University of British Columbia - Family Medicine - Indigenous - Mainland Vancouver
This residency program is for 2 years.
Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard.
This site provides opportunities to develop special expertise in Indigenous health for both Indigenous and non-Indigenous physicians. Please note that this site also includes residents based at Indigenous — Vancouver Island. Information regarding Indigenous — Vancouver Island can be found under a separate CaRMS description.
Our program is relationship-based and engaged with Indigenous communities. We work in collaboration with a number of Indigenous communities and their health care teams to provide educational experiences whereby residents are connected within an Indigenous community for the duration of their training. Over the course of their training residents develop relationships with specific Indigenous individuals, families and their community and see these same clients and their extended family networks in a variety of care settings (ie. primary care clinic, in-hospital etc.). The residents are welcomed and encouraged to participate in community activities and gatherings in order to help them develop trust with the community they are serving. Our program focuses on supporting residents to engage with communities in a respectful way in order to learn about health and healing with and from Indigenous peoples.
In order to enhance the amount of time spent in Indigenous communities, our site has adopted a distributed model. We have residents placed across BC, including Vancouver’s Downtown Eastside in the Indigenous — Mainland Vancouver site located on located on unceded x ʷməθkwəy̓əm (Musqueam), Skwx̱wú7mesh (Squamish), and Səlílwəta/Selilwitulh (Tsleil-Waututh) territories. The primary clinical sites for our Indigenous — Mainland Vancouver residents are Vancouver Native Health Society, Sheway, Lu’Ma and starting in 2019, the Urban Indigenous Health and Healing Cooperative (UIHHC). All of our residents also gain experience in remote Indigenous health which is unique to our site. Our primary clinics incorporate longitudinal curriculums that maximize residents’ continuity of care. All sites offer educational experiences to meet accreditation standards.
Academic Days and Research
Due to our small size (ie. 2-4 residents per geographic site), our sites collaborate with other UBC Family Practice sites to deliver academic curricula. Indigenous — Mainland Vancouver site residents participate in the St. Paul’s site academic curriculum (MAC), usually a half day per week. This includes academic teaching which is a mix of clinical case discussions and core topics. Residents are also expected to do presentations. Throughout the program, we stress Evidence-Based Medicine in both academic and clinical areas.
In the first year, residents are required to complete a quality improvement project. Throughout the two years, residents must complete a scholar project and present their work at Scholarship Day.
Indigenous Educational Experiences
In addition to the variety of experiences residents have within their home base community, the full complement of Indigenous site residents meets quarterly for Indigenous academic days. These gatherings occur face to face in our Indigenous home base communities to learn from Elders and participate in local activities. The purpose of these gatherings is to honor and celebrate Indigenous approaches to health and healing. Indigenous academic days also offer an opportunity to reconnect and share stories about the successes and challenges in working in the area of Indigenous health and also to consolidate teachings about cultural safety.
Residents can do one month of interprovincial or international electives during their training.
Third year training positions are available in the area of Emergency Medicine, Care of The Elderly, Anesthesia, Palliative Medicine, Sports and Exercise Medicine, Clinician Scholars program and a wide range of other category 2 Enhanced Skills programs.