Residency Program

ClinicalEducation2

The general Pediatric Training Program at the University of British Columbia strives to provide a broad inpatient, ambulatory, and community educational base to equip modern-day general pediatricians with all the skills necessary for practice in General Pediatrics. Training within the tertiary care setting helps equip the pediatric graduate with the confidence and skills to treat children with significant and possibly life-threatening problems.

Starting in July 2015, UBC Pediatrics expanded to a second site – in beautiful Victoria, BC. Two residents each year will be based in Victoria – Island Medical Program (IMP). They will be integrated as UBC Pediatrics residents but will have a fantastic opportunity to be part of building a community based program in Victoria. The opportunities in this new program are endless. There is lots of hands on experience available in Victoria, an enthusiastic faculty, and Victoria is a lovely city and easy to live in. We look forward to opening the doors here to motivated interested applicants who want to be part of this new exciting initiative.

The residency program consists of approximately 60 residents. The program has been redesigned to deliver a 3-year 'plus' program. (A core 3-year program that ensures competency, knowledge and skills necessary for basic pediatric practice, plus training years specific to career path direction for 4th - 5th years).

The program's components are:

  • Clinical competency at a supervised level within the first 18 months with graduated responsibility and independence.
  • Junior year of 18 months.
  • Clinical competence at an independent level within the second 18 months.
  • A transition from Junior to Senior over 6 months.
  • Senior year of 12 months.

The first year of the General Pediatric training program provides a closely supervised introduction to general pediatrics, pediatric emergency and neonatal care. The second year supports greater autonomy with further exposure to inpatient general pediatrics and ambulatory experience both at BC Children's Hospital and affiliated community-based pediatric wards.  Residents are introduced to several crucial subspecialty areas and rotations through the pediatric intensive care (PICU) and neonatal intensive care units. The third year involves increased supervisory and teaching responsibilities for pediatric residents and medical students.  Third year also includes senior rotations in the PICU and significant opportunities for electives in a variety of subspecialty areas where experience is predominantly ambulatory and consultative.  The ambulatory general pediatric experience progresses from a closely supervised Emergency and Rehabilitation and Development experience to the virtual autonomy of a pediatric rotation in a community hospital.

Research is strongly encouraged in the Program and much effort is expended in supporting this, including education in research methodology.  Research month electives are completed in third year.  The fourth year is predominantly comprised of elective rotations, which residents design to fulfill their future careers as either a general consulting pediatrician or a sub-specialist.  This well-balanced Program fulfills the objectives of the Royal College and thereby produces excellent pediatric consultants. Throughout training, the general pediatric ward utilizes a Clinical Teaching Unit (CTU) format with the supervisory senior year resident assuming leadership of a resident-medical student team. This team is personally responsible for all patient care on the CTU. Call commitments are designed to provide residents with further educational opportunities.  A night float system is in place, with all residents completing two blocks of two weeks per year of night float.  A one-month period in second year and two months in each of the third year and fourth years are CTU call-free which allows for electives at other institutions or the ability to do electives in related subspecialties with their own call commitments.

Our pediatric residency training program is committed to providing an excellent educational experience within the guidelines of the Royal College of Physicians and Surgeons of Canada.  It also values and encourages resident participation in a variety of projects, from educational initiatives to quality improvement, to global health. BC Children's Hospital is a stimulating environment with an excellent reputation for the care it provides and a clear mission to advocate better health care for children. We have a number of outstanding physicians and researchers on staff with national or international reputations for their expertise. Thank you for considering the University of British Columbia for your Pediatric Residency. Our pediatric residency training program is committed to providing an excellent educational expertise within the guidelines of the Royal College of Physicians and Surgeons of Canada.

Starting in July 2015, UBC Pediatrics expanded to a second site – in beautiful Victoria, BC. Two residents each year will be based in Victoria – Island Medical Program (IMP). They will be integrated as UBC Pediatrics residents but will have a fantastic opportunity to be part of building a community based program in Victoria. The opportunities in this new program are endless. There is lots of hands on experience available in Victoria, an enthusiastic faculty, and Victoria is a lovely city and easy to live in. We look forward to opening the doors here to motivated interested applicants who want to be part of this new exciting initiative.

