Queen's-Bowmanville-Oshawa-Lakeridge (QBOL) | Family Medicine | School of Medicine

Queen’s Bowmanville-Oshawa-Lakeridge Site (QBOL) was established in 2012 and is the youngest of the four teaching sites in the Department of Family Medicine. This site sits at a geographic “sweet spot” in southeast Ontario being about 1 hour of travel to Toronto to the west or cottage country to the east.

The innovative QBOL curriculum was designed from the ground up to be a competency-based “Triple C” site, centred on Family Medicine, Continuity, and Comprehensiveness.

At QBOL, your learning is always centred around your community Family Medicine clinic with complementary clinical experiences scheduled around that backbone in an integrated, horizontal manner. Our goal is to maximize the amount of learning you have with Family Medicine preceptors while also partnering with Lakeridge Health to provide hospital-based experiences.

The partnership with Lakeridge Health resulted in the opening of the LHEARN Centre at Lakeridge Health Oshawa. The LHEARN Centre is a regional medical education hub which houses QBOL administrative offices, meeting rooms which are used for academic teachings, a library, and a resident lounge.

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Overview

Program Highlights:

· First six weeks of program provides a “tool-kit” of key skills and training:

Queen’s Nightmares FM Simulation Course (for codes / pre-codes)
ALARM course (Simulation Course in Obstetrics)
NRP course
Health Care self-defence course
Introductions to community services and resources
EMR training
Teambuilding
Introduction to evidence-based medicine and research

· Family Medicine-centred 2-year integrated, horizontal “Triple C” Curriculum (Comprehensive learning, Continuity of learning and Family Medicine-Centred education)

· About 50% of your time will be spent with your primary Family Medicine preceptor each week (encourage change in primary preceptor for Year 2)

· Additional horizontal experiences in other disciplines relevant to Family Medicine

· Up to 8 weeks of Electives

· 8 weeks of dedicated hospitalist inpatient medicine

· Graduated responsibilities and volume in Emergency Medicine

Start at Lakeridge Health Bowmanville to build proficiency, then additional volume and complexity at Lakeridge Health Oshawa when ready

· High volume of OB shifts in the first half of first year to build proficiency

· Minimum 8 weeks of rural community Family Medicine in PGY2

potential locations include but are not limited to Haliburton, Lindsay, Port Perry, Haliburton

· Surgical and procedural skills through outpatient/office procedures

PGY 1:

· First two months provide “tool-kit” of important skills and training

· Average 50% of time in community Family Medicine practice with one primary preceptor

· Consolidated teaching days spaced out over the year

· Family Medicine on-call and urgent care clinics

· 4 weeks of hospitalist/internal medicine

· Additional horizontal experiences:

o OB Call (24 hour on-call)

o Emergency Medicine

o Office Procedures

o Dermatology Clinics

o Psychiatry/Behavioural Medicine Clinics

o Community Pediatrics

o Long Term Care

o Palliative Care

o Other outpatient clinics (e.g. cardiology, oncology, community health centres, sexual health clinic, addictions medicine, etc.)

· 4 weeks of Electives

PGY 2:

· Average 50% of time in community Family Medicine practice with one primary preceptor (opportunity to change from Year 1 for different practice profile, style, and community resources)

· Consolidated teaching days spaced out over the year

· Family Medicine on-call and urgent care clinics

· 8 to 12 weeks of rural community Family Medicine (locations could include Lindsay, Port Perry, Haliburton, or others)

· Increasing responsibility and complexity in ER as you progress

· Option to continue participating in labour and delivery shifts to build obstetrical skills and confidence

· Continued horizontal experiences from first year

Electives

During your two years at QBOL, you will have 8 weeks available to complete elective placements. These can be scheduled late in your first year through to second year.

You will work with your academic advisor to choose electives that meet learning needs, are relevant to your future career goals (e.g. PGY3 options) or meet your interests.

The vast majority of electives are completed within Ontario (as your salary is paid by the Ontario government), however some residents will complete electives across Canada or internationally in conjunction with Global Health initiatives.

Flexible Program

Flexible Program

At the QBOL site, we strive to help you make the most of your residency. We will work with you to build a schedule that meets your interests and needs. We do recommend that you have access to a vehicle during your residency in order to facilitate placements at various locations in the city.

For any joint Academic Days in Kingston, you will either be provided with a travel stipend or carpool with a group of residents in a rental vehicle. If the session is more than one day, accommodation will be provided.

We work hard to accommodate parental leave requests and are happy to ensure that you receive your entitled vacation each year.

Resident Support

We also offer you Conference/Educational leave days. There is also an educational Resident Allowance that can be used for conference registrations, textbooks, software or other educational resources.

You will have full access to the Queen’s library system and resources, as well as access to UpToDate. You also have access to the LHEARN centre including the resident lounge.

