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During the course of our professional careers, we may anticipate transitioning into new arenas of practice. These may be small leaps (i.e. developing new skills for use within our field) or larger leaps (i.e. re-training for a new field of practice). While the development of expertise has been explored in depth, it’s converse, namely moving from expert to novice, is less well-described. In this WITA, we will share our own stories of transitioning from expert to novice, suggest some relevant theories that may inform our understanding of this transition and foster discussion with participants as to the nature of these transitions.

Presenters: Drs. Rose Hatala, Jennifer Tam & Joanna Bates
Date: Tuesday, December 4, 2018
Time: 12:00pm to 1:30pm

Formal presentations and discussion from 12:00pm – 1:00pm, ongoing moderated discussion 1:00pm – 1:30pm
Feel free to bring a bagged lunch

Locations:

• LSC CMR 1312 (host venue)
• DHCC 2262
• NHSC 9-374
• RJH CA 011

Remote:

• Additional locations are available. Please email ches.communications@ubc.ca to request an additional site.

Interested? Learn more here.

Educating the mind
without educating the heart
is no education at all.
~ Aristotle

In 2017, UBC’s Faculty of Medicine released a 4-part series on Learners in Difficulty. It’s one of the best productions I’ve viewed on depicting the challenges and opportunities experienced by educators and learners in the clinical setting. I particularly like Part 3 when the preceptor seeks advice from a colleague. His colleague carefully probes him about the learner’s clinical performance deficits; she empathizes with his frustrations; and finally she attempts to guide him towards opening up a dialogue with his resident. More importantly, she repositions many of the struggles identified as opportunities to clarify assumptions; to discover the hidden potentials; and to build on the relationship through the ethical elements of care. These elements include attentiveness, responsibility, competence, and responsiveness. Learn more about the ethics of caring and medical education here.

For those interested in the rest of series, please see the links below to follow how the story evolves:

The Difficult Learner: Part 2 History Taking
The Difficult Learner: Part 3 Getting Advice
The Difficult Learner: Part 4 Making the Plan

I strongly encourage you to watch. If you’ve observed or experienced something similar, take notes as to what resonates and determine your communication strengths and areas for improvement.

Sincerely,

Jacqueline

Update! Bill Upward, our UBC Department of Family Practice Teaching & Learning Strategist, suggested a series of handouts that help supplement the videos showcased above. They include:

• The Laval Benchmarks Scale for Family Medicine, that can help both teachers and learners get a more objective sense of whether the learner is off-track and, if so, in what core competencies;
• The Lacasse Educational Diagnosis Wheel, that helps structure a conversation with a learner to reveal all the factors that may be influencing their difficulties such as Teaching Environment Issues or Teacher Issues; and,
• The Learning Plan Template and Sample, to help structure a plan that would be most likely to help everyone involved in the situation (learner, teacher, Site Director, etc) clarify the specific areas of concern and concrete strategies to support improvement and assessment of these goals and objectives.

Thanks Bill for the additional support and resources!

Uninvited Guests from Superflux on Vimeo.

Greetings!

Hope you are well! I often receive an array of resources and suggested readings from you that I love to share! And sometimes I come across a gem or two through your leads. I stumbled upon the video above when conducting research on speculative design. Speculative design poses questions such as “what if?” and encourages people to explore the future in new ways. Uninvited Guests provides a glimpse into what the future may look like as we impose, adopt, adapt, and reject “smart” devices designed to monitor and track our health. What are your thoughts after watching this?

More on speculative design? Read this: Speculative design: A design niche or a new tool for government innovation?

Here’s what you had to share:

Montreal museum partners with doctors to ‘prescribe’ art. (BBC News)

The Stethoscope (99% Invisible)

Why doctors hate their computers: Digitization promises to make medical care easier and more efficient. But are screens coming between doctors and patients? (The New Yorker)

Training the Next Generation of Doctors and Nurses (New York Times)

Essentialism: The disciplined pursuit of less by Greg McKeown

Conference: Virtual medicine: Best practices in medical virtual reality

Fixed & Growth Mindsets. Read more on Dr. Carol Dweck’s book.

Have a great Journal Club tonight!

Warm regards,

Jacqueline

In 2011, Dr. Atul Gawande published a piece in The New Yorker on the idea of utilizing a coach to improve upon his surgical technique. His 2017 TED talk above summarizes his evolving thoughts on the concept of coaching and how it might be leveraged in our culture of medicine.

To encourage those interested in seeking out colleagues and mentors for feedback, I’ve created a “Personal Learning Network” exercise that may help you in both identifying the goal and those individuals supportive of your development in that area.

Step I: First, define and articulate your goal. Design a goal that is measurable and challenging. Be willing to share and discuss this objective with others to elicit feedback and provide positive reinforcement. The FAST approach to goals is one tool to encourage self-organization in complex systems.

