Undergraduate Medical Education (UGME)

Exposures can take place in Winnipeg, across Canada or internationally. A variety of policies apply in each case - please consult Entrada for full details. 

Students receive credit on their Medical Student Performance Report for each successfully registered and completed Summer Early Exposure.

Student is responsible for setting up the exposure and for ensuring all student evaluations and preceptor evaluations are completed and submitted to UGME.

All Summer Early Exposure forms are located on Summer Early Exposure's Entrada community page.

You must do an exposure if you wish to do job shadowing over the summer. If you are registered for an exposure you are automatically covered by malpractice/liability insurance and in turn are able to do shadowing. 

The Early Exposure Program runs annually from May 30 to August 15.

Each Exposure requires a minimum of 80 hours (typically 10 full days of 8-hour shifts).

Days do not need to be consecutive and can be spread out throughout the summer.

Visiting pre-clerkship students must meet the following requirements to be eligible to participate in the Summer Early Exposure Program:

1. Organize your own Summer Early Exposure.
2. Complete the application form [PDF] for visiting students.
3. Register as a visiting student for the Summer Early Exposure Program through the UGME Office. This registration occurs after we receive your application.
4. Ensure payment of the University of Manitoba registration fee in full before participation on the ward/clinic and meeting all application requirements. Instructions for payment will be provided.
5. Complete the PHIA Confidentiality Training online before the exposure starts. Instructions will be sent to you regarding this training.

To apply for an exposure, follow the steps below.

1. Read the program policy (available on Entrada)
2. Review your options (.pdf)
3. Set up the exposure (preceptor's email addresses cannot be listed but we trust you can use your resources to find their contact information)
4. Complete the application form (.pdf)
5. Wait for UGME to email you to pay registration fee (only one fee no matter how many exposures you do).
6. The deadline for all applications is June 30 (annually). To allow for processing, submit your application to UGME two weeks prior to the start date of the exposure.

If your exposure takes place out-of-province or internationally, additional documentation will be required. Please contact electivesugme@umanitoba.ca for details.

The specific aim of the program is to develop student skills within the following areas:

• Critical evaluation of data
• Effective communication of results
• Experimental design
• Hypothesis testing

This is a non-degree course but will be recorded on your transcript.

The program runs for approximately 12 weeks during the summer recess between either year one and two OR year two and three of their medical training program (dependent upon program time allowances). Your chosen project must be feasible within this time frame.

This program is considered full-time with a two-week paid vacation. Clinical exposure of 0.5 to 1.0 days per week (setting of the students choosing with supervisors’ approval) is suggested but not mandatory.

All students receive stipendiary support, presently $7,500 for the summer. The program pays the students directly via direct deposit). Students must submit a direct deposit form directly to payroll immediately upon acceptance into the program.

A call for applications will be circulated to medical students annually, including abstracts from potential supervisors.

Once you have located a supervisor who has agreed to work with you on a project, you must begin preparing three documents that will be required for the application process:

1. Research proposal
2. Abstract
3. Student role document

Samples of these documents and additional application information are available here.

Description

During this elective, students will:

• Work one-on-one with an anesthesiologist or resident/fellow in the operating room (OR) daily.
• Review the slate and patient charts the day before, and discuss cases with the attending anesthesiologist for the next day's slate preparation.
• Attend academic half-day sessions on Wednesday mornings, including Anesthesia Grand Rounds at 0745 and Anesthesia Resident Seminar at 0900. Information for these sessions will be provided in advance.
• Gain subspecialty experience in areas such as Cardiac, Obstetrical, Acute Pain, Chronic Pain, and Pediatrics, depending on the site.

Availability

UM and Canadian medical school students: A minimum of 2 weeks to a maximum of 4 weeks duration is suggested; approval is subject to availability. Prior experience in anesthesia (2 weeks) is required before requesting an elective rotation. International medical students: Electives must be 2 weeks duration and are subject to availability. Prior experience in anesthesia (2 weeks) is required before requesting an elective rotation.

Duration

UM and Canadian medical school students: 2 weeks to 4 weeks. International medical students: 2 weeks.

Location

Electives are available at:

• Health Sciences Centre (HSC)
• St. Boniface General Hospital (SBGH)

Call responsibility

Call is not mandatory. Students volunteering for call shifts must discuss this with the Anesthesia Site Coordinator or Senior Anesthesia Slating Resident. All call shifts end at 22:00 for adequate rest before scheduled assignments the next day.

By the end of the elective period, students will:

• Be able to provide airway support.
• Be able to gain airway access in most patients.
• Be able to perform an adequate preoperative assessment in a healthy patient.
• Be able to outline the options for anesthesia and the general differences.
• Be able to estimate fluid requirements and provide a rationale.

This elective provides students with the capacity to:

• Describe the daily activities of Anesthesia practice.
• Outline the areas of skill and knowledge integral to Anesthesia practice.
• Summarize the advantages and disadvantages of Anesthesia as a career choice.

Learning objectives (CanMEDS)

Medical Expert

The student will understand the anesthesiologist’s role in the perioperative management of the surgical patient, as it applies to:

• Pre-op assessment
• Optimization
• Intraoperative management
• Pain management and recovery

Technical Skills

• Intravenous cannulation
• Lumbar puncture
• Mask ventilation
• Orotracheal intubation
• Drug prep, admin and safety

Communicator

As Communicators, students will facilitate the doctor-patient relationship by:

• Establishing rapport, trust and a therapeutic relationship with patients and families
• Listening effectively
• Eliciting relevant information and perspectives of patients, families, and the health care team
• Conveying relevant information and explanations to patients, families and the health care team
• Conveying effective oral and written information about a medical encounter
• Maintaining clear, accurate, appropriate, and timely records of clinical encounters/operative procedures
• Addressing challenging communication issues effectively
• Obtaining informed consent
• Disclosing adverse events
• Addressing anger, confusion and misunderstanding using a patient centric approach

Collaborator

As Collaborators, the students will work effectively within the anesthesiology and surgery team to achieve optimal patient care by:

• Demonstrating a team approach to health care
• Participating effectively in an inter-professional and interdisciplinary health care team
• Recognizing and respecting the diversity of roles, responsibilities, and competences of other health professionals in the management of the surgical patient
• Working with others to assess, plan, provide, and integrate care of the surgical patient

Manager

As Managers, students will participate in the activities of the anesthesiology service, making decisions, allocating resources, and contributing to the effectiveness of the health care team by:

• Employing information technology appropriately for patient care
• Allocating finite health care resources appropriately

Health Advocate

As health advocates, students will responsibly use their expertise and influence to advance the health and well-being of individual patients, communities and populations by:

• Showing concern for the best interest of patients
• Identifying health needs of individual patients, and advocate for the patient, where appropriate
• Promoting and participating in patient safety

Scholar

As scholars, students will demonstrate a lifelong commitment to learning by:

• Demonstrating the ability for continuing self-learning
• Discussing the principles of general/medical physiology and the application of basic sciences to anesthesiology
• Demonstrating appropriate presentation skills, including formal and informal presentations
• Critically evaluating medical information and its sources and applying this appropriately to clinical decisions
• Critically appraising the evidence in order to address a clinical question
• Integrating critical appraisal conclusions into clinical care

Professional

As professionals, students are committed to health and well-being of individuals through ethical practice, profession-led regulation and high personal standards of behavior by:

• Exhibiting professional behaviors in practice, including honesty, integrity, commitment, compassion, respect and altruism
• Demonstrating a commitment to delivering the highest quality care
• Recognizing and responding appropriately to ethical issues encountered in practice
• Recognizing and respecting patient confidentiality, privacy and autonomy
• Participating in peer review
• Managing conflicts of interest and maintaining appropriate relations with patients
• Demonstrating awareness of industry influence on medical training and practice
• Recognition of personal and clinical limitations

Description

The Indigenous Health (Policy, Programs and Planning) Elective provides medical students with a comprehensive understanding of public health programs, policies, and healthcare service delivery for Indigenous peoples. Students will engage in various settings, including the Winnipeg Regional Health Authority and the Section of First Nations, Métis and Inuit Health at the University of Manitoba. This may include visits to First Nations communities. A recommended duration is four weeks, but shorter electives are considered, allowing for critical analysis and understanding of key concepts.

Availability

This elective is available throughout the year except mid-July to mid-August, with advanced notice of at least 3 weeks.

Duration

Variable; recommended four weeks.

Location

Winnipeg, Manitoba.

Call responsibility

There is no call duty.

By the end of the elective period, students will:

• Contrast and compare Indigenous and general population concepts of health, determinants of health, health indicators, and health status.
• Discuss diverse service delivery and funding mechanisms for providing healthcare to First Nations, Métis, and Inuit people.
• Analyze existing or proposed health policies or programs and provide feedback on their responsiveness to First Nations, Métis, or Inuit health needs.
• Articulate how concepts of reconciliation, self-determination, and cultural safety can be integrated into health policy, programs, and planning for Indigenous populations.

This elective provides students with the capacity to:

• Actively engage in public health program and policy discussions related to Indigenous health.
• Understand the complexities of healthcare service delivery and funding for Indigenous communities.
• Advocate for the health and well-being of Indigenous individuals and communities through policy analysis and program development.

Learning objectives (CanMEDS)

• Medical Expert: Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Communicator: Facilitate effective doctor-patient relationships.
• Collaborator: Work within healthcare teams to achieve optimal patient care.
• Leader: Contribute to a vision of high-quality healthcare and take responsibility for excellent patient care.
• Health Advocate: Use expertise and influence to advance health and well-being at individual, community, and population levels.
• Scholar: Demonstrate a commitment to lifelong learning.
• Professional: Uphold ethical practice and high personal standards of behavior.

Learning Objectives (CanMEDS)

Medical Expert

As Medical Experts, physicians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care.

The student can expect to be actively involved in the service. This will encompass:

• Contrasting and comparing Indigenous and general population concepts of health, determinants of health, health indicators, and health status.

Communicator

Physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

As Communicators, students will facilitate the doctor-patient relationship.

Collaborator

Physicians effectively work within a healthcare team to achieve optimal patient care.

Leader

Physicians engage with others to contribute to a vision of a high-quality health care system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers.

• Discussing the diverse service delivery and funding mechanisms in place to provide health care for First Nations, Métis, and Inuit people.

Health Advocate

As Health Advocates, students will responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations:

• Analyze an existing or proposed health policy or program and provide feedback as to its responsiveness to First Nations, Métis, or Inuit Health needs.
• Articulate how concepts of reconciliation, self-determination, and cultural safety can be included in health policy, programs, and planning for First Nations, Métis, and Inuit people.

Scholar

As Scholars, students will demonstrate a lifelong commitment to learning.

Professional

As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behavior.

Description

The Public Health & Preventive Medicine Elective at the Manitoba Centre for Health Policy (MCHP) exposes students to population-based research on health services, population and public health, and social determinants of health. Based at the University of Manitoba, this rotation offers an overview of MCHP's work and its impact on health programs and policies. The elective duration is a minimum of 3 weeks, with a preference for 4 weeks. Students are required to indicate their topic of interest with their elective application.

Availability

Minimum 3 weeks, preferably 4 weeks.

Duration

Minimum 3 weeks.

Location

Manitoba Centre for Health Policy, 4th Floor Brodie Centre, University of Manitoba, 727 McDermott Ave, Winnipeg, MB.

Call duty

No call is required.

By the end of the elective period, students will:

• Gain in-depth knowledge of research using a population-based data repository.
• Describe the advantages and limitations of research using administrative data.
• Identify the importance of knowledge translation in communicating research results to the public and policymakers.
• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Identify key stakeholders in conducting and disseminating population-based research.
• Appreciate the role of clinicians in participating in population-based research.
• Recognize the role of MCHP in using population-based research to evaluate the impact of interventions on reducing health inequities in Manitoba.
• Identify the role of MCHP in adapting its focus and responding to changing societal inequities and health outcomes.
• Appraise and discuss major research studies produced on healthcare use in Manitoba.
• Outline the process by which research conducted at MCHP can impact provincial health policy.
• Complete a project and report and/or presentation during the rotation.
• Demonstrate professional behavior in all interactions with MCHP staff.
• Recognize the role of MCHP as a center of excellence for population-based research.

This elective provides students with the capacity to:

• Engage in population-based research on various aspects of public health and preventive medicine.
• Understand the implications of research findings on healthcare policy and practice.
• Communicate research results effectively to diverse audiences, including the public and policymakers.

Learning objectives (CanMEDS)

Medical Expert

• Acquire a comprehensive understanding of utilizing a population-based data repository for research purposes.
• Evaluate the advantages and limitations associated with conducting research using administrative data.

Communicator

• Emphasize the significance of knowledge translation in effectively communicating research findings to both the general public and policymakers.
• Acknowledge the importance of establishing and nurturing relationships with individuals, organizations, communities, and populations.

Collaborator

• Identify and engage with key stakeholders involved in the execution and dissemination of population-based research.

Leader

• Acknowledge the crucial role of clinicians in actively participating in population-based research endeavors.

Health Advocate

• Acknowledge the pivotal role of the Manitoba Centre for Health Policy (MCHP) in utilizing population-based research to assess the efficacy of interventions aimed at mitigating health disparities in Manitoba.
• Recognize the MCHP's responsibility in adjusting its focus and strategies to address evolving societal inequities and health outcomes.

Scholar

• Critically assess and discuss significant research studies pertaining to healthcare utilization in Manitoba.
• Outline the mechanisms through which research conducted at MCHP can influence provincial health policy.
• Successfully execute a project and deliver a comprehensive report and/or presentation during the rotation.

Professional

• Demonstrate professionalism in all interactions with MCHP staff members.
• Acknowledge and appreciate the status of MCHP as a center of excellence for population-based research.

Description

This elective involves three components:

• Clinical Occupational Health
• The Worker's Compensation Board
• Time with the Chief Occupational Medical Officer, Workplace Safety & Health

Availability

This elective is available during all elective periods with prior arrangement.

Duration

This elective is a minimum of 2 weeks in duration.

Location

Location varies depending on the specific activities, including outpatient clinics and work site visits.

Call duty

No specific call duties are assigned during this elective.

By the end of the elective period, students will:

• Participate in two to three outpatient occupational medicine clinics per week.
• Conduct visits to various work sites, coordinated by the Chief Medical Officer of the Province.
• Be oriented to the role and responsibilities of the Worker's Compensation Board, including its healthcare department, claims area, and injury statistics.

This elective provides students with the capacity to:

• Clinically evaluate workers concerned about their health being adversely affected by their work.
• Describe five physical, chemical, biological, ergonomic, or psychosocial hazards in the working environment and identify ways to limit the effects of such exposures.
• Understand the basics of occupational hygiene, specifically the principles and techniques underlying the evaluation and control of workplace hazards.
• Describe two surveillance and epidemiology techniques in occupational health.
• Describe the organization, structure, and function of occupational health services, and the roles played by various agencies (e.g., Workplace Safety and Health Division of Manitoba Labour, Manitoba Federation of Labour Occupational Health Clinic, Workers Compensation Board).
• Understand the legislation relevant to occupational health in Manitoba (e.g., Workplace Safety and Health Act, WCB, and appropriate reporting mechanisms).
• Describe the social, economic, political, legal, and ethical issues in occupational health, and the various perspectives of workers, unions, employers, and government on these issues.

