Policy for distribution of residents to ICU sites for clinical rotations

The Clinical Directors of the Intensive Care Units at the RVH, MGH, and JGH have agreed that a common resident pool should be created and that residents be distributed in a fair and equitable manner to each of the three hospital ICU's. This is necessary in order to ensure as much as possible, that each ICU is adequately staffed and covered such that acceptable levels of patient care are met and maintained. The McGill Critical Care Resident Education Committee supports this concept for pedagogical reasons as well.

A sub-committee has been formed to distribute resident amongst the three sites for each academic rotation. Committee members are Pat Melanson (RVH - Chair), Patrizia Zanelli (MGH), and Sandra Dial (JGH). Program Directors are asked to submit requests for rotations for individual resident rotations with their site preferences ranked in order. Residents will be assigned to specific units based on the following criteria:

  • The number of residents per unit/team will be as equal as possible.
  • The optimal number of residents at each separate unit or ICU team has been determined to be 4. This is equivalent to one resident for four ICU beds or patients. Note that there are two units or teams at the MGH and the RVH.
  • Individual resident site preferences.
  • Adequate mixture of junior and senior residents at each site.
  • Adequate mixture of residents from different programs at each site.
  • Previous individual resident ICU rotations. Whenever possible residents will be given the opportunity to be exposed to as many different ICU sites as possible throughout their years of training at McGill.
  • First come, first serve. Priority will be given to the earliest requests received each year.

Program Directors will be asked to forward rotation requests for the residents in their programs to Dr Pat Melanson at the Division of Critical Care Medicine, Royal Victoria Hospital (patrick.melanson [at] muhc.mcgill.ca) with copies to Dr Patrizia Zanelli at the MGH (lynnpidlisny [at] hotmail.com) and Dr Sandra Dial at the JGH (Kiragoin [at] excite.com). The requests should include the resident's name, program, level of training, rotation(s) requested, and the resident's preferred sites in order of preference. If the resident has a particular reason for choosing one site (i.e., he or she wants further exposure to trauma patients, liver transplants, post-op cardiac management, etc., that should be noted in the request. Every effort will be made to accommodate specific requests.

The committee will meet to distribute residents based on the above criteria as soon as rotation requests are received.

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