Upcoming Events!

bedpanHeads up! We’ve got the Game of Throws this Saturday! Who’s going to take home the Golden Bedpan?! In May, we have our Resident Research Day hosted by the Abbotsford Division of Family Practice and a series of faculty development workshops. Please register! Hope to see you there!

Game of Throws
Saturday, April 29
Location: Envision Athletic Centre, UFV Abbotsford
Fraser Health & Health/Hospital Services Staff Dodgeball Tournament
For more info and to register: www.fvhcf.ca/events

May 2017
Faculty Development Dinner: Innovations in Patient-Centred Medical Education
Wednesday, May 17, 2017 from 5:30 p.m.-7:00 p.m. (Dinner served at 5:30 p.m.)
Location: Abbotsford Division of Family Practice
Facilitator: Jacqueline P. Ashby, Ed.D.
This faculty development dinner focuses on the ideas, discussions, and material disseminated from the Stanford Medicine X/Ed conference. We’ll engage in topics such as the gaps in medical education, instructional technologies, engagement learning design, and patient-centred outcomes research (PCOR). Residents are invited!
Register here: http://doodle.com/poll/78kw6h2dmagyix37

Resident Research Day
Thursday, May 25, 2017 from 8:30 a.m.-12:30 p.m.
Location: Abbotsford Division of Family Practice
The UBC Abbotsford-Mission Family Practice Resident Research Day is a new initiative designed to disseminate and share our Residents’ research with the broader community. It also provides an opportunity for Faculty, Preceptors, Specialists, and Fraser Health members to network, collaborate, and build upon the ideas and insights emerging from our Residents’ work.
Lunch and beverages provided.
Register here: http://doodle.com/poll/4aiqsctuqaae6682
Contact: Dr. Adriaan Windt

Faculty Development Breakfast: Writing Field Notes
Friday, May 26 from 7:30-9:00 a.m.
Location: Abbotsford Division of Family Practice
Facilitator: Jacqueline P. Ashby, Ed.D.
Learn more & register here: http://doodle.com/poll/9b5fbhpycnc4c4mu
In this session, participants clarify the purpose and use of field notes, critique and rank field note samples in terms of effectiveness, and practice writing field notes to provided clinical video scenarios.

Second Annual R1 vs R2 Volleyball Tourney!

Thursday, June 22, 2017 at 1:00 p.m.
Mission Springs Pub & Brewery volleyball courts in Mission

Winners receive the coveted Henry Weinhard Award! Best darn root beer this side of Regina!
And bragging rights of course! Here’s the 2016 recap.

Second place team members have to compose a limerick based on their field notes and have it submitted to me by Monday, June 26. The limericks will be reviewed and a winner announced Thursday, June 29th! This is who won last year!

Lunch is scheduled at 4:30 p.m. at the Mission Springs restaurant following our game!

Have a great day!

UBC Med News

Here’s a snippet of what we’re learning, exploring, and discovering at UBC’s Faculty of Medicine!

Tool launched to help parents allow ‘risky play’
April 24, 2017: Mariana Brussoni and colleagues launched an online tool to help parents change their approach to outdoor play.

Medical history reveals multiple sclerosis begins to impact patients sooner
April 21, 2017: Helen Tremlett and colleagues found that there is a phase before MS is diagnosed during which people begin to show symptoms.

Drug created from malaria parasite stops cancer in mice
April 20, 2017: Mads Daugaard showed that the drug was effective against a highly aggressive bladder cancer.

For children facing near-blindness, UBC offers hope for a cure
April 6, 2017: A clinical trial, led by Kevin Gregory-Evans, aims to make history by reversing a genetic defect — in this case, a rare eye disease called aniridia.

UBC scientists find more multiple sclerosis-causing mutations
April 6, 2017: The “double gene” mutation was found by Carles Vilarino-Guell in a large Canadian family with five members diagnosed with MS. All of them had the DNA abnormality.

UBC student-run project wins gold for ‘Trojan Bull’ brain cancer therapy
April 3, 2017: Lily Takeuchi, a student in UBC’s Bachelor of Medical Laboratory Science Program, talks about the Biomolecular Design competition and how it felt when her team won gold for their ‘Trojan Bull’ brain cancer therapy project.

Reducing Misdiagnoses

CBC’s radio show “The Current” recently featured ER physician, Dr. Pat Croskerry, and his efforts to decrease the rate of diagnostic errors via teaching medical students how to improve their critical thinking skills. He describes, “None of us are particularly good at thinking critically by ourselves, so we coach them in the principles of critical thinking. We coach them in the things to look out for that may bias their decision making.” Listen to the rest of the CBC interview here at Can anything be done to prevent hospital misdiagnoses?

UBC Learning Circle

UBC Learning Circle: Centre for Excellence in Indigenous Health
Part II: Indigenous Health Leadership with Leslie Varley
Join us for Part II of an exciting series on the topic of Indigenous Health Leadership! We continue this series on Tuesday, April 18, 2017 with Leslie Varley, Executive Director of the BC Association of Aboriginal Friendship Centres.

Reading: Read Leslie’s article published in the journal Challenging Organizations and Society: “The Challenge of Indigenous Leadership within Mainstream Organizations.”

Date: Tuesday, April 18, 2017 
Time: 10:00 am – 11:30 am (PST)
Place: Participate live via video conference OR computer webinar.
View system requirements
Registration: is required to participate. Register here!

This Changed My Practice (UBC CPD): Serious Illness Conversations

Serious Illness Conversations and Capturing Advance Care Planning
By Drs. Charlie Chen and Hayden Rubensohn

What I Did Before ­
Most internal medicine practitioners, leaners and attendings alike, include “code status” as an issue on an in-patient’s problem list. Often “not addressed overnight” or “needs to be discussed” is left as the plan. Generally, clinicians appreciate the importance of this task. Most, however, confuse this medical treatment decision – what is the patient willing to consent to as treatment if his/her condition were to seriously deteriorate? – as advance care planning or goals of care. Even more problematic is the need to answer these treatment consent questions in an Emergency Room when the patient is acutely ill.

Yet, even once the patient is more stabilized on a Medical Ward, conversations about goals of care are often still reduced to binary yes or no questions about cardiopulmonary resuscitation and/or Intensive Care Unit admission. All too often, once the CPR status is determined, a more robust, patient-centered goals of care conversation ceases to continue. Most physicians and trainees feel inadequately prepared to conduct difficult and comprehensive goals of care or end-of-life discussions (1, 2). Despite the disconcerting data indicating that many cancer patients have their first end-of-life care conversation during an acute hospitalization (3) or that many dialysis patients never have these discussions at all (4), a change in practice has been slow and difficult.

This cascade of unfortunate events and missed opportunities results in a worrisome mismatch in treatment and care plans between what is documented by clinicians and what the seriously ill patient has already thought about (5). We need to become less accepting of discharge summaries that read: “Code Status: the patient was full code in hospital. This should continue be explored as an outpatient.” These conversations have been incentivized for the physician through Advanced Care Planning billing codes, as outlined by This Changed My Practice contributor Dr. Catherine Clelland (6, http://thischangedmypractice.com/acp-for-patients-with-multiple-co-morbidities/). Furthermore, with data demonstrating the benefits of early goals of care conversations (7), these conversations must shift to being commonplace for patients across the continuum of care.

Want to learn how these events and missed opportunities changed their practice? Click here and receive 0.25 Mainpro+ or MOC Section 2* study credits per article.