Our IMP program reflects the components of specialty training: the first three years provide exposure to acute care and ambulatory pediatrics as well as the subspecialties, with a graded responsibility from junior to senior
residency. Most of the subspecialty education will be via longitudinal experiences with mixed general pediatrics and subspecialty clinics. Some subspecialty rotations will take place at the BC Children’s Hospital in Vancouver.

What’s unique about the Victoria program?

The Island Medical Program (IMP) residents will spent 2/3 – 3/4 of their time in Victoria. Each year, several months will be spent in longitudinal rotations lasting 3-6 blocks, with longitudinal exposure to general pediatrics, subspecialties and hospital based call.

Some rotations (oncology, some pediatric and neonatal intensive care, some subspecialties, BCCH CTU rotations) happen by necessity in Vancouver.

Residents are funded by PGME for approximately one trip per month to the “home” program at BCCH.

What will the schedule look like?

PGY1: Junior: Block rotations in emergency medicine, CTU, NICU, neurology, and rural experience, with half the year constructed around longitudinal experiences in a range of areas including ambulatory pediatrics, psychiatry, developmental, cardiology, allergy, rheumatology, genetics, neurology and others. At least 6 weeks will be spent at BC Children’s Hospital in Vancouver (CTU Junior, night float junior).
PGY2: Transition towards senior: Block experience in complex developmental clinics, PICU and NICU with some elective experience and ongoing CTU and longitudinal experiences that will prepare the trainee for role as a senior resident. Between 4 - 8 weeks will be spent at BC Children’s Hospital in Vancouver (oncology) or in a smaller community training centre.
PGY3: Senior: A range of experiences directed at helping the trainee take on a more senior role in clinical reasoning and management, with ongoing longitudinal experience, and a senior rural block.  As well as blocks in senior CTU and PICU, NICU, and a diverse clinic experience meant to increase exposure to a range of psychosocial experiences. Up to 14 weeks may be spent at BC Children’s Hospital in Vancouver (CTU Senior, night float senior, BC Women’s level III NICU, PICU) and / or in a rural centre, maximizing community experience.
PGY-4: The Program Director counsels senior residents and works with them to tailor much of their fourth year to meet academic interests, career goals and objectives.

What elements are shared with Vancouver residents?

  • Events:

o    Orientation events

o    Annual Fall retreat (Whistler) and Spring Retreat (Vancouver)

o    June Graduation banquet

  • Academic half day – by videoconference
  • R1 Research curriculum – by videoconference
  • Several blocks each year in Vancouver

Are there any other residents based in Victoria?

There are residents from family medicine, psychiatry, emergency medicine and internal medicine already in Victoria.

Vancouver BCCH Program Facilities

BC Children's Hospital (BCCH) provides primary and secondary care service to the city of Vancouver and is the tertiary referral centre for British Columbia. Virtually all medical and surgical subspecialties are represented at this centre. There are 200 beds at BCCH, a 20-bed Critical Care Unit, with 14 acute care and 6 Special Needs Unit beds. A busy 24-hour Emergency Room, specially equipped for children, serves in excess of 31,000 patients per year. BC Children's Hospital, and BC Women's Hospital offer observation nursery experience, while the Sunny Hill Health Care Centre for Children sees pediatric patients for developmental rehabilitation services.

 

Victoria/IMP Program Facilities

Victoria General Hospital is an acute care hospital where the pediatric ward has 23 pediatric beds.  A 5 bed Pediatric Intensive Care, a 22 bed neonatal intensive care unit, and a labour and delivery unit where there are 3200 deliveries per year.  Outpatient specialized pediatric clinics exist here, in the areas of diabetes, oncology, asthma, cystic fibrosis, genetics, neurology, rheumatology, neonatal follow up and cardiology.