Description

This elective rotation offers exposure to Public Health practice at the Provincial level, based at Manitoba Health, Seniors, and Active Living. Specific areas of exposure include Communicable Disease Control, Environmental Health, Epidemiology and Surveillance, and Population Health and Health Equity, with a focus on gaining exposure to Public Health policy.

Availability

This elective is available during elective periods for Canadian Medical Schools.

Duration

The elective duration is a minimum of 4 weeks.

Location

Manitoba Health, Seniors, and Active Living.

Call duty

No call duty is required.

By the end of the elective period, students will:

• Understand the role of a Medical Officer of Health and the practice of Public Health at the Provincial level.
• Gain exposure to areas such as communicable disease control, environmental health, epidemiology & surveillance, and public health policy.
• Be introduced to legislation relevant to Public Health and the process for how provincial MOHs can affect change in policy to improve the health of Manitobans.
• Gain familiarity with interventions to address Public Health issues.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

This elective provides students with the capacity to:

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Understand principles of risk communication and effective public/media communication.
• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors, and the importance of an interprofessional approach.
• Understand the factors influencing public health resource allocation.
• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.
• Complete a project and presentation during the rotation.
• Exhibit professional behaviors such as honesty, integrity, commitment, and respect.

Learning objectives (CanMEDS)

Medical Expert

• Understand the role of a Medical Officer of Health and the practice of Public Health at the Provincial level.
• Gain exposure to the areas of communicable disease control, environmental health, epidemiology & surveillance, and public health policy.
• Be introduced to legislation relevant to Public Health, and the process for how provincial MOHs can affect change in policy to improve the health of Manitobans.
• Gain familiarity with interventions to address Public Health issues.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

Communicator

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Understand principles of risk communication and effective public/media communication.

Collaborator

• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors, and the importance of an interprofessional approach.

Leader

• Understand the factors influencing public health resource allocation.

Health Advocate

• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.

Scholar

• Complete a project and presentation during the rotation.

Professional

• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Description

This elective offers exposure to public health practice and the role of the Medical Officer of Health within the First Nations and Inuit Health Branch (FNIHB) of Indigenous Services Canada. Specific areas of exposure include epidemiology, surveillance, and communicable disease control. Students will gain understanding of the organization of health care and preventive health services for communities under FNIHB jurisdiction, as well as the realities and barriers to health based on historical and current government policies.

Availability

This elective is available during elective periods for students attending Canadian Medical Schools.

Duration

Elective duration is 2-3 weeks.

Location

Department of Internal Medicine, University of Manitoba.

Call duty

No call duty required.

By the end of the elective period, students will:

• Understand the role of a Medical Officer of Health and Public Health in communities in Manitoba that are under the jurisdiction of FNIHB.
• Gain exposure to areas of Population Health Assessment, epidemiology, and surveillance, communicable disease control.
• Understand legislation relevant to Public Health in First Nations communities in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, health equity, determinants of health, health indicators, and health status relevant to health in First Nations communities in Manitoba.

This elective provides students with the capacity to:

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe principles of risk communication and effective public/media communication.
• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors.
• Understand the factors influencing public health resource allocation.
• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.
• Complete a project and presentation during the rotation.
• Exhibit professional behaviors such as honesty, integrity, commitment, and respect.

Learning objectives (CanMEDS)

Medical Expert

• Understand the role of a Medical Officer of Health and Public Health in communities in Manitoba that are under the jurisdiction of FNIHB.
• Gain exposure to areas of Population Health Assessment, epidemiology, & surveillance, communicable disease control.
• Understand legislation relevant to Public Health in First Nations communities in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, health equity, determinants of health, health indicators, and health status relevant to health in First Nations communities in Manitoba.

Communicator

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe principles of risk communication and effective public/media communication.

Collaborator

• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors.

Leader

• Understand the factors influencing public health resource allocation.

Health Advocate

• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.

Scholar

• Complete a project and presentation during the rotation.

Professional

• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Description

This elective exposes students to the role of the Medical Officer of Health at the regional level, specifically in the urban setting of Winnipeg. The focus is to provide a broad overview of public health practice with exposure to areas such as epidemiology & surveillance, communicable disease control, environmental health, health promotion (including physical activity, nutrition, and mental health promotion), healthy sexuality and harm reduction, health equity, and injury prevention. Opportunities to engage with other community services are also available (e.g., pre/post travel clinic, Bridgecare Clinic, PACT, Street Connections).

Availability

This elective is available during elective periods for students attending Canadian Medical Schools.

Duration

The elective duration is a minimum of 3 weeks.

Location

Winnipeg Regional Health Authority (WRHA) in Winnipeg, Manitoba.

Call duty

No call duty is required.

By the end of the elective period, students will:

• Gain exposure to the core functions of public health practice at the regional level.
• Understand the role of the Medical Officer of Health.
• Understand population health assessment, epidemiology, surveillance, government policy development, and processes.
• Describe the roles of regional public health services within the province and articulate the difference between regional and provincial public health responsibilities.
• Understand legislation relevant to Public Health in Manitoba and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

This elective provides students with the capacity to:

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe the role of the Medical Officer of Health in risk communication and effective public/media communication.
• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system, such as public health nurses and public health inspectors.
• Understand the factors influencing public health resource allocation.
• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.
• Complete a project and report and/or presentation during the rotation.
• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Learning objectives (CanMEDS)

Medical Expert

• Gain exposure to the core functions of public health practice at the regional level.
• Understand the role of the Medical Officer of Health.
• Understand population health assessment, epidemiology, surveillance, government policy development, and processes.
• Describe the roles of regional public health services within the province, and articulate the difference between a regional and provincial public health responsibility.
• Understand Legislation relevant to Public Health in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

Communicator

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe the role of the Medical Officer of Health in risk communication and effective public/media communication.

Collaborator

• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system, such as public health nurses and public health inspectors.

Leader

• Understand the factors influencing public health resource allocation.

Health Advocate

• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.

Scholar

• Complete a project and report and/or presentation during the rotation.

Professional

• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Description:

The Emergency Medicine program takes place at various hospitals in Winnipeg, offering a comprehensive experience in an acute care setting. Throughout the elective, students are assigned to a specific emergency department and preceptor for each shift. The student's responsibilities include patient assessment, collaboration with multidisciplinary teams, and participation in various procedures such as suturing, chest tube insertion, and bedside ultrasound.

Availabillity

Please contact UGME

Duration

Please contact UGME.

Location

Health Sciences Centre, St. Boniface General Hospital, Grace Hospital, Seven Oaks Hospital, and Concordia Hospital.

By the end of the elective period, students will:

• Demonstrate proficiency in patient assessment and understanding of various disease processes.
• Develop problem-solving skills specific to Emergency Medicine.
• Participate in and observe various emergency procedures.
• Attend academic sessions including Grand Rounds, Journal Clubs, and resident academic days.

This elective provides students with the capacity to:

• Develop an approach to assessing undifferentiated patients.
• Perform focused history and physical exams.
• Recognize and manage common emergency presentations.
• Communicate effectively with patients, families, and healthcare teams.
• Work collaboratively within a healthcare team to provide optimal patient care.
• Make decisions and contribute to the effectiveness of the healthcare team.
• Demonstrate a commitment to ethical practice and professional behavior.

Call responsibility

No call duty is required for this elective.

Learning Objectives (CanMEDS)

• Recognize one’s personal and clinical limitations and seeks assistance promptly when required
• Be respectful of patients, families and members of the ED inter-professional team

Description

Family Medicine electives provide opportunities for students to engage in patient-centered care, manage clinical problems commonly seen in family medicine, and develop essential skills across various domains of medical practice.

Availability

Electives in Family Medicine are available for University of Manitoba students during the established elective period in 4th year, typically September to mid-January.

Duration

All electives are for a maximum of 2 weeks.

Location

Elective sites include various urban and rural locations in Manitoba, depending on the type of elective.

Call responsibility

No call duty is required for family medicine electives.

By the end of the elective period, students will:

• Describe elements of an effective doctor-patient relationship.
• Demonstrate patient-centered medicine, including shared decision-making.
• Manage clinical problems commonly encountered in family medicine.
• Identify management priorities for patients with multiple morbidities.
• Assess and develop management plans for patients with undifferentiated conditions.

This elective provides students with the capacity to:

• Conduct focused literature searches and evaluate scientific literature.
• Maintain professionalism, including appropriate boundaries and confidentiality.
• Identify and address social, economic, and resource issues affecting patient health.
• Seek additional patient information and propose management plans.
• Collaborate effectively within multidisciplinary healthcare teams.
• Communicate clearly with patients, families, and other healthcare professionals.

Learning Objectives (CanMEDS)

Medical Expert

• Describe elements of an effective doctor-patient relationship.
• Demonstrate patient-centered medicine.
• Manage clinical problems commonly seen in family medicine.

Scholar

• Conduct focused literature searches.
• Evaluate scientific literature relevance.
• Develop self-directed learning plans.

Professional

• Define and maintain appropriate boundaries.
• Maintain patient confidentiality.
• Reflect on professional behavior.

Health Advocate

• Identify issues affecting health and access to healthcare.
• Propose approaches to resolving issues.

Manager

• Seek additional patient information.
• Propose patient-centered management plans.
• Ensure personal health and safety.

Collaborator

• Describe roles of Primary Health Care team members.
• Demonstrate effective communication.
• Establish positive working relationships.

Communicator

• Share information with clarity.
• Write clear prescriptions and requisitions.
• Document patient encounters effectively.
• Present cases effectively.

Description

This elective offers students the opportunity to participate as part of the gynecological team under the direction of the assigned preceptor and senior resident. Over a duration of two weeks, students will engage in diagnosing, treating, and advising women with gynecological complaints. This elective spans various clinical settings including inpatient, emergency, and clinic environments. It caters to students interested in pursuing careers in Family Medicine, Emergency Medicine, Sports Medicine, Endocrinology, Dermatology, Sexual Medicine, or Obstetrics and Gynecology.

Availability

Contact UGME

Duration

2 weeks

Location

The elective takes place at Women’s Hospital, St. Boniface General Hospital, and private practice offices.

Call responsibility

No call responsibility specified.

By the end of the elective period, students will:

• Be proficient in diagnosing and understanding treatment approaches for common gynecological conditions such as abnormal uterine bleeding, menopause, contraception, amenorrhea, and vulvovaginal complaints.
• Perform basic gynecological procedures under supervision with a focus on minimizing patient discomfort. These procedures include speculum examination, bimanual examination, pap smear, endometrial biopsy, IUCD insertion, and pessary insertion and removal.
• Effectively take a skillful, focused history from patients using both open-ended and directed questions.
• Communicate findings, diagnoses, and interventions to patients using language appropriate to their level of understanding.
• Interact with all members of the healthcare team in a respectful, inclusive manner, acknowledging the importance of the team approach in optimal patient care.
• Recognize personal limitations and seek timely assistance, consultation, or referral when necessary.
• Develop an understanding of the life/work balance, practice management, administrative responsibilities, and remuneration available in gynecological practice.
• Recognize the social determinants of health and incorporate these into diagnostic and treatment approaches.
• Advocate for culturally competent, patient-centered care for each patient under their care.
• Practice evidence-based medicine and utilize online resources to enhance patient care.
• Engage in teaching others and participate in active discussions regarding alternative approaches based on available evidence.
• Cultivate a habit of lifelong learning and demonstrate a commitment to excellence in the practice of medicine.
• Exhibit a high level of ethical, honest, and professional behavior both within and outside the clinical environment.

This elective provides students with the capacity to:

Gain hands-on experience in diagnosing and treating common gynecological conditions, perform basic gynecological procedures under supervision, improve communication skills with patients and healthcare team members, understand the management and administrative aspects of gynecological practice, advocate for patient-centered care, and cultivate a commitment to lifelong learning and ethical professional behavior.

Learning Objectives (CanMEDS)

Professional

• Develop the habit of life-long learning and commitment to excellence in the practice of medicine.
• Demonstrate a high level of ethical, honest, professional behaviour both inside and outside the clinical environment.

Description

The elective student participates as part of the gynecological oncology team under the direction of the senior fellow or resident. The Gynecologic Oncology service is the only tertiary care oncology service in women’s health within the province of Manitoba with an encatchment area including Manitoba, Nunavut, and Western Ontario. The service sees approximately 15-20 new patients per week, provides 4-6 surgical days per week, and has approximately 15-20 inpatients at a given time. The service is run by either a senior resident or fellow and often has several learners including junior residents, off-service residents, and medical students. The oncology rotation offers the medical student an opportunity to see and examine complex surgical and chemotherapeutic cases, honing their history, physical, and procedural skills. The student will help the team with rounds and participate in departmental educational activities. The student is encouraged to assess new patients in each clinic and follow the patient through the diagnosis, treatment planning, and initial stages of management.

Availability

All periods within the calendar year for 2-4 week blocks

Duration

2-4 week blocks

Location

CancerCare MB, Women’s Hospital, St. Boniface General Hospital

Call responsibility

Call responsibility will be individually negotiated with the student.

By the end of the elective period, students will

• Understand the surgeon’s role in the multidisciplinary management of gynecologic cancers
• Demonstrate effective clinical problem-solving and judgment
• Display honesty, compassion, integrity, and respect in daily activities
• Identify and react to ethical dilemmas and issues
• Demonstrate a self-awareness of limitations
• Perform various procedures relevant to Gynecologic oncology
• Communicate effectively with patients, families, and the healthcare team
• Seek appropriate consultation from other health professionals
• Demonstrate a concern and ability to deem what is in the best interests of the patient and family
• Critically evaluate medical literature and apply to daily practice
• Ensure patients receive appropriate end-of-life care
• Participate effectively in an inter-professional and interdisciplinary healthcare team

Learning Objectives (CanMEDS)

Medical Expert

• Patient assessment: Perform a focused physical examination that is relevant and accurate.
• Procedural skills:
  • Demonstrate effective, appropriate, and timely utilization of diagnostic procedures relevant to Gynecologic oncology:
    • Pap Smear
    • Vulvar and vaginal biopsy
    • Cervical biopsy and polypectomy
    • Endometrial biopsy
• Surgical Principles:
  • Document and disseminate information related to procedures performed and their outcomes.
  • Participate in basic surgical procedures including wound closure.
• Pre-Operative Planning:
  • Understand the principles of medical, surgical, and radiation treatment.
  • Perform a pre-operative assessment.
• Anesthesia and Peri-Operative Pain Management:
  • Offer different anesthetic options for laparoscopy, hysteroscopy, and laparotomy (general anesthesia, regional anesthesia, conscious sedation, other).
  • Use appropriate management of postoperative pain and nausea.
  • Manage postoperative medical and surgical complications.

Communicator

• Elicit a history that is relevant, concise, and accurate.
• Ensure patients receive appropriate end-of-life care.
• Obtain informed consent for procedures (risks, benefits, complications, alternatives).
• Perform a pre-operative assessment.
• Establish rapport and build a therapeutic relationship with patients and families.
• Convey relevant information and explanations to patients, families, and the health care team.
• Convey effective oral and written information about a medical encounter that is accurate and timely.

Collaborator

• Ensure patients receive appropriate end-of-life care from a multidisciplinary team including pain services, anesthesia, palliative care, nurses, nurse practitioners, home care, OT/PT and social workers, and other possible members.
• Seek appropriate consultation from other health professionals, recognizing the limits of their expertise.
• Participate effectively in an inter-professional and interdisciplinary health care team and rounds.
• Recognize and respect the diversity of roles, responsibilities, and competences of other health professionals in the management of patients.

