University of Manitoba - Pediatrics - Winnipeg
Winnipeg Children's Hospital offers very diverse clinical exposure with a vast catchment area including all of Manitoba, Eastern Saskatchewan, the Kivalliq Region of Nunavut and Northwestern Ontario. Residents have opportunities to work with patients from a variety of ethnic populations and receive significant clinical exposure to urban, rural, immigrant, refugee, Aboriginal and Inuit pediatric health. Residents can expect to see a wide variety of patients with unusual pathology.
Residents are provided experiences in rural and northern pediatrics through rotations in Brandon and Thompson, Manitoba. In addition, residents are provided opportunities to accompany pediatricians who travel to remote communities within northern Manitoba and Nunavut through Ongomiizwin – Health Services.
Wards (aside from Oncology) are designated as general pediatrics with subspecialty consultants. This provides continuous exposure to patients from every subspecialty, all of which are represented at our university.
Third-year residents are required to develop and participate in a collaborative health advocacy project with a local, national, or international perspective. This project has received accolades from the Royal College as a Top 5 What Works in residency education. Previous projects have included successful lobbying for restricting tanning salons to minors, booster seat legislation, and promoting literacy and bicycle helmets.
Residents participate monthly in Ice Cream Rounds that focus on discussing and processing difficult situations that have been encountered during residency as well as learning to adapt to adversity and improving resiliency. These rounds are resident led with mentorship from faculty trained and experienced in physician wellness. These rounds are protected educational time.
Incoming residents are matched with three mentors, including a resident mentor, a faculty mentor and a research mentor. These mentors are actively involved through the residency years.
The program design fulfills the Specialty Training Requirements in Pediatrics from the Royal College of Physicians and Surgeons of Canada (RCPSC). Effective July 2021 our program will deliver a Competence By Design (CBD) curriculum to residents at all stages of training. Trainees beginning in July 2021 or later will have mandatory core training experiences spread throughout all stages of the CBD curriculum. We expect that all residents beginning in July 2021 or later will require 4-years of training to complete our program. The program is committed to providing excellent educational opportunities spanning all seven CanMEDS compentencies. With an early transition-to-senior process, more time is available for teaching and supervisory experiences. A close collaboration with faculty is fostered and encouraged.
Our residents will develop the academic skills, clinical skills and knowledge required to excel as general pediatricians who are capable of managing medically and socially complex children and adolescents. They will utilize their medical expertise within a model of patient-centered care and become proficient with shared decision making in medically and socially complex situations. They will develop a comprehensive understanding of the social determinants of health and wellness though exposure to urban, rural, immigrant, refugee, Aboriginal and Inuit populations. They will become effective advocates for their patients, community and profession.
With few subspecialty trainees at our site, residents receive plenty of hands-on exposure with consultations and development of procedural skills. In addition, a 2-week procedural skills rotation is scheduled early in the first year of residency. Residents are confident and ready to transition to senior by the end of first year. Transitioning to the senior role occurs near the end of the first year, with a Transition-To-Senior Workshop and buddied CTU Senior and Night Float rotations. We have a senior skills rotation for residents looking to develop advanced procedural skills training.
Residents are allowed one outside elective per core residency year and three outside electives during the fourth year. Outside electives may be arranged at other universities within Canada, or may be international in nature.
What academic activities are offered in your program?
There are 6 hours of protected time per week. This includes academic half day, morning report, grand rounds and resident led teaching.
- The program has an academic teaching curriculum which provides a standardized curriculum over a three-year period. This curriculum is aimed at meeting the Royal College objectives of training in all CanMEDS competencies, with complementary teaching provided at other protected times as well.
- A protected Academic Skills rotation occurs simultaneously for all first-year residents. This rotation provides dedicated time for acquisition of research and teaching skills and consists of a variety of session types, including small-group discussions, role-playing and didactic sessions. This rotation also provides interaction with a variety of faculty members and gives residents the opportunity to be introduced to faculty with shared academic and research interests.
- Dedicated senior-level teaching occurs weekly at Morning Report through a case-based discussion led by a faculty preceptor. This is protected academic time.
How are residents evaluated?
Residents meet with the program director every six months and as needed to monitor progress. On-line evaluations are done by each rotation supervisor and are reviewed with residents during these meetings, as well as an ongoing procedure log. Residents participate in two mock OSCEs each year as well as twice-yearly STACERs (observed history and physical). Written in-training exams (American and Canadian) occur three times each year. With the advent of the national Royal College competency-based medical education curriculum in the next few years, pediatric residents entering residency in 2020 will have opportunities as a senior resident to evaluate more junior learners and thereby actively participate in the medical education process.
What social activities are part of the resident schedule?
Our wonderful group of residents are known to be friendly, hard-working and extremely supportive of one another. They also have a reputation for having fun! Official activities include twice-yearly retreats (including a weekend retreat away from the city), a December holiday dinner organized by the residents for the Department of Pediatrics, and an end-of-year dinner sponsored by the Manitoba Pediatric Society. In addition, residents enjoy socializing at monthly journal clubs and research activities.