PGME WINTER 2020

POSTGRADUATE MEDICAL EDUCATION, MAX RADY COLLEGE OF MEDICINE

G R E E T I N G S F R O M P G M E CLIFF YAFFE

Welcome to the Winter Edition of the PGME Newsletter. Although we were “blown

away” by an early snowstorm, weatherwise, it has been relatively calm as winter

slowly settles in. In the PGME Office, things are beginning to heat up as we embark

on the “Countdown to Accreditation”. There will be accreditation boot camps,

Steering Committee meetings and sessions designed to familiarize all stakeholders

with the new accreditation standards and the processes involved in enabling our

Residency Programs and educational sites to be prepared for the Accreditation visit

in November 2021.

The PGME Resident Retreat held on November 12, 2019 was an overwhelming

success. The retreat allowed us all to reflect on the importance of wellness for

learners and faculty in order to allow us to do the work required to care for

patients and to acquire the competences necessary to reach our educational goals.

Many thanks to the members of the Resident Retreat Planning Committee for their

excellent work.

In the Winter Edition you will find information on competency-based medical

education, upcoming PGME award deadlines, PaALS Retreat information and the

transition from VENTIS (“fade to black”) to the Entrada curriculum management

system.

Congratulations to Dr. Kurt Skakum, recipient of the Royal College of Physicians and

Surgeons of Canada Competence by Design Innovator award.

I would like to thank Dr. Bruce Martin for his dedication, commitment and hard

work in his important role as Program Director of the Family Medicine Residency

Program. Dr. Martin will be stepping away from that role to devote more time to

his other many roles in the Max Rady College of Medicine and as a well-respected

clinician in Family Medicine and Palliative Care. We wish Dr. Martin well.

I would like to thank Dr. Tamara Buchel for her excellent work as Chair of the PGME

ARETS Committee and welcome her back as Program Director of the Family

Medicine Residency program.

All the best to everyone for the Holiday Season!

ACCREDITATION

The PGME office prepares for in-depth review of policies and procedures

Effective, July 1, 2018, CanRAC has implemented a national set of standards for the evaluation and accreditation of institutions with residency programs. The standards include requirements applicable to faculties of medicine, postgraduate offices, and learning sites, and have been written in alignment with a standards organization framework, which aims to provide clarity of expectations, while maintaining flexibility for innovation.

The new Standards include:

STANDARD 1: There is effective leadership for residency education. STANDARD 2: Residency programs are collaboratively overseen and supported by the postgraduate dean and postgraduate education committee. STANDARD 3: All learning sites contribute to resident learning and the achievement of accreditation standards for residency education. STANDARD 4: Safety and wellness are promoted throughout the learning environment. STANDARD 5: Residents are treated fairly and supported adequately throughout their progression through their residency program. STANDARD 6: Teachers are valued and supported in the delivery of residency programs. STANDARD 7: Administrative personnel are valued and supported in the delivery of residency programs. STANDARD 8: There is continuous improvement of the postgraduate structure and governance, and of residency programs. STANDARD 9: There is continuous improvement of the learning sites to improve the educational experience, ensuring the learning environment is appropriate, safe, and conducive to preparing residents for independent practice.

To prepare for this review, important stakeholders who support residency education, including employers, govern-ment, hospitals and health care leaders are having the first PGME Accreditation Steering Committee on December 13, 2019. The committee will oversee the Royal College of Physicians and Surgeons and College of Family Physicians of Canada accreditation process ensuring timely completion of documentation, education and communication about the process to all stakeholders and appropriate action on areas of non-compliance.

The Postgraduate Office has identified the following initiates as priorities to implement within the Rady Faculty of Health Science.

Oversee the implementation of Continuous Improvement (CI) and ongoing continuous review of the Post-graduate program

Making certain all programs comply with the CanERA Accreditation Standards

Consider implementation of Exemplary Indicators

Make recommendations regarding promotion and dissemination with respect to the onsite accreditation visit

Wishing you all a Happy Holiday season

Kurt Skakum MD FRCPC PGME Program Director Accreditation and Allocation

CORE CURRICULUM

Core Curriculum:

Upcoming courses are:

Drug Prescribing Safety Monday, April 20, 2020 from 3:00 to 4:30 pm in Theatre A

Practice Management Wednesday, March 4, 2020 from 9:15 am to 3:30 pm in room 071 Apotex Building

