Remote Work

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Remote First Nations Stream

Remote First Nations Site Director: Dr. Claudette Chase
Assistant Site Director: Dr. Kim Varty

This stream comes with a four-year Return of Service (ROS) obligation. The Return of Service for the NOSM Family Medicine Remote First Nations Residency Stream is comprised of 2 parts:

  • 2 years of service to Eabametoong First Nation, a remote community located approximately 300km northeast of Thunder Bay, ON. This community is only accessible by plane.
  • The second component is 2 years of service in a road-access Matawa First Nations community in Northern Ontario. These communities are: Aroland First Nation, Constance Lake First Nation, Long Lake #58 First Nation, and Ginoogaming First Nation.

Residents can expect Family Medicine training that will prepare them for eventual practice in any community, and especially in rural, remote and Indigenous northern Ontario communities.

Remote First Nations Stream Clinical Curriculum

The NOSM Family Medicine Clinical Curriculum incorporates a diversity of experience and proficiency in areas integral to community-based family practice. Each resident will spend significant time in the community practice of family medicine preceptors. Residents participate in all aspects of the practice, including provision of continuous care to their own patients within the community and participation in the care of community patients referred to Thunder Bay whenever possible. Participation in the care of the practice’s patients in multiple environments including the hospital, patient’s home and other scenarios is encouraged.

Domains of Care and Curriculum Objectives:

Across the Life Cycle

  • Care of Children and Adolescents
  • Care of Adults
  • Care of Elderly
  • Maternal and Newborn Care
  • Men’s Health
  • Palliative Care
  • Women’s Health

Care of Underserved Patients

  • Behavioural Medicine & Mental Health
  • Indigenous Health
  • Learning about Traditional Indigenous Health Practices

Procedural Skills

  • Procedural and Surgical Skills

Additional / Cultural Curriculum

Additional curriculum that’s specific to the Remote First Nations Stream includes (but is not limited to) cultural safety courses, addictions, plastics, advanced airways and trauma informed care. Additional community guidance will also be gained through mentorship from a community based liaison to engage with community elders for teaching, and to provide residents in this Stream with Elder support.

Elder Teaching Program
When residents are completing their week-long rotations in a First Nations Community, they have the opportunity to meet with and learn from Elders in the community. These teaching sessions focus on cultural teachings and practices, traditional healing and medicine, ceremonies, and other topics which are guided by the Elders. The community liaison will assist with scheduling these sessions with Elders.

Clinical Excellence
i. Suboxone Training Certificate
ii. Attend the following conferences:
a. Canadian Society for Addiction Medicine Annual Meeting and Scientific Conference
b. Society of Rural Physicians of Canada Rural and Remote Medicine Course
c. Family Medicine Forum (during PGY1 and PGY2)

Cultural Safety Training
i.   Complete the San’yas online learning modules or equivalent
ii.  Indigenous Led Trauma Informed Care
iii. Attend the following four conferences by the end of residency
a. International Meeting of Indigenous Child Health (held every two years)
b. Association of American Indian Physicians Annual Meeting and Health Conference

Additional Courses to Prepare Residents for Isolated Practice
i.   Airway Interventions & Management in Emergencies (AIME)
ii.  Advanced Trauma Life Support (ATLS)
iii. Pediatric Advanced Life Support (PALS)
iv. Advances in Labour and Risk Management (ALARM)
v.  Plastics – Rural Care

Remote First Nations Stream Training Sites

Residents will have training opportunities in three communities based on the volume and availability of clinical experiences. These communities include Eabametoong First Nation, Sioux Lookout, and Thunder Bay.

Residents who match to the NOSM FM Remote First Nations Stream will be required to home-base out of Thunder Bay, which will be their location of primary residence. Residents will travel to Eabametoong First Nation as their primary remote First Nation community, and will be placed with a Family Medicine preceptor, as well as community members and health professionals for various rotations and learning experiences, which will range from approximately 1-3 weeks in duration. Additional core rotations and training experiences will take place in the community of Sioux Lookout.

Throughout the program, elective rotations (which can take place outside of these three communities) provide additional flexibility and enable residents to tailor their training to achieve competence in the domains of care and their individual learning objectives not met by immersions in the regular core rotations. Diversity of experience during elective rotations is encouraged and recognized as being extremely valuable.

Eabametoong First Nation
Eabametoong First Nation (also known as Fort Hope) is located on the shores of Eabamet Lake in the Albany River system, in Northwestern Ontario. The community location is approximately 240 km north of Beardmore and is accessible by airplane, water or winter/ice roads. The nearest road/railway town is Armstrong, 155 km southwest. Eabamet is 362-air km North of Thunder Bay; 347-air km Northeast of Sioux Lookout; & 217-air km northwest of Geraldton.

Eabametoong First Nation Community Profile 
Eabametoong First Nation Community Website

Sioux Lookout
Residents in Sioux Lookout have great opportunities to be placed with Family Medicine preceptors who provide the full spectrum of scope of practice, including emergency care, obstetrics, and inpatient care.

Sioux Lookout Community Profile 
Municipality of Sioux Lookout Website

Thunder Bay
Thunder Bay provides diverse hands-on training for Family Medicine residents in a closely knit medical community. You will have exposure to many different family practice styles, including solo, group, and inter-professional team based practices with many providing in-hospital care, walk-in clinics, palliative care and maternal/newborn care. Thunder Bay is a regional referral centre for Northwestern Ontario. The high volume tertiary care hospital, Thunder Bay Regional Health Sciences Centre (TBRHSC), is a 375-bed tertiary care academic centre offering a comprehensive range of services in state-of-the-art healthcare facilities with a fully integrated Regional Cancer Centre Program. Other medical facilities in the city include the St. Joseph’s Care Group which offers complex care, physical rehabilitation, long term care, mental health and addictions; Norwest CHC; and the Thunder Bay District Health Unit.

Thunder Bay Community Profile
City of Thunder Bay Website