Victoria based residents will do rotations in the Victoria General Hospital Pediatric ICU, ER, NICU and CTU.  A range of subspecialty and general pediatric experiences will occur both in a block and longitudinal format in Victoria.  With our high volume of neonatology, a significant amount of neonatal experience will be gained in Victoria and as well some augmented experience may take place at one of several hospitals in the Lower Mainland, including BC Women’s Hospital.  Some subspecialty electives may be sought at BC Children’s Hospital.  

The Pediatric medical staff in Victoria are a collegial group, interacting frequently with their subspecialty colleagues, other specialities,  primary care providers, and with interprofessional team members. Trainees can expect significant hands on experience in a range of settings, and enjoy the opportunity to thrive in a professional environment that is excited about a new training opportunity.

The Developmental Centre of Queen Alexandra Centre in Victoria allows exposure to many complex behavioral and developmental patients in the context of a multidisciplinary team setting.  The placement of this hub as a referral center for all of Vancouver Island will allow the resident in training to see a range of developmental issues and appreciate the importance of forging management plans that acknowledge the resources of the referring community.  The important social component of pediatrics will also be evident in this setting.

Through its affiliation with the University of British Columbia, BC Children's Hospital serves as the prime source of pediatric training in the province. The Department of Pediatrics, part of the University of British Columbia's Faculty of Medicine, has played a vital role in developing undergraduate and clinical training programs since 1952. The strength of the Department lies in three areas: teaching, research, and exemplary patient care. The hospital's affiliation with UBC designates Children's as a major teaching hospital for pediatricians. The Department of Pediatrics is responsible for the pediatric education of the 150 medical students in each year of the undergraduate program, family practice residents, and external elective students annually.

In addition, many of the subspecialties offer training programs for pediatric graduates. Subspecialty fellows total about 30 per year, while the resident body is 40 per year. Students of many other disciplines are present in the hospital, including nursing, dentistry, surgical subspecialties, family medicine, psychiatry, medical genetics, etc. Advanced level trainees should feel a special obligation to teach junior colleagues, both on the wards and in didactic presentations. There is no better way to learn than to teach a subject. Research is a high priority of all the divisions within the Department of Pediatrics. Most departmental members are active investigators. All trainees are encouraged to consider research projects; some divisions make this a requirement. Advice in statistics and methodology is available as a service to staff and trainees of BCCH through the office of Research Support Services, located in the Research Institute adjacent to the hospital.

The eighteen divisions within the Department are responsible for 65 percent of all research performed at BCCH. New research developments enhance the outstanding care given to children and youth in British Columbia. The Department shares the philosophy of family-centered care with BC Children's Hospital. As the tertiary care centre for the province, BCCH provides care to children with simple and complex disorders.

Vancouver is one of North America's most beautiful cities, hosting a natural harbour, mountains, forests, and beaches. The city has a mild maritime climate and is within an easy drive of a "real" Canadian winter. Vancouver's entertainment scene offers classical and modern music, opera, live theatre, jazz, comedy, art galleries and museums. Those preferring nature and the animal world can enjoy the excellent aquarium in the heart of Stanley Park, which includes 1,000 acres of natural forest and is bordered by the sea. While the Pacific Ocean is most suited for sailing, sea-kayaking, swimming, diving and windsurfing, the nearby mountains invite hikers, climbers, snow-borders and skiers. Camping, cycling, golfing, tennis, squash and racquetball are also widely available and easily accessible in a variety of nearby locales.

Vancouver is home to the B.C. Lions (CFL football team) and the Vancouver Canucks (NHL hockey team). All games take place in the heart of Vancouver (B.C. Place Stadium and Rogers Arena). As well, there is thoroughbred horse racing in Vancouver from April to October and harness racing in Cloverdale, a few kilometres away, from October to April. Vancouver reflects the culture of many ethnic groups such as British, French, Chinese, Native Indian, German, Greek, Japanese, Vietnamese, East Indian, etc. These groups have greatly enriched Vancouver's cultural life with their festivals, customs, and restaurants.

*For all CaRMS and Applicant Queries please contact: pediatrics.residency@ubc.ca

 

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