CMPA Resident Seminar Tuesday, April 7, 2020 from 7:30 am to 3:30 pm venue TBA (see poster below)

We are happy to announce the first annual PGME Resident Retreat took place on November 12, 2019. This PGME Resident Retreat was centered on raising awareness on the importance of wellness, and provide tools to help cope with the stressors of residency and a medical career. Additionally, this year’s retreat provided a forum to share experiences and coping techniques, as well as support the shared wellness experiences and activities amongst the residents. Dr. Eric Jacobsohn opened the event with a touching presentation in memory of Dr. Andrea Kokotilo, past Emergency Medicine trainee. Dr. Cheryl ffrench, Dr. Cliff Yaffe and Dr. Amanda Condon kicked things off with a welcome address before the morning talks and seminars. Residents enjoyed the opportunity to mix with trainees from other programs as they participated in a range of activities throughout the day to promote their physical, mental and emotional wellbeing. Who knew making ice cream sundaes could be so therapeutic?

We would like to extend a special thank you to the Resident Retreat Planning Committee, Dr. Cheryl ffrench, Dr. Amanda Condon, Dr. Denise Koh, Dr. Shandis Price, Jackie Gruber, Michelle Oshanyk, Genelee Celestial-Dela Cruz, Barbara Bucheli and the resident representatives who really helped to inform the event, Dr. Kaitlyn Edwards, Dr. Anne Finlayson, Dr. Sophie Zhu, and Dr. Sherry Bilenki.

To read more about this great event please visit the UM today article.

PGME RESIDENT RETREAT SUCCESS!

ARRIVALS AND DEPARTURES

As of September 4, 2019

Cardiac Surgery Program Director. Thank you to Dr. Kenny Kumar.

Emergency Medicine Program Director. Welcome to Dr. Kyle Burkett.

Family Medicine Interlake Eastern Program Assistant. Welcome to Denise White. Thank you to Collette Thiessen.

As of October 21, 2019

General Surgery Program Assistant. Welcome to Melissa Stamm.

As of November 7, 2019

Radiation Oncology Program Assistant. Welcome to Julianna Van Den Bueken. Thank you to Teresa Figley.

Effective December 3, 2019 IMG Program Coordinator. Thank you to Bonnie Rehberg.

Effective December 13, 2019 Assistant to the Associate Dean, PGME Student Affairs & Wellness. Thank you to

Gelee Celestial-Dela Cruz.

Effective January 2, 2020 PGME & CIP Administrator. Thank you to Phillip Snarr.

Thank you and best wishes Dr Bruce Martin!

We would like to take this opportunity to acknowledge the tremendous accomplishments and the contributions that Dr Bruce Martin has made clinically, academically and professionally over the years.

Dr Martin has represented Family Medicine on the PGME Executive Committee and several other PGME Subcommittees. Drawing from his experience in Student Affairs, UGME Admissions and various national committees, his participation and input on this committees has been invaluable.

We would like to recognize Dr Martin for his countless hours and dedication to Family Medicine trainees and the Family Medicine program.

He has many other accomplishments over the years including being the recipient of the 2017 Family Physician of the Year Award and the May Cohen Equity, Diversity, and Gender Award.

We would like to thank Dr Martin for his contributions and wish him well in his new endeavors.

Thank you to Dr Tamara Buchel!

We would like to extend a special thank you to Dr Tamara Buchel, who has chaired the PGME Alternate Routes of Entry (ARETS) committee for several years. Dr Buchel went above and beyond to advocate for and support trainees and programs with matters relating to alternate routes of entry to residency, including transfer and re-entry.

Dr Buchel will be stepping down as ARETS Committee to chair as she takes on her new role as Program Director of Family Medicine Residency training program. PGME wishes her the best in her new role and we look forward to continuing to work with her in Family Medicine!

Thank you and congratulations to Dr Buchel.

COMPETENCY-BASED MEDICAL EDUCATION

It’s official – the following University of Manitoba programs are launching Competence by Design in July 2020:

We Still Have Two Streams of PGME Pre-CBD / Time-Based Residency Education

Competence-By-Design (CBD) Residency Education

We are now approaching the halfway mark of the CBD roll-out, so it is important to remember that many residents

are still enrolled in the Pre-CBD time-based educational program.

For these learners, some programs have decided to go ahead and use EPA assessments anyway, but other programs

are sticking to the more traditional forms of assessment, such as Dailies, MITARS and ITARS. Some choose to use a

combination of both the old and the new.

