Undergraduate Medical Education (UGME)

Exposures can take place in Winnipeg, across Canada or internationally. A variety of policies apply in each case - please consult Entrada for full details. 

Students receive credit on their Medical Student Performance Report for each successfully registered and completed Summer Early Exposure.

Student is responsible for setting up the exposure and for ensuring all student evaluations and preceptor evaluations are completed and submitted to UGME.

All Summer Early Exposure forms are located on Summer Early Exposure's Entrada community page.

You must do an exposure if you wish to do job shadowing over the summer. If you are registered for an exposure you are automatically covered by malpractice/liability insurance and in turn are able to do shadowing. 

The Early Exposure Program runs annually from May 30 to August 15.

Each Exposure requires a minimum of 80 hours (typically 10 full days of 8-hour shifts).

Days do not need to be consecutive and can be spread out throughout the summer.

Visiting pre-clerkship students must meet the following requirements to be eligible to participate in the Summer Early Exposure Program:

1. Organize your own Summer Early Exposure.
2. Complete the application form [PDF] for visiting students.
3. Register as a visiting student for the Summer Early Exposure Program through the UGME Office. This registration occurs after we receive your application.
4. Ensure payment of the University of Manitoba registration fee in full before participation on the ward/clinic and meeting all application requirements. Instructions for payment will be provided.
5. Complete the PHIA Confidentiality Training online before the exposure starts. Instructions will be sent to you regarding this training.

To apply for an exposure, follow the steps below.

1. Read the program policy (available on Entrada)
2. Review your options (.pdf)
3. Set up the exposure (preceptor's email addresses cannot be listed but we trust you can use your resources to find their contact information)
4. Complete the application form (.pdf)
5. Wait for UGME to email you to pay registration fee (only one fee no matter how many exposures you do).
6. The deadline for all applications is June 30 (annually). To allow for processing, submit your application to UGME two weeks prior to the start date of the exposure.

If your exposure takes place out-of-province or internationally, additional documentation will be required. Please contact electivesugme@umanitoba.ca for details.

The specific aim of the program is to develop student skills within the following areas:

• Critical evaluation of data
• Effective communication of results
• Experimental design
• Hypothesis testing

This is a non-degree course but will be recorded on your transcript.

The program runs for approximately 12 weeks during the summer recess between either year one and two OR year two and three of their medical training program (dependent upon program time allowances). Your chosen project must be feasible within this time frame.

This program is considered full-time with a two-week paid vacation. Clinical exposure of 0.5 to 1.0 days per week (setting of the students choosing with supervisors’ approval) is suggested but not mandatory.

All students receive stipendiary support, presently $7,500 for the summer. The program pays the students directly via direct deposit). Students must submit a direct deposit form directly to payroll immediately upon acceptance into the program.

A call for applications will be circulated to medical students annually, including abstracts from potential supervisors.

Once you have located a supervisor who has agreed to work with you on a project, you must begin preparing three documents that will be required for the application process:

1. Research proposal
2. Abstract
3. Student role document

Samples of these documents and additional application information are available here.

Description

During this elective, students will:

• Work one-on-one with an anesthesiologist or resident/fellow in the operating room (OR) daily.
• Review the slate and patient charts the day before, and discuss cases with the attending anesthesiologist for the next day's slate preparation.
• Attend academic half-day sessions on Wednesday mornings, including Anesthesia Grand Rounds at 0745 and Anesthesia Resident Seminar at 0900. Information for these sessions will be provided in advance.
• Gain subspecialty experience in areas such as Cardiac, Obstetrical, Acute Pain, Chronic Pain, and Pediatrics, depending on the site.

Availability

UM and Canadian medical school students: A minimum of 2 weeks to a maximum of 4 weeks duration is suggested; approval is subject to availability. Prior experience in anesthesia (2 weeks) is required before requesting an elective rotation. International medical students: Electives must be 2 weeks duration and are subject to availability. Prior experience in anesthesia (2 weeks) is required before requesting an elective rotation.

Duration

UM and Canadian medical school students: 2 weeks to 4 weeks. International medical students: 2 weeks.

Location

Electives are available at:

• Health Sciences Centre (HSC)
• St. Boniface General Hospital (SBGH)

Call responsibility

Call is not mandatory. Students volunteering for call shifts must discuss this with the Anesthesia Site Coordinator or Senior Anesthesia Slating Resident. All call shifts end at 22:00 for adequate rest before scheduled assignments the next day.

By the end of the elective period, students will:

• Be able to provide airway support.
• Be able to gain airway access in most patients.
• Be able to perform an adequate preoperative assessment in a healthy patient.
• Be able to outline the options for anesthesia and the general differences.
• Be able to estimate fluid requirements and provide a rationale.

This elective provides students with the capacity to:

• Describe the daily activities of Anesthesia practice.
• Outline the areas of skill and knowledge integral to Anesthesia practice.
• Summarize the advantages and disadvantages of Anesthesia as a career choice.

Learning objectives (CanMEDS)

Medical Expert

The student will understand the anesthesiologist’s role in the perioperative management of the surgical patient, as it applies to:

• Pre-op assessment
• Optimization
• Intraoperative management
• Pain management and recovery

Technical Skills

• Intravenous cannulation
• Lumbar puncture
• Mask ventilation
• Orotracheal intubation
• Drug prep, admin and safety

Communicator

As Communicators, students will facilitate the doctor-patient relationship by:

• Establishing rapport, trust and a therapeutic relationship with patients and families
• Listening effectively
• Eliciting relevant information and perspectives of patients, families, and the health care team
• Conveying relevant information and explanations to patients, families and the health care team
• Conveying effective oral and written information about a medical encounter
• Maintaining clear, accurate, appropriate, and timely records of clinical encounters/operative procedures
• Addressing challenging communication issues effectively
• Obtaining informed consent
• Disclosing adverse events
• Addressing anger, confusion and misunderstanding using a patient centric approach

Collaborator

As Collaborators, the students will work effectively within the anesthesiology and surgery team to achieve optimal patient care by:

• Demonstrating a team approach to health care
• Participating effectively in an inter-professional and interdisciplinary health care team
• Recognizing and respecting the diversity of roles, responsibilities, and competences of other health professionals in the management of the surgical patient
• Working with others to assess, plan, provide, and integrate care of the surgical patient

Manager

As Managers, students will participate in the activities of the anesthesiology service, making decisions, allocating resources, and contributing to the effectiveness of the health care team by:

• Employing information technology appropriately for patient care
• Allocating finite health care resources appropriately

Health Advocate

As health advocates, students will responsibly use their expertise and influence to advance the health and well-being of individual patients, communities and populations by:

• Showing concern for the best interest of patients
• Identifying health needs of individual patients, and advocate for the patient, where appropriate
• Promoting and participating in patient safety

Scholar

As scholars, students will demonstrate a lifelong commitment to learning by:

• Demonstrating the ability for continuing self-learning
• Discussing the principles of general/medical physiology and the application of basic sciences to anesthesiology
• Demonstrating appropriate presentation skills, including formal and informal presentations
• Critically evaluating medical information and its sources and applying this appropriately to clinical decisions
• Critically appraising the evidence in order to address a clinical question
• Integrating critical appraisal conclusions into clinical care

Professional

As professionals, students are committed to health and well-being of individuals through ethical practice, profession-led regulation and high personal standards of behavior by:

• Exhibiting professional behaviors in practice, including honesty, integrity, commitment, compassion, respect and altruism
• Demonstrating a commitment to delivering the highest quality care
• Recognizing and responding appropriately to ethical issues encountered in practice
• Recognizing and respecting patient confidentiality, privacy and autonomy
• Participating in peer review
• Managing conflicts of interest and maintaining appropriate relations with patients
• Demonstrating awareness of industry influence on medical training and practice
• Recognition of personal and clinical limitations

Description

The Indigenous Health (Policy, Programs and Planning) Elective provides medical students with a comprehensive understanding of public health programs, policies, and healthcare service delivery for Indigenous peoples. Students will engage in various settings, including the Winnipeg Regional Health Authority and the Section of First Nations, Métis and Inuit Health at the University of Manitoba. This may include visits to First Nations communities. A recommended duration is four weeks, but shorter electives are considered, allowing for critical analysis and understanding of key concepts.

Availability

This elective is available throughout the year except mid-July to mid-August, with advanced notice of at least 3 weeks.

Duration

Variable; recommended four weeks.

Location

Winnipeg, Manitoba.

Call responsibility

There is no call duty.

By the end of the elective period, students will:

• Contrast and compare Indigenous and general population concepts of health, determinants of health, health indicators, and health status.
• Discuss diverse service delivery and funding mechanisms for providing healthcare to First Nations, Métis, and Inuit people.
• Analyze existing or proposed health policies or programs and provide feedback on their responsiveness to First Nations, Métis, or Inuit health needs.
• Articulate how concepts of reconciliation, self-determination, and cultural safety can be integrated into health policy, programs, and planning for Indigenous populations.

This elective provides students with the capacity to:

• Actively engage in public health program and policy discussions related to Indigenous health.
• Understand the complexities of healthcare service delivery and funding for Indigenous communities.
• Advocate for the health and well-being of Indigenous individuals and communities through policy analysis and program development.

Learning objectives (CanMEDS)

• Medical Expert: Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Communicator: Facilitate effective doctor-patient relationships.
• Collaborator: Work within healthcare teams to achieve optimal patient care.
• Leader: Contribute to a vision of high-quality healthcare and take responsibility for excellent patient care.
• Health Advocate: Use expertise and influence to advance health and well-being at individual, community, and population levels.
• Scholar: Demonstrate a commitment to lifelong learning.
• Professional: Uphold ethical practice and high personal standards of behavior.

Learning Objectives (CanMEDS)

Medical Expert

As Medical Experts, physicians integrate all of the CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care.

The student can expect to be actively involved in the service. This will encompass:

• Contrasting and comparing Indigenous and general population concepts of health, determinants of health, health indicators, and health status.

Communicator

Physicians effectively facilitate the doctor-patient relationship and the dynamic exchanges that occur before, during, and after the medical encounter.

As Communicators, students will facilitate the doctor-patient relationship.

Collaborator

Physicians effectively work within a healthcare team to achieve optimal patient care.

