Mother and Child Health

 

Introduction & General Program Objectives

Introduction

One of the challenges that face maternity care providers is the balance between providing maternity care and providing family medicine care. As well, this must be accomplished in the context of balancing their personal life.

General Program Objectives:

The Residency program is designed for family physicians who wish to develop enhanced skills within the complete spectrum of mother and infant health while maintaining and consolidating the competences in obstetrics and pediatrics they acquired during their residency. 

To do so, the residents are required to do activities that cover the Core Competencies.  They also choose 2 or 3 profiles of interest to define the enhanced skills they aim to acquire.

The profiles:

1)      Teaching

2)      Physiological birth

3)      Vulnerable clientele

4)      Breastfeeding

5)      Pediatric care

6)      Women’s health

7)      Research

8)      Rural

At the end of the residency program most residents are competent to act as consultants to other family physicians for mother and child health issues, including, prenatal, breastfeeding, newborn, pediatric and women’s health concerns.

Specific Program Objectives

Specific Program Objectives

Core competencies: An emphasis is placed to develop competencies within accepted CanMeds roles.

The following are common to all Profiles:
 

  • Maintain and consolidate competences in high volume mother and child care.
  • Maintain the competency of a polyvalent general family medicine practice.
  • Maintain and deepen competency in normal neonatal period and the first 5 years of life.
  • Be able to evaluate and counsel on breastfeeding, and perform anterior frenectomy.
  • Maintain and consolidate a deepen obstetrical knowledge and skills. These include physiological birth, instrumental deliveries, perineal repairs, management of high risk obstetrical situations, and bedside ultrasound to confirm first trimester pregnancy and basic third trimester indices. (scholar).
  • Collaborate and communicate effectively and appropriately with patients, colleagues, consultants, nursing, allied health professionals, lactation consultants, and trainees (communicator and collaborator).
  • Learner should learn to balance  a patient centered maternity care with the demand of a general family office practice, participate in a call group, and balance family, leisure activities, and work activities (manager).
  • Advocate for family medicine obstetrical care and various models of such care (may include continuous longitudinal care, shared care, or team based models such as Maison Bleue, SIFFE programs, etc.) (Advocate).
  • Reflect on his/her practice and that of family medicine colleagues using various tools including self-reflection, chart audits, or discussion.
  • Understand the rudiments of research in family medicine obstetrics and either develop or participate in a research project.
  • Learner should show commitment to the patient as well as family medicine maternity care and understand the principles of ethics that play a role in current maternity care (professional).
  • Reflect upon and actualize an individualized learning plan (using the Learner’s Matrix).

Program Description

 

 

Duration

The residency program is six months in duration.  It can be extended to 12 months in special situations (residents combining all profiles including with research profile).  It also can be shortened to 3 or 4 months and be transformed in a “formation complémentaire”.

Clinical experiences

Resident will rotate through hospitals, family medicine center, pediatric and breastfeeding clinic.

The program is designed with a combination of formal rotations in obstetrics and pediatrics with Mother and Child Health horizontalised rotations.

1) Mother and Child Health Horizontalised Rotation:
Residents need to do one mandatory Mother and Child Health Rotation per 3 months of training.

For the first Mother and Child Health Rotation, residents spend 2 days in “Core half days” plus 1 family medicine obstetric call per week:
½ day in Family Medicine
½ day in Pediatrics
½ day in Breasfeeding clinic
½ day in Perinatal clinic

Ideally, these clinics would be done at the same site, the resident’s Base site.  If they have a practice somewhere and/or will join a site after their residency program, included in the teaching sites for the residency program, residents are encouraged to continue their Family Medicine Clinic at that site.  At the same time, we encourage training elsewhere during the following months of training or for elective half-days to broaden the horizon.

Also, residents have 1 day devoted to academic activities:
½ day in teaching
½ day in research-scholarly activity

The remaining 4 half days per week should be devoted to the chosen profile.

The remaining months of Mother and Child Health can be tailored to the profiles but should contain 2 out of 4 Core half days.

Four half days spent in community clinics, at some point in the training, and in any given field, are mandatory, to allow exposure to community medicine.

There is a possibility for residents to integrate family medicine activities during their residency program that they plan to pursue in their future careers, such as emergency care, nursing home or hospitalization in order to maintain the polyvalence of practice and the integration of obstetrical care in a varied practice

2) Obstetrics rotations
Residents need to do one mandatory Obstetrics rotation in their first or second rotation.  They can do up to 2 obstetrics rotations, one with Family Medicine Accoucheurs and the other with consultant Obstetricians. We encourage residents to choose a different site than the one they trained at during residency.
 

  • Obstetric rotations:

During the Obstetric rotation with consultant obstetricians, the resident will integrate the team of residents for that rotation and be on the same call schedule.  The resident is expected to take a leadership role in collaboration with the senior obstetric resident.  He should ensure that all family medicine patients are being seen as well as getting himself expose to high risk cases.  Evening/night coverage is encouraged to obtain the maximum exposure possible.
 

  • Family medicine horizontalised rotation:

The resident is the first physician on call to all deliveries of family medicine patients.  He is added to the family physician staff call schedule, (doubled) for one to two 16h call per week, including one week-end day (maximum of 6 calls/m).  If the patient’s primary physician is a family practice resident, the resident supervises them in their delivery.  In return, a family medicine staff physician for all deliveries of family medicine patients supervises the resident.

Sites include but are not limited to outpatient and inpatient teaching sites
accredited by McGill Department of Family Medicine:  SMBD Jewish General
Hospital, St. Mary’s Hospital, Lasalle Hospital, Anna Laberge, Lakeshore
General Hospital as well as hospitals with maternity care service within the
McGill RUIS (Val D’or, Gatineau, Ville Marie, Cowansville, etc.)

Formal teaching

1) Formal teaching: (weekly or twice monthly)
    a.Family medicine staff teaching
    b.Peer-teaching

2) Tutorials with various members of the staff on particular items of interest

3) Core selection of relevant articles from the family medicine and obstetrical literature will be provided

4) Provider training in Neonatal Resuscitation Program (NRP) and in Advanced Life Support in Obstetrics (ALSO) will be offered.  NRP / ALSO instructor course is encouraged.

Research – Scholarly activity

Residents must complete a scholarly activity during their residency program. The project can be a literature review, the development of a protocol, the development of an assessment tool, a research, the development of a teaching tool, etc.

The nature and subject of this project will be discussed with the program director at the beginning of the residency program.

Evaluation process

Faculty Advisor and Mentor
Each resident will be paired with a staff faculty advisor and mentor. Their role will be to meet on a monthly basis, review the Learner Matrix, provide an opportunity for reflection, develop of learning goal and provide feedback, guidance and evaluations.

 

 

 

Apply/Contact Us

 

For information regarding the program
fhersson [at] gmail.com (Dr. Fanny Hersson-Edery)
Director Mother and Child Health Program

For information regarding the application process
enhancedskills.fammed [at] mcgill.ca (TBA)
Student Affairs Coordinator
514-399-9126
 

 

APPLY NOW!

Applications are due by September 16th, 2016!!

All required documents need to be sent to:

Postgraduate Medical Education Faculty of Medicine McGill University
3655 Promenade Sir William Osler
Montreal, Quebec, H3G 1Y6