Manager

• Ensure patients receive appropriate end-of-life care in a timely and efficient fashion.
• Learn to utilize health resources appropriately.

Health Advocate

• Demonstrate a concern and ability to determine what is in the best interests of the patient and family.
• Identify common clinical roles for health advocacy (e.g. pap smears, HPV vaccination, smoking cessation, weight loss, etc.).
• Promote and identify patient safety.

Scholar

• Demonstrate effective clinical problem-solving and judgment, including interpreting available data, integrating information to generate differential diagnoses, and propose management plans.
• Display the ability for continued self-learning.
• Demonstrate appropriate formal presentation skills through the presentation of gynecologic oncology rounds.
• Critically evaluate medical literature and apply it to daily practice to answer a clinical question.

Professional

• Seek appropriate consultation from other health professionals, recognizing the limits of their expertise and the expertise of others.
• Display honesty, compassion, integrity, and respect in daily activities.
• Identify and react to ethical dilemmas and issues.
• Respect patient autonomy and privacy.
• Demonstrate self-awareness of limitations.

Description

The 2-week elective offers students the opportunity to engage in the care of high-risk obstetrical patients. Learning settings include hospitals and clinics, providing valuable experience for those interested in radiology, pediatrics, perinatology, internal medicine, anesthesia, or obstetrics and gynecology. This elective is available at St. Boniface Hospital.

Availability

This elective is available at specified times, please inquire with the university for current availability.

Duration

This elective spans 2 weeks.

Location

St. Boniface General Hospital

Call responsibility

Elective students will be expected to take obstetrical call with assigned preceptors.

By the end of the elective period, students will

• Gain hands-on experience in the diagnosis and care of women with pregnancies complicated by various conditions, such as antepartum bleeding, threatened premature labor, premature rupture of membranes, obstructed labor, gestational diabetes, pregnancy-induced hypertension, multiple gestation, and fetal anomalies.
• Understand the indications for and interpretation of antepartum screening and fetal surveillance, including obstetrical ultrasound and genetic testing.
• Recognize fetal viability, position, and amniotic fluid volume on obstetrical ultrasound.

This elective provides students with the capacity to

• Participate in patient-centered care by integrating medical knowledge, clinical skills, and professional attitudes.

Learning Objectives (CanMEDS)

Medical Expert

• Participate in the diagnosis and care of women with pregnancies complicated by various conditions.
• Understand the indications for and interpretation of antepartum screening and fetal surveillance.
• Recognize fetal viability, position, and amniotic fluid volume on obstetrical ultrasound.

Communicator

• Take a skillful, focused history using both open-ended and directed questions.
• Inform patients about findings, diagnoses, and interventions using language appropriate for their level of understanding.

Collaborator

• Interact with all members of the healthcare team in a respectful, inclusive manner.
• Develop an awareness of one’s own limitations and seek timely assistance when appropriate.

Leader

• Develop an understanding of the life/work balance and other aspects of high-risk obstetrical practice.

Health Advocate

• Recognize social determinants of health and advocate for culturally competent, patient-centered care.

Scholar

• Practice evidence-based medicine and teach others based on available evidence.

Professional

• Commit to lifelong learning and ethical, professional behavior.

Description

The 2-week elective offers students an opportunity to participate in the care of obstetrical patients. Learning will occur in hospital and clinic environments. This experience is relevant for students considering careers in Family Medicine, Pediatrics, General Surgery, Anesthesia, or Obstetrics and Gynecology. 

Availability

This elective is available at specified times. Please inquire with the university for current availability.

Duration

This elective spans 2 weeks.

Location

St. Boniface General Hospital and Women’s Hospital

Call responsibility

Elective students will be expected to take obstetrical call with assigned preceptors.

By the end of the elective period, students will

• Understand diagnostic and treatment approaches for patients presenting with common antepartum problems (e.g., abdominal pain, cystitis, vaginitis, antepartum bleeding, threatened premature labor, musculoskeletal pain).
• Participate in intrapartum care and perform normal deliveries under supervision while minimizing discomfort to the patient.
• Participate in the care of postpartum patients, including management of postpartum hemorrhage, infections, contraceptive counseling, and breastfeeding support.

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in the provision of patient-centered care.

Learning Objectives (CanMEDS)

Medical Expert

• Understand diagnostic and treatment approaches for patients presenting with common antepartum problems.
• Participate in intrapartum care and perform normal deliveries under supervision.
• Participate in the care of postpartum patients.

Communicator

• Take a skillful, focused history using both open-ended and directed questions.
• Inform patients about their findings, diagnoses, and interventions using language that is respectful and appropriate.

Collaborator

• Interact with all members of the healthcare team in a respectful, inclusive manner.
• Develop an awareness of one’s own limitations and seek timely assistance, consultation, or referral when appropriate.

Leader

• Develop an understanding of the life/work balance and administrative responsibilities in obstetrical practice.

Health Advocate

• Recognize the social determinants of health and advocate for culturally competent, patient-centered care.

Scholar

• Practice evidence-based medicine and teach others based on available evidence.

Professional

• Commit to lifelong learning and ethical, professional behavior.

Description

This elective aims to enhance students' understanding of basic concepts in health care ethics and their ability to identify ethical features in clinical practice. Students will engage in activities such as readings, discussions, attendance at ethics education rounds, observation of ethics consultations, and structured interviews with clinicians. They will identify a focus theme for the elective and develop learning objectives related to this theme, which may include foundational concepts in health care and professional ethics, general ethical issues in clinical practice, and ethical issues in specific clinical areas.

Availability

Open to fourth-year students seeking to complement the curriculum in ethics and law addressed in the undergraduate medical education program.

Duration

Variable, to be determined in consultation with preceptors.

Location

St. Boniface Hospital

By the end of the elective period, students will:

• Demonstrate an enhanced understanding of basic concepts in health care ethics.
• Identify ethical features embedded in clinical practice.
• Analyze ethical issues in clinical practice and formulate recommended positions/resolutions based on critical ethical reasoning.
• Formulate a plan of action to realize recommended positions/resolutions, including communication skills and procedural options/remedies.

This elective provides students with the capacity to:

• Actively participate in the service.
• Facilitate the doctor-patient relationship.
• Work effectively within a healthcare team.
• Contribute to the activities of the surgical service and make decisions to allocate resources effectively.
• Responsibly use their expertise and influence to advance the health and well-being of patients, communities, and populations.
• Demonstrate a lifelong commitment to learning.
• Commit to health and well-being through ethical practice and high personal standards of behavior.

Learning Objectives (CanMEDS)

Medical Expert

• Apply medical knowledge and clinical skills in patient-centered care.

Communicator

• Facilitate effective doctor-patient relationships.

Collaborator

• Work effectively within healthcare teams.

Leader

• Contribute to the effectiveness of healthcare teams.

Health Advocate

• Advance health and well-being at individual, community, and population levels.

Scholar

• Demonstrate a lifelong commitment to learning.

Professional

• Commit to ethical practice and high personal standards of behavior.

Discipline: Internal Medicine

Description

This elective offers learners the opportunity to immerse themselves in the practice of Medical Genetics. They will engage in various clinics and consultations with patients admitted to the hospital. Subspecialties/disciplines covered include General Genetics, Prenatal Genetics, Cancer Genetics, and Metabolic Genetics.

Availability

Open to learners seeking a comprehensive experience in Medical Genetics practice.

Duration

Variable, to be determined based on the learner's needs and availability.

Location

Electives are available at:

• Health Sciences Centre
• St. Boniface Hospital

By the end of the elective period, learners will:

• Demonstrate basic scientific and clinical knowledge relevant to medical genetics.
• Interpret medical and family histories appropriately.
• Perform accurate and well-organized physical examinations.
• Recognize, describe, and interpret relevant laboratory and imaging findings related to genetic diseases.
• Provide appropriate genetic counseling.
• Elicit, document, and present comprehensive medical and developmental histories.
• Provide accurate, understandable, and timely documentation to referring physicians, agencies, and families.
• Interact effectively with other members of an interdisciplinary healthcare team.
• Utilize resources effectively to balance patient care, learning needs, and outside activities.
• Serve as effective teachers to other physicians, healthcare personnel, patients, and the general public.
• Demonstrate personal and professional attitudes consistent with a consultant physician role.

Learning Objectives (CanMEDS)

Medical Expert

• Demonstrates the basic scientific and clinical knowledge relevant to medical genetics.
• Interprets medical and family histories appropriately.
• Performs physical examinations that are appropriate, accurate, and well-organized.
• Recognizes, describes, and interprets laboratory and imaging findings relevant to genetic disease.

Communicator

• Provides appropriate genetic counseling.
• Elicits, documents, and presents a comprehensive medical/developmental history.
• Elicits, documents, and presents an appropriate family history.
• Provides accurate, understandable, and timely documentation to referring physicians, agencies, and families.

Collaborator

• Interacts effectively with other members of an interdisciplinary health care team and recognizes and respects their roles and expertise.

Manager

• Utilizes resources effectively to balance patient care, own learning needs, and outside activities.

Scholar

• Is an effective teacher to other physicians (including medical students and residents), other health care personnel, patients, and the general public.

Professional

• Demonstrates personal and professional attitudes consistent with a consultant physician role.

This rotation provides an educational experience in the common infectious problems experienced by patients. One-on-one teaching, small group tutorials and weekly grand rounds support an evidence-based approach to infectious disease problems. For more information, view the Infectious Diseases Residency page. 

Discipline: Ongomiizwin Health Services

Sub-specialties:

Churchill [PDF]

Fly-In [PDF]

Norway House [PDF]

Description

This elective offers students a comprehensive clinical experience in a remote First Nations and Inuit community in Manitoba. Students will develop skills in history taking, physical examination, diagnosis, and management across a wide spectrum of clinical presentations. Emphasis will be placed on managing clinical scenarios in a remote setting within the context of a First Nations and Inuit community in Manitoba.

Particular attention will be given to understanding the Determinants of Health that influence both individual and community health, as well as the structural factors such as policies that impact patient care. The clinical experience includes exposure to various settings including clinics, the emergency room (ER), observer roles in pediatric dental surgery, personal care homes, public health initiatives, and homecare. Additionally, opportunities may arise for involvement in outreach clinics such as teen clinics at schools and collaboration with visiting specialists conducting specialty clinics in the community.

Please indicate in the comments section of your application if you would also like to be considered for an elective in Norway House and the Fly-in program

A letter of motivation describing the reasons for applying for an elective with the Ongomiizwin Health Services focusing on providing care to Indigenous populations in a remote area is required (maximum 1 page, the same letter may be used for applications to all OHS sites).

Community overview

Churchill, located on the Hudson Bay, is a northern remote community with a population of 900, which swells to 1200 during the Beluga and Polar Bear tourist season annually from June to November. There is no road access to Churchill, with Calm Air providing two daily flights from Winnipeg, one of which flies via Rankin Inlet, Nunavut. VIA Rail also serves the community twice a week.

The community makeup is diverse, comprising approximately one-third First Nations communities (Cree and Dene), one-third Inuit, and one-third Non-Indigenous residents. The Health Centre serves as the largest employer in town, equipped with 25 inpatient beds and 7 long-term care beds, including specialized facilities such as a delivery suite, a palliative care room, and an isolation room. Basic laboratory and X-ray services are available onsite.

Historically, Churchill provided primary and secondary care to seven communities in the Kivalliq region of Nunavut. However, since the opening of a hospital in Rankin Inlet in 2009, Churchill now primarily caters to residents and visitors. The Health Centre operates under the Winnipeg Regional Health Authority (WRHA) and often facilitates the rehabilitation of Nunavut residents requiring convalescence before returning to their home communities from hospitals in Winnipeg.

The Churchill Health Centre is funded for three physicians, with a core group of six physicians working part-time to fulfill this staffing requirement. As a result, students will have the opportunity to experience various practice styles during their elective.

Availability

Year-round

Duration

Minimum 3 weeks (dependent on availability)

Location

Churchill Health Centre, Churchill, Manitoba

Call responsibility

ER volume is low compared to other Northern communities. Evening clinics are rare, and patient consultations after midnight are generally reserved for true emergencies. As a result, the call expectation is a one-in-four rotation for 24-hour call shifts.

On the remaining days, medical students will cover the ER and Clinic alongside the on-call physician from 9 am to 5 pm. If not rostered for a 24-hour call on a weekend day, there is no expectation for the medical student to come to the health centre. However, we encourage students to remain open to coming in if an interesting learning experience arises when they are not on call.

By the end of the elective period, students will

• Develop skills in history-taking and physical examination in a primary care and ER setting
• Formulate a broad differential diagnosis for clinical presentations
• Integrate understanding of the social determinants of health into patient encounters
• Communicate respectfully with all patients and staff, utilizing a trauma-informed approach
• Interact with all members of the healthcare team in a respectful manner
• Demonstrate commitment to providing high-quality clinical care
• Recognize the importance of the Social Determinants of Health, particularly the impact of colonialism and structural racism on Indigenous communities in Canada
• Use an evidence-based approach to the diagnosis and management of clinical presentations
• Demonstrate behaviors consistent with service commitments outlined in the Northern Medical Unit Physician Charter

Learning Objectives (CanMEDS)

Medical Expert

• Develop skills in history-taking and physical exam in a primary care and ER setting
• Formulate a broad differential diagnosis for clinical presentations
• Develop an organized case presentation including pertinent positive and negative findings appropriate for the clinical presentation
• Integrate understanding of the social determinants of health into patient encounters

Communicator

• Communicate respectfully with all patients and staff
• Use a trauma-informed approach in all patient encounters
• Recognize the importance of relationships with individuals, organizations, communities, and populations

Collaborator

• Interact with all members of the healthcare team in a respectful manner, recognizing the importance of an interprofessional approach for optimal patient care

Leader

• Demonstrate commitment to providing high-quality clinical care
• Allocate health resources appropriately based on needs of individual patients and the community
• Demonstrate effective self-management by conducting self-learning

Health Advocate

• Recognize the importance of the Social Determinants of Health, particularly the distal determinants of health of colonialism and structural racism that continue to impact the health of Indigenous communities in Canada
• Identify policies that impact the health of individuals and a community and impact on patient care
• Recognize the strengths found in the community, and identify how students and physicians can support community-led initiatives that promote health

Scholar

• Use an evidence-based approach to the diagnosis and management of clinical presentations
• Complete a presentation during the elective rotation

Professional

• Demonstrate behaviors consistent with the service commitments outlined in the Northern Medical Unit Physician Charter; including cultural safety, listening, compassion, respect, and humility

Description

This elective offers students a comprehensive clinical practice experience in a remote First Nations community in Manitoba. Students will develop skills in history-taking, physical examination, diagnosis, and management across a wide range of clinical presentations. The focus will be on managing clinical cases in a remote setting within the context of a First Nations community in Manitoba. Special attention will be given to understanding the Determinants of Health and structural factors, such as policies, that impact patient care.

Clinical experiences will include participation in clinics, emergency rooms, personal care homes, public health initiatives, and homecare services. Additionally, there may be opportunities for outreach clinics, such as teen and ADHD clinics at schools, depending on the schedule.

Community overview

Norway House, with a population of approximately 7500 people, encompasses both a large on-reserve and off-reserve community. Situated 800 km north of Winnipeg, it stands as one of the largest First Nations communities in Manitoba. The hospital facility includes 6 in-patient beds, a palliative care suite, an emergency room, laboratory services, x-ray facilities, and a dialysis unit, alongside various social programs. Throughout the week, six physicians are present on-site, with two physicians providing on-call coverage during weekends and holidays.