Leader

Physicians engage with others to contribute to a vision of a high-quality health care system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers.

• Discussing the diverse service delivery and funding mechanisms in place to provide health care for First Nations, Métis, and Inuit people.

Health Advocate

As Health Advocates, students will responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations:

• Analyze an existing or proposed health policy or program and provide feedback as to its responsiveness to First Nations, Métis, or Inuit Health needs.
• Articulate how concepts of reconciliation, self-determination, and cultural safety can be included in health policy, programs, and planning for First Nations, Métis, and Inuit people.

Scholar

As Scholars, students will demonstrate a lifelong commitment to learning.

Professional

As Professionals, physicians are committed to the health and well-being of individuals and society through ethical practice, profession-led regulation, and high personal standards of behavior.

Description

The Public Health & Preventive Medicine Elective at the Manitoba Centre for Health Policy (MCHP) exposes students to population-based research on health services, population and public health, and social determinants of health. Based at the University of Manitoba, this rotation offers an overview of MCHP's work and its impact on health programs and policies. The elective duration is a minimum of 3 weeks, with a preference for 4 weeks. Students are required to indicate their topic of interest with their elective application.

Availability

Minimum 3 weeks, preferably 4 weeks.

Duration

Minimum 3 weeks.

Location

Manitoba Centre for Health Policy, 4th Floor Brodie Centre, University of Manitoba, 727 McDermott Ave, Winnipeg, MB.

Call duty

No call is required.

By the end of the elective period, students will:

• Gain in-depth knowledge of research using a population-based data repository.
• Describe the advantages and limitations of research using administrative data.
• Identify the importance of knowledge translation in communicating research results to the public and policymakers.
• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Identify key stakeholders in conducting and disseminating population-based research.
• Appreciate the role of clinicians in participating in population-based research.
• Recognize the role of MCHP in using population-based research to evaluate the impact of interventions on reducing health inequities in Manitoba.
• Identify the role of MCHP in adapting its focus and responding to changing societal inequities and health outcomes.
• Appraise and discuss major research studies produced on healthcare use in Manitoba.
• Outline the process by which research conducted at MCHP can impact provincial health policy.
• Complete a project and report and/or presentation during the rotation.
• Demonstrate professional behavior in all interactions with MCHP staff.
• Recognize the role of MCHP as a center of excellence for population-based research.

This elective provides students with the capacity to:

• Engage in population-based research on various aspects of public health and preventive medicine.
• Understand the implications of research findings on healthcare policy and practice.
• Communicate research results effectively to diverse audiences, including the public and policymakers.

Learning objectives (CanMEDS)

Medical Expert

• Acquire a comprehensive understanding of utilizing a population-based data repository for research purposes.
• Evaluate the advantages and limitations associated with conducting research using administrative data.

Communicator

• Emphasize the significance of knowledge translation in effectively communicating research findings to both the general public and policymakers.
• Acknowledge the importance of establishing and nurturing relationships with individuals, organizations, communities, and populations.

Collaborator

• Identify and engage with key stakeholders involved in the execution and dissemination of population-based research.

Leader

• Acknowledge the crucial role of clinicians in actively participating in population-based research endeavors.

Health Advocate

• Acknowledge the pivotal role of the Manitoba Centre for Health Policy (MCHP) in utilizing population-based research to assess the efficacy of interventions aimed at mitigating health disparities in Manitoba.
• Recognize the MCHP's responsibility in adjusting its focus and strategies to address evolving societal inequities and health outcomes.

Scholar

• Critically assess and discuss significant research studies pertaining to healthcare utilization in Manitoba.
• Outline the mechanisms through which research conducted at MCHP can influence provincial health policy.
• Successfully execute a project and deliver a comprehensive report and/or presentation during the rotation.

Professional

• Demonstrate professionalism in all interactions with MCHP staff members.
• Acknowledge and appreciate the status of MCHP as a center of excellence for population-based research.

Description

This elective involves three components:

• Clinical Occupational Health
• The Worker's Compensation Board
• Time with the Chief Occupational Medical Officer, Workplace Safety & Health

Availability

This elective is available during all elective periods with prior arrangement.

Duration

This elective is a minimum of 2 weeks in duration.

Location

Location varies depending on the specific activities, including outpatient clinics and work site visits.

Call duty

No specific call duties are assigned during this elective.

By the end of the elective period, students will:

• Participate in two to three outpatient occupational medicine clinics per week.
• Conduct visits to various work sites, coordinated by the Chief Medical Officer of the Province.
• Be oriented to the role and responsibilities of the Worker's Compensation Board, including its healthcare department, claims area, and injury statistics.

This elective provides students with the capacity to:

• Clinically evaluate workers concerned about their health being adversely affected by their work.
• Describe five physical, chemical, biological, ergonomic, or psychosocial hazards in the working environment and identify ways to limit the effects of such exposures.
• Understand the basics of occupational hygiene, specifically the principles and techniques underlying the evaluation and control of workplace hazards.
• Describe two surveillance and epidemiology techniques in occupational health.
• Describe the organization, structure, and function of occupational health services, and the roles played by various agencies (e.g., Workplace Safety and Health Division of Manitoba Labour, Manitoba Federation of Labour Occupational Health Clinic, Workers Compensation Board).
• Understand the legislation relevant to occupational health in Manitoba (e.g., Workplace Safety and Health Act, WCB, and appropriate reporting mechanisms).
• Describe the social, economic, political, legal, and ethical issues in occupational health, and the various perspectives of workers, unions, employers, and government on these issues.

Description

This elective rotation offers exposure to Public Health practice at the Provincial level, based at Manitoba Health, Seniors, and Active Living. Specific areas of exposure include Communicable Disease Control, Environmental Health, Epidemiology and Surveillance, and Population Health and Health Equity, with a focus on gaining exposure to Public Health policy.

Availability

This elective is available during elective periods for Canadian Medical Schools.

Duration

The elective duration is a minimum of 4 weeks.

Location

Manitoba Health, Seniors, and Active Living.

Call duty

No call duty is required.

By the end of the elective period, students will:

• Understand the role of a Medical Officer of Health and the practice of Public Health at the Provincial level.
• Gain exposure to areas such as communicable disease control, environmental health, epidemiology & surveillance, and public health policy.
• Be introduced to legislation relevant to Public Health and the process for how provincial MOHs can affect change in policy to improve the health of Manitobans.
• Gain familiarity with interventions to address Public Health issues.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

This elective provides students with the capacity to:

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Understand principles of risk communication and effective public/media communication.
• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors, and the importance of an interprofessional approach.
• Understand the factors influencing public health resource allocation.
• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.
• Complete a project and presentation during the rotation.
• Exhibit professional behaviors such as honesty, integrity, commitment, and respect.

Learning objectives (CanMEDS)

Medical Expert

• Understand the role of a Medical Officer of Health and the practice of Public Health at the Provincial level.
• Gain exposure to the areas of communicable disease control, environmental health, epidemiology & surveillance, and public health policy.
• Be introduced to legislation relevant to Public Health, and the process for how provincial MOHs can affect change in policy to improve the health of Manitobans.
• Gain familiarity with interventions to address Public Health issues.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

Communicator

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Understand principles of risk communication and effective public/media communication.

Collaborator

• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors, and the importance of an interprofessional approach.

Leader

• Understand the factors influencing public health resource allocation.

Health Advocate

• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.

Scholar

• Complete a project and presentation during the rotation.

Professional

• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Description

This elective offers exposure to public health practice and the role of the Medical Officer of Health within the First Nations and Inuit Health Branch (FNIHB) of Indigenous Services Canada. Specific areas of exposure include epidemiology, surveillance, and communicable disease control. Students will gain understanding of the organization of health care and preventive health services for communities under FNIHB jurisdiction, as well as the realities and barriers to health based on historical and current government policies.

Availability

This elective is available during elective periods for students attending Canadian Medical Schools.

Duration

Elective duration is 2-3 weeks.

Location

Department of Internal Medicine, University of Manitoba.

Call duty

No call duty required.

By the end of the elective period, students will:

• Understand the role of a Medical Officer of Health and Public Health in communities in Manitoba that are under the jurisdiction of FNIHB.
• Gain exposure to areas of Population Health Assessment, epidemiology, and surveillance, communicable disease control.
• Understand legislation relevant to Public Health in First Nations communities in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, health equity, determinants of health, health indicators, and health status relevant to health in First Nations communities in Manitoba.

This elective provides students with the capacity to:

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe principles of risk communication and effective public/media communication.
• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors.
• Understand the factors influencing public health resource allocation.
• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.
• Complete a project and presentation during the rotation.
• Exhibit professional behaviors such as honesty, integrity, commitment, and respect.

Learning objectives (CanMEDS)

Medical Expert

• Understand the role of a Medical Officer of Health and Public Health in communities in Manitoba that are under the jurisdiction of FNIHB.
• Gain exposure to areas of Population Health Assessment, epidemiology, & surveillance, communicable disease control.
• Understand legislation relevant to Public Health in First Nations communities in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, health equity, determinants of health, health indicators, and health status relevant to health in First Nations communities in Manitoba.

Communicator

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe principles of risk communication and effective public/media communication.

Collaborator

• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system such as public health nurses and public health inspectors.

Leader

• Understand the factors influencing public health resource allocation.

Health Advocate

• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.

Scholar

• Complete a project and presentation during the rotation.

Professional

• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Description

This elective exposes students to the role of the Medical Officer of Health at the regional level, specifically in the urban setting of Winnipeg. The focus is to provide a broad overview of public health practice with exposure to areas such as epidemiology & surveillance, communicable disease control, environmental health, health promotion (including physical activity, nutrition, and mental health promotion), healthy sexuality and harm reduction, health equity, and injury prevention. Opportunities to engage with other community services are also available (e.g., pre/post travel clinic, Bridgecare Clinic, PACT, Street Connections).

Availability

This elective is available during elective periods for students attending Canadian Medical Schools.

Duration

The elective duration is a minimum of 3 weeks.

Location

Winnipeg Regional Health Authority (WRHA) in Winnipeg, Manitoba.

Call duty

No call duty is required.

