Postgraduate Medical Education Information Booklet 2012-2013

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University of Toronto Faculty of Medicine PGME 2012-2013 completed before a resident will be released to pursue his/her subspecialty training program. Completion of training includes not only meeting all specialty training requirements of the RCPSC, but also all of the program’s required rotations and items such as in-training examinations, research and/or quality improvement projects, case logs, portfolios and other assessments. Each program is expected to establish the criteria by which they will allow waivers. Such criteria should be made available to residents, preferably on the program’s portal or website. To reconcile the need for residents who must make up leave time and the annual exam schedule, the RCPSC allows residents to write the Spring exam and complete their residency training requirements by December 31 of that year, or February 28 th for the Fall exams. 6. REPORTING: The Postgraduate Medical Education Office will notify the College of Physicians and Surgeons of Ontario (CPSO) of all interruptions in training greater than one week, as reported by the Program Director. Residents must be aware of their professional obligations to report leaves to the CPSO when applying for or renewing licenses. Failure to disclose leaves from the training program may result in delays in license renewal as a result of investigation and/or disciplinary action. See Employment Standards Act, 2000. Section XIV refers to unpaid leaves of absence entitlement at http://www.elaws.gov.on.ca/html/statutes/english/elaws_statutes_00e41_e.htm#BK68 . Also, see Canadian Labour Code, Section 200, reference to 3 consecutive days of paid bereavement leave for federal employees http://laws.justice.gc.ca/en/L-2/ 2 From the Council of Ontario Faculties of Medicine (COFM) document, Leaves from Ontario Postgraduate Residency Programs, May 2007. See section on Compassionate Leave. 3 RCPSC Policy and Procedures for Certification and Fellowship, October 2008. See Section 4.2.1. PGMEAC, HUEC Approved: April 2009 91
University of Toronto Faculty of Medicine PGME 2012-2013 Professional Responsibilities in Postgraduate Medical Education INTRODUCTION The delivery of postgraduate medical education in Ontario has significantly evolved over time. Today training occurs in a variety of environments – teaching sites are not limited to traditional teaching hospitals, but also extend to community settings, such as physicians’ private practices. Also, training relies on a team-based approach to care, involving the provision of comprehensive health services to patients by multiple health-care professionals. There are no longer exclusive domains of practice; rather, care is delivered through multidisciplinary teams. This collaborative, team based approach promotes optimal health care for patients. In order to ensure both an appropriate educational experience for trainees and a safe and effective delivery of health care to patients, it is essential that supervisors and trainees in the postgraduate environment are aware of the responsibilities and expectations that their roles entail. Trainees need to be given opportunities to observe and actively participate in clinical interactions in order to acquire the knowledge, skills, and judgment required for future practice. This occurs through a process of graduated responsibility, whereby trainees are expected to take on increased responsibility as they acquire greater competence. For this to occur safely, supervisors must be capable of assessing the competencies of the trainees they are supervising on an ongoing basis. Trainees cultivate attitudes about professionalism through observing the attitudes and behaviors displayed by their supervisors. Positive rolemodeling is therefore of the utmost importance and supervisors are expected not only to demonstrate a model of compassionate and ethical care, but also to interact with colleagues, patients, trainees, and other support staff in a professional manner. An understanding of the responsibilities and expectations placed on supervisors and trainees is essential for ensuring patient safety in this complex environment. Thus, while this policy focuses on professional responsibilities in the postgraduate environment, supervisors and trainees are expected to be familiar with other applicable CPSO policies as well; these include, but are not limited to Delegation of Controlled Acts, Mandatory Reporting, Consent to Medical Treatment, Disclosure of Harm, Medical Records, and Physician Behavior in the Professional Environment. 92
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2012 New Resident Reception June 27
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