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MD Financial Management and Scotiabank announce new collaboration with Northern Ontario School of Medicine

Today, MD Financial Management Inc. (MD), Scotiabank and the Northern Ontario School of Medicine (NOSM) announced a three-year agreement whereby MD and Scotiabank will be the preferred financial services partners of NOSM. Scotiabank’s funding commitments under the agreement will help strengthen high-quality education for medical learners in Northern Ontario.

This partnership will support initiatives from NOSM’s Continuing Education and Professional Development (CEPD) program to help improve health care in Northern, rural and remote communities. A key strategy will be engaging NOSM alumni and keeping them connected to continuing medical education and faculty development learning opportunities through the School’s CEPD programs.

MD and Scotiabank’s commitment will offer NOSM alumni access to valuable financial expertise and solutions as well as integrated banking and wealth management services tailored to physicians through virtual access that provides the convenience and flexibility they need.

“High-quality ongoing education for all physicians is an essential part of a strong health care system. We are proud to support NOSM’s commitment to medical learners and their communities in Northern Ontario,” said MD President and CEO Daniel Labonté.

“NOSM is very pleased to have MD and Scotiabank as our preferred financial services partner supporting medical learners and physicians in Northern Ontario,” says Dr. Sarita Verma, NOSM Dean, President and CEO. “The School is committed to the health of the peoples and communities of Northern Ontario. Part of that commitment is ensuring our alumni who go on to practise in Northern Ontario have support as they begin their careers and that they have access to continuing medical education that is relevant to their work as physicians in the North.”

NOSM-acquired Skills Help Fill a Gap in Care for Underserved Populations   

Dr. Andrea Haner (MD Class of 2010) is applying the skills she learned at NOSM to treat diverse, underserved populations. She is the only GP Oncologist treating gynecological cancer in the Southwest Alberta region.

“The population I work with is very underserved. If I didn’t do this work, women would have to commute to Calgary—a two-and-a-half-hour drive into the cancer centre for most,” says Dr. Haner. “Instead, they can come to Lethbridge for chemotherapy treatment.”

The skills Dr. Haner learned at NOSM, with a focus on the personal side of medicine, helped prepare her for the subspecialties she’s taken on, including serving a diverse populations in family medicine with the Medical Assistance in Dying (MAiD) team, on-call with the hospital sexual assault team, and in her family practice at Lethbridge College and as a GP Oncologist. In her family practice location, Dr. Haner works with diverse populations, she sees college students for mental health concerns and hormone therapy for transgender students, as well as other populations outside of the college including Hutterites, Mexican Mennonites, local and surrounding Indigenous communities.

“While at the Northern Ontario School of Medicine, I found I spent a lot of time helping patients with social problems and navigating the health-care system. An important part of my work is helping people with really, really difficult aspects of their lives. At NOSM, I learned how to be compassionate and really get to know patients and it’s very satisfying,” says Dr. Haner.

She says she didn’t anticipate moving west, however, Dr. Haner’s passion for cancer care led her to BC Cancer’s general practitioners in oncology program, then subsequently to Alberta when the local cancer centre was seeking someone with her skills.

“I’m very proud of my training in the North. The NOSM education was very broad-based, which is its strength. I was exposed to patients very early on and to preceptors who offered tips and hints from breaking bad news to patients, to navigating the system, and working with language interpreters. It all ends up being so important in everyday work life,” says Dr. Haner.

These days, her varied practice in Lethbridge also includes serving the 50 per cent rural population via telephone and telehealth, and helping coordinate and guide people in smaller centres—another skill she learned at NOSM.

“Medical students from larger cities don’t realize the limitations of smaller centres, for instance offering guidance for CT scanners or what rural family doctors are able to do with very limited resources. I gained a really good understanding of those challenges,” says Dr. Haner.

“It just so happened that I found my way in Alberta. NOSM set me up to bring my skill set anywhere and I am providing important care to underserved populations. When you go into medicine you don’t have to be pigeon-holed to one location or type of practice, you can diversify as you grow in your career.”

Dr. Haner encourages wellness, diversity and inclusion to also be considered as choices in medical practice. For her, working in rural health is where she always wanted to be. “Think about how your skills can help any underserved population. That is the most valuable service,” says Dr. Haner.

Striving for Inclusion

As the active anti-racism movement continues to ripple across multiple professions and communities in Canada, medical schools are among those taking a closer look at their institutional systemic practices to make active improvements in diversity and inclusion.

Joby Quiambao is a Registered Dietitian, alumna of the Northern Ontario Dietetic Internship Program (NODIP) at NOSM, and works full-time with the Maamwesying North Shore Community Health Service. She’s also a member of the inaugural Canadian chapter of Diversify Dietetics— a group working to increase ethnic and racial diversity in the dietetic profession.

“With the amplified awareness of racial injustice in the news and the ongoing anti-racism protests, it has given voice to the lack of diversity in many professions. Westernized and colonial roots are being revealed and confronted,” Quiambao says.

“Early in my undergraduate university experience I didn’t realize how important knowing my own native language and cultural history was at first. It provides me an enriched perspective and understanding of the work that I do today as a dietitian. I believe a large part is due to the fact that it is instilled in our systemic and institutionalized societies to think in a standardized way.”

Quiambao emphasizes that “racism is present in Canada and continues to stem from colonial roots, from defining what food we should eat, to who gets to become part of the dietetic profession.”

However, change is happening in communities and there is a growing, diverse population across Northern Ontario. Quiambao sees it and says she feels part of it, “I am very grateful I got into NODIP and that I secured my career in the North.”

“However, throughout my journey toward becoming a dietitian, there was a blatant lack of racial diversity both during my undergrad at Western University and later at NOSM’s Northern Ontario Dietetic Internship Program-I was the only person of colour within my NODIP cohort.”

She says she would like to see more diversity across all nutrition and dietetics education programs, where learning institutions provide sustainable opportunities that are inclusive and accessible for underrepresented applicants of various cultures, ethnicities, and socioeconomic status.

Currently, Quiambao is working on a project that looks at the demographic data of applicants to nutrition and dietetic programs. She hopes the project will offer valuable evidence to improve the intake process and contribute to diversifying the profession. She describes this work as “a start.”

Much of Quiambao’s self-identity and self-exploration began while working with and among Indigenous communities both in Toronto, and in the North. It was advice from her former colleague, traditional healer, Kenn Pitawanakwat from Wikwemikong Unceded First Nation, who encouraged her to explore her own culture and its connection to her own career path and wellness.

“I’ve learned that traditional teaching is cultural sharing. Also, that nutrition, Indigenous health and the environment all intersect and are interconnected, and I see that clearly as a dietitian.”

Quiambao says it would’ve been powerful to see someone else, like herself, a person of colour, in the program or represented in the promotion of dietetics education.

“It brings a lot of hope when you see someone relatable being represented in roles you aspire to fulfil. It adds a whole new perspective on whether one can hope to be, or strive to become, part of that profession.

“Seeing someone like you in a career you hope to have someday sends the message that there are opportunities for you that are available and accessible.”

Resources and further reading on this topic: 

NODIP’s related research work:

The Scope, page 12
Published paper in Canadian Journal of Dietetic Practice and Research

Other dietetic health promotion work of interest:

Diversify Dietetics
Towards Decolonizing Canadian Dietetic Practice

NOSM University