PROGRAM PROFILE

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University of British Columbia - Obstetrics and Gynecology - Vancouver

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CONTACT INFORMATION

Program Director

Dr. Hanna Ezzat

CONTACT

Program Administrator

Mr. Scott Lewis

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HIGHLIGHTS

The program provides an excellent environment to train highly skilled obstetricians and gynaecologists while fostering residents who have an interest in subspecialty training.


Our faculty and residents are the highlights of the program. All department members are committed to a resident focused environment with strong, supportive teaching and learning opportunities.


The level of obstetrics training each resident receives in unique to our program. Our laparoscopic training and diversity of patients and cases are excellent.


We have a tremendous amount of support for resident research that includes a dedicated faculty Research Advisory Group.


Simulation training has become an integral part of our residency training with multiple Obstetric Simulation Sessions, Pig Labs, Cadaver Labs, Bootcamp (Transition to Foundations) and a Hysteroscopy Course.


The Residency Program has developed a strength in international health advocacy work with both faculty and residents committed to this endeavour.


Residents are provided tools to become outstanding clinical teachers. This commitment parallels the department's vision of improving women's health and providing the best training experience in Canada.


Vancouver is a wonderful place to live with many opportunities to enjoy the outdoors and the thriving arts culture.


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GENERAL INFORMATION

The program offers a wide variety of clinical material in all areas of the specialty along with a strong research base.


Conference funding is available to residents in all years. Attendance at conferences and participation in research projects are strongly encouraged and supported.


Residents participate in the Surgical Foundations program to acquire fundamental and advanced surgical skills training at an earlier stage in their training.


Courses such as the Fetal Health Surveillance, ALARM, ACLS, FCCS, ATLS and NRP are all offered by the program.


We have a dedicated Research Advisory Group and mentors to provide residents with assistance in their research projects.



Competence By Design (CBD)

The Royal College of Physicians and Surgeons of Canada has embarked upon an initiative to introduce competency based medical education (CBME) in Canadian postgraduate specialty training and in professional practice in Canada. This initiative called Competence by Design (CBD), aims to enhance patient care by aligning medical education and lifelong learning with evolving patient needs and empowering learners to more fully engage in their education process. As of July 1, 2019, Obstetrics and Gynaecology residency programs began CBD training.


CBD uses time as a framework rather than the basis for progression. It is not anticipated that the duration of training will change for the majority of trainees. Residency programs will be broken down into stages, and each stage will have a series of milestones based on required competencies. These milestone will create more targeted learning outcomes and involve more frequent, formative assessments within the clinical workplace, to ensure residents are developing and receiving feedback on the skills they need.


Programs implementing CBD will continue to undergo the same accreditation processes as traditional programs. All CBD programs (and traditional programs) will continue to lead to Royal College approved certification. Certification for trainees includes the completion of the Royal College Examination; however, residents in CBD programs will also be assessed against program milestones throughout their training. Within a CBD program, all milestones (documented within an electronic portfolio) and the Royal College Examination, must be successfully completed to achieve certification.


For more information, please refer to this website.



Curriculum by Stage of Training:

Transition to Discipline


The first 9 blocks of residency training offers broad-based clinical training in all basic disciplines that is similar to a rotating internship.


These blocks are completed at the Royal Columbian Hospital (New Westminster) and St. Paul 's Hospital (Vancouver). Residents will have a site match in April prior to the start of residency to determine their training site.


Residents participate in the Surgical Foundations program which consists of weekly academic seminars throughout the entire year and a 4 week CRASH Course in Block 4.


  • General Obstetrics

  • General Gynaecology

  • General Surgery

  • CRASH Course (Surgical Foundations)

  • ICU

  • Emergency Medicine

  • CTU

  • NICU/Ultrasound

  • Bootcamp (prepare for Transition to Foundations; introduction to Research included)



Foundations

This stage of training is comprised of General Obstetrics and Gynaecology and Family Planning rotations at five difference locations in Vancouver and the Lower Mainland:


  • BC Women's Hospital (Obstetrics)

  • Vancouver General Hospital (Gynaecology)

  • Royal Columbian Hospital (Obstetrics and Gynaecology)

  • St. Paul's Hospital (Obstetrics and Gynaecology)

  • Surrey Memorial Hospital (Obstetrics and Gynaecology)

  • Family Planning

  • Research



Core

This stage of training consists of subspecialty training as follows:


  • Maternal Fetal Medicine & Ultrasound

  • Reproductive Endocrinology and Infertility including Pediatric Gynaecology

  • Vulvovaginal Health/Sexual Medicine

  • Reproductive Infectious Diseases

  • Gynaecologic Oncology

  • Urogynaecology

  • Community Obstetrics and Gynaecology (Kamloops, Kelowna, Prince George, Victoria or Nanaimo)*

  • Minimally Invasive Surgery/Chronic Pelvic Pain

  • Surgical Selective/Elective

  • Research


* Accommodations are provided at no charge for residents during their Community rotation. Funding is available for round-trip visits back to Vancouver every 4 weeks and for mandatory program events. Weekly academic seminar are videoconferenced to each site so the resident remains connect with the other residents. The Community site is assigned prior to the start of the stage of training and residents must attend that assigned site.