By the end of the elective period, students will:

• Gain exposure to the core functions of public health practice at the regional level.
• Understand the role of the Medical Officer of Health.
• Understand population health assessment, epidemiology, surveillance, government policy development, and processes.
• Describe the roles of regional public health services within the province and articulate the difference between regional and provincial public health responsibilities.
• Understand legislation relevant to Public Health in Manitoba and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

This elective provides students with the capacity to:

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe the role of the Medical Officer of Health in risk communication and effective public/media communication.
• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system, such as public health nurses and public health inspectors.
• Understand the factors influencing public health resource allocation.
• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.
• Complete a project and report and/or presentation during the rotation.
• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Learning objectives (CanMEDS)

Medical Expert

• Gain exposure to the core functions of public health practice at the regional level.
• Understand the role of the Medical Officer of Health.
• Understand population health assessment, epidemiology, surveillance, government policy development, and processes.
• Describe the roles of regional public health services within the province, and articulate the difference between a regional and provincial public health responsibility.
• Understand Legislation relevant to Public Health in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Recognize and apply concepts of health, population health, determinants of health, health indicators, and health status.

Communicator

• Recognize the importance of relationships with individuals, organizations, communities, and populations.
• Describe the role of the Medical Officer of Health in risk communication and effective public/media communication.

Collaborator

• Understand the role of the clinician in the public health system, including reporting cases and outbreaks of communicable diseases, and participating in public health screening programs.
• Understand the roles and responsibilities of professionals in the public health system, such as public health nurses and public health inspectors.

Leader

• Understand the factors influencing public health resource allocation.

Health Advocate

• Understand the role of the Medical Officer of Health as an advocate for health working within a government organization.

Scholar

• Complete a project and report and/or presentation during the rotation.

Professional

• Exhibit professional behaviors such as honesty, integrity, commitment, respect.

Description:

The Emergency Medicine program takes place at various hospitals in Winnipeg, offering a comprehensive experience in an acute care setting. Throughout the elective, students are assigned to a specific emergency department and preceptor for each shift. The student's responsibilities include patient assessment, collaboration with multidisciplinary teams, and participation in various procedures such as suturing, chest tube insertion, and bedside ultrasound.

Availabillity

Please contact UGME

Duration

Please contact UGME.

Location

Health Sciences Centre, St. Boniface General Hospital, Grace Hospital, Seven Oaks Hospital, and Concordia Hospital.

By the end of the elective period, students will:

• Demonstrate proficiency in patient assessment and understanding of various disease processes.
• Develop problem-solving skills specific to Emergency Medicine.
• Participate in and observe various emergency procedures.
• Attend academic sessions including Grand Rounds, Journal Clubs, and resident academic days.

This elective provides students with the capacity to:

• Develop an approach to assessing undifferentiated patients.
• Perform focused history and physical exams.
• Recognize and manage common emergency presentations.
• Communicate effectively with patients, families, and healthcare teams.
• Work collaboratively within a healthcare team to provide optimal patient care.
• Make decisions and contribute to the effectiveness of the healthcare team.
• Demonstrate a commitment to ethical practice and professional behavior.

Call responsibility

No call duty is required for this elective.

Learning Objectives (CanMEDS)

• Recognize one’s personal and clinical limitations and seeks assistance promptly when required
• Be respectful of patients, families and members of the ED inter-professional team

Description

Family Medicine electives provide opportunities for students to engage in patient-centered care, manage clinical problems commonly seen in family medicine, and develop essential skills across various domains of medical practice.

Availability

Electives in Family Medicine are available for University of Manitoba students during the established elective period in 4th year, typically September to mid-January.

Duration

All electives are for a maximum of 2 weeks.

Location

Elective sites include various urban and rural locations in Manitoba, depending on the type of elective.

Call responsibility

No call duty is required for family medicine electives.

By the end of the elective period, students will:

• Describe elements of an effective doctor-patient relationship.
• Demonstrate patient-centered medicine, including shared decision-making.
• Manage clinical problems commonly encountered in family medicine.
• Identify management priorities for patients with multiple morbidities.
• Assess and develop management plans for patients with undifferentiated conditions.

This elective provides students with the capacity to:

• Conduct focused literature searches and evaluate scientific literature.
• Maintain professionalism, including appropriate boundaries and confidentiality.
• Identify and address social, economic, and resource issues affecting patient health.
• Seek additional patient information and propose management plans.
• Collaborate effectively within multidisciplinary healthcare teams.
• Communicate clearly with patients, families, and other healthcare professionals.

Learning Objectives (CanMEDS)

Medical Expert

• Describe elements of an effective doctor-patient relationship.
• Demonstrate patient-centered medicine.
• Manage clinical problems commonly seen in family medicine.

Scholar

• Conduct focused literature searches.
• Evaluate scientific literature relevance.
• Develop self-directed learning plans.

Professional

• Define and maintain appropriate boundaries.
• Maintain patient confidentiality.
• Reflect on professional behavior.

Health Advocate

• Identify issues affecting health and access to healthcare.
• Propose approaches to resolving issues.

Manager

• Seek additional patient information.
• Propose patient-centered management plans.
• Ensure personal health and safety.

Collaborator

• Describe roles of Primary Health Care team members.
• Demonstrate effective communication.
• Establish positive working relationships.

Communicator

• Share information with clarity.
• Write clear prescriptions and requisitions.
• Document patient encounters effectively.
• Present cases effectively.

Description

This elective offers students the opportunity to participate as part of the gynecological team under the direction of the assigned preceptor and senior resident. Over a duration of two weeks, students will engage in diagnosing, treating, and advising women with gynecological complaints. This elective spans various clinical settings including inpatient, emergency, and clinic environments. It caters to students interested in pursuing careers in Family Medicine, Emergency Medicine, Sports Medicine, Endocrinology, Dermatology, Sexual Medicine, or Obstetrics and Gynecology.

Availability

Contact UGME

Duration

2 weeks

Location

The elective takes place at Women’s Hospital, St. Boniface General Hospital, and private practice offices.

Call responsibility

No call responsibility specified.

By the end of the elective period, students will:

• Be proficient in diagnosing and understanding treatment approaches for common gynecological conditions such as abnormal uterine bleeding, menopause, contraception, amenorrhea, and vulvovaginal complaints.
• Perform basic gynecological procedures under supervision with a focus on minimizing patient discomfort. These procedures include speculum examination, bimanual examination, pap smear, endometrial biopsy, IUCD insertion, and pessary insertion and removal.
• Effectively take a skillful, focused history from patients using both open-ended and directed questions.
• Communicate findings, diagnoses, and interventions to patients using language appropriate to their level of understanding.
• Interact with all members of the healthcare team in a respectful, inclusive manner, acknowledging the importance of the team approach in optimal patient care.
• Recognize personal limitations and seek timely assistance, consultation, or referral when necessary.
• Develop an understanding of the life/work balance, practice management, administrative responsibilities, and remuneration available in gynecological practice.
• Recognize the social determinants of health and incorporate these into diagnostic and treatment approaches.
• Advocate for culturally competent, patient-centered care for each patient under their care.
• Practice evidence-based medicine and utilize online resources to enhance patient care.
• Engage in teaching others and participate in active discussions regarding alternative approaches based on available evidence.
• Cultivate a habit of lifelong learning and demonstrate a commitment to excellence in the practice of medicine.
• Exhibit a high level of ethical, honest, and professional behavior both within and outside the clinical environment.

This elective provides students with the capacity to:

Gain hands-on experience in diagnosing and treating common gynecological conditions, perform basic gynecological procedures under supervision, improve communication skills with patients and healthcare team members, understand the management and administrative aspects of gynecological practice, advocate for patient-centered care, and cultivate a commitment to lifelong learning and ethical professional behavior.

Learning Objectives (CanMEDS)

Professional

• Develop the habit of life-long learning and commitment to excellence in the practice of medicine.
• Demonstrate a high level of ethical, honest, professional behaviour both inside and outside the clinical environment.

Description

The elective student participates as part of the gynecological oncology team under the direction of the senior fellow or resident. The Gynecologic Oncology service is the only tertiary care oncology service in women’s health within the province of Manitoba with an encatchment area including Manitoba, Nunavut, and Western Ontario. The service sees approximately 15-20 new patients per week, provides 4-6 surgical days per week, and has approximately 15-20 inpatients at a given time. The service is run by either a senior resident or fellow and often has several learners including junior residents, off-service residents, and medical students. The oncology rotation offers the medical student an opportunity to see and examine complex surgical and chemotherapeutic cases, honing their history, physical, and procedural skills. The student will help the team with rounds and participate in departmental educational activities. The student is encouraged to assess new patients in each clinic and follow the patient through the diagnosis, treatment planning, and initial stages of management.

Availability

All periods within the calendar year for 2-4 week blocks

Duration

2-4 week blocks

Location

CancerCare MB, Women’s Hospital, St. Boniface General Hospital

Call responsibility

Call responsibility will be individually negotiated with the student.

By the end of the elective period, students will

• Understand the surgeon’s role in the multidisciplinary management of gynecologic cancers
• Demonstrate effective clinical problem-solving and judgment
• Display honesty, compassion, integrity, and respect in daily activities
• Identify and react to ethical dilemmas and issues
• Demonstrate a self-awareness of limitations
• Perform various procedures relevant to Gynecologic oncology
• Communicate effectively with patients, families, and the healthcare team
• Seek appropriate consultation from other health professionals
• Demonstrate a concern and ability to deem what is in the best interests of the patient and family
• Critically evaluate medical literature and apply to daily practice
• Ensure patients receive appropriate end-of-life care
• Participate effectively in an inter-professional and interdisciplinary healthcare team

Learning Objectives (CanMEDS)

Medical Expert

• Patient assessment: Perform a focused physical examination that is relevant and accurate.
• Procedural skills:
  • Demonstrate effective, appropriate, and timely utilization of diagnostic procedures relevant to Gynecologic oncology:
    • Pap Smear
    • Vulvar and vaginal biopsy
    • Cervical biopsy and polypectomy
    • Endometrial biopsy
• Surgical Principles:
  • Document and disseminate information related to procedures performed and their outcomes.
  • Participate in basic surgical procedures including wound closure.
• Pre-Operative Planning:
  • Understand the principles of medical, surgical, and radiation treatment.
  • Perform a pre-operative assessment.
• Anesthesia and Peri-Operative Pain Management:
  • Offer different anesthetic options for laparoscopy, hysteroscopy, and laparotomy (general anesthesia, regional anesthesia, conscious sedation, other).
  • Use appropriate management of postoperative pain and nausea.
  • Manage postoperative medical and surgical complications.