Please indicate in the comments section of your application if you would also like to be considered for an elective in Churchill and the Fly-in program.

A letter of motivation describing the reasons for applying for an elective with Ongomiizwin Health Services focusing on providing care in a remote Indigenous community is required (maximum 1 page, the same letter may be used for applications to all OHS sites).

Availability

Varies

Duration

Minimum 3 weeks, depending on availability.

Location

Norway House, Manitoba

Call responsibility

On-call duties involve managing all ER presentations and providing emergency obstetric coverage, although Norway House Hospital does not offer birthing services. On-call shifts, primarily conducted from home, may require students to spend significant time in-house due to the ER's activity level. Scheduling follows UGME in-hospital call policy, with elective rotations having a reduced frequency of 1 in 5 on-call shifts, compared to 1 in 4 for Family Medicine core rotations. During three-week rotations, students have one weekend on-call duty, and for four-week rotations, they have two weekends on-call. If an on-call shift falls on a statutory holiday, a day off during the rotation is granted, determined in consultation with the Education Director at Norway House.

Cost

The flight bookings from Winnipeg to Norway House and arrangements for accommodations will be covered and arranged by Ongomiizwin Health Services, once the elective is confirmed

Prior to the elective

You will be contacted by email by the OHS Hospital-Based Physician Coordinator with your flight details, and provided with an electronic copy of the Norway House Learner Orientation document, which provides further details on rotation expectations and other useful information.

By the end of the elective period, students will

Have developed skills in history taking, physical examination, diagnosis, and management of various clinical presentations in a remote Indigenous community setting. They will have gained insights into the impact of determinants of health and structural factors on patient care.

This elective provides students with the capacity to

Experience full-spectrum clinical practice in a remote First Nations community, focusing on providing care in a contextually relevant manner.

Learning Objectives (CANMeds)

Medical Expert

• Develop skills in history taking and physical examination in a primary care and ER setting.
• Formulate a broad differential diagnosis for clinical presentations.
• Develop an organized case presentation integrating social determinants of health.

Communicator

• Communicate respectfully with patients and staff.
• Utilize a trauma-informed approach in patient encounters.
• Recognize the importance of relationships in healthcare.
• Develop skills in media communication.

Collaborator

Interact with all healthcare team members respectfully, recognizing the importance of an interprofessional approach.

Leader

• Demonstrate commitment to providing high-quality clinical care.
• Allocate health resources appropriately based on patient and community needs.
• Demonstrate effective self-management through self-learning.

Health Advocate

• Recognize the impact of colonialism and structural racism on Indigenous communities' health.
• Identify policies influencing patient care.
• Support community-led health initiatives.

Scholar

• Utilize evidence-based approach in diagnosis and management.
• Complete a presentation during the elective rotation.

Professional

Demonstrate behaviors consistent with the service commitments outlined in the Northern Medical Unit Physician Charter, including cultural safety, listening, compassion, respect, and humility.

Description

This elective offers students a comprehensive clinical practice experience within isolated fly-in First Nations communities in Manitoba. Students will develop skills in history-taking, physical exams, diagnosis, and management across a wide range of clinical presentations. Emphasis will be placed on managing healthcare in remote settings within the context of First Nations communities in Manitoba, with a focus on understanding the Determinants of Health and structural factors affecting patient care, such as policies. Clinical experiences will include participation in clinics, emergency rooms, public health initiatives, and homecare services.

Please indicate in the comments section of your application if you would also like to be considered for an elective in the hospital‐based sites, Norway House and Churchill.

A letter of motivation describing the reasons for applying for an elective with Ongomiizwin Health Services, focusing on providing care in a remote Indigenous community is required (maximum 1 page, the same letter may be used for applications to all OHS sites).

Community overview

Ongomiizwin Health Services operates in 12 communities through their fly-in program (10 fly-in, 2 drive-in), varying in size from 600 to 4500 community members. While four communities have road access from Winnipeg, the rest are accessible only by air. Nursing stations serve as the primary point of care, managed by each First Nation in collaboration with the First Nations Inuit Health Branch. OHS physicians act as consultants to support and extend primary care services provided by community nurses. Physicians typically work independently or with one other doctor at OHS sites. Limited availability of x-ray and point-of-care testing is common across all sites, with no laboratory services available onsite. Patients requiring advanced imaging or hospitalization are transferred to Winnipeg for care.

Physicians visit the communities weekly, being present from Monday to Thursday. On weekends, remote support is provided by telephone. During a two-week elective, students may visit one community twice or two different communities each week, departing on Monday morning and returning to Winnipeg by Thursday evening. There are no responsibilities from Friday to Sunday. Out-of-province students are responsible for their own accommodation in Winnipeg from Thursday night to Monday morning. The availability of specific communities for the elective depends on preceptor availability. Students interested in a hospital-based elective with Ongomiizwin Health Services should refer to separate elective applications for Norway House and Churchill.

Availability

Variable.

Duration

Minimum 2 weeks.

Location

Fly-in communities, Manitoba.

Call responsibility

On-call duties entail managing all ER presentations and providing emergency obstetric coverage. During the fly-in rotation, students are expected to be on call for one night each week, as per Policy Statement 3.1 of the Clerkship Duty Hours, University of Manitoba, College of Medicine Policy.

Cost

The flight bookings from Winnipeg to the fly‐in community and arrangements for accommodations will be covered and arranged by Ongomiizwin Health Services, once the elective is confirmed.

Prior to the elective

You will be contacted through email by the OHS Fly in Coordinator with your flight details. You are welcome to contact the fly in coordinator for a more detailed orientation and review of expectations.

By the end of the elective period, students will:

Have developed skills in history taking, physical exams, diagnosis, and management of various clinical presentations in an isolated fly-in First Nations community setting. They will also gain insights into the impact of determinants of health and structural factors on patient care.

This elective provides students with the capacity to:

Experience full-spectrum clinical practice in a remote Indigenous community, focusing on providing care in a contextually relevant manner.

Learning Objectives (CANMeds)

Medical Expert

• Develop skills in history taking and physical exam in a primary care and ER setting.
• Formulate a broad differential diagnosis for clinical presentations.
• Develop an organized case presentation, including pertinent positive and negative findings appropriate for the clinical presentation.
• Integrate understanding of the social determinants of health into patient encounters.

Communicator

• Communicate respectfully with all patients and staff.
• Utilize a trauma-informed approach in all patient encounters.
• Recognize the importance of relationships with individuals, organizations, communities, and populations.

Collaborator

Interact with all members of the healthcare team in a respectful manner, recognizing the importance of an interprofessional approach for optimal patient care.

Leader

• Demonstrate commitment to providing high-quality clinical care.
• Allocate health resources appropriately based on needs of individual patients and the community.
• Demonstrate effective self-management by conducting self-learning.

Health Advocate

• Recognize the importance of the Social Determinants of Health, in particular, the distal determinants of health of colonialism and structural racism that continue to affect the health of Indigenous communities in Canada.
• Identify policies that impact the health of individuals, community, and patient care.
• Recognize the strengths found in the community, and identify how students and physicians can support community-led initiatives that promote health.

Scholar

• Use an evidence-based approach to the diagnosis and management of clinical presentations.

Professional

Demonstrate behaviors consistent with the service commitments outlined in the Ongomiizwin Health Services Physician Charter, including cultural safety, listening, compassion, respect, and humility.

Description

The elective offers an overview encompassing cornea, retina, glaucoma, pediatrics, ocular plastics, main OR, minor OR, oncology, neuro-ophthalmology, and non-surgical office visits. Depending on individual interests and specialist availability, students can explore various aspects of ophthalmology.

Availability

Contact UGME.

Duration

Two-week periods.

Location

University of Manitoba and visiting out-of-province medical students.

By the end of the elective period, students will:

• Be familiar with basic ophthalmology.
• Feel comfortable with eye examinations, particularly fundus examinations.
• Have exposure to various aspects of ophthalmology for potential career planning.

This elective provides students with the capacity to:

• Gain familiarity with basic ophthalmology.
• Develop comfort with eye examinations, particularly fundus examinations.
• Explore various aspects of ophthalmology for potential career planning.

Call responsibility

Discuss with the Department of Ophthalmology Program Assistant.

Learning Objectives (CanMEDS)L

Medical Expert

• To be familiar with basic ophthalmology.
• Become more comfortable with examinations of the eyes, in particular looking at the fundus.
• Become exposed to multiple aspects of ophthalmology for potential career planning.

Communicator

• Clearly present clinical findings to the supervising ophthalmologist and present an assessment, diagnosis and proposed clinical plan.

Collaborator

• Where relevant, work with other services to optimize care with patients with multidisciplinary problems.

Health Advocate

• Where relevant, recognize the socioeconomic factors relevant that are affecting a given patient’s health and their ability to care for themselves.

Scholar

• Read up on the problems not previously encountered as a basis for question and answer sessions during the rotation.

Professional

• Function in a professional manner when interacting with patients, other physicians and support staff in an outpatient clinic.

Description

This elective offers comprehensive exposure to Otolaryngology, including clinic, operating room (OR), emergency department, and ward experiences in various subspecialties such as General ENT, Head and Neck Surgery, Rhinology, Otology, Pediatric Otolaryngology, and facial plastics.

Availability

Contact UGME.

Duration

Electives of 2, 3, or 4 weeks can be accommodated. Electives consist of one week each of Pediatrics, Otology, Rhinology/General ENT, and Head and Neck Surgery.

Location

Health Sciences Centre/Children’s Hospital and St. Boniface Hospital, with occasional attendance at private clinics.

By the end of the elective period, students will:

• Identify and manage common Otolaryngology problems.
• Recognize urgent Otolaryngology situations.
• Know when to refer patients to an Otolaryngologist.
• Work effectively within the surgical team, including audiology, speech language pathology, nursing, and administration.
• Recognize patients indicated for Otolaryngology referral and testing.
• Promote smoking cessation to prevent Otolaryngology-related cancers and diseases.
• Apply medical literature and guidelines in managing Otolaryngology problems.
• Work with patients and healthcare team members respectfully, collaboratively, and professionally.

This elective provides students with the capacity to:

• Actively participate in the service.
• Facilitate the doctor-patient relationship.
• Work within a healthcare team to achieve optimal patient care.
• Contribute to a vision of high-quality healthcare.
• Responsibly use their expertise and influence to advance health and well-being.
• Demonstrate a lifelong commitment to reflective learning.

Learning Objectives (CANMeds)

Medical Expert

• Identify and manage common Otolaryngology problems.
• Recognize urgent Otolaryngology situations.

Communicator

• Know when to refer to an Otolaryngologist.

Collaborator

• Work with other health care team members, including audiology, speech language and pathology, nursing, and administration.

Leader

• Recognize which patients are indicated for Otolaryngology referral and Otolaryngology testing (MRI, CT, Audiology, etc).

Health Advocate

• Promote smoking cessation to help prevent Otolaryngology cancers and disease.

Scholar

• Apply the medical literature and guidelines in management of Otolaryngology problems.

Professional

• Work with patients and health care team members in a respectful, collaborative, and professional manner.

Description

This elective introduces students to the clinical aspects of congenital and acquired heart disease in children. Participants will develop a practical approach to pediatric cardiology through patient contact in both outpatient clinics and inpatient hospital services. Additionally, students will have opportunities to interpret pediatric electrocardiograms and gain exposure to echocardiographic, electrophysiologic, and cardiocatheterization procedures.

Availability

Available in all periods.

Duration

Varies depending on the student's schedule.

Location

Health Sciences Centre

Call responsibility

To be determined (TBD).

By the end of the elective period, students will:

• Be introduced to the clinical aspects of congenital and acquired heart disease in children.

This elective provides students with the capacity to:

• Develop a practical approach to pediatric cardiology through patient contact in both outpatient clinics and inpatient hospital services.
• Interpret pediatric electrocardiograms.
• Gain exposure to echocardiographic, electrophysiologic, and cardiocatheterization procedures.

Discipline: Pediatrics

Allergy [PDF]

Cardiology [PDF]

Child development [PDF]

Child protection [PDF]

Endocrinology [PDF]

Gastroenterology [PDF]

Hematology/oncology [PDF]

Infectious diseases [PDF]

Intensive care unit (PICU) [PDF]

Neonatology [PDF]

Nephrology [PDF]

Neurology [PDF]

Palliative care [PDF]

Respiratory [PDF]

Rheumatology [PDF]

Description

The Section of Allergy and Clinical Immunology is based at the Children’s Hospital of Winnipeg Health Sciences Centre. Housed within the Community Services Building, the Children’s Allergy and Asthma Education Centre (CAAEC) serves as our primary facility. Ambulatory Care consultations occur on Tuesdays and Fridays at the Children’s Hospital and on Mondays and Wednesdays at the CAAEC. Consultations for inpatients and outpatients are available throughout the week, covering a range of allergy issues such as food allergy, anaphylaxis, atopic dermatitis, allergic rhinitis asthma, and medication allergy, as well as clinical immunology issues including urticaria, immune deficiency, and mastocytosis. The CAAEC provides asthma and food allergy education to families, school-age children, teens, and healthcare professionals. Students may participate in ongoing Allergy and Asthma Education programs and research opportunities.

Availability

Offered during specific elective periods.

Duration

Varies based on elective period.

Location

Children’s Hospital of Winnipeg Health Sciences Centre,

Call responsibility

Not mandatory but available upon request.

By the end of the elective period, students will:

• Diagnose allergy and asthma, especially in the young child.
• Understand the immunopathology of allergy and asthma.
• Recognize features of immune system disorders, including primary immune deficiency diseases, and appreciate the workup and components of management.
• Learn effective interviewing and examination techniques for children and their families regarding allergic and immunologic conditions.
• Understand appropriate use of devices such as inhalers and epinephrine auto injectors and develop effective care plans.

Learning Objectives (CANMeds)

Professional

As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-Led regulation, and high personal standards of behaviour.

As Professionals, students are committed to health and well-being of individuals through ethical practice, profession-led regulation and high personal standards of behavior:

• Is prompt, courteous and collegial.

Description

Anatomical Pathology encompasses the study of morphologic aspects of disease, with subspecialties focusing on various organ systems, laboratory methods, or clinical cases. During this elective, students will work closely with preceptors to understand the diagnostic role of pathology in patient care.

Availability

Offered year-round.

Duration

Typically four weeks, but can be adjusted based on student's needs.

Location

Health Sciences Centre and/or St. Boniface Hospital.

By the end of the elective period, students will:

• Understand the role of diagnostic pathology, including autopsies, in patient-centered care.
• Gain insight into the use of anatomical pathology services for patient care and education.
• Acquire basic safety regulations and procedures in the laboratory.
• Learn specimen collection, labeling, and handling protocols.
• Understand the principles of the laboratory information system.
• Observe gross examination of pathology specimens and intra-operative consultations.
• Review teaching slides and participate in surgical pathology sign-out and cytology sign-out.
• Observe autopsy procedures and understand autopsy reports.
• Identify types of deaths referred to the medical examiner’s office.

This elective provides students with the capacity to:

• Actively participate in patient-centered care within the pathology service.
• Facilitate the doctor-patient relationship by understanding the importance of clinical information in pathological diagnoses.
• Contribute effectively to interdisciplinary team activities and prepare case presentations.
• Engage in activities of the surgical service, making decisions and contributing to team effectiveness.
• Responsibly use expertise to advance individual patient and community health.
• Demonstrate a lifelong commitment to reflective learning and ethical medical practice.

