Pembroke Update
The Pembroke Family Medicine Teaching Unit (PFMTU) is excited share with you some highlights from the past year. Please enjoy this update provided by Dr. Richard Johnson, recently reclassified to the rank of Assistant Professor with our Department in recognition of his educational achievements, a Family Doctor in Pembroke, Site Director of the Pembroke Residence Program, Chief of Family Practice at the Pembroke Regional Hospital, Clinical Lead of the Ottawa Valley OHT and Co-Chair of the Renfrew County and South Algonquin Primary Care Network. He is 10 years into practice having graduated from the Pembroke Residency Program. His passion is maximizing the health of residents in Renfrew County, and he is supported by his wife and 2 lovely kids who attempt to keep him balanced.
Growth to 6 residents per year: We have doubled down on our strategy to maximize the learner pipeline, given the high percentage of unattached patients, and high rate of retention of our graduates to Renfrew County (60%) 5 years out into practice. A further 95% of our graduates have stayed rural upon graduation. We all breathed a sigh of relief when we went fully matched for 6 residents in CaRMS this year.
Expansion: Our growth necessitated physical space. We are wrapping up an expansion to house further staff physicians and learners at our clinic in PRH, tower D.
Remote pilot: In their first and second year, we allow residents that match to our program to choose to spend 3 months in Deep River or Barry’s Bay with an excellent set of preceptors. This program has been tremendously popular: all residents last year chose to participate. After reviewing feedback, including some continuity of care challenges and how to equitably provide learning opportunities, we have decided to modify the program to 2 months per year with the full support of residents, staff and remote sites. We were excited to welcome additional preceptors in both communities: Dr. Michael Sage, Lecturer, in Deep River, and Dr. Steven Chen, Lecturer, in Barry’s Bay.
Indigenous curriculum: Our residents and some staff physicians participated in the Algonquins of Pikwakanagan locally created Indigenous cultural awareness training in February. It was eye opening and sad to hear just how much language and culture this community has lost, and that a community 30 minutes down the road from us continues to be under a boil water advisory. We thank the department for the funding so our residents could participate. We are also piloting some days where our residents work with Derek Frew, NP, who is the main clinician working at the Pikwakanagan FHT. Initial feedback has been very positive from all parties.
Created a gender affirming care clinic: Doniya Quenneville, R2, came into our program with an interest in this population and saw the gap in Renfrew County. With training and relationship building with the Centretown CHC, Doniya and one of our local preceptors, Dr. Sylvie Cantin, Lecturer, were able to start a small clinic. Doniya has just signed to stay on in Deep River when she graduates, which means this care should be more accessible to local patients. She can also help run the curriculum for our learners.
Evaluation fatigue: Our preceptors commented on some redundant resident evaluations and so we are putting the final touches on optimizing this process prior to rolling it out for the new R1s in July.