Communicator

• Elicit a history that is relevant, concise, and accurate.
• Ensure patients receive appropriate end-of-life care.
• Obtain informed consent for procedures (risks, benefits, complications, alternatives).
• Perform a pre-operative assessment.
• Establish rapport and build a therapeutic relationship with patients and families.
• Convey relevant information and explanations to patients, families, and the health care team.
• Convey effective oral and written information about a medical encounter that is accurate and timely.

Collaborator

• Ensure patients receive appropriate end-of-life care from a multidisciplinary team including pain services, anesthesia, palliative care, nurses, nurse practitioners, home care, OT/PT and social workers, and other possible members.
• Seek appropriate consultation from other health professionals, recognizing the limits of their expertise.
• Participate effectively in an inter-professional and interdisciplinary health care team and rounds.
• Recognize and respect the diversity of roles, responsibilities, and competences of other health professionals in the management of patients.

Manager

• Ensure patients receive appropriate end-of-life care in a timely and efficient fashion.
• Learn to utilize health resources appropriately.

Health Advocate

• Demonstrate a concern and ability to determine what is in the best interests of the patient and family.
• Identify common clinical roles for health advocacy (e.g. pap smears, HPV vaccination, smoking cessation, weight loss, etc.).
• Promote and identify patient safety.

Scholar

• Demonstrate effective clinical problem-solving and judgment, including interpreting available data, integrating information to generate differential diagnoses, and propose management plans.
• Display the ability for continued self-learning.
• Demonstrate appropriate formal presentation skills through the presentation of gynecologic oncology rounds.
• Critically evaluate medical literature and apply it to daily practice to answer a clinical question.

Professional

• Seek appropriate consultation from other health professionals, recognizing the limits of their expertise and the expertise of others.
• Display honesty, compassion, integrity, and respect in daily activities.
• Identify and react to ethical dilemmas and issues.
• Respect patient autonomy and privacy.
• Demonstrate self-awareness of limitations.

Description

The 2-week elective offers students the opportunity to engage in the care of high-risk obstetrical patients. Learning settings include hospitals and clinics, providing valuable experience for those interested in radiology, pediatrics, perinatology, internal medicine, anesthesia, or obstetrics and gynecology. This elective is available at St. Boniface Hospital.

Availability

This elective is available at specified times, please inquire with the university for current availability.

Duration

This elective spans 2 weeks.

Location

St. Boniface General Hospital

Call responsibility

Elective students will be expected to take obstetrical call with assigned preceptors.

By the end of the elective period, students will

• Gain hands-on experience in the diagnosis and care of women with pregnancies complicated by various conditions, such as antepartum bleeding, threatened premature labor, premature rupture of membranes, obstructed labor, gestational diabetes, pregnancy-induced hypertension, multiple gestation, and fetal anomalies.
• Understand the indications for and interpretation of antepartum screening and fetal surveillance, including obstetrical ultrasound and genetic testing.
• Recognize fetal viability, position, and amniotic fluid volume on obstetrical ultrasound.

This elective provides students with the capacity to

• Participate in patient-centered care by integrating medical knowledge, clinical skills, and professional attitudes.

Learning Objectives (CanMEDS)

Medical Expert

• Participate in the diagnosis and care of women with pregnancies complicated by various conditions.
• Understand the indications for and interpretation of antepartum screening and fetal surveillance.
• Recognize fetal viability, position, and amniotic fluid volume on obstetrical ultrasound.

Communicator

• Take a skillful, focused history using both open-ended and directed questions.
• Inform patients about findings, diagnoses, and interventions using language appropriate for their level of understanding.

Collaborator

• Interact with all members of the healthcare team in a respectful, inclusive manner.
• Develop an awareness of one’s own limitations and seek timely assistance when appropriate.

Leader

• Develop an understanding of the life/work balance and other aspects of high-risk obstetrical practice.

Health Advocate

• Recognize social determinants of health and advocate for culturally competent, patient-centered care.

Scholar

• Practice evidence-based medicine and teach others based on available evidence.

Professional

• Commit to lifelong learning and ethical, professional behavior.

Description

The 2-week elective offers students an opportunity to participate in the care of obstetrical patients. Learning will occur in hospital and clinic environments. This experience is relevant for students considering careers in Family Medicine, Pediatrics, General Surgery, Anesthesia, or Obstetrics and Gynecology. 

Availability

This elective is available at specified times. Please inquire with the university for current availability.

Duration

This elective spans 2 weeks.

Location

St. Boniface General Hospital and Women’s Hospital

Call responsibility

Elective students will be expected to take obstetrical call with assigned preceptors.

By the end of the elective period, students will

• Understand diagnostic and treatment approaches for patients presenting with common antepartum problems (e.g., abdominal pain, cystitis, vaginitis, antepartum bleeding, threatened premature labor, musculoskeletal pain).
• Participate in intrapartum care and perform normal deliveries under supervision while minimizing discomfort to the patient.
• Participate in the care of postpartum patients, including management of postpartum hemorrhage, infections, contraceptive counseling, and breastfeeding support.

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in the provision of patient-centered care.

Learning Objectives (CanMEDS)

Medical Expert

• Understand diagnostic and treatment approaches for patients presenting with common antepartum problems.
• Participate in intrapartum care and perform normal deliveries under supervision.
• Participate in the care of postpartum patients.

Communicator

• Take a skillful, focused history using both open-ended and directed questions.
• Inform patients about their findings, diagnoses, and interventions using language that is respectful and appropriate.

Collaborator

• Interact with all members of the healthcare team in a respectful, inclusive manner.
• Develop an awareness of one’s own limitations and seek timely assistance, consultation, or referral when appropriate.

Leader

• Develop an understanding of the life/work balance and administrative responsibilities in obstetrical practice.

Health Advocate

• Recognize the social determinants of health and advocate for culturally competent, patient-centered care.

Scholar

• Practice evidence-based medicine and teach others based on available evidence.

Professional

• Commit to lifelong learning and ethical, professional behavior.

Description

This elective aims to enhance students' understanding of basic concepts in health care ethics and their ability to identify ethical features in clinical practice. Students will engage in activities such as readings, discussions, attendance at ethics education rounds, observation of ethics consultations, and structured interviews with clinicians. They will identify a focus theme for the elective and develop learning objectives related to this theme, which may include foundational concepts in health care and professional ethics, general ethical issues in clinical practice, and ethical issues in specific clinical areas.

Availability

Open to fourth-year students seeking to complement the curriculum in ethics and law addressed in the undergraduate medical education program.

Duration

Variable, to be determined in consultation with preceptors.

Location

St. Boniface Hospital

By the end of the elective period, students will:

• Demonstrate an enhanced understanding of basic concepts in health care ethics.
• Identify ethical features embedded in clinical practice.
• Analyze ethical issues in clinical practice and formulate recommended positions/resolutions based on critical ethical reasoning.
• Formulate a plan of action to realize recommended positions/resolutions, including communication skills and procedural options/remedies.

This elective provides students with the capacity to:

• Actively participate in the service.
• Facilitate the doctor-patient relationship.
• Work effectively within a healthcare team.
• Contribute to the activities of the surgical service and make decisions to allocate resources effectively.
• Responsibly use their expertise and influence to advance the health and well-being of patients, communities, and populations.
• Demonstrate a lifelong commitment to learning.
• Commit to health and well-being through ethical practice and high personal standards of behavior.

Learning Objectives (CanMEDS)

Medical Expert

• Apply medical knowledge and clinical skills in patient-centered care.

Communicator

• Facilitate effective doctor-patient relationships.

Collaborator

• Work effectively within healthcare teams.

Leader

• Contribute to the effectiveness of healthcare teams.

Health Advocate

• Advance health and well-being at individual, community, and population levels.

Scholar

• Demonstrate a lifelong commitment to learning.

Professional

• Commit to ethical practice and high personal standards of behavior.

Discipline: Internal Medicine

Description

This elective offers learners the opportunity to immerse themselves in the practice of Medical Genetics. They will engage in various clinics and consultations with patients admitted to the hospital. Subspecialties/disciplines covered include General Genetics, Prenatal Genetics, Cancer Genetics, and Metabolic Genetics.

Availability

Open to learners seeking a comprehensive experience in Medical Genetics practice.

Duration

Variable, to be determined based on the learner's needs and availability.

Location

Electives are available at:

• Health Sciences Centre
• St. Boniface Hospital

By the end of the elective period, learners will:

• Demonstrate basic scientific and clinical knowledge relevant to medical genetics.
• Interpret medical and family histories appropriately.
• Perform accurate and well-organized physical examinations.
• Recognize, describe, and interpret relevant laboratory and imaging findings related to genetic diseases.
• Provide appropriate genetic counseling.
• Elicit, document, and present comprehensive medical and developmental histories.
• Provide accurate, understandable, and timely documentation to referring physicians, agencies, and families.
• Interact effectively with other members of an interdisciplinary healthcare team.
• Utilize resources effectively to balance patient care, learning needs, and outside activities.
• Serve as effective teachers to other physicians, healthcare personnel, patients, and the general public.
• Demonstrate personal and professional attitudes consistent with a consultant physician role.

Learning Objectives (CanMEDS)

Medical Expert

• Demonstrates the basic scientific and clinical knowledge relevant to medical genetics.
• Interprets medical and family histories appropriately.
• Performs physical examinations that are appropriate, accurate, and well-organized.
• Recognizes, describes, and interprets laboratory and imaging findings relevant to genetic disease.

Communicator

• Provides appropriate genetic counseling.
• Elicits, documents, and presents a comprehensive medical/developmental history.
• Elicits, documents, and presents an appropriate family history.
• Provides accurate, understandable, and timely documentation to referring physicians, agencies, and families.

Collaborator

• Interacts effectively with other members of an interdisciplinary health care team and recognizes and respects their roles and expertise.

Manager

• Utilizes resources effectively to balance patient care, own learning needs, and outside activities.