Learning Objectives (CANMeds)

Medical Expert

• Understand the role of diagnostic pathology, including autopsies, in patient-centered care.
• Gain insight into the use of anatomical pathology services for patient care and education.

Communicator

• Assist in the continuing education of physicians and other members of the hospital staff.
• Understand the anatomical pathology consultant’s interface with clinical colleagues on the interpretation and relevance of pathological findings.
• Understand the information pathology should provide in a given clinical situation.

Collaborator

• Contribute effectively to interdisciplinary team activities.
• Prepare a presentation on a case study related to pathology.

Leader

• Utilize resources effectively to balance patient care, learning needs, and outside activities.
• Work effectively and efficiently in a health care organization.
• Become familiar with principles of laboratory management and administration.

Health Advocate

• Identify the important determinants of health affecting patients.
• Contribute effectively to improved health of patients and communities.

Scholar

• Develop, implement and monitor a personal continuing education strategy.
• Participate in the required teaching sessions for pathology residents.

Professional

• Deliver highest quality care with integrity, honesty, and compassion.
• Exhibit appropriate personal and interpersonal professional behaviors.

Description

Our Pediatric Gastroenterology program serves a diverse population spanning Manitoba, NW Ontario, Saskatchewan & Nunavut. Annually, we receive nearly 1000 new referrals and follow up with approximately 1500 patients. Our patients present with various gastrointestinal conditions, including Inflammatory Bowel Disease, chronic liver disease, celiac disease, eosinophilic esophagitis, short bowel syndrome, gastro-esophageal reflux, and chronic abdominal pain.

During this elective, students will develop an approach to diagnosing and managing common Pediatric GI disorders. This includes attending outpatient clinics, gaining exposure to endoscopic procedures, and participating in inpatient consults and rounds. Additionally, students will attend and actively engage in Pediatric GI rounds, Joint Pathology GI rounds, Joint Radiology GI rounds, and Pediatric Grand Rounds.

Availability

Contact UGME.

Duration

Flexible, typically 2 to 4 weeks. Not available during summer or Christmas holidays.

Location

Health Sciences Centre, Winnipeg Children's Hospital.

Call responsibility

No call responsibility, but involvement is possible if interested.

By the end of the elective period, students will:

• Develop an approach to diagnosis and management of common Pediatric GI disorders.
• Attend outpatient clinics, observe endoscopic procedures, and participate in inpatient consults and rounds.
• Participate in Pediatric GI rounds, Joint Pathology GI rounds, Joint Radiology GI rounds, and Pediatric Grand Rounds.

This elective provides students with the capacity to:

• Obtain detailed histories and perform physical examinations focusing on gastrointestinal issues.
• Understand and interpret diagnostic tests related to GI disorders.
• Develop differential diagnoses and treatment plans for GI and systemic illnesses.
• Communicate effectively with patients, families, and healthcare teams.
• Participate in interdisciplinary team meetings and contribute expertise in Gastroenterology.
• Organize patient care responsibilities, including follow-up and documentation.
• Advance individual patient care needs as well as advocate for health promotion and disease prevention in communities.
• Demonstrate a commitment to reflective learning and ethical medical practice.

Learning Objectives (CanMEDS)

Medical Expert

• Obtain necessary history elements and perform physical examinations related to GI disorders.
• Interpret diagnostic tests and formulate treatment plans.

Communicator

• Document patient information accurately and clearly.
• Establish therapeutic relationships with patients, families, and healthcare teams.

Collaborator

• Participate effectively in interdisciplinary team meetings.

Manager

• Organize patient care responsibilities and follow-up.
• Book feedback sessions and ensure awareness of clinic responsibilities.

Health Advocate

• Identify individual patient health needs and promote health in communities.

Scholar

• Evaluate scientific and clinical publications in Gastroenterology.
• Present organized clinical cases and provide evidence-based recommendations.

Professional

• Deliver high-quality care with integrity, honesty, and compassion.
• Practice medicine ethically, considering various ethical issues in clinical practice.

Description

The Section of Pediatric Infectious Diseases at the University of Manitoba offers an educational experience at the Health Sciences Centre, focusing on the care of patients admitted to various pediatric services. Trainees will engage in inpatient care, outpatient clinics, and educational activities, emphasizing an evidence-based approach to infectious disease management.

Availability

Offered periodically throughout the academic year.

Duration

Four weeks.

Location

Health Sciences Centre, University of Manitoba.

Call Responsibility

Rotating call schedule shared among participants.

By the end of the elective period, students will

• Obtain detailed histories and perform physical examinations relevant to infectious diseases.
• Plan differential diagnoses, investigations, and management strategies for pediatric infectious diseases.
• Participate in educational activities, including small group tutorials, journal clubs, and case rounds.

This elective provides students with the capacity to

• Develop clinical skills in the evaluation and management of common pediatric infectious diseases.
• Enhance their knowledge of evidence-based practices in infectious disease management.
• Collaborate effectively with interdisciplinary teams to optimize patient care.

Learning Objectives (CANMeds)

Medical Expert

• Demonstrate knowledge of common pediatric infectious diseases.
• Formulate accurate differential diagnoses and treatment plans.
• Utilize appropriate diagnostic and therapeutic interventions.

Communicator

• Develop rapport with patients and families.
• Effectively convey information to patients, families, and colleagues.
• Participate in medical documentation and presentations.

Collaborator

• Work effectively within inter-professional healthcare teams.
• Respect the roles and contributions of other team members.
• Communicate and collaborate with peers, medical team members, and other health professionals.

Leader

• Manage patient care effectively.
• Allocate resources and contribute to team effectiveness.
• Supervise and teach junior staff.

Health Advocate

• Identify factors affecting child health and advocate for patient needs.
• Promote health education and disease prevention in communities.
• Report adverse events and ensure patient safety.

Scholar

• Continuously engage in reflective learning and self-improvement.
• Facilitate the learning of others through teaching and feedback.
• Contribute to scholarly activities and academic rounds.

Professional

• Demonstrate honesty, integrity, and professionalism.
• Respect patient confidentiality and diversity.
• Adhere to ethical principles and practice standards.

Description

The Section of Neonatology and the Child Health Program guide the care of newborn patients. This elective consists of at least 2 weeks. Students could spend this time at either the NICU at the New Women’s Hospital (HSC) or NICU at St. Boniface General Hospital (SBH).

These units emphasize a multidisciplinary approach to neonatal care, involving attending neonatologists, medical officers, neonatal fellows, residents from Pediatrics, Obstetrics, Family Medicine Programs, nurses, and allied health professionals such as pharmacists, occupational therapists/physical therapists, dietitians, respiratory therapists, and social workers.

Students will participate in newborn resuscitations and gain exposure to a wide range of diseases, providing the opportunity to become comfortable with the history, examination, and management of sick neonates.

Availability

Contact UGME

Duration

At least 2 weeks

Location

NICU at New Women’s Hospital, Health Sciences Centre, and NICU, St. Boniface General Hospital

Call responsibility

No call expectations from students; available for teaching during weekdays.

By the end of the elective period, students will:

• Develop an understanding of the physiological adaptation from fetal to neonatal life
• Gain knowledge of neonatal diseases, pathophysiology, and management of common neonatal problems
• Perform a newborn physical examination and differentiate normal from abnormal findings
• Select medically appropriate, cost-effective, and useful diagnostic tests
• Outline a differential diagnosis and formulate a plan of management

This elective provides students with the capacity to:

• Participate actively in the service, integrating medical knowledge, clinical skills, and professional attitudes in patient-centered care
• Establish rapport, trust, and therapeutic relationships with patients' families and the multidisciplinary team
• Work effectively within the healthcare team to provide optimal patient care
• Contribute to the vision of a high-quality healthcare system and take responsibility for the delivery of excellent patient care
• Advance the health and well-being of individual patients, communities, and populations through responsible use of expertise and influence
• Demonstrate a lifelong commitment to reflective learning and the creation, dissemination, application, and translation of medical knowledge
• Exhibit professional behaviors in practice, including honesty, integrity, and commitment, and respect for patient confidentiality

Learning Objectives (CanMEDS)

Medical Expert

As Medical Experts, physicians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care.

Communicator

As Communicators, students will facilitate the doctor-patient relationship by establishing rapport, trust, and a therapeutic relationship with patients' families and the multidisciplinary team.

Collaborator

As Collaborators, students will recognize and respect the diversity of roles, responsibilities, and competences of other health professionals in the management of neonatal patients and work effectively within the healthcare team.

Leader

As Leaders, students will participate in the activities of the surgical service, making decisions, allocating resources, and contributing to the effectiveness of the healthcare team.

Health Advocate

As Health Advocates, students will responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations.

Scholar

As Scholars, students will demonstrate a lifelong commitment to learning by critically evaluating medical information, applying evidence to clinical decisions, and demonstrating appropriate presentation skills.

Professional

As Professionals, students are committed to the health and well-being of individuals through ethical practice, profession-led regulation, and high personal standards of behavior.

Description

Availability

Contact UGME.

Duration

Minimum of 2 weeks, with a preference for 4 weeks. Not available during summer months or Christmas holidays.

Location

Health Science Centre Children’s Hospital, University of Manitoba.

Call responsibility

No call responsibility, but involvement is possible if interested.

By the end of the elective period, students will:

• Participate in the care of patients admitted to inpatient wards and outpatient clinics.
• Obtain detailed histories focusing on renal symptoms such as hypertension, hematuria, and proteinuria.
• Perform detailed physical examinations focusing on volume status.
• Plan approaches to differential diagnosis, investigation, and management of renal diseases.
• Participate in multidisciplinary teams.

This elective provides students with the capacity to:

• Develop clinical skills in managing common pediatric renal problems.
• Participate in formal teaching sessions and academic rounds on pediatric nephrological topics.
• Utilize electronic medical records for patient documentation.

Learning Objectives (CanMEDS)

Medical Expert

• Integrate medical knowledge and clinical skills in patient-centered care.
• Participate actively in the service and patient care.

Communicator

• Facilitate effective doctor-patient relationships.

Collaborator

• Work effectively within healthcare teams to achieve optimal patient care.

Leader

• Participate in activities contributing to the effectiveness of the healthcare team.

Health Advocate

• Use expertise to advance the health and well-being of patients and communities.

Scholar

• Demonstrate a commitment to lifelong learning.

Professional

• Practice ethical behavior and adhere to professional standards.

Description

The Pediatric Intensive Care Unit (PICU) is an 8-bed unit serving Manitoba, Northwest Ontario, and the Kivalliq Region of Nunavut. Patients are admitted under the care of the Pediatric Intensivist and are managed by a multidisciplinary team. Close collaboration with Consultant Services is integral to delivering high-quality care. Approximately 40% of admissions are surgical, including post-operative care, trauma, and burns. Rounds are conducted in a multidisciplinary fashion. Medical students will have the opportunity to manage patients under the direction of the senior resident and Attending. Comprehensive knowledge of the patient and a proactive approach are encouraged. Opportunities for performing procedures will vary with the patient population. The emphasis is placed on the recognition and stabilization of acute organ system dysfunction.

Availability

Offered during specific elective periods.

Duration

Varies based on elective period.

Location

Health Science Centre, University of Manitoba.

Call responsibility

Students are not expected to take call while on the PICU rotation but are free to arrange with the on-call resident to spend part or all of the evening in the PICU.

By the end of the elective period, students will:

• Recognize and know how to stabilize coma, shock, and respiratory failure.
• Demonstrate bag-mask ventilation and airway opening techniques.
• Effectively present a succinct and relevant patient history and assessment during daily rounds.
• Communicate effectively with Consultants and explain relevant information to patient families.
• Work with multidisciplinary team members to achieve patient care goals in an effective and respectful manner.
• Organize patient information and critically evaluate the need for tests and procedures.
• Represent the needs of families and patients to the PICU healthcare team.
• Demonstrate a lifelong commitment to learning by seeking out and reviewing relevant literature related to care of PICU patients or related topics.
• Exhibit prompt, courteous, and collegial behavior.

Learning Objectives (CANMeds)

Medical Expert

As Medical Experts, physicians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care.

• Recognize and know how to stabilize coma, shock, and respiratory failure.
• Demonstrate bag-mask ventilation and airway opening techniques.

Communicator

Physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

• Effectively present a succinct and relevant patient history and assessment during daily rounds.
• Communicate effectively with Consultants and explain relevant information to patient families.

Collaborator

Physicians effectively work within a healthcare team to achieve optimal patient care.

• Work with multidisciplinary team members to achieve patient care goals in an effective and respectful manner.

Leader

Physicians engage with others to contribute to a vision of a high-quality healthcare system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers.

• Organize patient information and critically evaluate the need for tests and procedures.
• Help facilitate timely patient flow through prompt attention to transfer procedures.

Health Advocate

Physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations.

• Represent the needs of families and patients to the PICU healthcare team.

Scholar

Physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application, and translation of medical knowledge.

• Demonstrate the ability to seek out and review relevant literature related to care of their PICU patients or related to a topic of discussion.

Professional

As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behavior.

• Be prompt, courteous, and collegial.

Description

Availability:

Contact UGME

Duration:

Flexible duration

Location:

Children’s Clinic Y

Call responsibility:

Students may have on-call duties during weekdays between 8am and 4pm.

By the end of the elective period, students will:

• Develop an understanding of common rheumatic diseases, including acute and chronic arthritis, inflammatory diseases of connective tissue, vasculitis, chronic pain syndromes, and musculoskeletal manifestations of systemic illness.
• Gain proficiency in selecting the time and sequence of laboratory tests while being sensitive to patient discomfort and cost considerations.
• Interpret diagnostic investigation results accurately and assist in diagnosing and managing rheumatic diseases.
• Develop skills in assessing the musculoskeletal system and recognizing systemic signs of rheumatic disease.
• Synthesize patient history and physical findings to formulate a differential diagnosis of suspected rheumatic disease.
• Recognize serious musculoskeletal conditions and complications of rheumatic diseases requiring urgent assessment and management.
• Understand the indications, contraindications, and toxicity of pharmacotherapy for rheumatic diseases.
• Use clinical judgment to plan and complete consultations and therapeutic programs effectively.

This elective provides students with the capacity to:

• Work within a multidisciplinary team to provide comprehensive care for pediatric rheumatology patients.
• Communicate effectively and empathetically with patients and families about rheumatic disease and treatment.
• Collaborate with healthcare professionals to prevent, negotiate, and resolve inter-professional conflicts.
• Use information and technology to optimize patient care and contribute to quality improvement efforts.
• Advocate for children's health by understanding biopsychosocial factors affecting health and promoting preventive care strategies.
• Engage in lifelong learning by accessing evidence-based information and facilitating education for patients and healthcare professionals.
• Demonstrate professionalism through ethical practice, reliability, and accountability in patient care.

Learning Objectives (CanMEDS)

Medical Expert

• Develop an understanding of common rheumatic diseases.
• Interpret diagnostic tests accurately.
• Assist in diagnosing and managing rheumatic diseases.
• Assess the musculoskeletal system and recognize systemic signs of rheumatic disease.

Communicator

• Communicate effectively with patients, families, and colleagues about rheumatic disease and treatment.
• Develop a shared plan of care with patients, families, and healthcare professionals.
• Provide accurate written documentation in a timely manner.

