PGY1 Core Family Medicine Rotations


Your PGY1 Core Family Medicine Rotations will consist of the following:
  • Clinical duties at Queen’s Family Health Team (QFHT) in downtown Kingston (3 days/week)
  • Long Term Care duties (1/2 day/week)
  • Horizontal Clinic Placements (1/2-1 day/week)
  • Teaching sessions (1/2 day/week)
  • Resident-Directed Half Days (1/2 day/week)
  • Call Duties (approx. 1/10 days, 2-3 weekends/year)
 
Clinical Duties:

The QFHT is a leading model in interdisciplinary and collaborative primary care, with a strong emphasis on quality improvement and patient safety. You will be part of an award-winning team of family physicians, nurse practitioners, nurses, pharmacists, social workers and administrators who all work together to deliver outstanding health care to patients. The QFHT serves a population of more than 14,000 patients who have a wide variety of social and economic backgrounds. QFHT physicians also follow low-risk obstetrical patients, participate in the obstetrics call group, work with local community services (e.g. Ongwanada) and perform minor procedures. The QFHT also offers smoking cessation programs, anticoagulation management, asthma care, diabetes care, chronic disease self-management, foot care and other comprehensive services to patients.
 
Click here for more information about Family Health Teams in Ontario.

Quality Improvement Project


The Queen's Department of Family Medicine (DFM) has a long-standing interest in quality improvement (QI) and patient safety. For example, the Queen's Family Health Team (QFHT) was one of the first FHTs in the province to develop a QI plan, and the team has won several awards recognizing its leadership in improving quality and safety in primary care. Quality improvement and patient safety are rapidly growing fields in Ontario and across the country, and family physicians have a key role to play in improving the quality and safety of patient care and the health-care system as a whole. To help residents feel more prepared to take on these challenges, they are introduced to key QI principles from the beginning of their PGY1 year in the form of didactic lectures and a year-long experiential group project, and through small-group mentoring. Residents are also encouraged to participate in existing QI and safety initiatives within their site, including QI and safety committees and special projects. For more information about the QI curriculum at the Queen's DFM, please contact our Physician Lead and QI Lead, Dr. Karen Hall Barber, at karen.hallbarber@dfm.queensu.ca.


Intellectual and Developmental Disabilities (IDD) Program:

Queen’s Department of Family Medicine has a long history in providing its family medicine residents with a strong foundation in caring for adults with intellectual and developmental disabilities. Family physicians have a special responsibility for improving the health care of people with inequities in access, and we want our graduates to feel confident and competent in taking on the IDD role.

The IDD Program for PGY1 residents include didactic teaching, as well as opportunities for family medicine residents to participate in the clinical Health Check Program. This program focuses not only on educating residents about providing primary care to IDD patients, but also on fostering an understanding among residents about the ethical and the medical considerations specific to IDD patients. We also have a PGY3 Enhanced Skills Program in Intellectual and Developmental Medicine.

Family Medicine residents also have the opportunity to do an elective in Care of Adults with Intellectual and Development Disabilities through Queen's. This four-week rotation includes complex continuing primary care of adults with IDD, adult IDD consulting clinic, dual diagnosis psychiatry, developmental genetics clinic, epileptology and sleep disorders clinic, and physical and rehabilitation medicine clinics. There are also special clinics such as seating clinic and enteral feeding clinic, as well as opportunities to observe allied health professional assessments (i.e. OT, PT, SLP, and psychology).

The elective is open to interested family medicine residents. For more information about this elective program, please contact Dr. Liz Grier at iddprogram@dfm.queensu.ca. Care of Adults with Intellectual and Developmental Disabilities is an exciting and emerging field in which family physicians are playing a key role at the national level and within the College of Family Physicians of Canada. For more information about this IDD work within the CFPC, please visit the CFPC's Developmental Disabilities Program Committee website. 

For Information about all our IDD Programs, please visit the department’s Intranet or contact Dr. Meg Gemmill, Director of Developmental Disabilities, at the following email: iddprogram@dfm.queensu.ca.

 

Long Term Care:


Under your preceptor, you will be responsible for a small cohort of patients at the Providence Manor Long Term Care Facility. You will round on these patients weekly and manage their care throughout your core FM placements.
 

Horizontal Clinic Placements:


These are unique primary care settings that will augment your regular clinic duties. These placements help you access patients with unique or complex care needs, often in unique settings. These clinics are held either at the QFHT, in the local hospitals or other settings in the city.

You will also complete placements in the QFHT procedure clinic, performing minor surgical procedures such as removal of skin lesions, punch biopsies, ingrown toenails, etc.

 
Examples of Horizontal Clinics:

  • Asthma
  • Congestive Heart Failure
  • Child & Adolescent Psychiatry
  • Children’s Outpatient Clinic 
  • Chronic Pain
  • COPD
  • Ear, Nose and Throat
  • Eye Clinics
  • Foot/Wound Care
  • Familial Oncology Genetic Counselling
  • INR/Anticoagulation Management
  • Internal Medicine (Endocrinology)
  • Palliative Care
  • Parkinson’s Disease
  • Physiotherapy
  • Prison Medicine
  • Procedure Clinics
  • Sexual Health Clinic
  • Sleep Clinic
  • Street Health

Teaching Sessions:

Each week, faculty members will lead teaching sessions on topics to help you improve your practice as a physician and also to help prepare for the CFPC exams. Occasionally, guest speakers from other departments or the community may present. There will also be weekly resident rounds and bi-weekly research and pharmacy rounds.
 
Over your two years, there will be several special Academic Days featuring additional teaching sessions and skill training.
 

Resident Directed Half-Days:

Most weeks, you will receive a half-day with no formal learning activities scheduled. This time is for you to complete self-directed activities that will benefit your learning and well-being. Many residents use these days to make home visits to patients who cannot come to the regular clinic, work on their resident project, clinical audits or Global Health modules, or complete important personal tasks such as medical or bank appointments.
 

Call Duties:

QFHT offers a physician on-call for patients 24/7. You can expect to be on-call approximately one day in ten during your core FM rotations. You can also expect 2-3 call weekends. On-Call duties include working in the After Hours Clinic on evenings and weekends, and then taking pages from patients, the Long Term Care facility and Telehealth Ontario. Two residents are on call at any given time, with one taking responsibility for QFHT patients, the other for Long Term Care and then supporting the first call resident. You will always be on call with a staff physician. All our call policies conform to PARO guidelines and call stipends are paid accordingly.