Psychiatry Residency Training

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Psychiatry Residency Training in Thunder
Bay
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Objectives

• To review the past 20 years of Psychiatry
  Residency training in Thunder Bay
• To plan for future training

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Where is the training?
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A look at the region

• Largest urban centre - Thunder Bay
• Populations from 1,000 109,000
• Specialists concentrated in Thunder Bay

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• Accessible to outdoor recreational opportunities
• 4000 acres green space within city limits
• Lakes and Wilderness to suit every interest
• 2200 hours of sunshine annually
• And seasons We have four of them!

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Affiliated Teaching Sites

• Thunder Bay Regional Health Sciences Centre Acute
  Care Regional Referral
• St. Josephs Care Group
• - Lakehead Psychiatric Hospital Regional Mental
  Health Centre
• - St. Josephs Hospital where construction of
  new 38 bed wing for people with mental illness
  will begin in 2007/08

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Thunder Bay Regional Health Sciences Centre
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Lakehead Psychiatric Hospital(now part of SJCG)
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A look at the region

• Largest urban centre - Thunder Bay
• Populations from 1,000 109,000
• Specialists concentrated in Thunder Bay

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A look at the region

• Largest urban centre - Thunder Bay
• Populations from 1,000 109,000
• Specialists concentrated in Thunder Bay

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About Us..

• Commitment to High Quality Teaching
• Adherence to teaching standards of national
  certification bodies ie CanMeds
• A comprehensive evaluation process
• Acquired McMaster University faculty appointments
• Preceptor participation in faculty development
• Demonstrated teaching awards
• Access to a broad array of electronic and on-site
  learning resources

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Learning Resources Available

• Tele-learning including Web based curriculum,
  videoconference rounds and academic half-day
  sessions, Continuing Medical Education and
  Clinical Consultations across Canada and beyond
• Innovative learning approaches that foster
  self-assessment and skill development

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Our Partners

• University of Western Ontario
• NOMP/Health Sciences North
• University of Toronto
• McMaster University
• University of Ottawa

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University of Western Ontario

• 8 Psychiatrists were faculty of the Extended
  Campus Program in the mid 1990s and we met
  regularly with colleagues from across the
  province-our salary flowed through ECP and we had
  UWO benefits
• I attended monthly Post Grad meetings to bring
  the perspective of the north and to encourage
  training

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Health Sciences North

• A collaborative training program between McMaster
  University and Health Sciences North (HSN)
• 30 years of coordinating learning experiences for
  residents and undergraduate medical students

University of Western Ontario
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Information about HSN

• Community-Based Clinical Teachers
• Total of 347 physicians practicing in the region
• 2/3 (275/347) of them are preceptors in HSN
• 1/3 teaches 1 month/year
• 1/3 teaches up to 3 months/year
• 1/3 teaches more than 3 months/year
• ½ have earned academic appointments at the
  Academic Centres

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Learning Resources Available

• Health Sciences North Library and access to the
  Northern Ontario School of Medicine Library
• Full time Librarian
• Health Sciences is wireless
• Computer lab
• Remote access to state of the art biomedical
  databases including over 10,000 electronic books,
  journals and other resources

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University of Toronto

• Accredited rotations in 2003 for core training in
  
• Chronic Care
• Acute InPatients and Out Patients 1yr
• CL

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Re-entry through UofT

• Allowed 2 thunder Bay Family Physicians working
  at the LPH to re-enter Psychiatry Residency
  training and complete 2 years in Thunder Bay with
  virtual rounds and psychotherapy support and
  complete their
• residencies at University of Toronto

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NOSM -McMaster

• With the advent of NOSM we needed to prepare for
  our own residency programs
• a partnership with McMaster, joint programs were
  established in several specialties inaddition to
  the FMN that had previously existed

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Hamilton Ontario, McMaster University
Thunder Bay Ontario, Health Sciences North
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Why Community Psychiatry?

