigm and exposes us to the unknown while simultaneously awakening our curiosity.

This is also an opportunity to unpack that suitcase of knowledge. We never quite know what we have until someone or some circumstance requires us to pull from within and share it.

Enough of my philosophical ramblings :). Please complete your Rural Academic Travel Log while you are away. Instructions may be found here.

If you need anything, just hollah!