Hospital Generalist

For information regarding the Montfort stream visit the bottom of the page.

Goals & Objectives

Goals and objectives

Competency with providing general acute and subacute inpatient medical care in any setting (rural/ remote, urban, subspecialty)
Cost effective and efficient care in inpatient medicine
Preparation for research and/ or education in inpatient medicine
Following CanMEDS-FM goals and objectives to achieve the following competencies:
- Medical Expert
- Communicator
- Collaborator
- Manager
- Scholar
- Health Advocate
- Professional
The resident will be able to recognize and appropriately manage the following conditions (in the acute and chronic phases, knowing when to refer) as outlined in the (2006, revised 2017):
- Section 1: Clinical Conditions

Abdominal Pain
Acute Coronary Syndrome
Acute Kidney Injury
Alcohol and Drug Withdrawal
Asthma
Cardiac Arrhythmia
Chronic Obstructive Pulmonary Disease
Community Acquired Pneumonia
Delirium and Dementia
Diabetes Mellitus
Gastrointestinal Bleed
Heart Failure
Hospital-Acquired and Healthcare-Associated Pneumonia
Hyponatremia
Pain Management
Perioperative Medicine
Sepsis Syndrome
Skin and Soft Tissue infections
Stroke
Syncope
Urinary Tract Infection
Venous THromboembolism

Section 2: Procedures

Arthrocentesis
Chest Radiograph Interpretation
Electrocardiogram Interpretation and Telemetry Monitoring
Emergency Procedures – Intubation, Central Line insertion, etc
Lumbar Puncture
Paracentesis
Thoracentesis
Vascular Access

Section 3: Healthcare Systems

Care of the Older Patient
Care of Vulnerable Populations
Communication
Diagnostic Decision-Making
Drug Safety, Pharmacoeconomics, and Pharmacoepidemiology
Equitable Allocation of Resources
Evidence-Based Medicine
Hospitalist as Educator
Information Management
Leadership
Management Practices
Medical Consultation and Co-management
Nutrition and the Hospitalized Patient
Palliative Care
Patient Education
Patient Hand-off
Patient Safety
Practice-Based Learning and Improvement
Prevention of Healthcare-Associated Infections and Antimicrobial Resistance
Professionalism and Medical Ethics
Quality Improvement
Risk Management
Team Approach and Multidisciplinary Care
Transitions of Care

To equip family physicians who plan on providing routine hospital-based care as part of their comprehensive practice

Proposed Structure & Rotations

Block Rotation

	Acute Care
1	Internal Medicine Consults
2	RACE team
3	TOH Family Medicine inpatient service – Civic and General
4	TOH Family Medicine inpatient service – Civic and General
	Rural & Remote
5	Rural – Pembroke or Winchester
6	Rural – Pembroke or Winchester
7	Remote – Nunavut, NWT (or rural block)
8	Remote – Nunavut, NWT (or rural block)
	Rehabilitation
9	TOH Neurospinal Rehab + Wound care
10	Bruyere Stroke Rehab
11	St. Vincent’s Complex Continuing Care + Wound Care
12	Rehab selective – Resp, Complex Orthopedic Rehab, Short Term Rehab, Acquired Brain Injury;
13	Elective ICU, Subspecialty IM, Pediatric Inpatient, MedOnc Hospitalist, Orthopedic Hospitalist, Care of the elderly (Bruyere), Palliative Care

Continuity

Courses & Qualifications

Research

Evaluation

Half day back in family medicine clinic

Optional continuity with OB/ER for rural-focused residents

ACLS

ECG Interpretation

POCUS

Serious illness conversations

ATLS – optional for rural

QI project

Patient safety and quality of care

End of rotation evaluations from supervisor

Field notes for procedures

American Hospital Medicine Board Exam (annually in October)

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

The resident must have completed CCFP certification or equivalent
The resident must be able to work in both French and English

Goals & Objectives

Goals and objectives

Section 1: Clinical Conditions

Section 2: Procedures

Section 3: Healthcare Systems

Proposed Structure & Rotations

Block Rotation

General practitioner in a hospital setting - Hôpital Montfort arrow_drop_down

Introduction

Prerequisites

Goals and objectives

Section 1: Clinical Conditions

Section 2 – Responses

Section 3: Health care systems

Description of the program

Prerequisites