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Innovation in times of crisis: how NOSM faculty created curriculum that challenges students to advocate for impactful change

As the world faced the unprecedented health crisis of COVID-19, faculty at the Northern Ontario School of Medicine (NOSM) made pivotal changes to its fourth-year MD curriculum. At a time when students were not able to work on the frontlines, NOSM faculty worked quickly to introduce a new curriculum that focused on building advocacy leadership skills that would lead to impactful change.

“The new curriculum provided students with the opportunity to pursue topics that matter to them while having real, positive impacts on patient care and population health in Northern and rural contexts,” says Dr. Erin Cameron, NOSM Assistant Professor. “Much about medicine is learning how to advocate for individual patients or advocating for change at the institutional and community levels.”

The new curriculum was broken into parts: academic sessions related to the pandemic; Research and Advocacy Pandemic (RAP) Rounds, a forum for discussing emerging evidence, clinical practices, and public health strategies around COVID-19; and the Northern and Rural Health Advocacy Projects, where students identified an issue and undertook an advocacy project to address the issue.

“The idea was to learn from and through the pandemic in real-time, with a focus on our Northern Ontario setting,” explains Dr. Cameron. “As a socially accountable medical school, this new addition to the curriculum provides students with more opportunity to be health advocates. It was a team effort and is something we will continue for years to come.”

A recent project with a positive impact is Project Connect. A group of students are collecting gently used cell phones to be repurposed and given to survivors of intimate partner violence.

Rebecca Bourdon is a fourth-year NOSM medical student who is helping spearhead the local #ProjectConnect effort. She says the new curriculum made a lasting impact on her.  “As future health-care providers, it is important to remain vigilant in observing, and active in addressing, any gaps in healthcare as they occur, especially those that affect unfairly disadvantaged and vulnerable groups who may be unable to adequately advocate for themselves. The advocacy curriculum allowed us to uncover disparities in public health, particularly those either created or compounded by the pandemic. It gave us the opportunity to leverage our position to support and lobby for ways to address these inequities. This invaluable experience has ingrained in me the importance of being a health-care advocate, a role l will continuously strive to assume as a future physician.”

The goal of the advocacy projects is to complement the existing curriculum of the NOSM MD program, which is a mandatory academic requirement for the Northern and Rural Health course and Social and Population Health course. Other fourth-year medical student projects include new apps, educational infographics for patient education, advocacy letters to Ministers and Members of Parliament and action plans to support mental health.

The pandemic provides a rich teaching and learning environment that is ever evolving,” says Dr. Cameron. “Students received academic credit for undertaking the advocacy activities and making a difference in Northern Ontario.”

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The Northern Ontario School of Medicine (NOSM) is an award-winning socially accountable medical school renowned for its innovative model of distributed, community-engaged education and research. With a focus on diversity, inclusion, and advocacy for health equity, NOSM relies on the commitment and expertise of the peoples and communities of Northern Ontario to educate health-care professionals to practise in Indigenous, Francophone, rural, remote and underserved communities.

For further information, please contact: news@nosm.ca

NOSM’s Dean named in Top 30 Physician Power List

Dr. Sarita Verma, Dean, President and CEO of the Northern Ontario School of Medicine (NOSM), has made the Canadian Healthcare Network 2021 Physician Power List. Medical Post journalists reached out to doctors and asked who they think have power now and into the future. Check out the entire list at canadianhealthcarenetwork.ca.

“Dr. Verma is the recently appointed dean of the medical school and, as one of the profession’s most recognized champions of diversity, she brings valuable new perspectives to the question of how to meet the needs of these unique patient populations.”
– Tristan Bronca, The Medical Post

Since arriving at NOSM in July 2019, Dr. Verma has been unwavering in her commitment to inclusion, diversity, social accountability, and social justice. She brings fresh perspectives to the strategic priorities of the School, centering around how to address equitable access to care for people and communities in Northern Ontario who have faced long-standing physician shortages.

“I’m humbled to be recognized alongside terrific leaders such as Dr. Theresa Tam and Dr. Gigi Osler,” says Dr. Verma. “Great leaders are not born, they are made. The ability to help others triumph over adversity is not written into one’s genetic code, it is forged in crisis. This year, racism in health care, Black and Indigenous rights have inspired us to tackle solutions in equity and diversity. This list is incredibly diverse representing the breadth of leaders in physician roles.”

NOSM announced its new five-year strategic plan in November 2020. The NOSM Challenge 2025 identifies the need to promote innovation, discovery, and academic and clinical excellence while building a culture of diversity, inclusion, integrity, and empowerment.

Winter is here with purpose.

A truly powerful purpose statement is one that achieves two objectives: it must clearly articulate strategic goals and it must motivate the workforce. These objectives are equally important, both individually and synergistically. That is to say, when we understand and embrace our organization’s purpose, we’re inspired to do work that not only is good, but great.

