Department of Family & Community Medicine

Enhanced Skills Program: Hospital Medicine Goals and Objectives

The FM—Hospital Medicine PGY-3 year provides the opportunity for clinical and leadership experience in a hospital medicine environment.

1. Academic FM—Hospital Medicine Program overview

The Academic FM-Hospital Medicine Program based from the Toronto Western Hospital University Health Network has been developed to:

  • Enhance clinical skills of recent family medicine graduates who wish to include at least a 25% commitment to inpatient medicine in their family physician careers, and
  • Prepare them for leadership roles in education and/or quality improvement in their practice environments.

It is conjointly sponsored and administered by Department of Family and Community Medicine and the Division of General Internal Medicine of Department of Medicine, reflecting a uniquely supportive culture for the in-hospital training of family physicians.

The program’s schedule offers multiple hospital experiences combined with significant flexibility to allow you the opportunity to tailor the year to your own learning needs. As Senior on the Family Inpatient Service (FIS) supervised by FM attending’s, you will lead a team of at least two family practice residents, possibly additional elective residents and/or senior medical students, and collaborate with nurses and allied professionals to provide inpatient medical care to general medical inpatients. You will have an experience as a senior on a General Internal Medicine Hospitalist service providing Emergency Department medical consults, under the supervision of a General Internist. The year is rounded up with medical subspecialty rotations including ICU, and an experience at a community hospital as a hospital medicine physician. Maintenance of family medicine skills will continue by providing one-half day per week in office-based family medicine.

Teaching and seminars will be available providing content specific to an inpatient role. You will also have defined teaching responsibilities for both undergraduate and postgraduate medical trainees, including case based discussion and participating and leading rounds and seminars (including one journal club presentation per academic year and one grand rounds presentation per academic year).

You will have the opportunity for significant achievement in professional development in leadership, education and quality improvement by completing one or both (applicants must choose at least one) of:

  • The requirements for a Clinical Teaching Certificate, from the Department of Family and Community Medicine, University of Toronto, and/or
  • The requirements for a Certificate in Quality Improvement
  • The requirements for a Clinical Research Certificate

With the successful conclusion of your PGY-3 year and at least one of these additional certificate programs, you will be recognized with a Certificate for Enhanced Skills-Academic FM-Hospital Medicine from the Department of Family and Community Medicine, University of Toronto.

2. GOALS

  • To gain the necessary skills, knowledge, and attitudes to provide general medicine inpatient medical care, anywhere in Canada.
  • To gain leadership skills in education and/or clinical quality improvement
  • To achieve the objectives of all CanMEDS-FM competency roles relevant to an inpatient program within family medicine.

3. PROGRAM IMPLEMENTATION

This 12-month program of FP-Hospital Medicine will consist of the following:

  • Family Medicine Inpatient Service (FIS)-TWH-Family Physician Attending–3 months
  • Hospitalist Service–TWH–General Internist Attending–2 months (*may substitute one month with a community hospitalist rotation)
  • Elective medical rotations–5 months
  • Community Hospitalist at North York General Hospital–1 month
  • ICU at North York General Hospital–1 month
  • One half-day per week of FM clinic
  • One half-day day per week for academic learning (except when on ICU month) in support of your educational goals in education and/or quality improvement

4. EVALUATION

  • Learning objectives and a portfolio of clinical experiences reflective of the CanMeds roles will be reviewed with the program director quarterly.
  • Performance evaluations will occur monthly on monthly block rotations and at the end of each FIS/GIM block rotation.
  • Seminar evaluations are also to be collected after teaching sessions with the residents or other trainees.
  • Evaluations within the Clinical Teaching and/or Quality Improvement Certificate Programs.

5. VACATION AND ACADEMIC LEAVE:

4 weeks of vacation
5 consecutive days at the holiday break in December
Professional Leave –The Fellow will be granted leave to meet the requirements for the Clinical Teaching Certificate and/or the Quality Improvement Certificate Program described above in addition to the one-half day per week for academic activities.