Collaborator

• Work effectively within a multidisciplinary team to provide support for pediatric rheumatology patients.
• Recognize and address issues related to diversity and inter-professional conflicts.
• Delegate tasks appropriately and collaborate with other healthcare professionals.

Leader

• Use information and technology to optimize patient care.
• Demonstrate knowledge of the Canadian healthcare system as it relates to child health.
• Involve patients and families in care decisions and provide preventive and therapeutic healthcare.

Health Advocate

• Advocate for children's health and well-being in various settings.
• Understand the importance of family involvement in managing chronic rheumatic diseases.
• Promote preventive care and vaccination strategies for patients with rheumatic diseases.

Scholar

• Access and critically appraise evidence-based information relevant to rheumatic diseases.
• Facilitate education for patients, families, and healthcare professionals.
• Give and receive constructive feedback to support lifelong learning.

Professional

• Demonstrate professionalism in managing patients from diverse backgrounds.
• Practice honesty, integrity, and accountability in patient care.
• Recognize personal limitations and seek advice when necessary.
• Adapt healthcare plans to accommodate cultural backgrounds and patient preferences.

Description

Availability

Contact UGME.

Duration:

Variable duration, typically ranging from one week to four weeks.

Location:

Service provided at Winnipeg Children’s Hospital and St. Amant, with outreach to home settings within a few hours' drive of Winnipeg.

Call responsibility:

Call is not required. Availability after hours for clinical situations is at the discretion of the learner.

By the end of the elective period, students will:

• Understand the spectrum of conditions and circumstances within pediatric palliative care.
• Be proficient in obtaining pain and symptom history, diagnosing specific pain syndromes, and correlating them with underlying diseases.
• Demonstrate knowledge of palliative medicine pharmacology and appropriate diagnostic investigations.
• Recognize palliative care emergencies and manage them effectively.
• Anticipate and address common clinical challenges at end of life.
• Be comfortable with end-of-life procedures and support for families.

This elective provides students with the capacity to:

• Work within interdisciplinary teams to provide comprehensive care for children with life-limiting illnesses.
• Effectively communicate with patients/families about goals and expectations of care, advance care planning, and bereavement support.
• Recognize the lead role of primary care providers in caring for patients with life-limiting illnesses.

Learning Objectives (CanMEDS)

Medical Expert

• Understand the spectrum of conditions within pediatric palliative care.
• Demonstrate proficiency in pain and symptom assessment, diagnosis, and management.
• Recognize and manage palliative care emergencies.

Communicator

• Facilitate effective communication with patients/families about care goals and advance care planning.
• Recognize the importance of bereavement follow-up and support.

Collaborator

• Work respectfully within interdisciplinary teams to provide quality care.
• Recognize the primary care provider's role in the care of patients with life-limiting illnesses.

Leader

• Recognize resources needed for comprehensive palliative and end-of-life care.
• Understand detailed care planning and preparation for supporting dying children at home and in rural settings.

Health Advocate

• Recognize situations requiring palliative care consultation and advocate for appropriate resources.
• Formulate approaches to obtaining necessary resources for children with life-limiting illnesses.

Scholar

• Understand evidence-based use of medications in pediatric palliative care.
• Recognize myths and concerns regarding medication use in pediatric palliative care.
• Recognize the need for research in pediatric palliative care.

Professional

• Demonstrate sensitivity and respect to children and families experiencing life-limiting illness.
• Communicate timely and effectively with all caregivers, patients, and families.

Discipline: Psychiatry

Subspecialties:

Mood Disorders [PDF]

Child and adolescent [PDF]

Co-occurring Disorders Initiative (CODI) [PDF]

Community [PDF]

Consultation liaison [PDF]

Forensics [PDF]

General (SBGH) [PDF]

General (HSC) [PDF]

Intensive care unit [PDF]

Psychotherapy [PDF]

Discipline: Radiation Oncology [PDF]

Description

The A-Service General Surgery elective at St. Boniface General Hospital provides a comprehensive experience in the emergency and elective management of patients with various general surgical issues. Under the guidance of a multidisciplinary team, students participate in ward rounds, observe surgeries, and engage in scheduled teaching sessions. Areas of focus include breast, gastrointestinal/colorectal, and minimal access surgery.

Availability

Offered throughout the academic year.

Duration

Contact UGME.

Location

St. Boniface General Hospital

Call responsibility

• Students participate in in-hospital on-call duties, with a maximum frequency of 1-in-4.
• On-call responsibilities include consultation for the Acute Care Surgical Service (ACSS), with a provided on-call room.

By the end of the elective period, students will:

• Perform preoperative, perioperative, and postoperative assessments.
• Diagnose and manage postoperative complications and surgical problems.
• Demonstrate procedural skills such as venipuncture and urinary catheterization.

  This elective provides students with the capacity to:

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Establish rapport and communicate effectively with patients, families, and the healthcare team.
• Work collaboratively within an interdisciplinary healthcare team.

Learning Objectives (CanMEDS)

Medical Expert

• Preoperative, perioperative, and postoperative assessment.
• Diagnosis and management of postoperative complications and surgical problems.

Specific Surgical Problems

• Abdominal masses, groin masses, breast problems, gastrointestinal hemorrhage, jaundice, colorectal problems, etc.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively and convey relevant information to patients, families, and the healthcare team.
• Address challenging communication issues effectively.

Collaborator

• Demonstrate a team approach to healthcare and work effectively in an interprofessional team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals.

Leader

• Employ information technology appropriately for patient care and allocate finite healthcare resources.

Health Advocate

• Show concern for the best interests of patients, identify health needs, and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate continuous self-learning, critical evaluation of medical information, and appropriate presentation skills.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors, including honesty, integrity, commitment, compassion, and respect.
• Recognize and respond appropriately to ethical issues encountered in practice.

Description

This elective immerses students in the multidisciplinary approach to managing general surgical cases. Students participate in ward rounds, observe surgeries, attend service rounds, and engage in scheduled teaching sessions. The rotation focuses on various areas, including colorectal and minimal access surgery.

Availability

Offered throughout the academic year.

Duration

Contact UGME

Location

St. Boniface General Hospital.

Call responsibility

Not provided in the text.

By the end of the elective period, students will

• Perform comprehensive preoperative, perioperative, and postoperative assessments.
• Manage postoperative complications and monitor patient progress effectively.
• Demonstrate proficiency in various procedural skills, such as venipuncture, urinary catheterization, and suturing.
• Establish rapport and effectively communicate with patients, families, and the healthcare team.
• Collaborate within interprofessional teams to optimize patient care.
• Engage in reflective learning and critically evaluate medical information.
• Uphold professional ethics and standards in patient care and interactions.

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Employ a team-based approach to healthcare delivery.
• Advocate for patient safety and well-being.
• Contribute to the advancement of medical knowledge through lifelong learning and scholarly activities.

Learning Objectives (CanMEDS)

Medical expert

• Preoperative assessment: Includes risk assessment, pulmonary assessment, cardiovascular assessment, renal assessment, and metabolic assessment.
• Perioperative assessment: Covers components of informed consent, formulation of operative notes, efficacy of monitoring techniques, fluid/electrolyte management, hemostasis, and risk factors for alcohol withdrawal syndromes.
• Postoperative assessment: Encompasses pharmacologic actions/side effects of analgesics, epidural/nerve blocks, time to recovery of digestive function, wound healing characteristics, and postoperative nutritional/fluid/electrolyte requirements.
• Postoperative complications: Involves diagnosing and managing postoperative fever, wound infection, and fascial dehiscence/incisional hernia.
• Respiratory complications: Covers atelectasis, pneumonia, aspiration, pulmonary edema, ARDS, and pulmonary embolism.
• Renal complications: Includes diagnostic work-up/treatment of oliguria and various causes of pre-renal, renal, and post-renal causes.
• Postoperative hypotension: Addresses hypovolemia, sepsis, cardiogenic shock, and medication effects.
• Other postoperative issues: Management of chest pain, arrhythmias, abnormal bleeding, gastrointestinal disorders, metabolic disorders, and cognitive function alterations.
• Shock: Definition, pathophysiology, and management of hemorrhagic, septic, cardiogenic, neurogenic, and anaphylactic shock.
• Specific surgical problems: Evaluation and management of abdominal masses, common abdominal conditions, groin masses, abdominal wall masses, breast problems, gastrointestinal hemorrhage, and jaundice. Diagnosis and management of colorectal problems, including colorectal cancer, diverticular disease, and inflammatory bowel disease.

Upon completion of the B-Service General Surgery rotation, the clinical clerk will be proficient in:

• Conducting appropriate assessments of general surgical patients.
• Eliciting relevant and accurate histories.
• Performing focused and accurate physical examinations.
• Selecting medically appropriate investigations.
• Formulating differential diagnoses and effective management plans.
• Demonstrating proficiency in procedural skills such as venipuncture, intravenous insertion, nasogastric intubation, urinary catheterization, skin suturing, and removal of skin/subcutaneous lesions.

CanMEDS

Communicator

• Establish rapport and trust
• Active listening
• Elicit relevant information
• Convey information effectively
• Oral and written communication
• Maintain records
• Address challenging communication issues
• Informed consent
• Deliver bad news
• Disclosure of adverse events
• End-of-life discussions
• Organ donation discussions
• Address emotional responses

Collaborator

• Team approach
• Effective participation
• Respect for diversity
• Assessment and planning
• Care integration

Leader

• Employ information technology appropriately
• Allocate finite health care resources appropriately

Health advocate

• Concern for the best interest of patients
• Identifying health needs
• Promote and participate in patient safety

Scholar

• Continuing self-learning
• Discuss the principles of surgery and the application of basic sciences
• Demonstrate appropriate presentation skills
• Critical evaluation of medical information
• Critical appraisal of evidence
• Integration of critical appraisal conclusions into clinical care

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism
• Demonstrate a commitment to delivering the highest quality care
• Recognize and respond appropriately to ethical issues encountered in practice
• Recognize and respect patient confidentiality, privacy, and autonomy
• Participation in peer review
• Manage conflicts of interest
• Maintain appropriate relations with patients
• Demonstrate awareness of industry influence on medical training

Description

Students will gain exposure to early trauma patient resuscitation and diagnostic work-up. They will observe the management of common surgical emergencies and learn peri-operative treatment basics for patients requiring emergency laparotomy. Following patients from admission in the Emergency Department through their entire stay in the Service, including Operating Room, Step-Down Unit, Ward, and Out-Patient Clinic is expected.

Availability

Available throughout the academic year.

Duration

Contact UGME.

Location

Health Science Centre (HSC), the designated provincial trauma center for Manitoba and Northwestern Ontario.

Call responsibility

Students will have night and weekend calls up to a maximum of 1-in-4, with in-hospital call responsibilities. On-call students are supervised by a resident.

By the end of the elective period, students will

• Understand the pathophysiology, diagnostic dilemmas, and management of trauma patients and patients with common acute general surgical conditions.
• Observe the management of complex trauma and surgical pathology.
• Develop management skills of complex patients collaboratively with other subspecialties.
• Learn effective communication skills with patients, families, and caregivers regarding complex surgical cases.
• Understand the chronic nature of trauma and observe areas within the patient population that lead to this status.
• Provide care to trauma/acute surgical patients in a professional manner.

This elective provides students with the capacity to

• Demonstrate basic knowledge of trauma resuscitation.
• Acquire clinical assessment skills for patients with acute general surgical conditions.
• Familiarize with radiological imaging indications in trauma and acute general surgery.
• Develop communication skills in dealing with patients and healthcare team members.
• Acquire technical skills like IV line insertion, skin suturing, Foley catheter insertion, and chest tube insertion.

Learning Objectives (CanMEDS)

Medical expert

• Provide an understanding of the pathophysiology, diagnostic dilemmas, and management of trauma patients and patients with common acute general surgical conditions.
• Offer opportunities to observe the management of complex trauma and surgical pathology.
• Develop management skills for complex patients collaboratively with other subspecialties.
• Learn effective communication skills with patients, families, and caregivers regarding complex surgical cases.
• Understand the chronic nature of trauma and observe areas within the patient population contributing to this status.
• Provide care to trauma/acute surgical patients professionally.
• Specific skills
• Demonstrate basic knowledge of trauma resuscitation following Advanced Trauma Life Support guidelines.
• Acquire basic knowledge of clinically assessing patients with acute general surgical conditions, especially the acute abdomen.
• Become familiar with indications for radiological imaging in trauma and acute general surgery.
• Develop communication skills for dealing with patients with trauma or acute surgical conditions, their relatives, and all healthcare team members involved in their care.

Technical skills

• IV line insertion
• Skin suturing
• Foley catheter insertion
• Chest tube insertion

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Convey effective oral and written information about medical encounters.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent.
• Deliver bad news.
• Disclose adverse events.
• Discuss end-of-life care.
• Discuss organ donation.
• Address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals in managing surgical patients.
• Work with others to assess, plan, provide, and integrate care for surgical patients.

Leader

• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources appropriately.

Health advocate

• Show concern for the best interests of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate the ability for continuous self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address clinical questions.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participate in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.

Description

The Orange Service rotation at the Health Sciences Centre focuses on hepatobiliary/pancreatic and gastrointestinal (GI) surgery. This rotation provides exposure to a wide range of surgical procedures and emphasizes endoscopy and laparoscopy techniques. Students will participate in preoperative assessments, perioperative care, and postoperative management of patients undergoing various surgical procedures related to the liver, pancreas, biliary tract, stomach, duodenum, small bowel, and colorectal areas. Additionally, students will have opportunities to refine their communication and collaboration skills through interactions with patients, families, and the healthcare team.

Availability

Offered throughout the academic year.

Duration

Contact UGME for details.

Location

• Health Sciences Centre, Winnipeg, Manitoba, Canada

By the end of the elective period, students will:

• Perform appropriate assessments of general surgical patients.
• Elicit relevant and accurate medical histories.
• Conduct focused physical examinations.
• Select medically appropriate investigations.
• Formulate effective management plans.
• Demonstrate proficiency in procedural skills such as venipuncture, intravenous insertion, nasogastric intubation, urinary catheterization, and skin suturing.

This elective provides students with the capacity to:

• Gain comprehensive knowledge and skills in hepatobiliary/pancreatic and GI surgery.
• Understand the CanMEDS roles and apply them in clinical practice.
• Develop effective communication, collaboration, leadership, advocacy, scholarship, and professionalism skills.

Call responsibility

• Students are on-call in-hospital, with a maximum frequency of 1-in-4.
• On-call duties involve consult calls and operating room (OR) assistance, rather than ward call.
• An on-call room is provided for students' convenience.

Learning Objectives (CanMEDS)

Medical Expert

• Preoperative assessment, including risk assessment, pulmonary assessment, cardiovascular assessment, renal assessment, and metabolic assessment.
• Perioperative assessment, including components of informed consent, formulation of operative/procedure note, postoperative orders, postoperative note, indications/efficacy of monitoring techniques, fluid/electrolyte management, and hemostasis/use of blood products.
• Postoperative assessment, including providing adequate postoperative analgesia, postoperative nutritional/fluid/electrolyte requirements, and managing postoperative complications.
• Diagnosis and management of various postoperative complications and disorders.