The NOSM mission is to improve the health of Northern Ontarians by being socially accountable in our education and research programs and advocating for health equity. This vision is the inspiration and motivation for the School’s new initiatives, including founding NOSM’s new Centre for Social Accountability and our partnership with Ornge in Operation Remote Immunity. Thank you to all who volunteered with #OpRemoteImmunity. It became a complex project and, in the end, we seem to have more hands than were needed. The spirit of intentionally doing good is alive at NOSM.

I am realizing that great leaders are not born, they are made. The ability to help others triumph over adversity is not written into one’s genetic code, it is forged in crisis. As COVID-19 continues to race its way through communities and neighbourhoods, our leaders become “real” when they demonstrate behaviours that inspire people through difficult times. For NOSM, our leadership values are centered around respect, inclusivity and being socially accountable. Leadership means being a safe port and having clear direction, nimble tactics and thoughtful advocacy for our medical school.

Look at the terrific leaders in public health like Drs. Teresa Tam, Bonnie Henry, Penny Sutcliffe. They are tirelessly trying to answer the difficult questions about the ethical and moral issues in the allocation of vaccines—questions like: Who goes first? Why are people in Toronto posting selfies while doctors or Elders elsewhere aren’t getting it? What about access to ventilators? Who should be given the right to live? Why does age not factor in? The availability and distribution of the vaccine is a complex and ethical issue. To guide COVID-19 vaccine prioritization, distribution, and decision-making relies on consistency, stewardship, accountability, and public trust. It’s a very weighty and challenging topic that requires much energy and focus.

NOSM also has had to navigate around the emerging concerns about the filing for insolvency by Laurentian University. Many of you have been asking questions about the risks or impact for NOSM. I can assure you that we are monitoring this situation closely and as a separate legal entity with our own not-for-profit corporation and our own Board of Directors, NOSM is minimally affected.

Meanwhile, winter has arrived. A deep winter! Just for a moment, let’s take a breath. Consider the gifts of the natural world outside. Snow is just so beautiful, covering everything like a fluffy white blanket. The next time you find yourself outside, inhale deeply. There is almost no pollution in the air this winter. The crisp, clean air is the equivalent to winning the lottery. It’s a great feeling.

For me with a chronic lung disease, Northern Ontario’s clean air has made a huge difference, in combination with no travel, sleeping in my own bed, good nutrition and seeing family on Zoom I am managing to ‘survive’ the pandemic.

As we venture through February and the hardest stage of the winter, please think about what you are doing to maintain your health. Share your self-care routine or advice with the rest of us. What are you doing to feel better? How are you surviving the pandemic?

If you have any feedback or comments, please reach out at dean@nosm.ca and follow me on twitter @ddsv3.


Honouring NOSM’s Black leaders during Black History Month

February is Black History Month, a time to celebrate Black culture and the many contributions made by Black learners, physicians, academics and staff at NOSM. The events of the past year amplify the importance of anti-racism our commitment to #RespectTheDifferenceRead my statement on Black History Month.

Join us monthly at Pan-Northern Clinical Rounds

On the first and third Wednesday of each month, Pan-Northern Clinical Rounds will provide NOSM faculty, learners, staff, and health-care professionals across Northern Ontario with relevant clinical education. Please encourage your colleagues and learners to take in the Rounds as we learn together and from each other. Register now.


Francophone Health in Primary Care Webinar Series

In recognition of the International Francophonie Day on March 20, NOSM’s Francophone Affairs Office is hosting a French-language webinar series. Throughout the month of March, webinars will focus on topics related to Francophone health in primary care. Follow NOSM’s social media @thenosm or visit nosm.ca to get the detailed information about each session.


NOSM Board of Directors Seeks Three Members

If you share NOSM’s commitment to improve health care access for the people and communities in Northern Ontario, this is an ideal opportunity for you. NOSM’s vision of innovative education and research for a healthier North means we remain steadfast in our commitment to providing high-quality education to physicians and health professionals, and continue to be a leader in distributed, learning-centred, community-engaged education and research. Deadline for submissions is March 1, 2021.


Project Connect

NOSM medical students Rebecca Bourdon and Alexandra Dozzi are collecting gently used cell phones to be re-purposed and given to survivors of intimate partner violence. They’re working with local organizations and shelters to help survivors gain access to services, care, housing, employment and independence. If you have a gently used cell phone, which you would be willing to donate to this meaningful project, please email Rebecca at remailloux@nosm.ca or Alexandra at adozzi@nosm.ca to arrange contactless pickup or drop-off. Please help spread the word.


Justina Marianayagam representing NOSM at WHO

Early last year, Justina Marianayagam was selected to represent Canada by the World Health Organization (WHO). She worked for months with the International Guideline Development Group under the WHO’s Department of Maternal, Newborn, Child and Adolescent Health. The International Guideline on the Management of Chronic Pain in Children was recently published. Justina was one of three Canadians selected for her work in health-care advocacy and research, and was able to bring the perspective of both a medical student and patient partner. As a former pediatric patient, she spent most of her adolescent years at SickKids Hospital navigating the in-patient wards. Justina expresses her thanks to NOSM for continued support and is proud to have represented her school internationally. Official release of the WHO Guideline.


NOSM University