Scholar

• Is an effective teacher to other physicians (including medical students and residents), other health care personnel, patients, and the general public.

Professional

• Demonstrates personal and professional attitudes consistent with a consultant physician role.

This rotation provides an educational experience in the common infectious problems experienced by patients. One-on-one teaching, small group tutorials and weekly grand rounds support an evidence-based approach to infectious disease problems. For more information, view the Infectious Diseases Residency page. 

Discipline: Ongomiizwin Health Services

Sub-specialties:

Churchill [PDF]

Fly-In [PDF]

Norway House [PDF]

Description

The elective offers an overview encompassing cornea, retina, glaucoma, pediatrics, ocular plastics, main OR, minor OR, oncology, neuro-ophthalmology, and non-surgical office visits. Depending on individual interests and specialist availability, students can explore various aspects of ophthalmology.

Availability

Contact UGME.

Duration

Two-week periods.

Location

University of Manitoba and visiting out-of-province medical students.

By the end of the elective period, students will:

• Be familiar with basic ophthalmology.
• Feel comfortable with eye examinations, particularly fundus examinations.
• Have exposure to various aspects of ophthalmology for potential career planning.

This elective provides students with the capacity to:

• Gain familiarity with basic ophthalmology.
• Develop comfort with eye examinations, particularly fundus examinations.
• Explore various aspects of ophthalmology for potential career planning.

Call responsibility

Discuss with the Department of Ophthalmology Program Assistant.

Learning Objectives (CanMEDS)L

Medical Expert

• To be familiar with basic ophthalmology.
• Become more comfortable with examinations of the eyes, in particular looking at the fundus.
• Become exposed to multiple aspects of ophthalmology for potential career planning.

Communicator

• Clearly present clinical findings to the supervising ophthalmologist and present an assessment, diagnosis and proposed clinical plan.

Collaborator

• Where relevant, work with other services to optimize care with patients with multidisciplinary problems.

Health Advocate

• Where relevant, recognize the socioeconomic factors relevant that are affecting a given patient’s health and their ability to care for themselves.

Scholar

• Read up on the problems not previously encountered as a basis for question and answer sessions during the rotation.

Professional

• Function in a professional manner when interacting with patients, other physicians and support staff in an outpatient clinic.

Description

This elective offers comprehensive exposure to Otolaryngology, including clinic, operating room (OR), emergency department, and ward experiences in various subspecialties such as General ENT, Head and Neck Surgery, Rhinology, Otology, Pediatric Otolaryngology, and facial plastics.

Availability

Contact UGME.

Duration

Electives of 2, 3, or 4 weeks can be accommodated. Electives consist of one week each of Pediatrics, Otology, Rhinology/General ENT, and Head and Neck Surgery.

Location

Health Sciences Centre/Children’s Hospital and St. Boniface Hospital, with occasional attendance at private clinics.

By the end of the elective period, students will:

• Identify and manage common Otolaryngology problems.
• Recognize urgent Otolaryngology situations.
• Know when to refer patients to an Otolaryngologist.
• Work effectively within the surgical team, including audiology, speech language pathology, nursing, and administration.
• Recognize patients indicated for Otolaryngology referral and testing.
• Promote smoking cessation to prevent Otolaryngology-related cancers and diseases.
• Apply medical literature and guidelines in managing Otolaryngology problems.
• Work with patients and healthcare team members respectfully, collaboratively, and professionally.

This elective provides students with the capacity to:

• Actively participate in the service.
• Facilitate the doctor-patient relationship.
• Work within a healthcare team to achieve optimal patient care.
• Contribute to a vision of high-quality healthcare.
• Responsibly use their expertise and influence to advance health and well-being.
• Demonstrate a lifelong commitment to reflective learning.

Learning Objectives (CANMeds)

Medical Expert

• Identify and manage common Otolaryngology problems.
• Recognize urgent Otolaryngology situations.

Communicator

• Know when to refer to an Otolaryngologist.

Collaborator

• Work with other health care team members, including audiology, speech language and pathology, nursing, and administration.

Leader

• Recognize which patients are indicated for Otolaryngology referral and Otolaryngology testing (MRI, CT, Audiology, etc).

Health Advocate

• Promote smoking cessation to help prevent Otolaryngology cancers and disease.

Scholar

• Apply the medical literature and guidelines in management of Otolaryngology problems.

Professional

• Work with patients and health care team members in a respectful, collaborative, and professional manner.

Description

Anatomical Pathology encompasses the study of morphologic aspects of disease, with subspecialties focusing on various organ systems, laboratory methods, or clinical cases. During this elective, students will work closely with preceptors to understand the diagnostic role of pathology in patient care.

Availability

Offered year-round.

Duration

Typically four weeks, but can be adjusted based on student's needs.

Location

Health Sciences Centre and/or St. Boniface Hospital.

By the end of the elective period, students will:

• Understand the role of diagnostic pathology, including autopsies, in patient-centered care.
• Gain insight into the use of anatomical pathology services for patient care and education.
• Acquire basic safety regulations and procedures in the laboratory.
• Learn specimen collection, labeling, and handling protocols.
• Understand the principles of the laboratory information system.
• Observe gross examination of pathology specimens and intra-operative consultations.
• Review teaching slides and participate in surgical pathology sign-out and cytology sign-out.
• Observe autopsy procedures and understand autopsy reports.
• Identify types of deaths referred to the medical examiner’s office.

This elective provides students with the capacity to:

• Actively participate in patient-centered care within the pathology service.
• Facilitate the doctor-patient relationship by understanding the importance of clinical information in pathological diagnoses.
• Contribute effectively to interdisciplinary team activities and prepare case presentations.
• Engage in activities of the surgical service, making decisions and contributing to team effectiveness.
• Responsibly use expertise to advance individual patient and community health.
• Demonstrate a lifelong commitment to reflective learning and ethical medical practice.

Learning Objectives (CANMeds)

Medical Expert

• Understand the role of diagnostic pathology, including autopsies, in patient-centered care.
• Gain insight into the use of anatomical pathology services for patient care and education.

Communicator

• Assist in the continuing education of physicians and other members of the hospital staff.
• Understand the anatomical pathology consultant’s interface with clinical colleagues on the interpretation and relevance of pathological findings.
• Understand the information pathology should provide in a given clinical situation.

Collaborator

• Contribute effectively to interdisciplinary team activities.
• Prepare a presentation on a case study related to pathology.

Leader

• Utilize resources effectively to balance patient care, learning needs, and outside activities.
• Work effectively and efficiently in a health care organization.
• Become familiar with principles of laboratory management and administration.

Health Advocate

• Identify the important determinants of health affecting patients.
• Contribute effectively to improved health of patients and communities.

Scholar

• Develop, implement and monitor a personal continuing education strategy.
• Participate in the required teaching sessions for pathology residents.

Professional

• Deliver highest quality care with integrity, honesty, and compassion.
• Exhibit appropriate personal and interpersonal professional behaviors.

Discipline: Pediatrics

Allergy [PDF]

Cardiology [PDF]

Child development [PDF]

Child protection [PDF]

Endocrinology [PDF]

Gastroenterology [PDF]

Hematology/oncology [PDF]

Infectious diseases [PDF]

Intensive care unit (PICU) [PDF]

Neonatology [PDF]

Nephrology [PDF]

Neurology [PDF]

Palliative care [PDF]

Respiratory [PDF]

Rheumatology [PDF]

Discipline: Psychiatry

Subspecialties:

Mood Disorders [PDF]

Child and adolescent [PDF]

Co-occurring Disorders Initiative (CODI) [PDF]

Community [PDF]

Consultation liaison [PDF]

Forensics [PDF]

General (SBGH) [PDF]

General (HSC) [PDF]

Intensive care unit [PDF]

Psychotherapy [PDF]

Discipline: Radiation Oncology [PDF]

Description

This 2-week clerkship rotation in diagnostic radiology combines distance education and in-person learning. It includes online resources, modules, small group teaching sessions, and a self-assessment test. Radiology staff from multiple locations will be available for consultation and guidance.

Availability

Offered year-round

Duration

2 weeks

Location

Selkirk Regional Health Center, Health Sciences Centre, St. Boniface Hospital

By the end of the elective period, students will:

• Gain familiarity with multimodality diagnostic radiology and its role in patient care.
• Acquire knowledge of anatomy on various radiographs and CT scans.
• Identify common radiologic diagnoses, including those related to cardiopulmonary, abdominal, musculoskeletal, and neurological systems.
• Develop skills in choosing appropriate imaging tests for medical concerns.
• Establish effective communication with supervising physicians.
• Recognize and respect the roles of healthcare professionals involved in diagnostic imaging.
• Understand the use of information technology and allocation of healthcare resources.
• Promote patient safety and advocate for appropriate imaging tests.
• Gain insight into the benefits, risks, and radiation safety associated with radiologic procedures.
• Demonstrate critical analysis skills and motivation for self-directed learning.
• Exhibit integrity, honesty, and punctuality in professional practice.

This elective provides students with the capacity to:

• Participate actively in online learning, teaching sessions, and self-assessment.
• Attend scheduled teaching sessions on chest and neuroradiology.
• Engage in hands-on experience with radiologists in specialty areas.
• Learn about contrast media, radiation safety, imaging appropriateness, and radiology for the wards.
• Gain exposure to Nuclear Medicine and Radiation Oncology through in-person experiences.
• Participate in academic activities including lectures, self-directed study, and Radiology Education Rounds.
• Receive evaluations based on self-assessment, participation, professionalism, and knowledge during teaching sessions and daily assessments.

Call responsibility

No call responsibility.

Learning Objectives (CanMEDS)

Medical Expert

• Become familiar with the role of multimodality Diagnostic Radiology and its role in in-patient and out-patient care
• Become familiar with anatomy on chest, abdominal, and spine/musculoskeletal radiographs. Become familiar with basic brain, chest, and abdomen anatomy on CT.
• Become familiar with common and important radiologic diagnoses.
• Develop an improved ability to choose the appropriate imaging test for common medical concerns.
• Develop a dependable, organ-specific approach to common imaging tests.

Communicator

• Establish rapport and good communication with the supervising physicians.

Collaborator

• Recognize and respect the roles, responsibilities, and expertise of all healthcare professionals and understand how these integrate with diagnostic imaging.

