Nurturing a Physician

wordcloud_environments_ubcDuring our Coffee Chats, I often ask our Residents to describe the type of environment that nurtures a physician. Over the past two years, they’ve identified that a supportive and intellectually challenging, learning-centred setting are important factors in a physician’s growth and success. Sense of safety and collegiality are also recognized as key in fostering a culture focused on health and wellness.

What are your thoughts? Please feel free to comment below.

For those interested in exploring the topic further, I’ve linked a few articles:

Address Burnout with a Caring, Nurturing Environment.
Link: https://www.ncbi.nlm.nih.gov/pubmed/24864421

Caring for Oneself to Care for Others: Physicians and their Self-Care
Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3974630/

Core Principles & Values of Effective Team-Based Health Care
Link: https://www.nationalahec.org/pdfs/vsrt-team-based-care-principles-values.pdf

Exploring the Dynamics of Physician Engagement and Leadership for Health System Improvement: Prospects for Canadian Healthcare Systems
Link: http://www.cfhi-fcass.ca/sf-docs/default-source/reports/Exploring-Dynamics-Physician-Engagement-Denis-E.pdf?sfvrsn=0

Resident as Teacher: How to Nurture Strengths in Medical Students?
Link: https://blogs.scientificamerican.com/unofficial-prognosis/resident-as-teacher-how-to-nurture-strengths-in-medical-students/

Cheers!

Jacqueline

Update: The Association Between a Sense of Calling and Physician Well-Being: A National Study of Primary Care Physicians and Psychiatrists.
Link: https://www.ncbi.nlm.nih.gov/pubmed/26809782
(Thank you Dr. Liu for the addition!)

UBC Sea to Sky Preceptor Retreat 2017 Update!

We’re thrilled to announce that Squamish Chief Ian Campbell will be opening our UBC Sea to Sky Preceptor Retreat in the Cheakamus Centre Bighouse on Saturday, September 30, 2017. Chief Campbell is one of 16 Hereditary Chiefs of the Squamish Nation. He is currently serving his second term as an elected Councillor for the Squamish Nation Chiefs and Council, appointed as a Political Spokesperson. Chief Campbell has been employed since 1999 as the Cultural Ambassador & Negotiator for the Intergovernmental Relations Department of the Squamish Nation.

Also joining us is Dr. Terri Aldred, Site Director of the UBC Family Practice Residency Program Indigenous Site. She will be leading a session on cultural sensitivity, safety, and competency from an Indigenous perspective.

 Dr. Terri Aldred is Carrier from the Tl’Azt’En Nation located 50km North of Fort St. James. She is a proud member of the Lysiloo (Frog) Clan who are traditionally known as the Voice of the People and those who can navigate transitions as they are able to live on both land and water. She completed her Bachelor of Medicine at the University of Alberta and went on to the Indigenous Family Medicine program in Victoria where she was the R1 representative and Chief Resident. Dr. Aldred has worked in Bella Bella providing full-scope family medicine and with Central Interior Native Health serving inner city clients in Prince George. Dr. Aldred currently works with rural remote First Nations communities in the Carrier Sekani territory and is the Site Director for the Indigenous Family Medicine Program. The primary care team she is a part of utilizes telehealth technology to provide 24/7 care to these historically isolated and marginalized communities. She is passionate about Indigenous health, cultural safety/competency, and physician health and well-being and has spoken a number of conferences related to these passions since completing her training.

The UBC Abbotsford-Mission, Coastal, and Indigenous Sites are planning an experience that will provide a space for physicians to reflect on their learning journey and to determine how one’s experience and narrative informs her/his teaching. We encourage you to join us! Learn more about the retreat, sessions offered, and Sea to Sky evening social.  Seating is limited, register soon!

Welcoming our New Residents!

20170708_153241 copy.jpg
Our New Crew! (Left to Right: Dr. Joseph Westgeest, Dr. Jennafer Wilson, Dr. James Dueckman, Dr. Daniel Metcalf, Dr. Aarondeep Shokar, Dr. Ellie Parton, Dr. Nikate Singh, and Dr. Jennifer Liang. Front: Jacqueline Ashby (Coach) and Ann Douglas (Site Coordinator).

Hello All!
The Abbotsford-Mission Residency Program welcomes our new 2017 Residents! Captured above is our final day of Orientation, where our Site Coordinator Ann Douglas and Program Coach Jacqueline Ashby guided the Residents on a reflective walk. In silence, we hiked up to Mission’s Westminster Abbey. At the top, each Resident was handed a journal and then settled in the forest to write about their thoughts and experiences over the past few days. We then reconvened to talk and take photos. After a short break, we headed back down the mountain and shared a hearty meal together.

20170716_134801 copy.jpg

Our Site Director Dr. Holden Chow and Coordinator Ann Douglas redesigned our Resident Orientation from a one-day event to a week-long experience to introduce our new physicians to the program, preceptors, and surrounding community. This revitalization also included the creation of our new Academic Expectations & Guidelines authored by Dr. Iris Liu. Research indicates that providing Residents a structured, comprehensive orientation contributes to their confidence; teaching skills; sense of inclusion; and program retention and success (English, 2013; Hiraoka, Kamikawa, McCartin, Kaneshiro, 2013). Included in this week were workshops on administration; assessment and evaluation; professionalism; and academic expectations. Team activities included a R1/R2 city-wide scavenger hunt and BBQ at Dr. Chow’s home!

20170704_093528 copy.jpg
Pictured above is a tower building exercise that explores how educators, new learners, and evaluators work together to achieve a common goal.

We look forward to learning more about and from our new physicians as they integrate their ideas, passions, and innovations into our community!

References
English, D. 2013. Smoothing the Transition from Residents to Attending Physician Using Mentors. Physician Executive Journal.

Hiraoka, M, Kamikawa, G, McCartin, R, and Kaneshiro, B. 2013. A Pilot Structured Resident Orientation Curriculum Improves the Confidence of Incoming First-Year Obstetrics and Gynecology Residents.