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Teaching teachers

The Northern Ontario School of Medicine was founded on the idea that if health professionals are educated in the North, they will stay in the North.

In order to educate learners in the North, there is a need for clinical teachers in communities across the region.

The Rehabilitation Studies Program at NOSM has developed Preceptor 101 sessions to help increase the number of clinical teachers in the North. The sessions are designed for health professionals including audiologists, occupational therapists, physiotherapists and speech language pathologists who are interested in becoming preceptors, or have experience but want to improve their knowledge of best practices.

Brock Chisholm, a Clinical Learning Liaison with the Rehabilitation Studies Program at NOSM, developed the first version of the sessions with Kirsten Pavlich in 2001, before the establishment of  the School.

“We would have a clinical education workshop twice a year, but they were usually pretty advanced topics,” he says. “We created Preceptor 101 based on the idea that we would consolidate all of that into a shorter session with just the new or need-to-know information.”

Over the years, the sessions have evolved from a full day in one location, to smaller, half-day sessions in communities across the province.

“Considering our geography, it’s easier for health professionals to attend education that has come to them, than to take multiple days to travel,” says Grace King, a Clinical Learning Liaison with NOSM and co-host of the Northeast sessions. “It makes it far more accessible, not just in terms of convenience, but also in terms of being able to take that time away from direct patient care.”

In the fall of last year, Chisholm and King, along with Regan Buldoc and Cindy Davis-Maille, hosted six sessions in North Bay, Sudbury, Sault Ste. Marie, Thunder Bay, Kenora and Sioux Lookout.

Chisholm says clinical education opportunities, including the Preceptor 101 sessions, play a crucial role in the recruitment of learners in the North.

“The more expert preceptors we have, the more clinical placements we’ll be able to offer, and the more clinical placements, the more likely we are to recruit learners who have an interest in coming to the region,” he says.

He says the Preceptor 101 sessions have also played a crucial role in the retention of health professionals practising in these communities.

“Health-care providers in the North are geographically and professionally isolated, so attending a course like this allows them to make connections with other people, and feel that they’re less isolated and more involved in professional learning,” he says. “Teaching is also one of the best ways to maintain your skills, so having opportunities to stay current and active and involved is fundamental for clinicians.”

Davis-Maille says the sessions are a testament to the fact that there is a renewed excitement about learning and practising in the North.

“There are always lots of students interested in coming, and there are so many excellent health professionals who want to teach them and share their knowledge,” she says.

NOSM Board of Directors Seeks Two Members

The Northern Ontario School of Medicine (NOSM) is seeking two (2) individuals to join the Board of Directors in September 2019.

The Northern Ontario School of Medicine is more than a medical school; it is a strategy to address the health needs of Northern Ontarians, improve access to quality care, and contribute to the economic development of Northern Ontario. People, communities and organizations across the North had a dream that everyone in the region—no matter where they live—deserve access to quality health care.

The Northern Ontario School of Medicine is looking for individuals with appropriate expertise in some or all of the following areas:

  • Knowledge of and experience in Indigenous health care, policy or administration, and governance;
  • Expertise in financial management and oversight with designation, including financial reporting and auditing requirements of a complex private or public sector organization;
  • Legal expertise and experience;
  • Current NOSM learner and/or NOSM alumni; and/or,
  • Expertise in or experience with fundraising, social media, and public relations.

In keeping with the social accountability mandate and with an aim to increase the participation of under-represented groups at NOSM, preference will be given to Indigenous and Francophone applicants.

Those interested, who have the skill set and experience identified, are encouraged to apply online at nosm.ca/boardrecruitment.

Deadline for submissions is March 15, 2019.

NOSM medical student co-authors paper in Canadian Journal of Cardiology

A study titled Comparison of Readmission and Death Among Patients With Cardiac Disease in Northern vs Southern Ontario was published today in the Canadian Journal of Cardiology. The research recommends providing access to timely transitional care by clinicians who have the knowledge and expertise to treat patients recently discharged from hospital as one of several strategies necessary to reduce hospital readmission rates.

The study shows that patients hospitalized with heart attacks, heart failure, atrial fibrillation or stroke in Northern Ontario were more likely to be readmitted to the hospital and repeatedly hospitalized after discharge than those living in Southern Ontario. Yet, no geographical differences were found in 30-day survival.

One of the papers authors, Patrick Donio, is a third-year NOSM medical student. Born and raised in Thunder Bay, Donio has spent time across the north, from Dryden to Iroquois Falls, and as far north as Ogoki Reservoir—which he says is still fairly south for some. It was Donio’s overactive sense of curiosity that led him to do research as a medical student.

“Research felt like a natural outlet for someone who pathologically asks questions. The opportunity to find real answers to real questions was highly intriguing to me,” says Donio. “I was fortunate to have been co-supervised by Dr. Sheldon Tobe (NOSM/University of Toronto) and Dr. Douglas Lee (ICES/University of Toronto) on this project—both incredible Clinician-Researchers with appointments going well beyond the aforementioned.”

The observation of a significant difference in readmission without a significant difference in mortality was most interesting to Donio. That these results pertain to home lends even greater weight, and Donio believes that the findings reinforce the need to advocate for improved access to health services in the North.

Watching a research question take form and grow was fascinating for Donio. He says that being able to work with the team at the Institute for Clinical Evaluative Sciences (ICES) and the highly impactful co-authorship was an honour. “I would like to extend my appreciation to all involved and look forward to future collaboration,” says Donio.

NOSM University