Step II: Identify the individuals that share similar values and will help you achieve your objectives by providing authentic, honest, and well-intentioned feedback. Ideally, this is someone who you will be receptive to and trust.

Step III: Design a plan of action to contact these individuals, share your goals, and schedule a time to connect.

References
Ankel & Sherbino. 2018. Adaptive Leadership for the New MedEd.
Atul Gawande. 2011. Personal Best: Top athletes and singers have coaches. Should you? The New Yorker.
Sull & Sull. 2017. With Goals, FAST Beats SMART. MIT Sloan Review.

Have any questions, ideas, or comments? Please feel free to email me at jacqueline.ashby@ubc.ca

Hello Residents!

The BCCFP is offering a unique funding opportunity to enable members to create or modify tools/resources that will help BC family physicians address the social determinants of health (SDH).

The one-time SDH Grants Program will award up to eight grants of up to $5,000 each to the successful applicants. It’s easy to apply, and applications are due on December 17, 2018.

To learn more, review the SDH Grants Application Guide.

This event is to acknowledge our hospital-based physicians and preceptors; however, if you are at the hospital please join us!

Warmly,

Jacqueline

The Centre for Health Education Scholarship (CHES) is offering funded fellowship opportunities for senior residents (R3-R5), residents in enhanced skills programs (PGY3 family medicine), or established clinicians interested in health education scholarship.

The two year fellowship is based at CHES and includes a master’s degree, completion of a research project, specialized academic half-days and teaching opportunities. An option for part time participation is available with the approval of the fellowship director.

If you’re interested in learning more and want to apply, click here.

Application Deadline – Friday December 14

Greetings!

Hope you are well! I recently returned from the International Conference on Residency Education (ICRE). This year it was held in Halifax, Nova Scotia! I had the opportunity to connect with Residents and Faculty across Canada to celebrate the work and research in residency education as well as tackle some of the challenges that we’re confronting. I’ve gathered a series of resources and have posted them below for you to peruse.

• Resident Doctors of Canada released the 2018 National Resident Survey in April. I encourage you to review the report’s findings. RDoC is also in the throes of creating an extensive toolkit offering strategies on topics including implementing technology, understanding allied healthcare roles, and the psychological safety in our learning and working environments.
• Fatigue Risk Management Toolkit for Residents, Leaders, and Policy Makers in Canadian Postgraduate Medical Education. Located in the Appendix and References, are a series of assessment tools including the Karolinska Sleep Questionnaire, a Fatigue List Checklist, and Epworth Sleepiness Scale.
• I attended an interesting session on the TGROW (Topic, Goal, Reality, Options, and Wrap-Up) model of coaching developed by Sir John Whitmore. You can learn more about this method in his book Coaching for Performance: Growing Human Potential and Purpose: The Principles and Practice of Coaching and Leadership.

Articles, Books, & Talks

• Adaptive Leadership for the New MedEd by Felix Ankel and Jonathan Sherbino
• Hadiza Bawa-Garba Case (2011)
• Informal Networks: The Company Behind the Chart by David Krackhardt and Jeffrey Hanson
• Interventions Designed to Improve the Learning Environment in the Health Professions: A Scoping Review by Gruppen, Irby, Durning, & Maggio
• Perfectly Broken & Ready to Heal TEDx Robin Youngson
• Platform: Get Noticed in a Busy World by Michael Hyatt
• The House of God (1978) by Samuel Shem, MD
• The Speed of Trust: The One Thing That Changes Everything by Stephen Covey (see summary)

I want to highly recommend attending ICRE 2020 as it will be held in Vancouver! Residents and Faculty may want to consider submitting abstracts to present.

Many of you have also shared resources with me over the past few weeks. Thank you for participating in the exchange!

Canada’s Digital Health Hub
Do Words Matter? Stigmatizing Language and the Transmission of Bias in the Medical Record.
Future Crunch
G18 General Practice Conference
Kids Brains Health
SFU’s Pain Studies Lab
The Virtues of Cold Blood: A Conversation with Paul Bloom

Warmly,

Jacqueline

The Rural Coordination Centre of BC is launching another round of applications for the Rural Global Health Partnership Initiative Grant.

The Rural Global Health Partnership Initiative (RGHPI) is a new program providing funding to support partnerships between rural BC physicians or medical trainees committed to rural service, and lower resource communities in BC, Canada, and in developing countries. The goals of this initiative are to enhance capacity for generalism in rural BC; to foster reciprocal learning in diverse health systems and community contexts; and to demonstrate how global health (local and international) community partnerships can heighten awareness, create innovative solutions to address healthcare challenges, and lead to improved health outcomes, especially for underserved, marginalized, and indigenous populations.

The next deadline is October 31, 2018.

Application details can be found here.

Eligible applicants

• BC physicians with experience practicing rural medicine, extensive connections to rural communities, and a demonstrated interest in global health.
• BC medical trainees (resident or medical student) with a demonstrated interest in rural medicine and global health.