• Gain perspective on the skills necessary for a
  successful community practice
• Understanding of the unique geographical,
  cultural and socioeconomic factors and the skills
  required due to relative isolation from tertiary
  care centres (i.e. skills in First Nations
  issues, solvent abuse)

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Highlights of the Program

• A community hospital, a specialized psychiatric
  hospital, community based clinics, and a large
  urban teaching centre
• Curriculum that will prepare the learner for a
  successful career in Psychiatry
• One on one learning while working with preceptors
  in Northwestern Ontario
• Adventurous learning experience where spectacular
  scenery combined with many recreational
  opportunities will give balance to resident
  responsibilities

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Where was the training?
Learning Site McMaster University and affiliated teaching hospitals Health Sciences North and affiliated regional clinical learning sites Thunder Bay
PGY-1 Basic Clinical Training (BCT) 4 months Mandatory Internal Medicine (2 months) , Neurology (1month) Paed Neuro or Neurosurgery (1month) Basic Clinical Training (BCT) 8 months (4 2 month) each Selective Psychiatry, Family Medicine, Obstetrics and Gynaecology, Emergency Medicine, Paediatrics, Internal Medicine e.g. Geriatrics, Neurology, Endocrinology, Immunology
PGY-2 Chronic Care In-Patient Psychiatry 6 months General Adult In-Patient Psychiatry 6 months
PGY-3 Hamilton 6 Months General Adult Out-Patient Psychiatry 6 months
PGY-4 PGY-5 Consultation Liaison and Geriatric Psychiatry (3 months each) and Child Psychiatry ( 6 months) Up to 18 months is available for electives, which may be taken in the PGY 3 to 5 Years. Training involves working in a variety of locations, stressing the psychiatrists role as a consultant who shares care with the Family Physicians and other mental health workers. Consultation Liaison and Geriatric Psychiatry (3 months each) and Child Psychiatry ( 6 months) Up to 18 months is available for electives, which may be taken in the PGY 3 to 5 Years. Training involves working in a variety of locations, stressing the psychiatrists role as a consultant who shares care with the Family Physicians and other mental health workers.
It is expected that the Community Psychiatry
program will evolve over time and respond to the
learning needs of residents. Some of the
rotations may vary within and across postgraduate
years and the locations may vary.
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Unique Learning Opportunities

• First Nations Issues
• Solvent Abuse
• Concurrent Disorders Program
• Assertive Community Treatment (ACT) Teams

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Teaching Resources

• 19 Psychiatrists in Northwestern Ontario(1 rural
  and 18 in the City of Thunder Bay)
• History of providing accredited core training in
  Adult General In Out Patient Psychiatry
• Chronic Care and Consultation Liaison
• Selective and elective training in Child
  Adolescent, Forensics, Assertive Community
  Treatment and Concurrent Disorders

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Teaching Resources
Psychiatry Specialties

• Forensics
• Child Adolescent
• Psychiatry
• Assertive Community Treatment
• Geriatrics
• Concurrent Disorders
• Chronic Care/Rehabilitation

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Education and Training

• Access to Academic Sessions Rounds
• All HSN sites have videoconferencing links via a
  videoconference network
• Residents will be able to participate in grand
  rounds and teaching sessions with McMaster peers
• Residents will be participants in HSNs Regional
  Rounds through Thunder Bay Regional Health
  Sciences Centre and can participate in other
  local teaching sessions, rounds and CME
  activities

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Pan Northern Residency

• With the goal of achieving a stand alone
  Psychiatry Residency Program the NE site
  (affiliated with UofO) and NW site merged
• Pan northern training established and I became a
  Site Director of a program affiliated with UofO

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University of Ottawa

• We have interviewed in Ottawa for residents but
  have not always filled positions
• We are now looking to get accreditation as a
  stand alone program but look to the ongoing
  support of past and future partners!

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Contact Information
For General Information about Psychiatry
ResidencyTraining
Dr. Suzanne Allain Interim Regional Program
Director [phone] Ext. 4278 allains_at_tblph.ca