During your residency, you will be paired with a faculty member who will be your Academic Advisor to help you through your development as a Family Physician. We also have a Faculty Advisor who is available to meet with any resident experiencing difficulty.

LHEARN

The Lakeridge Health Education and Research Network (LHEARN) Centre at Lakeridge Health Oshawa offers excellent resources and support for learners in the region. The Centre features state of the art simulation labs, a Queen's Family Medicine Resident lounge, a library, study rooms, and various classrooms and meeting rooms. You will also have electronic access to all of Queen's library resources.

Life in the Durham Region

The Regional Municipality of Durham is located just east of Toronto and is comprised of the municipalities of Ajax, Brock, Clarington, Oshawa, Pickering, Scugog, Uxbridge, and Whitby. Over 600,000 people live in the region and it is home to a wide variety of services, educational institutions, sports & recreational activities, arts, and culture.

Learn more about the communities in the Durham region by following the links below:

Specialty Clinical Rotations

Obstetrics

Minimum six 24-hour shifts within blocks 3-6
You will be assigned to 2 preceptors as much as possible for continuity of supervision
Patients from your practice will hopefully begin requesting you to attend their delivery
Opportunity to add additional OB shifts later in residency if you want to gain more experience
Opportunity to pair you with an FM preceptor who does OB as well
Additional prenatal, intrapartum, postpartum, and newborn exam experiences available through Family Medicine preceptors who are part of the Great Expectations group.

Pediatrics

2 weeks of inpatient and pediatric acute referral clinic in PGY1, and 1 week of pediatric acute referral clinic in PGY2
Work with community-based pediatricians as well as in-hospital clinics
Consultant pediatrics service seeing referrals from Family Medicine
You will be able to see patients that you referred from your home FM practice

Care of Adults

Various settings including Inpatient care / ER / FM clinics

Inpatient care

With Lakeridge Health Oshawa hospitalist
1 block each year
Multiple areas of involvement (inpatient medicine, rehab, palliative, post op care, ER admissions)
Electives in Critical Care and Oncology are possible
Hospitalist weeks at Lakeridge Health Bowmanville are possible as well

Start in block 7 onwards
Approximately 3 shifts/month
You will be assigned to 2 preceptors as much as possible for continuity of supervision
Graduated responsibility and complexity of care when placements start at Lakeridge Health Bowmanville and will then progress to the Oshawa site

Care of the Elderly

2 half days per month caring for patients at Long Term Care Facilities in Oshawa or Bowmanville, working along side FM preceptors, Nurse Practitioners and other Allied Health Professionals
You will care for a wide range of ages in your FM practices

Behavioural Medicine

2 weeks of Psychiatry at Lakeridge Health Oshawa in PGY1
You will see these patients with the psychiatrist, then follow up in your home practice and also follow up again in the psychiatry clinic if needed
Residents will be part of group briefings and debriefings around cases

Procedural Skills

Many opportunities to gain experience with procedural skills (ER, OBs, Dermatology, Hospitalist rotations, surgical outpatient clinics)
Family Medicine outpatient procedures, “lumps and bumps” clinics can also be scheduled

Palliative Medicine

Some of our FM preceptors provide Palliative Care in the community
Other practices will refer patient and resident to those FM preceptors to try to provide resident continuity
Extended FM placements maximize the chance to follow palliative cases longitudinally

Global Health

During your first month, you will identify and explore local resources programs and needs of members of vulnerable and underserviced communities in the area
Resident project could be an advocacy project
Placements at the Sexual Health Clinic and Community Health Centre
Online learning modules for topics that can’t be accessed locally
Possibility of international electives

Training Sites

Practising in the Durham Region (which includes Bowmanville and Oshawa) gives you the opportunity to learn and work in both large and small communities. You will serve a broad and diverse patient population of all ages, social, and economic backgrounds.

Lakeridge Health Corporation is a large multi-site multi-specialty hospital with sites in Ajax, Bowmanville, Oshawa, Pickering, Port Perry, and Whitby.

Lakeridge Health Oshawa (LHO) features one of the busiest emergency departments in Ontario and is also home to the Durham Regional Cancer Centre.

Lakeridge Health Bowmanville is a community-based hospital largely run by Family Physicians. Your Family Medicine rotations will be at area clinics which have been carefully selected for their size and quality; all also utilize EMR.

The Oshawa Clinic has been providing primary care to families in Durham Region since 1948 and currently has over 130 affiliated physicians at three sites.

The Bowmanville Clinic has over 40 physicians and has been heavily involved with medical learners for many years even before the establishment of the QBOL Site.

We would love to have you come and visit the QBOL site, show you our program and talk about why QBOL could be the residency program for you! Contact Julie Hodges (julie.hodges@queensu.ca or 905-576-8711 x 32326) to arrange a visit.