What is important to remember is that Pre-CBD residents are still governed by the policies that were in place at the

time of their enrollment in their PGME program. It is permissible to give them additional assessments, but their

official assessment requirements remain unchanged. (If you need more information on this, please contact your

Program Director, or the PGME office.)

If you are interested in more information on the differences between these two streams, please feel free to check

out the resource below from the Royal College of Physicians and Surgeons of Canada: A Resident’s Journey to Certifi-

cation.

COMPETENCY-BASED MEDICAL EDUCATION CONTINUED

Infographic of Resident’s Journey

Resources

RCPSC. (2019, September 20). How a resident’s journey to certification changes under Competence by Design. Retrieved from https://newsroom.royalcollege.ca/how-a-residents-journey-to-certification-changes-under-competence-by-design/ RCPSC. (2019, September 20). A resident’s journey to certification. Retrieved from https://newsroom.royalcollege.ca/wp-content/uploads/2019/09/RoyalCollege-JourneyGraphic-48x36-En.png

COMPETENCY-BASED MEDICAL EDUCATION CONTINUED

AWARDS

Upcoming Awards Deadlines

The Postgraduate Medical Education Office administers the following 7 Awards. For the most up to date information

please be sure to check out our Awards Page. Click on the award name to be taken to the awards Terms of

Reference. Click on the award deadline date to be taken to the application form.

How to Apply

Visit our PGME Awards Page for application instructions, deadlines and award terms of reference.

Awards FAQ

For additional information please see our Awards FAQ.

Award Deadline

Dr. Diane Biehl Research Award in Postgraduate Medical Education December 16,

2019

The R. Samuel McLaughlin/MMSF Research & Education Fellowship Award in Medicine February 14,

2020

The Dean of Medicine’s Education and Research Fellowship Fund February 14,

2020

Dr. T.J. Lamont Memorial Prize in Maternal and Neonatal Welfare April 17, 2020

Prowse Prize for Clinical Research April 17, 2020

Pawas and Mradula Verma Fellowship for Transplant Research May 15, 2020

CSCI-CIHR Resident Research Award May 15, 2020

CURRICULUM MANAGEMENT SYSTEMS Department Business/Administrative Managers, Program Directors & Assistants,

FINAL REMINDER - effective December 31, 2019 the contract with VENTIS expires and the software will no longer be accessible or supported.

In preparation for the transition to Entrada, we asked Programs to capture data from VENTIS to be stored and saved at the De-partmental level. It is important to note that the PGME Office has also been working to capture and save data in the hopes that a robust Trainee record will exist within the Department and PGME Office.

Many Programs/Departments already retain these types of records or use a shadow system. Every Pro-gram should have gone through the exercise of reviewing and analyzing their current records, identifying gaps and saving data accordingly.

At this time all applicable data from VENTIS should be downloaded and saved appropriately for your re-spective Programs.

If you have any final questions or require assistance please connect with our office well in advance of the Holiday Closure: Decem-ber 21, 2019 – January 1, 2020.

Congratulations to Dr. Patrick Borskie on being appointed on of the ICRE 2020 Chief Residents!

PaALS

Presenters: Dr. Andrew MacDiarmid and Cherie Marynowski, Internal Medicine

PaALS

Annual Retreat - 2020 Vision

This year’s 3rd Annual Program Administrator Retreat

looked ahead to 2020 and prepared Administrators for the

challenges (and rewards) ahead. The energy in 204 Brodie

was high as participants kicked off with a fun Four Corners

Ice Breaker, followed by an engaging session on Conflict

Resolution with Jennifer Montebruno (Learning and

Organizational Development Office). Ms. Montebruno

helped participants identify their own conflict style, and

how to prevent conflict by searching for a shared reality

while maintaining key relationships. Next, the PGME Team

took participants on a deep dive into our brand new (and

evolving) PGME 201 Session – topics included

communications, CaRMS, Leave of Absence and CMPA/

CPSM. We hope Administrators came away with a better

understanding of the functions and supports available to

them from the PGME Office.

