Galleries

Mentorship and community support inspires rural generalist practice for NOSM alumnus

Dr. Adam Moir (MD 2009, Family Medicine 2011) says one of the things that has helped him as a rural generalist is finding mentors. “If I have one skill, it’s recognizing people that I admire and identifying them as a mentor. I reach out to physicians from different fields of medicine with different skill sets than me and I try to emulate their passion for clinical work or teaching.”

He recalls how, in his early days of medical school at NOSM, he made connections with mentors that he still values to this day. Some of his earliest placements included the north shore communities of Terrace Bay and Marathon. “I spent the entire third year of medical school in Huntsville and had some exceptional support from clinical teachers.”

“I think good clinicians want to be mentors, so they enjoy when people reach out,” he shares.

“When we think about practising rural medicine, we tend to think that we’re isolated and that we don’t have a clinical network or clinical community. But the fact is, you’ve got a network that’s much broader. Those mentors and connections from across Northern Ontario really sustain you when you’re working in a rural setting.”

Dr. Moir is quick to point out that it’s not just the physicians that create a support network for him.

When you work in a small town like Dryden, Dr. Moir says the whole community picks you up. Sometimes people will bring him blueberries, cookies or homemade pickles. Other times, they will clean his driveway before he gets the chance. “People show me that they appreciate me as a physician every single day. It’s always nice to feel appreciated. Small communities do that by leaps and bounds. All that appreciation really nourishes my soul.”

He emphasized that he learned to schedule time for self-care and family, and still remains passionate about his practice in a way that continues to sustain his career. He notes that health human resources challenges have been longstanding in Northern Ontario, and many communities have been in and out of crisis for a long time. Dr. Moir encourages learners to accept that reality and not be deterred, but also not make too many self-sacrifices because he says, “staying healthy and well enables you to have a longer, more fulfilling career.”

Dr. Moir hopes that many more medical students have similar experiences to his. By learning in communities, he believes students gain a wide network among preceptors, find mentors and support with one another, all of which he says is important for practise as a rural generalist.

“NOSM University learners bring incredible energy, make a valuable impact while learning in communities across the region,” Dr. Moir says.

“Medical students inspire me! They are a jolt of energy—they are passionate about learning, hungry for experience and very appreciative. That enthusiasm inspires and energizes me, making me a better physician.”

 

This NOSM University Campfire Chat was made possible by the generous sponsorship of Weaver Simmons.

Wikwemikong Tribal Police partners with NOSM University researchers on trauma-informed policing curriculum and training

Wikwemikong Tribal Police and NOSM University researchers are working together to develop a culturally-based, trauma-informed policing approach for Indigenous police services. This project has received $1,120,500 in funding from the Province of Ontario’s community safety and policing grant.

This initiative aims to improve community resilience related to the risk of addictions and human trafficking, train officers to better respond to trauma responses manifested by victims, as well as create trauma-informed, land-based Anishinaabe wellness support for police officers, first responders and victims involved with mental health, addictions and trafficking calls.

Staff Sgt. Scott Cooper, Acting Chief, Wikwemikong Tribal Police says that community police and health statistics indicate drug addiction—opioid use in particular—has dramatically increased during the COVID-19 pandemic. “The result is community concern for chronic drug-related and mental-health issues, family violence, loss of children into foster care, trafficking of women, crime, and vandalism.”

Staff Sgt. Cooper adds, “Historical consequences of colonial policies such as forced removal of children from their families and physical, sexual, mental, and spiritual abuse of generations of First Nations children in school systems has led to a heavy burden of intergenerational trauma in many First Nations communities. Wikwemikong is not an exception.”

Dr. Marion Maar, Professor at NOSM University, has a longstanding research relationship with Wikwemikong Unceded Territory. Her research collaborations with the community are focused on culturally-grounded, land-based healing approaches to mental health and addictions, trauma-informed responses to family violence and culturally congruent service evaluation.

Drawing on a network of NOSM University co-researchers, Dr. Maar is the lead partner for evaluation, research and curriculum development. She says she is thrilled to be part of this innovative interprofessional project that intersects medicine, social services and the justice sector. “Many community members have experienced high rates of adverse childhood experiences (ACEs), including those who are victims of crime and even police officers. There is a need to understand how Anishinaabe language, culture and the land can support healing and wellness in the justice sector.”

“Our collaborative research shows that traumatic childhood experiences can be predictors of mental health, addictions and conflict with the law,” says Dr. Maar. “Individuals with four or more adverse childhood experiences are 14 to 20 times more likely to be victims of violence, commit violence against another person and be incarcerated. We intend on collaborating with Anishinaabe language speakers and knowledge keepers to create culturally-based and trauma-informed responses to improve wellness of victims and officers.”