Manager

• Determine effective use of information technology.
• Gain a better understanding of the allocation of healthcare resources.

Health Advocate

• Promote and participate in patient safety.
• Develop an improved ability to choose the appropriate imaging test for patients.
• Gain a better understanding of the benefits and risks associated with radiologic procedures and a basic understanding of radiation safety.

Scholar

• Ability to critically analyze their skills.
• Shows motivation to improve their knowledge with reading and self-directed study.

Professional

• Demonstrates integrity, honesty, and punctuality.

Special Topics in Population and Public Health (PDF)

Cardiac surgery [PDF]

General surgery, subspecialties:

• A service [PDF]
• Acute Care Service [PDF]
• B service [PDF]
• General pediatric surgery [PDF]
• Gold service [PDF]
• Green service [PDF]
• Orange service [PDF]
• Thoracic [PDF]

Neurosurgery [PDF]

Orthopedics, subspecialties:

• Pediatric orthopedic surgery [PDF]
• Reconstructive orthopedic surgery [PDF]
• Spine orthopedic surgery [PDF]
• Sports orthopedic surgery [PDF]
• Trauma orthopedic surgery [PDF]

Plastic surgery [PDF]

Surgical Intensive Care Unit [PDF]

Urology [PDF]

Vascular surgery [PDF]

Description

The Orange Service rotation at the Health Sciences Centre focuses on hepatobiliary/pancreatic and gastrointestinal (GI) surgery. This rotation provides exposure to a wide range of surgical procedures and emphasizes endoscopy and laparoscopy techniques. Students will participate in preoperative assessments, perioperative care, and postoperative management of patients undergoing various surgical procedures related to the liver, pancreas, biliary tract, stomach, duodenum, small bowel, and colorectal areas. Additionally, students will have opportunities to refine their communication and collaboration skills through interactions with patients, families, and the healthcare team.

Availability

Offered throughout the academic year.

Duration

Contact UGME for details.

Location

• Health Sciences Centre, Winnipeg, Manitoba, Canada

By the end of the elective period, students will:

• Perform appropriate assessments of general surgical patients.
• Elicit relevant and accurate medical histories.
• Conduct focused physical examinations.
• Select medically appropriate investigations.
• Formulate effective management plans.
• Demonstrate proficiency in procedural skills such as venipuncture, intravenous insertion, nasogastric intubation, urinary catheterization, and skin suturing.

This elective provides students with the capacity to:

• Gain comprehensive knowledge and skills in hepatobiliary/pancreatic and GI surgery.
• Understand the CanMEDS roles and apply them in clinical practice.
• Develop effective communication, collaboration, leadership, advocacy, scholarship, and professionalism skills.

Call responsibility

• Students are on-call in-hospital, with a maximum frequency of 1-in-4.
• On-call duties involve consult calls and operating room (OR) assistance, rather than ward call.
• An on-call room is provided for students' convenience.

Learning Objectives (CanMEDS)

Medical Expert

• Preoperative assessment, including risk assessment, pulmonary assessment, cardiovascular assessment, renal assessment, and metabolic assessment.
• Perioperative assessment, including components of informed consent, formulation of operative/procedure note, postoperative orders, postoperative note, indications/efficacy of monitoring techniques, fluid/electrolyte management, and hemostasis/use of blood products.
• Postoperative assessment, including providing adequate postoperative analgesia, postoperative nutritional/fluid/electrolyte requirements, and managing postoperative complications.
• Diagnosis and management of various postoperative complications and disorders.

Clinical Clerk Specific Areas of Knowledge (Orange Surgery Rotation)

• Liver: Jaundice, cirrhosis, hepatitis, liver abscesses, liver masses, etc.
• Pancreas: Pancreatitis, neoplastic lesions, etc.
• Biliary Tract: Gallstone disease, biliary tract obstruction, tumors, etc.
• Stomach/Duodenum: Gastritis/duodenitis, peptic ulcer disease, tumors, etc.
• Small Bowel: Obstruction, inflammatory bowel disease, tumors, etc.
• Colorectal: Colorectal polyps, colorectal cancer, inflammatory bowel disease, etc.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively and convey relevant information to patients, families, and the healthcare team.
• Address challenging communication issues effectively.

Collaborator

• Demonstrate a team approach to healthcare and work effectively in an interprofessional team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals.

Leader

• Employ information technology appropriately for patient care and allocate finite healthcare resources.

Health Advocate

• Show concern for the best interests of patients, identify health needs, and promote patient safety.

Scholar

• Demonstrate continuous self-learning, critical evaluation of medical information, and appropriate presentation skills.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors, including honesty, integrity, commitment, compassion, and respect.
• Recognize and respond appropriately to ethical issues encountered in practice.

Description

The A-Service General Surgery elective at St. Boniface General Hospital provides a comprehensive experience in the emergency and elective management of patients with various general surgical issues. Under the guidance of a multidisciplinary team, students participate in ward rounds, observe surgeries, and engage in scheduled teaching sessions. Areas of focus include breast, gastrointestinal/colorectal, and minimal access surgery.

Availability

Offered throughout the academic year.

Duration

Contact UGME.

Location

St. Boniface General Hospital

Call responsibility

• Students participate in in-hospital on-call duties, with a maximum frequency of 1-in-4.
• On-call responsibilities include consultation for the Acute Care Surgical Service (ACSS), with a provided on-call room.

By the end of the elective period, students will:

• Perform preoperative, perioperative, and postoperative assessments.
• Diagnose and manage postoperative complications and surgical problems.
• Demonstrate procedural skills such as venipuncture and urinary catheterization.

  This elective provides students with the capacity to:

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Establish rapport and communicate effectively with patients, families, and the healthcare team.
• Work collaboratively within an interdisciplinary healthcare team.

Learning Objectives (CanMEDS)

Medical Expert

• Preoperative, perioperative, and postoperative assessment.
• Diagnosis and management of postoperative complications and surgical problems.

Specific Surgical Problems

• Abdominal masses, groin masses, breast problems, gastrointestinal hemorrhage, jaundice, colorectal problems, etc.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively and convey relevant information to patients, families, and the healthcare team.
• Address challenging communication issues effectively.

Collaborator

• Demonstrate a team approach to healthcare and work effectively in an interprofessional team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals.

Leader

• Employ information technology appropriately for patient care and allocate finite healthcare resources.

Health Advocate

• Show concern for the best interests of patients, identify health needs, and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate continuous self-learning, critical evaluation of medical information, and appropriate presentation skills.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors, including honesty, integrity, commitment, compassion, and respect.
• Recognize and respond appropriately to ethical issues encountered in practice.

Description

This elective immerses students in the multidisciplinary approach to managing general surgical cases. Students participate in ward rounds, observe surgeries, attend service rounds, and engage in scheduled teaching sessions. The rotation focuses on various areas, including colorectal and minimal access surgery.

Availability

Offered throughout the academic year.

Duration

Contact UGME

Location

St. Boniface General Hospital.

Call responsibility

Not provided in the text.

By the end of the elective period, students will

• Perform comprehensive preoperative, perioperative, and postoperative assessments.
• Manage postoperative complications and monitor patient progress effectively.
• Demonstrate proficiency in various procedural skills, such as venipuncture, urinary catheterization, and suturing.
• Establish rapport and effectively communicate with patients, families, and the healthcare team.
• Collaborate within interprofessional teams to optimize patient care.
• Engage in reflective learning and critically evaluate medical information.
• Uphold professional ethics and standards in patient care and interactions.

This elective provides students with the capacity to

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Employ a team-based approach to healthcare delivery.
• Advocate for patient safety and well-being.
• Contribute to the advancement of medical knowledge through lifelong learning and scholarly activities.

Learning Objectives (CanMEDS)

Medical expert

• Preoperative assessment: Includes risk assessment, pulmonary assessment, cardiovascular assessment, renal assessment, and metabolic assessment.
• Perioperative assessment: Covers components of informed consent, formulation of operative notes, efficacy of monitoring techniques, fluid/electrolyte management, hemostasis, and risk factors for alcohol withdrawal syndromes.
• Postoperative assessment: Encompasses pharmacologic actions/side effects of analgesics, epidural/nerve blocks, time to recovery of digestive function, wound healing characteristics, and postoperative nutritional/fluid/electrolyte requirements.
• Postoperative complications: Involves diagnosing and managing postoperative fever, wound infection, and fascial dehiscence/incisional hernia.
• Respiratory complications: Covers atelectasis, pneumonia, aspiration, pulmonary edema, ARDS, and pulmonary embolism.
• Renal complications: Includes diagnostic work-up/treatment of oliguria and various causes of pre-renal, renal, and post-renal causes.
• Postoperative hypotension: Addresses hypovolemia, sepsis, cardiogenic shock, and medication effects.
• Other postoperative issues: Management of chest pain, arrhythmias, abnormal bleeding, gastrointestinal disorders, metabolic disorders, and cognitive function alterations.
• Shock: Definition, pathophysiology, and management of hemorrhagic, septic, cardiogenic, neurogenic, and anaphylactic shock.
• Specific surgical problems: Evaluation and management of abdominal masses, common abdominal conditions, groin masses, abdominal wall masses, breast problems, gastrointestinal hemorrhage, and jaundice. Diagnosis and management of colorectal problems, including colorectal cancer, diverticular disease, and inflammatory bowel disease.

Upon completion of the B-Service General Surgery rotation, the clinical clerk will be proficient in:

• Conducting appropriate assessments of general surgical patients.
• Eliciting relevant and accurate histories.
• Performing focused and accurate physical examinations.
• Selecting medically appropriate investigations.
• Formulating differential diagnoses and effective management plans.
• Demonstrating proficiency in procedural skills such as venipuncture, intravenous insertion, nasogastric intubation, urinary catheterization, skin suturing, and removal of skin/subcutaneous lesions.