Clinical Clerk Specific Areas of Knowledge (Orange Surgery Rotation)

• Liver: Jaundice, cirrhosis, hepatitis, liver abscesses, liver masses, etc.
• Pancreas: Pancreatitis, neoplastic lesions, etc.
• Biliary Tract: Gallstone disease, biliary tract obstruction, tumors, etc.
• Stomach/Duodenum: Gastritis/duodenitis, peptic ulcer disease, tumors, etc.
• Small Bowel: Obstruction, inflammatory bowel disease, tumors, etc.
• Colorectal: Colorectal polyps, colorectal cancer, inflammatory bowel disease, etc.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively and convey relevant information to patients, families, and the healthcare team.
• Address challenging communication issues effectively.

Collaborator

• Demonstrate a team approach to healthcare and work effectively in an interprofessional team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals.

Leader

• Employ information technology appropriately for patient care and allocate finite healthcare resources.

Health Advocate

• Show concern for the best interests of patients, identify health needs, and promote patient safety.

Scholar

• Demonstrate continuous self-learning, critical evaluation of medical information, and appropriate presentation skills.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors, including honesty, integrity, commitment, compassion, and respect.
• Recognize and respond appropriately to ethical issues encountered in practice.

Description

Orthopedic surgery is a hands-on specialty. In order to derive the greatest benefit from the rotation, it is imperative that the students assume an active role. Whether or not students are interested in orthopedics as a career, they will learn valuable skills on this rotation. At some time in almost all physicians’ careers, they will be faced with patients with a musculoskeletal problem. We wish to give exposure to orthopedics as a career option and to give the student an approach to musculoskeletal conditions. During your rotation, you will be exposed to hip and knee total joint arthroplasty in both clinic and operating room settings. Some fractures will be encountered through the Emergency Department.

Availability

Year-round

Duration

Varies

Location

Concordia Hospital

Call responsibility

As per schedule

By the end of the elective period, students will

• Develop communication skills in dealing with patients, families, and staff.
• Perform clinical examination of the hip and knee.
• Interpret x-ray findings.
• Develop an approach to diagnosis and treatment of hip and knee arthritis.
• Understand and adhere to operating room conduct, including sterile technique and assisting.
• Recognize and manage common perioperative complications (DVT, PE, fat embolism, infection, joint dislocation, etc.).
• Apply casts and splints in Fracture Clinics.
• Participate in the OR.

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.

Learning Objectives (CanMEDS)

Medical Expert

• Develop communication skills in dealing with patients, families, and staff.
• Perform clinical examination of the hip and knee.
• Interpret x-ray findings.
• Develop an approach to diagnosis and treatment of hip and knee arthritis.
• Understand and adhere to operating room conduct, including sterile technique and assisting.
• Recognize and manage common perioperative complications (DVT, PE, fat embolism, infection, joint dislocation, etc.).
• Apply casts and splints in Fracture Clinics.
• Participate in the OR.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives of patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Convey effective oral and written information about a medical encounter.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent, deliver bad news, disclose adverse events, discuss end-of-life care, discuss organ donation, address anger, confusion, and misunderstanding using a patient-centric approach.

Collaborator

• Demonstrate a team approach to health care.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competences of other health professionals in the management of the surgical patient.
• Work with others to assess, plan, provide, and integrate care of the surgical patient.

Leader

• Participate in the activities of the surgical service, making decisions, allocating resources, and contributing to the effectiveness of the healthcare team.
• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources.

Health Advocate

• Advocate for the health and well-being of individual patients, communities, and populations.
• Identify and address social determinants of health.
• Promote culturally competent, patient-centered care.

Scholar

• Engage in lifelong learning and self-improvement.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise the evidence in order to address a clinical question.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participation in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognition of personal and clinical limitations.

Description

Spinal surgery derives its origins from both orthopaedic surgery and neurosurgery. The training of a spine surgeon begins in medical school and is built upon by the residency program (orthopaedics or neurosurgery) and further training achieved through a fellowship program. Whether or not students are interested in spine surgery as a career, they will learn valuable skills on this rotation, which will be invaluable no matter the clinical pathway eventually chosen. At some time in almost all physicians’ careers, they will be faced with patients with a spine problem. We believe that exposure to spine surgery is an important part of musculoskeletal medical education. In order to derive the greatest benefit from this rotation and to gain an understanding of the wide spectrum of spinal pathologies in clinical practice, it is imperative that the students assume an active role, particularly in clinic, hospital ward, and emergency room.

Availability

Year-round

Duration

Varies

Location

Health Sciences Centre

Call responsibility

1-in-4; Call from home

By the end of the elective period, students will

• Develop a systematic approach to obtaining a history and performing an examination of the spine patient, with particular emphasis on the neurologic exam.
• Develop competence in the reading and interpretation of x-rays, CT scans, and MRI, with an emphasis on correlating radiographic findings and clinical presentations.
• Identify and manage common spinal pathologies (malignant, traumatic, degenerative).
• Identify spinal emergencies.
• Assist in the assessment and management of elective and emergent spinal pathologies.
• Recognize and manage common spinal perioperative complications (CSF leak, DVT, PE, infection, new neurologic deficit, etc.).
• Identify and manage common co-morbid medical problems associated with spinal pathology.
• Participate in operating room conduct, including sterile technique and assisting.

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.

Learning Objectives (CanMEDS)

Medical Expert

• Develop a systematic approach to obtaining a history and performing an examination of the spine patient, with particular emphasis on the neurologic exam.
• Develop competence in the reading and interpretation of x-rays, CT scans, and MRI, with an emphasis on correlating radiographic findings and clinical presentations.
• Identify and manage common spinal pathologies (malignant, traumatic, degenerative).
• Identify spinal emergencies.
• Assist in the assessment and management of elective and emergent spinal pathologies.
• Recognize and manage common spinal perioperative complications (CSF leak, DVT, PE, infection, new neurologic deficit, etc.).
• Identify and manage common co-morbid medical problems associated with spinal pathology.
• Participate in operating room conduct, including sterile technique and assisting.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives of patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Convey effective oral and written information about a medical encounter.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent, deliver bad news, disclose adverse events, discuss end-of-life care, discuss organ donation, address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to health care.
• Participate effectively in an interprofessional and interdisciplinary health care team.
• Recognize and respect the diversity of roles, responsibilities, and competences of other health professionals in the management of the surgical patient.
• Work with others to assess, plan, provide, and integrate care of the surgical patient.

Leader

• Participate in the activities of the surgical service, making decisions, allocating resources, and contributing to the effectiveness of the healthcare team.
• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources.

Health Advocate

• Advocate for the health and well-being of individual patients, communities, and populations.
• Identify and address social determinants of health.
• Promote culturally competent, patient-centered care.

Scholar

• Engage in lifelong learning and self-improvement.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise the evidence in order to address a clinical question.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participation in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognition of personal and clinical limitations.

Description

The emphasis of this rotation will be on Sports and Upper Extremity surgery. Clerks will participate in clinics that include the examination of shoulder and knee sports injuries and provide exposure to arthroscopic surgery of the shoulder and knee, as well as other procedures.

Availability

Year-round

Duration

Varies

Location

The Pan Am Clinic

Call responsibility

None

By the end of the elective period, students will

• Become familiar with common injuries to the shoulder and knee.
• Gain skills in the examination of the shoulder and knee.
• Acquire a basic understanding of the treatment of shoulder and knee injuries, particularly arthroscopic surgery.
• Prepare and present a topic of interest to the clerk, such as Achilles’ tendon ruptures, meniscal tears, ACL or PCL tears, treatment of early osteoarthritis of the knee, hip arthroscopy, scaphoid fractures, elbow sports injuries, shoulder instability, and rotator cuff injuries. Please discuss your choice of topic with your preceptor at the beginning of the rotation.

Learning Objectives (CanMEDS)

Medical Expert

• Become familiar with common injuries to the shoulder and knee.
• Gain skills in the examination of the shoulder and knee.
• Acquire a basic understanding of the treatment of shoulder and knee injuries, particularly arthroscopic surgery.
• Prepare and present a topic of interest to the clerk, such as Achilles’ tendon ruptures, meniscal tears, ACL or PCL tears, treatment of early osteoarthritis of the knee, hip arthroscopy, scaphoid fractures, elbow sports injuries, shoulder instability, and rotator cuff injuries. Please discuss your choice of topic with your preceptor at the beginning of the rotation.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives of patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Convey effective oral and written information about a medical encounter.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively, including obtaining informed consent, delivering bad news, disclosing adverse events, discussing end-of-life care, discussing organ donation, and addressing anger, confusion, and misunderstanding.

Collaborator

• Understand the team approach to health care.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competences of other health professionals in the management of the surgical patient.
• Work with others to assess, plan, provide, and integrate care of the surgical patient.

Leader

• Participate in the activities of the surgical service, making decisions, allocating resources, and contributing to the effectiveness of the healthcare team.
• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources appropriately.

Health Advocate

• Advocate for the health and well-being of individual patients, communities, and populations.
• Identify and address social determinants of health.
• Promote culturally competent, patient-centered care.

Scholar

• Engage in lifelong learning and self-improvement.
• Learn the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise the evidence in order to address a clinical question.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participation in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognition of personal and clinical limitations.

Description

The Acute Care Surgery Service (ACSS) rotation at St. Boniface General Hospital offers clinical clerks an immersive experience in acute care general surgery. Beginning with patient presentations in the emergency department, this rotation emphasizes clinical assessment, physiologic stabilization, diagnostic evaluation, and prioritized management. Students engage in a continuum of care from the emergency department to hospital discharge or transfer, gaining exposure to a wide range of acute clinical problems commonly encountered by practicing general surgeons.

Availability

Offered throughout the academic year.

Duration

Contact UGME.

Location:

St. Boniface General Hospital.

Call responsibility:

Students are on-call in-hospital, with a maximum of 1-in-4 rotations. Students should contact the chief resident responsible for the call schedule with their requests at least two weeks prior to the start of the rotation or selective.

By the end of the elective period, students will:

• Perform comprehensive assessments of general surgery patients.
• Elicit relevant and accurate patient histories.
• Conduct focused physical examinations.
• Select medically appropriate investigations.
• Formulate effective differential diagnoses and management plans.
• Demonstrate proficiency in procedural skills such as venipuncture, intravenous insertion, and urinary catheterization.

This elective provides students with the capacity to:

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Develop a systematic approach to common serious conditions encountered in acute care surgery.
• Communicate effectively with patients, families, and the healthcare team.
• Collaborate within interprofessional healthcare teams to optimize patient care.

Learning Objectives (CanMEDS)

Medical Expert

As Medical Experts, physicians integrate all CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care. The Clinical Clerk completing the Acute Care Service General Surgery rotation is expected to attain sufficient knowledge in the following areas:

Basic/General Areas:

• Preoperative assessment, including risk assessment, pulmonary assessment, cardiovascular assessment, renal assessment, and metabolic assessment.
• Perioperative assessment, including components of informed consent, formulation of operative/procedure notes, postoperative orders, postoperative notes, indications/efficacy of monitoring techniques, fluid/electrolyte management, and hemostasis/use of blood products.
• Postoperative assessment, including pharmacologic action/side effects of analgesics, epidural/nerve blocks, time to recovery of digestive function, characteristics of a healing wound, and postoperative nutritional/fluid/electrolyte requirements.
• Postoperative complications, including differential diagnosis and appropriate diagnostic work-up and management of postoperative fever, wound infection, fascial dehiscence/incisional hernia, and causes/work-up/treatment of respiratory complications.
• Diagnostic work-up/treatment of oliguria, pathophysiology/causes/treatment of postoperative hypotension, and management of postoperative chest pain and arrhythmias.
• Management of abnormal bleeding postoperatively, diagnosis and management of postoperative gastrointestinal disorders, postoperative metabolic disorders, evaluation and management of disorders causing alteration of cognitive function postoperatively, and shock.

Specific Surgical Problems:

• Assessment and management of abdominal masses, common or catastrophic abdominal conditions, groin masses, abdominal wall masses, breast problems, gastrointestinal hemorrhage, and jaundice.
• Presentation, diagnostic strategy, and initial treatment of patients presenting with colorectal problems, including colorectal cancer, diverticular disease, inflammatory bowel disease/colitis, and perianal problems.

Upon completion of the rotation, the Clinical Clerk will be able to:

• Perform an appropriate assessment of the general surgery patient.
• Elicit a relevant and accurate history.
• Perform a focused physical examination that is relevant and accurate.
• Select medically appropriate investigations.
• Demonstrate skills in formulating a differential diagnosis and organizing an effective management plan.
• Demonstrate proficient use of procedural skills including venipuncture, intravenous insertion, nasogastric intubation, urinary catheterization, skin suturing, and removal of skin/subcutaneous lesions.

Communicator

Physicians effectively facilitate the doctor-patient relationship and dynamic exchanges occurring before, during, and after the medical encounter. The Clinical Clerk will be able to:

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively, including obtaining informed consent, delivering bad news, disclosing adverse events, discussing end-of-life care, discussing organ donation, and addressing anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

Physicians effectively work within a healthcare team to achieve optimal patient care. The Clinical Clerk will be able to:

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals in the management of the surgical patient.
• Work with others to assess, plan, provide, and integrate care for the surgical patient.

Leader

Physicians engage with others to contribute to a vision of a high-quality healthcare system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers. The Clinical Clerk will be able to:

• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources.

Health Advocate

Physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations. The Clinical Clerk will be able to:

• Demonstrate concern for the best interest of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

Physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application, and translation of medical knowledge. The Clinical Clerk will be able to:

• Demonstrate the ability for continuing self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address a clinical question.
• Integrate critical appraisal conclusions into clinical care.

Professional

As Professionals, students are committed to health and well-being of individuals through ethical practice, profession-led regulation, and high personal standards of behavior. The Clinical Clerk will be able to:

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participate in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognize personal and clinical limitations.

Cardiac surgery [PDF]

General surgery, subspecialties:

• A service [PDF]
• Acute Care Service [PDF]
• B service [PDF]
• General pediatric surgery [PDF]
• Gold service [PDF]
• Green service [PDF]
• Orange service [PDF]
• Thoracic [PDF]

Neurosurgery [PDF]

Orthopedics, subspecialties:

• Pediatric orthopedic surgery [PDF]
• Reconstructive orthopedic surgery [PDF]
• Spine orthopedic surgery [PDF]
• Sports orthopedic surgery [PDF]
• Trauma orthopedic surgery [PDF]

Plastic surgery [PDF]

Surgical Intensive Care Unit [PDF]

Urology [PDF]

Vascular surgery [PDF]

Description

Welcome to the Section of Orthopedic Surgery at Health Sciences Centre. Orthopedic surgery is a hands-on specialty. In order to derive the greatest benefit from the rotation, it is imperative that the students assume an active role. Whether or not students are interested in orthopedics as a career, they will learn valuable skills on this rotation. At some time in almost all physicians’ careers, they will be faced with patients with a musculoskeletal injury. We wish to give exposure to orthopedics as a career option and to give the student an approach to managing the injured patient.

Availability

Year-round

Duration

Varies

Location

Health Sciences Centre

Call responsibility

As per schedule

By the end of the elective period, students will

• Become comfortable examining an injured patient.
• Develop an approach to reading x-rays.
• Identify orthopedic emergencies.
• Apply a splint to an arm and leg.
• Manage common medical problems associated with orthopedic patients.
• Identify and know treatment of common orthopedic injuries (ankle, wrist).
• Adhere to operating room protocols, including sterile technique.
• Recognize and manage common perioperative complications (DVT, PE, fat embolism, infection, joint dislocation, etc.).

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.