Transition to Practice

This stage of training consists of Chief resident rotations at BC Women's, Vancouver General, St. Paul's and/or Surrey Memorial Hospitals.



Research

Resident involvement in research is a mandatory requirement of the program. Each resident must complete one research project to manuscript form and present their research at least twice by the end of their residency training. A minimum of one presentation must occur at the annual department Academic Day.


Residents receive dedicated research rotations, as well as training in research design. Residents are encouraged to present their projects at local, national and international meetings and conferences.


A dedicated Research Advisory Group provides assistance and mentorship to the residents throughout their residency.


FAQ

What subspecialty fellowships and advanced training programs are there at UBC?

There are fellowships offered in Maternal Fetal Medicine, Reproductive Endocrinology & Infertility and Gynaecologic Oncology.


UBC Advanced Training Programs are available for Female Pelvic Medicine & Reconstructive Surgery, Family Planning, Infectious Diseases and Endometriosis, Pelvic Pain & Advanced Laparoscopic Surgery.



What are the recent changes to the program?

We have a new Program Director, Dr. Hanna Ezzat. Dr. Ezzat graduated from the UBC residency program and brings first-hand insight in her role.


We are in the second year of CBD (Competence By Design) competency based medical education training. Rotations continue to evolve with additional training in Ultrasound in the first year and increase of general obstetric and gynaecology training. Residents are assigned Academic Advisors to help review their progress and coach the residents through the stages of training. Competence Committee reviews each resident biannually and provides update reports to the residents.


QUINTS mentorship groups have been established where residents in all 5 years of training are paired with a faculty mentor and provides an opportunity for OBGYN residents to create relationships between the training year with near-peer mentorship, as well as mentorship with a staff physician to help residents' personal and professional development.


Dr. Roxana Geoffrion is our new Resident Research Chair and has implemented a Resident Research Fair, staged research project reports and mentorship to help aid the residents with their research projects. A Research Research Database has been created to house a list of projects available to the residents.


Simulation training has increased with the introduction of Sphincter Labs, Hysteroscopy Course, Cadaver Labs, Bootcamp (Transition to Foundations) and Pig Labs.


Kelowna is our newest Community rotation site to give residents additional opportunities to hone their gynaecology surgical skills.


Laparoscopic box trainers are housed in each of our local and Community hospital centres for residents to use.


Academic seminars are completely virtual and structured by topic blocks and the format has been modified to a combination of didactic lecture, case based discussion and review. Transition to Discipline residents participate in academic seminars or program event for the last 4 months of the academic year once finished Transition to Discipline.


First and second year residents participate in the UBC Surgical Foundations program to enhance their surgical skills knowledge early in their training. Residents attend weekly seminars and a dedicated CRASH Course rotation.



What makes UBC unique?

You will find a wide variety of clinical material, teaching and faculty support, the diversity of patients from the DTES (Downtown East-Side) at St. Paul's Hospital, the obstetrics experienced at BC Women's Hospital (> 7500 deliveries per year), provincial training at distributed rural community sites, excellent training in advanced laparoscopic gynaecology procedures, dedicated rotations for Family Planning (Terminations and Contraceptive Counselling) centered in an inter-professional maternity unit, dedicated research support staff, support for international experiences/electives, funding support for conferences and research endeavours, a collegial atmosphere amoungst residents and strong resident input into the Residency Program Committee (RPC) and Business Meetings. Funding to attend conferences and research projects are at some of the highest levels of any program in Canada.



What are the locations for the 3 block Community rotation? It is mandatory to attend a rural community location and how it is funded?

The Community rotation block occurs in the 4th year of training in Nanaimo, Prince George, Kelowna, Victoria or Kamloops. This rotation is mandatory and residents are expected to complete their rotation in one of those training locations. Accommodations are provided and funding is available for travel every 4 weeks back to Vancouver and for mandatory program events. Academic seminars are video broadcast to Community hospital sites so residents can interact and participate in the seminars along with their colleagues.