Staff Sgt. Cooper says Indigenous police officers must find a way to operate within the legacy of colonialism and the often negative connotation of police in First Nations communities. “There is an urgent need to develop trauma-informed models of policing that allows Indigenous officers to become grounded in the culture and wellness practices of their community and its values,” he explains.

“It is well documented that First Nations Police Officers often work in under resourced conditions” says Dr. Maar. “Officers policing rural and remote Indigenous communities are at a higher risk of physical victimization and unintentional injuries. Research shows that the work exerts an even greater psychological toll on rural and First Nations officers than on their municipal counterparts.”

“Support services are often solely offender focused,” says Staff Sgt. Cooper. “Healing is rarely focused on the officer, staff or victim. Our proposed training modules will focus on improving well-being for all involved stakeholders. This framework for trauma-informed policing has the potential to be adapted by other First Nations police services across the country.”

To support this project, Elycia Monaghan, a first-year medical student at NOSM University, has received a research award to undertake a literature review and assist with dialogues with Elders. Ms. Monaghan says her goal is to become Canada’s first Inuk psychiatrist and this project will help her gain a deeper understanding of mental health research. “As a future physician, I am excited to work with the Wikwemikong Tribal Police on trauma-informed and culturally-based services. My background is in social work and nursing, and my heart lies with seeing Indigenous mental health take a turn for the better. High rates of suicide, addictions, and trauma related to colonialism means that reconciliation needs to be focused on tangible solutions that improve lives.”

-30-

The Wikwemikong Tribal Police Service proudly serves and protects the people and property of the Wikwemikong Unceded Indian Reserve on Manitoulin Island. WTPS delivers community-based policing by developing cooperative relationships and by understanding the needs, customs, culture, and rights of our people.

NOSM University is Canada’s first independent medical university and one of the greatest education and physician workforce strategy success stories of Northern Ontario. More than just a medical university, it was purpose built to address the health needs of the region. While advocating for equitable access to care, the university contributes to the economic development of Northern Ontario. NOSM University relies on the commitment and expertise of the peoples of Northern Ontario to educate health-care professionals to practise in Indigenous, Francophone, rural, remote and underserved communities. With a focus on diversity, inclusion and advocacy, NOSM University is an award-winning, socially accountable organization renowned for its innovative model of distributed, community-engaged education and research. Through the lens of social accountability, NOSM University graduates, faculty, learners, researchers and staff lead health-system transformation in Northern Ontario.

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

Board of Governors moves forward with NOSM University priorities

On Thursday, May 12, 2022, the NOSM University transitional board of governors met virtually at its second meeting since becoming Canada’s first independent medical university.

The Board reviewed the President’s achievements as highlighted in the NOSM University Making History 2021-2022. In this report, NOSM University celebrates its roots by highlighting key milestones from the past 20 years including how it is embodying health justice, opening doors for BIPOC women in medicine, empowering future learners, and changing the status quo by making NOSM University the research nexus for the North.

“With our newfound independence, we will strengthen our relationships, broaden our reach, and drive forward our vision for social accountability and equitable access to health care in the North,” says Dr. Sarita Verma, President, Vice-Chancellor, and Dean of NOSM University. “We now move forward with the priorities identified in The NOSM Challenge 2025 strategic plan.”

As part of its regular meeting of the Board of Governors, the standing committees reported updates. The Board approved the Financial Report ending March 31, 2022, and the proposed operational budget for 2022-2023. Dr. Sarita Verma, reported on the performance goals, which are closely tied to the outcomes of The NOSM Challenge 2025. “Becoming NOSM University” was approved as an additional direction in its strategic plan.

“Far from a break with the past, NOSM University is a seamless continuation of the work done by so many to make it the single greatest resource for health and wealth in Northern Ontario,” says Dr. Verma.

A full copy of the Dean’s report can be accessed at report.nosm.ca.

For a complete list of Board members, please visit our website at nosm.ca/board.

-30-

NOSM University is Canada’s first independent medical university and one of the greatest education and physician workforce strategy success stories of Northern Ontario. More than just a medical university, it was purpose built to address the health needs of the region. While advocating for equitable access to care, the university contributes to the economic development of Northern Ontario. NOSM University relies on the commitment and expertise of the peoples of Northern Ontario to educate health-care professionals to practise in Indigenous, Francophone, rural, remote and underserved communities. With a focus on diversity, inclusion and advocacy, NOSM University is an award-winning, socially accountable organization renowned for its innovative model of distributed, community-engaged education and research.

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