After a networking lunch, the afternoon started with

the Entrada Team introducing the exciting

enhancements coming in 2020, including the

highly-anticipated CBME Dashboard. Dr Cliff Yaffe and

Dr Kurt Skakum had the room’s full attention as they

highlighted the current state of Accreditation, the new

CanERA Standards and what’s to come in the next two

years… they really had everyone thinking on their feet

with a friendly competition as Program Administrators

played the “Accreditation Time” board game. The day

wrapped up with a lively “Drums Alive” session in Joe

Doupe Centre, leaving everyone energized and

refreshed to tackle the week(s) to come!

RESIDENT RESEARCH

Biostats Open House

“The best time to meet with a statistician is before you start your project” -Dr. Shayne Taback

Event Description:

Would you like to "speed date" a biostatistician? While this is your chance! This is a perfect opportunity

to get a wide range of feedback and suggestions from a team of skilled and diverse statisticians. Whether

you are in the planning stages of your project, in the middle of your research, or putting the final touches

on your project this is the perfect event for you.

The format of this event is much like speed dating. There will be multiple statisticians set up around the

room and ready to learn about your project and provide feedback and suggestions. This is your oppor-

tunity to see which statistician you connect with and who will be able to guide you through the statistics

in your project. Each statistician will bring their own unique background and approach to your project and

you will leave with numerous insights and suggestions to use moving forward. Following this evening, you

can continue to receive free 5 hours of statistical consultation from the biostatistician of your choice.

Don't miss out on this event as it is FREE, spaces fill up quickly and there are only limited spots available.

Email pgmerra@umanitoba.ca as early as you can to reserve your seat. Trainees who register but do not

attend may not be eligible to register for future sessions.

Event Details: Date: January 29, 2020

Time: 4:00 - 5:30 PM

Location: Room 204, Brodie Centre

To Register: Please email PGMERRA@umanitoba.ca

The Biostatistical Consulting Unit Presents:

Biostatistical Consulting for Residents and Fellows

Unconscious bias develops at an early age middle childhood through to adolescence (Dore, 2014) and has real world effects on behaviors and impacts various domains (Dasgupta, 2002; Kirwan Institute, 2017). We all have biases no matter who we are. To conserve energy and time we rely on the mental shortcuts that we have developed based on our culture, experiences and gender, we are all vulnerable to the habits of our mind. As humans we see age, ability, gender and skin color and we have associations about these categories and we use these categories to make judg-ments. An individual exhibiting implicit bias may have no intention to harm someone else or to be discriminatory. However, the results of those biases can be damaging no matter the intent. Unintentional bias toward an individual or group does not diminish the effect of that bias.

Our biases are most likely to be activated by four key conditions. They are: stress, time constraints, multi-tasking, need for closure. Recognizing and managing biases will ensure our processes are fair.

Implicit Bias refers to the attitudes, beliefs and stereotypes that affect our actions and decisions. These biases can be both favorable and unfavorable. Implicit bias questions the level to which these biases are unconscious especially as we are being made increasingly aware of them. Once we know that biases are not always explicit, we are responsible for them. We all need to recognize and acknowledge our biases and find ways to mitigate their impact on our behav-ior and decisions.

What works is bias interrupters:

Awareness: be aware of your blind spots; Motivation to change; and Think about a stereotype you hold and consciously replace it with accurate information.

Consider taking the Implicit Association Test from Project Implicit: https://implicit.harvard.edu/implicit/

We also need to be mindful that indicators of excellence can also be biased, standards previously seen as objective and reliable include:

MSPR/Academic Transcripts and Records MMI CASPER Personal Letter Letters of Reference The Personal Interview

Be mindful that all of these metrics are subject to unconscious bias. One recent study showed significant differences in Medical Student Performance Evaluations based on race and gender.

Moving Forward:

Review the Best Practises in Applications and Selection to assist with reducing bias;

Have selection committee take the IAT test;

Provide slides to selection committee with additional readings;

Highlight to the selection committee: Best Practices, Inappropriate Questions, New Resident Selection Policy; and

Discuss how bias can play a role with the selection committee.

We know that bias plays a role in health disparities, we need only look at the most recent report released by Manito-ba Centre for Health Policy . We need to address these gaps and foster a diverse and inclusive environment for all.

Contact Ms. Jackie Gruber for further information and assistance. She can be reached at Jakcie.Gruber@umanitoba.ca

DID YOU KNOW?

Happy Holidays! From

Dr. Cliff Yaffe

& Your Postgraduate Medical Education Team

We wish to thank you for your support in 2019 and hope you find peace, joy, and happiness throughout the coming year!!