DFCM Annual Report 2017-2018

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EDUCATION: POSTGRADUATE RESIDENCY PROGRAM Supporting Family Medicine Residents through Progress Testing A family doctor practicing in a rural area receives a patient with significant medical complications. Does the family physician send the patient to a distant hospital? Does the physician call and wake the lab technician? Should the patient be sent home? This is just one of the scenarios outlined in the Family Medicine Mandatory Assessment of Progress (FM- MAP) tests for residents. “While progress testing has been used in other areas and in undergraduate medical training, this test is the first of its kind for family medicine in Canada, and to date, it remains the only one,” says Dr. Fok-Han Leung, Associate Professor at the Department of Family and Community Medicine. Also referred to as ‘progress testing,’ FM-MAP is an assessment test given to residents to follow their development at different stages of training using practice-level questions. It tests them as if they were practicing physicians, requiring a much higher level of knowledge integration. For instance ‘If you were a family physician working in a rural area and a patient came in with a critical issue, do you put them in a helicopter, send them to a distant hospital or do you send them home?’ To answer the question, residents are required to think about what resources are available and how much they can take on safely with the actual diagnosis to answer the question. The FM-MAP helps residents gauge their progress through comparison with their peers. With testing twice a year—four times over the course of training— trainees can monitor growth and gain information to help with ‘in-course’ corrections. Through the progress testing results, residents can assess their strengths, weaknesses and where they can benefit from additional study or experiences to improve. Dr. Leung, who spearheaded the program in 2009 with Dr. Karl Iglar, the previous Program Director of the Postgraduate program, says that the idea of progress testing initially faced some resistance. “Residents were worried about the intended purpose of the test and if it would be truly formative. But now, residents see the value of monitoring progress. They are asking for more! The department has invested a lot of resources and physician hours into the FM-MAP and residents appreciate the value that it brings to their education.” There is a limit to the number of cases that can be developed during a given period. Although progress testing has gone electronic, it is still labour intensive. Cases require physician development and writing time. Dr. Leung and multiple physicians spend over 100 hours each test to create cases. Test results are very helpful for residents. “We are aware that in medical training, one of the most challenging areas is knowing what you don’t know,” says Dr. Leung. “The FM-MAP gives trainees and teachers a hint of insight in this area and allows them to better focus during their residency.” By investing in progress testing, the postgraduate program keeps residents at the forefront of traineecentred education. 26
Some of our 2018 New and Graduating Residents Markham Stouffville Hospital North York General Hospital Royal Victoria Regional Health Centre The Scarborough Hospital St. Michael’s Hospital Sunnybrook Health Sciences Centre Trillium Health Partners Women’s College Hospital Southlake Regional Health Centre Department of Family & Community Medicine | Annual Report 2017–2018 27
Page 1 and 2: Department of Family & Community Me
Page 3 and 4: Vision, Mission, and Values The Dep
Page 5 and 6: At the undergraduate level, thanks
Page 7 and 8: $13,794,039 IN RESEARCH GRANT FUNDI
Page 9 and 10: Our Postgraduate Education Program,
Page 11 and 12: has been tireless in her advocacy e
Page 13 and 14: wellness that have made positive ch
Page 15 and 16: Dr. Mira Backo-Shannon Trillium Hea
Page 17 and 18: The western branch of the Institute
Page 19 and 20: RESEARCH AND ADVOCACY Study Finds t
Page 21 and 22: UNIVERSITY OF TORONTO PRACTICE-BASE
Page 23 and 24: Faculty Members Ensure Medical Stud
Page 25 and 26: An Inside Look at the Redesigned Gl
Page 27: DFCM Residency Program aims to beco
Page 31 and 32: EDUCATION: ACADEMIC FELLOWSHIP AND
Page 33 and 34: EDUCATION: OFFICE OF EDUCATION SCHO
Page 35 and 36: complications or surgical errors, f
Page 37 and 38: GLOBAL HEALTH AND SOCIAL ACCOUNTABI
Page 39 and 40: “While I knew the health/educatio
Page 41 and 42: Dr. Aisha Lofters Dr. Aisha Lofters
Page 43 and 44: DIVISION OF EMERGENCY MEDICINE Mult
Page 45 and 46: PHYSICIAN ASSISTANT PROFESSIONAL DE
Page 47 and 48: Awards and Recognition DFCM AWARDS
Page 49 and 50: PGY1 Impact Award How do we Keep Pa
Page 51 and 52: UNIVERSITY OF TORONTO AWARDS Wilfre
Page 53 and 54: Junior and Senior Promotions 2018 F
Page 55 and 56: Dr. Ginah Kim Baycrest Health Scien
Page 57 and 58: Bello, A. K., Ronksley, P. E., Tang
Page 59 and 60: Di Ciano, P., Mc Cormick, P., Stefa
Page 61 and 62: Aliarzadeh, B., ... & Sullivan, F.
Page 63 and 64: Naleway, A.L., Ball, S., Kwong, J.C
Page 65 and 66: Skeldon, S. C., Cheng, L., Morgan,
Page 67 and 68: Wein, T., Lindsay, M. P., Côté, R
Page 69 and 70: Dr. Niren Shetty Palliative Care -A
Page 71 and 72: Faculty FMLE = Family Medicine Long
Page 73 and 74: Dr. Carrie Bernard Sinai Health Sys
Page 75 and 76: Dr. Justin Chopra Trillium Health P
Page 77 and 78: Dr. Sarah Faria Office-Based Physic
Page 79 and 80:
Dr. Laura Harild Trillium Health Pa
Page 81 and 82:
Dr. Vimal Scott Kapoor Markham Stou
Page 83 and 84:
Dr. Paul Leger Southlake Regional H
Page 85 and 86:
Dr. Mehvish Mehrani St. Michael’s
Page 87 and 88:
Dr. Mark Pellow Women’s College H
Page 89 and 90:
Dr. Seyon Sathiaseelan Markham Stou
Page 91 and 92:
Dr. Kasia Stefanski Michael Garron
Page 93 and 94:
Dr. Cheng Tao Wang St. Michael’s
Page 96:
Department of Family & Community Me
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DFCM Annual Report 2017-2018

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