Learning Objectives (CanMEDS)

Medical Expert

• Become comfortable examining an injured patient.
• Develop an approach to reading x-rays.
• Identify orthopedic emergencies.
• Apply a splint to an arm and leg.
• Manage common medical problems associated with orthopedic patients.
• Identify and know treatment of common orthopedic injuries (ankle, wrist).
• Adhere to operating room protocols, including sterile technique.
• Recognize and manage common perioperative complications (DVT, PE, fat embolism, infection, joint dislocation, etc.).

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively and elicit relevant information and perspectives.
• Convey information clearly and effectively to patients, families, and the healthcare team.
• Maintain accurate records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.

Collaborator

• Demonstrate effective teamwork within the healthcare team.
• Respect the diversity of roles and competences of other healthcare professionals.
• Participate in interprofessional and interdisciplinary healthcare teams.
• Contribute to the planning and integration of care for surgical patients.

Leader

• Participate in decision-making and resource allocation within the surgical service.
• Employ information technology appropriately for patient care.
• Contribute to the effectiveness of the healthcare team.

Health Advocate

• Advocate for the health and well-being of individual patients, communities, and populations.
• Identify and address social determinants of health.
• Promote culturally competent, patient-centered care.

Scholar

• Engage in lifelong learning and self-improvement.
• Apply principles of evidence-based medicine.
• Teach and discuss alternative approaches based on available evidence.

Professional

• Demonstrate honesty, integrity, commitment, compassion, and respect in practice.
• Deliver high-quality care while recognizing and responding to ethical issues.
• Maintain patient confidentiality and autonomy.
• Participate in peer review and manage conflicts of interest.

Description

The Pediatric General Surgery elective at the University of Manitoba provides comprehensive care for infants, children, and adolescents up to seventeen years old who require surgical assessment and treatment for congenital and acquired conditions. Based at the Children's Hospital within the Health Sciences Centre, this elective offers exposure to a wide range of pediatric surgical problems through ambulatory care, day surgery, emergency room, and ward consultation services. Students will participate in the pre-, intra-, and post-operative care of children requiring surgery, as well as the management of conditions such as abdominal pain and 'lumps and bumps.' They will develop skills in completing focused surgical history and physical exams, determining relevant investigations, and formulating management plans. Effective communication and collaboration within the healthcare team are emphasized.

Availability

Available throughout the academic year.

Duration

Contact the department.

Location

Children's Hospital, Health Sciences Centre

Call responsibility

• The pediatric surgery clerk is on-call 1-in-4, responding promptly to calls from surgical wards, emergency departments, pediatric wards, and referring physicians.
• Students will act as the first responder and carry a functioning beeper.
• Backup support from residents or attending surgeons is available through hospital paging.
• Nurse Practitioner on Pediatric General Surgery is also accessible for assistance.

By the end of the elective period, students will understand

• Assessment and Management of Pediatric Surgical Cases
• History Taking and Physical Examination
• Investigations and Diagnosis
• Management and Documentation
• Communication
• Teamwork
• Emergency Response

This elective provides students with the capacity to

• Provide comprehensive care for children requiring surgical interventions, encompassing preoperative, intraoperative, and postoperative management.
• Evaluate and manage pediatric patients presenting with abdominal pain.
• Assess and manage pediatric patients with various "lumps and bumps," particularly focusing on inguinal and scrotal swellings.
• Gain exposure to a diverse range of pediatric surgical conditions.
• Conducting thorough and focused surgical histories and physical examinations in pediatric patients.
• Determine the appropriate investigations necessary for pediatric surgical conditions.
• Develop a comprehensive and accurate differential diagnosis for pediatric surgical cases.
• Understand and implement management plans for pediatric surgical patients, including writing accurate orders.
• Maintain precise and detailed records and notes regarding patient care.
• Demonstrate effective verbal and written communication skills when interacting with patients, families, and healthcare team members.
• Collaborate effectively as a member of the care team to ensure optimal patient outcomes.
• Acquire the skills to act as a first responder by being prepared to handle first "on-call" pages efficiently.

Learning Objectives (CanMEDS)

Medical Expert

• Assessment and Management of Pediatric Surgical Cases
• History Taking and Physical Examination
• Investigations and Diagnosis
• Management and Documentation

Communicator

• Establishing Rapport
• Active Listening
• Eliciting Relevant Information
• Effective Communication
• Documentation
• Addressing Communication Challenges

Collaborator

• Team Approach
• Interprofessional Engagement
• Respect for Diversity
• Integrated Care

Leader

• Strategic Decision-Making
• Resource Management
• Collaborative Leadership

Health Advocate

• Patient-Centered Care
• Addressing Health Disparities
• Championing Patient Safety

Scholar

• Continuing Self-Learning
• Understanding Surgical Principles
• Effective Presentation Skills
• Critical Evaluation of Medical Information
• Appraisal of Evidence
• Integration of Critical Appraisal

Professional

• Exemplary Behavior
• Commitment to Quality Care
• Ethical Awareness
• Confidentiality and Autonomy
• Participation in Peer Review
• Conflict Management
• Patient Relations
• Awareness of Industry Influence
• Recognition of Limitations

Description

The Surgical Oncology Service at the University of Manitoba provides a comprehensive experience in the multidisciplinary management of cancer patients. Based primarily at the Health Sciences Centre, with additional clinics and surgeries at St. Boniface General Hospital and the Breast Health Centre, this elective offers exposure to various outpatient clinics and surgical procedures. Students will participate in morning ward rounds, surgical tutorials, and multidisciplinary case rounds. They will also engage in the daily management of inpatient wards, attend outpatient clinics, and observe surgeries, including biopsy techniques and operative procedures for various malignancies such as breast cancer, head and neck cancers, thyroid cancers, melanoma, colorectal cancer, and sarcoma.

Availability

Available throughout the academic year.

Duration

Contact UGME.

Location

• Health Sciences Centre
• St. Boniface General Hospital
• CancerCare Manitoba
• Breast Health Centre

Call responsibility

Students may be on-call in-hospital, typically up to 1-in-4. Students on Orange Surgery will be placed on call with the Trauma and Acute Surgical Care (Gold Surgery) service, involving consult calls and OR duties.

By the end of the elective period, students will

• Understand the role of surgeons in the multidisciplinary management of cancer.
• Gain proficiency in prevention, screening, diagnosis, treatment, palliation, rehabilitation, and prevention of various malignancies.
• Develop technical skills in biopsy techniques and surgical procedures related to oncology.
• Establish effective communication with patients, families, and healthcare teams.
• Work collaboratively within a healthcare team to provide optimal patient care.
• Demonstrate leadership qualities in healthcare delivery.
• Advocate for patient safety and well-being.
• Foster a commitment to lifelong learning and scholarly activities.
• Uphold high ethical standards and professionalism in medical practice.

This elective provides students with the capacity to

• Demonstrate basic knowledge of trauma resuscitation.
• Acquire clinical assessment skills for patients with acute general surgical conditions.
• Familiarize with radiological imaging indications in trauma and acute general surgery.
• Develop communication skills in dealing with patients and healthcare team members.
• Acquire technical skills like IV line insertion, skin suturing, Foley catheter insertion, and chest tube insertion.

Learning Objectives (CanMEDS)

Medical expert

• The student will understand the surgeon’s role in the multidisciplinary management of cancer, encompassing:
  • Prevention
  • Screening (including hereditary cancers)
  • Diagnosis
  • Treatment
  • Palliation
  • Rehabilitation
• Specific malignancies treated
• Surgical procedures

Technical skills

• Biopsy techniques
• Content

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Deliver effective oral and written information about a medical encounter.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent.
• Deliver bad news.
• Disclose adverse events.
• Discuss end-of-life care.
• Discuss organ donation.
• Address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competences of other healthcare professionals in managing surgical patients.
• Work with others to assess, plan, provide, and integrate care for surgical patients.

Leader

• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources appropriately.

Health advocate

• Show concern for the best interests of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate the ability for continuous self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address clinical questions.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participate in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognize personal and clinical limitations.

Description

The Thoracic Surgery selective at Health Sciences Centre provides a comprehensive exposure to the practice of Thoracic Surgery, focusing on conditions such as lung cancer, esophageal cancer, and other thoracic malignancies. Students engage in outpatient and inpatient care, consultation, pre-operative, and post-operative care. Activities include participation in daily ward rounds, outpatient clinics, surgeries, and teaching sessions.

Availability

Offered throughout the academic year.

Duration

Contact UGME.

Location

Health Sciences Centre.

Call responsibility

Medical students will be assigned second call, enhancing educational opportunities, especially in procedures. First calls go to residents or attending surgeons on call, with appropriate guidance provided to medical students during consults.

By the end of the elective period, students will:

• Conduct thorough history and physical examinations, emphasizing outpatient assessment.
• Formulate differential diagnoses and management plans for common surgical problems.
• Participate in post-operative care of thoracic surgical patients.
• Develop familiarity with common thoracic operations.
• Gain insights into advanced cancer care, including palliative care and end-of-life discussions.

This elective provides students with the capacity to:

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Perform basic surgical procedures under supervision.
• Interpret diagnostic imaging and laboratory procedures relevant to thoracic diseases.
• Communicate effectively with patients, families, and the healthcare team.
• Collaborate within interprofessional healthcare teams to optimize patient care.

Learning Objectives (CanMEDS)

Medical Expert

• Conduct a thorough history and physical examination, with a focus on outpatient assessment.
• Write regular progress notes.
• Formulate a differential diagnosis for common surgical problems.
• Formulate a comprehensive plan of management for common surgical problems, including investigation and treatment.
• Recognize and manage acutely ill or injured patients systematically.
• Gain familiarity with common thoracic operations.
• Participate in post-operative care of thoracic surgical patients.
• Acquire familiarity with issues related to the care of patients with advanced cancer, including palliative care, resuscitation, and delivering difficult news.

During this selective, students will be exposed to most of the following:

• Anatomy and physiology of the lungs, pleural space, and esophagus.
• Diagnostic imaging of the chest, including CT and CXR interpretation.
• Laboratory procedures used in the diagnosis of chest diseases, including endoscopy and lung/esophagus function studies.
• Pharmacology of drugs commonly used in managing thoracic diseases, including neoplastic diseases.
• Infectious diseases, particularly as they relate to Thoracic Surgery.
• Principles of oncology, including radiation therapy and chemotherapy.

Students will have the opportunity to learn:

• General conduct of a surgical procedure, including scrubbing and sterile technique.
• Placement of chest tubes or pigtail catheters.
• Thoracentesis.
• Basic suturing.
• Knot-tying.

Students will see and work up some or most of these disease presentations:

• Solitary pulmonary nodule.
• Pleural effusion.
• Hemoptysis.
• Airway obstruction/stridor.
• Dyspnea.
• Thoracic malignancies.
• Dysphagia.

Students will see and work up some or most of these specific disease entities:

• Carcinoma of the lung, including staging, pathology, and management.
• Chronic obstructive pulmonary disease.
• Pneumothorax, hemothorax, and pleural effusions.
• End-stage lung disease, including lung transplantation.
• Infections of the thorax, including pneumonia, bronchitis, empyema, lung abscess, and mediastinitis.
• Penetrating and blunt chest trauma.
• Mediastinal neoplasms.
• Esophageal carcinoma.
• Esophageal motility disorders.
• Gastroesophageal reflux disease.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Communicate effectively both orally and in writing about medical encounters.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent.
• Deliver difficult news.
• Disclose adverse events.
• Discuss end-of-life care.
• Discuss organ donation.
• Address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals in the management of surgical patients.
• Work with others to assess, plan, provide, and integrate care for surgical patients.

Leader

As Leaders, students will participate in the activities of the surgical service, making decisions, allocating resources, and contributing to the effectiveness of the healthcare team by:

• Appropriately employing information technology for patient care.
• Allocating finite healthcare resources.

Health Advocate

• Demonstrate concern for the best interest of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate a commitment to continuing self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address clinical questions.
• Integrate critical appraisal conclusions into clinical care.

Professional

As Professionals, students are committed to the health and well-being of individuals through ethical practice, profession-led regulation, and high personal standards of behavior by:

• Exhibiting professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrating a commitment to delivering the highest quality care.
• Recognizing and responding appropriately to ethical issues encountered in practice.
• Recognizing and respecting patient confidentiality, privacy, and autonomy.
• Participating in peer review.
• Managing conflicts of interest.
• Maintaining appropriate relations with patients.
• Demonstrating awareness of industry influence on medical training and practice.
• Recognizing personal and clinical limitations.

Special Topics in Population and Public Health (PDF)

Description

This 2-week clerkship rotation in diagnostic radiology combines distance education and in-person learning. It includes online resources, modules, small group teaching sessions, and a self-assessment test. Radiology staff from multiple locations will be available for consultation and guidance.

Availability

Offered year-round

Duration

2 weeks

Location

Selkirk Regional Health Center, Health Sciences Centre, St. Boniface Hospital

By the end of the elective period, students will:

• Gain familiarity with multimodality diagnostic radiology and its role in patient care.
• Acquire knowledge of anatomy on various radiographs and CT scans.
• Identify common radiologic diagnoses, including those related to cardiopulmonary, abdominal, musculoskeletal, and neurological systems.
• Develop skills in choosing appropriate imaging tests for medical concerns.
• Establish effective communication with supervising physicians.
• Recognize and respect the roles of healthcare professionals involved in diagnostic imaging.
• Understand the use of information technology and allocation of healthcare resources.
• Promote patient safety and advocate for appropriate imaging tests.
• Gain insight into the benefits, risks, and radiation safety associated with radiologic procedures.
• Demonstrate critical analysis skills and motivation for self-directed learning.
• Exhibit integrity, honesty, and punctuality in professional practice.

This elective provides students with the capacity to:

• Participate actively in online learning, teaching sessions, and self-assessment.
• Attend scheduled teaching sessions on chest and neuroradiology.
• Engage in hands-on experience with radiologists in specialty areas.
• Learn about contrast media, radiation safety, imaging appropriateness, and radiology for the wards.
• Gain exposure to Nuclear Medicine and Radiation Oncology through in-person experiences.
• Participate in academic activities including lectures, self-directed study, and Radiology Education Rounds.
• Receive evaluations based on self-assessment, participation, professionalism, and knowledge during teaching sessions and daily assessments.

Call responsibility

No call responsibility.

Learning Objectives (CanMEDS)

Medical Expert

• Become familiar with the role of multimodality Diagnostic Radiology and its role in in-patient and out-patient care
• Become familiar with anatomy on chest, abdominal, and spine/musculoskeletal radiographs. Become familiar with basic brain, chest, and abdomen anatomy on CT.
• Become familiar with common and important radiologic diagnoses.
• Develop an improved ability to choose the appropriate imaging test for common medical concerns.
• Develop a dependable, organ-specific approach to common imaging tests.

Communicator

• Establish rapport and good communication with the supervising physicians.

Collaborator

• Recognize and respect the roles, responsibilities, and expertise of all healthcare professionals and understand how these integrate with diagnostic imaging.

Manager

• Determine effective use of information technology.
• Gain a better understanding of the allocation of healthcare resources.

Health Advocate

• Promote and participate in patient safety.
• Develop an improved ability to choose the appropriate imaging test for patients.
• Gain a better understanding of the benefits and risks associated with radiologic procedures and a basic understanding of radiation safety.

Scholar

• Ability to critically analyze their skills.
• Shows motivation to improve their knowledge with reading and self-directed study.

Professional

• Demonstrates integrity, honesty, and punctuality.