CanMEDS

Communicator

• Establish rapport and trust
• Active listening
• Elicit relevant information
• Convey information effectively
• Oral and written communication
• Maintain records
• Address challenging communication issues
• Informed consent
• Deliver bad news
• Disclosure of adverse events
• End-of-life discussions
• Organ donation discussions
• Address emotional responses

Collaborator

• Team approach
• Effective participation
• Respect for diversity
• Assessment and planning
• Care integration

Leader

• Employ information technology appropriately
• Allocate finite health care resources appropriately

Health advocate

• Concern for the best interest of patients
• Identifying health needs
• Promote and participate in patient safety

Scholar

• Continuing self-learning
• Discuss the principles of surgery and the application of basic sciences
• Demonstrate appropriate presentation skills
• Critical evaluation of medical information
• Critical appraisal of evidence
• Integration of critical appraisal conclusions into clinical care

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism
• Demonstrate a commitment to delivering the highest quality care
• Recognize and respond appropriately to ethical issues encountered in practice
• Recognize and respect patient confidentiality, privacy, and autonomy
• Participation in peer review
• Manage conflicts of interest
• Maintain appropriate relations with patients
• Demonstrate awareness of industry influence on medical training

Description

Students will gain exposure to early trauma patient resuscitation and diagnostic work-up. They will observe the management of common surgical emergencies and learn peri-operative treatment basics for patients requiring emergency laparotomy. Following patients from admission in the Emergency Department through their entire stay in the Service, including Operating Room, Step-Down Unit, Ward, and Out-Patient Clinic is expected.

Availability

Available throughout the academic year.

Duration

Contact UGME.

Location

Health Science Centre (HSC), the designated provincial trauma center for Manitoba and Northwestern Ontario.

Call responsibility

Students will have night and weekend calls up to a maximum of 1-in-4, with in-hospital call responsibilities. On-call students are supervised by a resident.

By the end of the elective period, students will

• Understand the pathophysiology, diagnostic dilemmas, and management of trauma patients and patients with common acute general surgical conditions.
• Observe the management of complex trauma and surgical pathology.
• Develop management skills of complex patients collaboratively with other subspecialties.
• Learn effective communication skills with patients, families, and caregivers regarding complex surgical cases.
• Understand the chronic nature of trauma and observe areas within the patient population that lead to this status.
• Provide care to trauma/acute surgical patients in a professional manner.

This elective provides students with the capacity to

• Demonstrate basic knowledge of trauma resuscitation.
• Acquire clinical assessment skills for patients with acute general surgical conditions.
• Familiarize with radiological imaging indications in trauma and acute general surgery.
• Develop communication skills in dealing with patients and healthcare team members.
• Acquire technical skills like IV line insertion, skin suturing, Foley catheter insertion, and chest tube insertion.

Learning Objectives (CanMEDS)

Medical expert

• Provide an understanding of the pathophysiology, diagnostic dilemmas, and management of trauma patients and patients with common acute general surgical conditions.
• Offer opportunities to observe the management of complex trauma and surgical pathology.
• Develop management skills for complex patients collaboratively with other subspecialties.
• Learn effective communication skills with patients, families, and caregivers regarding complex surgical cases.
• Understand the chronic nature of trauma and observe areas within the patient population contributing to this status.
• Provide care to trauma/acute surgical patients professionally.
• Specific skills
• Demonstrate basic knowledge of trauma resuscitation following Advanced Trauma Life Support guidelines.
• Acquire basic knowledge of clinically assessing patients with acute general surgical conditions, especially the acute abdomen.
• Become familiar with indications for radiological imaging in trauma and acute general surgery.
• Develop communication skills for dealing with patients with trauma or acute surgical conditions, their relatives, and all healthcare team members involved in their care.

Technical skills

• IV line insertion
• Skin suturing
• Foley catheter insertion
• Chest tube insertion

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Convey effective oral and written information about medical encounters.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent.
• Deliver bad news.
• Disclose adverse events.
• Discuss end-of-life care.
• Discuss organ donation.
• Address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals in managing surgical patients.
• Work with others to assess, plan, provide, and integrate care for surgical patients.

Leader

• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources appropriately.

Health advocate

• Show concern for the best interests of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate the ability for continuous self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address clinical questions.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participate in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.

Description

The Surgical Oncology Service at the University of Manitoba provides a comprehensive experience in the multidisciplinary management of cancer patients. Based primarily at the Health Sciences Centre, with additional clinics and surgeries at St. Boniface General Hospital and the Breast Health Centre, this elective offers exposure to various outpatient clinics and surgical procedures. Students will participate in morning ward rounds, surgical tutorials, and multidisciplinary case rounds. They will also engage in the daily management of inpatient wards, attend outpatient clinics, and observe surgeries, including biopsy techniques and operative procedures for various malignancies such as breast cancer, head and neck cancers, thyroid cancers, melanoma, colorectal cancer, and sarcoma.

Availability

Available throughout the academic year.

Duration

Contact UGME.

Location

• Health Sciences Centre
• St. Boniface General Hospital
• CancerCare Manitoba
• Breast Health Centre

Call responsibility

Students may be on-call in-hospital, typically up to 1-in-4. Students on Orange Surgery will be placed on call with the Trauma and Acute Surgical Care (Gold Surgery) service, involving consult calls and OR duties.

By the end of the elective period, students will

• Understand the role of surgeons in the multidisciplinary management of cancer.
• Gain proficiency in prevention, screening, diagnosis, treatment, palliation, rehabilitation, and prevention of various malignancies.
• Develop technical skills in biopsy techniques and surgical procedures related to oncology.
• Establish effective communication with patients, families, and healthcare teams.
• Work collaboratively within a healthcare team to provide optimal patient care.
• Demonstrate leadership qualities in healthcare delivery.
• Advocate for patient safety and well-being.
• Foster a commitment to lifelong learning and scholarly activities.
• Uphold high ethical standards and professionalism in medical practice.

This elective provides students with the capacity to

• Demonstrate basic knowledge of trauma resuscitation.
• Acquire clinical assessment skills for patients with acute general surgical conditions.
• Familiarize with radiological imaging indications in trauma and acute general surgery.
• Develop communication skills in dealing with patients and healthcare team members.
• Acquire technical skills like IV line insertion, skin suturing, Foley catheter insertion, and chest tube insertion.

Learning Objectives (CanMEDS)

Medical expert

• The student will understand the surgeon’s role in the multidisciplinary management of cancer, encompassing:
  • Prevention
  • Screening (including hereditary cancers)
  • Diagnosis
  • Treatment
  • Palliation
  • Rehabilitation
• Specific malignancies treated
• Surgical procedures

Technical skills

• Biopsy techniques
• Content

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Deliver effective oral and written information about a medical encounter.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent.
• Deliver bad news.
• Disclose adverse events.
• Discuss end-of-life care.
• Discuss organ donation.
• Address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competences of other healthcare professionals in managing surgical patients.
• Work with others to assess, plan, provide, and integrate care for surgical patients.

Leader

• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources appropriately.

Health advocate

• Show concern for the best interests of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate the ability for continuous self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address clinical questions.
• Integrate critical appraisal conclusions into clinical care.

Professional

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participate in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognize personal and clinical limitations.

Description

The Pediatric General Surgery elective at the University of Manitoba provides comprehensive care for infants, children, and adolescents up to seventeen years old who require surgical assessment and treatment for congenital and acquired conditions. Based at the Children's Hospital within the Health Sciences Centre, this elective offers exposure to a wide range of pediatric surgical problems through ambulatory care, day surgery, emergency room, and ward consultation services. Students will participate in the pre-, intra-, and post-operative care of children requiring surgery, as well as the management of conditions such as abdominal pain and 'lumps and bumps.' They will develop skills in completing focused surgical history and physical exams, determining relevant investigations, and formulating management plans. Effective communication and collaboration within the healthcare team are emphasized.

Availability

Available throughout the academic year.

Duration

Contact the department.

Location

Children's Hospital, Health Sciences Centre

Call responsibility

• The pediatric surgery clerk is on-call 1-in-4, responding promptly to calls from surgical wards, emergency departments, pediatric wards, and referring physicians.
• Students will act as the first responder and carry a functioning beeper.
• Backup support from residents or attending surgeons is available through hospital paging.
• Nurse Practitioner on Pediatric General Surgery is also accessible for assistance.

By the end of the elective period, students will understand

• Assessment and Management of Pediatric Surgical Cases
• History Taking and Physical Examination
• Investigations and Diagnosis
• Management and Documentation
• Communication
• Teamwork
• Emergency Response

This elective provides students with the capacity to

• Provide comprehensive care for children requiring surgical interventions, encompassing preoperative, intraoperative, and postoperative management.
• Evaluate and manage pediatric patients presenting with abdominal pain.
• Assess and manage pediatric patients with various "lumps and bumps," particularly focusing on inguinal and scrotal swellings.
• Gain exposure to a diverse range of pediatric surgical conditions.
• Conducting thorough and focused surgical histories and physical examinations in pediatric patients.
• Determine the appropriate investigations necessary for pediatric surgical conditions.
• Develop a comprehensive and accurate differential diagnosis for pediatric surgical cases.
• Understand and implement management plans for pediatric surgical patients, including writing accurate orders.
• Maintain precise and detailed records and notes regarding patient care.
• Demonstrate effective verbal and written communication skills when interacting with patients, families, and healthcare team members.
• Collaborate effectively as a member of the care team to ensure optimal patient outcomes.
• Acquire the skills to act as a first responder by being prepared to handle first "on-call" pages efficiently.

Learning Objectives (CanMEDS)

Medical Expert

• Assessment and Management of Pediatric Surgical Cases
• History Taking and Physical Examination
• Investigations and Diagnosis
• Management and Documentation

Communicator

• Establishing Rapport
• Active Listening
• Eliciting Relevant Information
• Effective Communication
• Documentation
• Addressing Communication Challenges

Collaborator

• Team Approach
• Interprofessional Engagement
• Respect for Diversity
• Integrated Care

Leader

• Strategic Decision-Making
• Resource Management
• Collaborative Leadership

Health Advocate

• Patient-Centered Care
• Addressing Health Disparities
• Championing Patient Safety

Scholar

• Continuing Self-Learning
• Understanding Surgical Principles
• Effective Presentation Skills
• Critical Evaluation of Medical Information
• Appraisal of Evidence
• Integration of Critical Appraisal

Professional

• Exemplary Behavior
• Commitment to Quality Care
• Ethical Awareness
• Confidentiality and Autonomy
• Participation in Peer Review
• Conflict Management
• Patient Relations
• Awareness of Industry Influence
• Recognition of Limitations

Description

The Thoracic Surgery selective at Health Sciences Centre provides a comprehensive exposure to the practice of Thoracic Surgery, focusing on conditions such as lung cancer, esophageal cancer, and other thoracic malignancies. Students engage in outpatient and inpatient care, consultation, pre-operative, and post-operative care. Activities include participation in daily ward rounds, outpatient clinics, surgeries, and teaching sessions.

