The 3rd Year Residency Program for General Practitioners in Hospitals is intended to equip physicians who plan to provide routine care in hospitals as part of their comprehensive practice.

Introduction

Hospital care has become very complex over the years. Physicians who provide hospital care therefore need to acquire several new skills over 6 months or 1 year.

The hospital medicine program at Hôpital Montfort is intended to be a dynamic and personalized program that will allow French-speaking or bilingual physicians to acquire the skills needed to be an excellent hospitalist. Our program is based at Hôpital Montfort, a teaching hospital with over 124 family practice beds. What is unique to our program is that in addition to having access to complex hospital medicine, the candidate will also be able to acquire skills in palliative care, rehabilitation medicine and intensive care medicine.

The candidate will also have the chance to work in multidisciplinary teams.

The workload will be progressive according to the skills of the candidate and will include admissions, guards and patient follow-ups.

If the candidate is interested, he can continue to do family medicine for half a day a week.

The candidate will be supervised by experienced hospital doctors.

In addition to perfecting their skills in hospital medicine, the candidate will have the chance to familiarize themselves with quality improvement processes using the LEAN method. In addition, he will have the opportunity to follow the heads of departments in order to appreciate the leadership role of the hospitalist doctor.

Prerequisites

Resident must have completed CCFP certification or equivalent

The resident must be able to work in both French and English, written and spoken.

Goals and objectives

• Competence in providing short-term and sub-acute general medical care to hospitalized patients in any setting (rural or remote, urban, subspecialty)

• Cost-effective and efficient inpatient medical care

• Preparation for research or medical training for hospitalized patients

• Follow the goals and objectives of CanMEDS-FM to achieve the following competencies:

  • Medical Expert

  • Communicator

  • Collaborater

  • Administrator

  • Scholar

  • promoter

  • Professional

• The resident will be able to recognize and appropriately manage the following conditions (in the acute and chronic phases, knowing when to refer to a specialist colleague), as stated in Society of Hospitalist Medicine Core Competencies (2006, revision 2017):

  • Section 1: Clinical Conditions

    • Cardiac arrythmia
    • Asthma
    • Stroke
    • Delirium and dementia
    • Diabetic sugar
    • Abdominal pain
    • Gastrointestinal bleeding
    • Hyponatremia
    • Urinary tract infection
    • Skin and soft tissue infections
    • Heart failure
    • Acute renal failure
       
    • Chronic obstructive pulmonary disease
    • Intraoperative medicine
    • Community acquired pneumonia
    • Nosocomial pneumonia and healthcare-associated pneumonia
    • Alcohol and drug withdrawal
    • Syncope
    • Acute coronary syndrome
    • Septic syndrome
    • Venous thromboembolism
    • Pain treatment

  • Section 2 – Responses

    • Vascular access

    • Arthrocentesis

    • Interpretation of electrocardiograms and monitoring by telemetry

    • Emergency interventions - Intubation, establishment of a central venous line, etc.

    • Paracentesis

    • Lumbar puncture

    • Chest x-ray

    • Thoracocentesis
       

  • Section 3: Health care systems

    • Food and hospitalized patient

    • Quality improvement

    • Practice-based learning and improvement

    • Team approach and multidisciplinary care

    • Equitable resource allocation

    • Communication

    • Medical consultation and co-management

    • Patient education

    • Information management

    • Risk management

    • Hospitalist as educator

    • Drug Safety, Pharmacoeconomics and Pharmacoepidemiology

    • Leadership

    • Evidence-Based Medicine

    • Management practices

    • Prevention of Healthcare-Associated Infections and Antimicrobial Resistance

    • Diagnosis-based decision making

    • Professionalism and medical ethics

    • Patient Safety

    • Care of older patients

    • Care for vulnerable populations

    • Palliative care

    • Patient transfer

    • Transition of care

Description of the program

This program will last 6 months, therefore 7 blocks

1 admissions block
2 hospital blocks
1 intensive care unit
1 rehabilitation medicine block
2 blocks of your choice

Any resident will have the opportunity to do a half-day return to family medicine

Prerequisites

1. The resident must have completed CCFP certification or equivalent

2. The resident must be able to work in both French and English