Availability

Offered throughout the academic year.

Duration

Contact UGME.

Location

Health Sciences Centre.

Call responsibility

Medical students will be assigned second call, enhancing educational opportunities, especially in procedures. First calls go to residents or attending surgeons on call, with appropriate guidance provided to medical students during consults.

By the end of the elective period, students will:

• Conduct thorough history and physical examinations, emphasizing outpatient assessment.
• Formulate differential diagnoses and management plans for common surgical problems.
• Participate in post-operative care of thoracic surgical patients.
• Develop familiarity with common thoracic operations.
• Gain insights into advanced cancer care, including palliative care and end-of-life discussions.

This elective provides students with the capacity to:

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Perform basic surgical procedures under supervision.
• Interpret diagnostic imaging and laboratory procedures relevant to thoracic diseases.
• Communicate effectively with patients, families, and the healthcare team.
• Collaborate within interprofessional healthcare teams to optimize patient care.

Learning Objectives (CanMEDS)

Medical Expert

• Conduct a thorough history and physical examination, with a focus on outpatient assessment.
• Write regular progress notes.
• Formulate a differential diagnosis for common surgical problems.
• Formulate a comprehensive plan of management for common surgical problems, including investigation and treatment.
• Recognize and manage acutely ill or injured patients systematically.
• Gain familiarity with common thoracic operations.
• Participate in post-operative care of thoracic surgical patients.
• Acquire familiarity with issues related to the care of patients with advanced cancer, including palliative care, resuscitation, and delivering difficult news.

During this selective, students will be exposed to most of the following:

• Anatomy and physiology of the lungs, pleural space, and esophagus.
• Diagnostic imaging of the chest, including CT and CXR interpretation.
• Laboratory procedures used in the diagnosis of chest diseases, including endoscopy and lung/esophagus function studies.
• Pharmacology of drugs commonly used in managing thoracic diseases, including neoplastic diseases.
• Infectious diseases, particularly as they relate to Thoracic Surgery.
• Principles of oncology, including radiation therapy and chemotherapy.

Students will have the opportunity to learn:

• General conduct of a surgical procedure, including scrubbing and sterile technique.
• Placement of chest tubes or pigtail catheters.
• Thoracentesis.
• Basic suturing.
• Knot-tying.

Students will see and work up some or most of these disease presentations:

• Solitary pulmonary nodule.
• Pleural effusion.
• Hemoptysis.
• Airway obstruction/stridor.
• Dyspnea.
• Thoracic malignancies.
• Dysphagia.

Students will see and work up some or most of these specific disease entities:

• Carcinoma of the lung, including staging, pathology, and management.
• Chronic obstructive pulmonary disease.
• Pneumothorax, hemothorax, and pleural effusions.
• End-stage lung disease, including lung transplantation.
• Infections of the thorax, including pneumonia, bronchitis, empyema, lung abscess, and mediastinitis.
• Penetrating and blunt chest trauma.
• Mediastinal neoplasms.
• Esophageal carcinoma.
• Esophageal motility disorders.
• Gastroesophageal reflux disease.

Communicator

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Communicate effectively both orally and in writing about medical encounters.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively.
• Obtain informed consent.
• Deliver difficult news.
• Disclose adverse events.
• Discuss end-of-life care.
• Discuss organ donation.
• Address anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals in the management of surgical patients.
• Work with others to assess, plan, provide, and integrate care for surgical patients.

Leader

As Leaders, students will participate in the activities of the surgical service, making decisions, allocating resources, and contributing to the effectiveness of the healthcare team by:

• Appropriately employing information technology for patient care.
• Allocating finite healthcare resources.

Health Advocate

• Demonstrate concern for the best interest of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

• Demonstrate a commitment to continuing self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address clinical questions.
• Integrate critical appraisal conclusions into clinical care.

Professional

As Professionals, students are committed to the health and well-being of individuals through ethical practice, profession-led regulation, and high personal standards of behavior by:

• Exhibiting professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrating a commitment to delivering the highest quality care.
• Recognizing and responding appropriately to ethical issues encountered in practice.
• Recognizing and respecting patient confidentiality, privacy, and autonomy.
• Participating in peer review.
• Managing conflicts of interest.
• Maintaining appropriate relations with patients.
• Demonstrating awareness of industry influence on medical training and practice.
• Recognizing personal and clinical limitations.

Description

The Acute Care Surgery Service (ACSS) rotation at St. Boniface General Hospital offers clinical clerks an immersive experience in acute care general surgery. Beginning with patient presentations in the emergency department, this rotation emphasizes clinical assessment, physiologic stabilization, diagnostic evaluation, and prioritized management. Students engage in a continuum of care from the emergency department to hospital discharge or transfer, gaining exposure to a wide range of acute clinical problems commonly encountered by practicing general surgeons.

Availability

Offered throughout the academic year.

Duration

Contact UGME.

Location:

St. Boniface General Hospital.

Call responsibility:

Students are on-call in-hospital, with a maximum of 1-in-4 rotations. Students should contact the chief resident responsible for the call schedule with their requests at least two weeks prior to the start of the rotation or selective.

By the end of the elective period, students will:

• Perform comprehensive assessments of general surgery patients.
• Elicit relevant and accurate patient histories.
• Conduct focused physical examinations.
• Select medically appropriate investigations.
• Formulate effective differential diagnoses and management plans.
• Demonstrate proficiency in procedural skills such as venipuncture, intravenous insertion, and urinary catheterization.

This elective provides students with the capacity to:

• Integrate medical knowledge, clinical skills, and professional attitudes in patient-centered care.
• Develop a systematic approach to common serious conditions encountered in acute care surgery.
• Communicate effectively with patients, families, and the healthcare team.
• Collaborate within interprofessional healthcare teams to optimize patient care.

Learning Objectives (CanMEDS)

Medical Expert

As Medical Experts, physicians integrate all CanMEDS Roles, applying medical knowledge, clinical skills, and professional attitudes in their provision of patient-centered care. The Clinical Clerk completing the Acute Care Service General Surgery rotation is expected to attain sufficient knowledge in the following areas:

Basic/General Areas:

• Preoperative assessment, including risk assessment, pulmonary assessment, cardiovascular assessment, renal assessment, and metabolic assessment.
• Perioperative assessment, including components of informed consent, formulation of operative/procedure notes, postoperative orders, postoperative notes, indications/efficacy of monitoring techniques, fluid/electrolyte management, and hemostasis/use of blood products.
• Postoperative assessment, including pharmacologic action/side effects of analgesics, epidural/nerve blocks, time to recovery of digestive function, characteristics of a healing wound, and postoperative nutritional/fluid/electrolyte requirements.
• Postoperative complications, including differential diagnosis and appropriate diagnostic work-up and management of postoperative fever, wound infection, fascial dehiscence/incisional hernia, and causes/work-up/treatment of respiratory complications.
• Diagnostic work-up/treatment of oliguria, pathophysiology/causes/treatment of postoperative hypotension, and management of postoperative chest pain and arrhythmias.
• Management of abnormal bleeding postoperatively, diagnosis and management of postoperative gastrointestinal disorders, postoperative metabolic disorders, evaluation and management of disorders causing alteration of cognitive function postoperatively, and shock.

Specific Surgical Problems:

• Assessment and management of abdominal masses, common or catastrophic abdominal conditions, groin masses, abdominal wall masses, breast problems, gastrointestinal hemorrhage, and jaundice.
• Presentation, diagnostic strategy, and initial treatment of patients presenting with colorectal problems, including colorectal cancer, diverticular disease, inflammatory bowel disease/colitis, and perianal problems.

Upon completion of the rotation, the Clinical Clerk will be able to:

• Perform an appropriate assessment of the general surgery patient.
• Elicit a relevant and accurate history.
• Perform a focused physical examination that is relevant and accurate.
• Select medically appropriate investigations.
• Demonstrate skills in formulating a differential diagnosis and organizing an effective management plan.
• Demonstrate proficient use of procedural skills including venipuncture, intravenous insertion, nasogastric intubation, urinary catheterization, skin suturing, and removal of skin/subcutaneous lesions.

Communicator

Physicians effectively facilitate the doctor-patient relationship and dynamic exchanges occurring before, during, and after the medical encounter. The Clinical Clerk will be able to:

• Establish rapport, trust, and a therapeutic relationship with patients and families.
• Listen effectively.
• Elicit relevant information and perspectives from patients, families, and the healthcare team.
• Convey relevant information and explanations to patients, families, and the healthcare team.
• Maintain clear, accurate, appropriate, and timely records of clinical encounters and operative procedures.
• Address challenging communication issues effectively, including obtaining informed consent, delivering bad news, disclosing adverse events, discussing end-of-life care, discussing organ donation, and addressing anger, confusion, and misunderstanding using a patient-centered approach.

Collaborator

Physicians effectively work within a healthcare team to achieve optimal patient care. The Clinical Clerk will be able to:

• Demonstrate a team approach to healthcare.
• Participate effectively in an interprofessional and interdisciplinary healthcare team.
• Recognize and respect the diversity of roles, responsibilities, and competencies of other healthcare professionals in the management of the surgical patient.
• Work with others to assess, plan, provide, and integrate care for the surgical patient.

Leader

Physicians engage with others to contribute to a vision of a high-quality healthcare system and take responsibility for the delivery of excellent patient care through their activities as clinicians, administrators, scholars, or teachers. The Clinical Clerk will be able to:

• Employ information technology appropriately for patient care.
• Allocate finite healthcare resources.

Health Advocate

Physicians responsibly use their expertise and influence to advance the health and well-being of individual patients, communities, and populations. The Clinical Clerk will be able to:

• Demonstrate concern for the best interest of patients.
• Identify health needs of individual patients and advocate for the patient when appropriate.
• Promote and participate in patient safety.

Scholar

Physicians demonstrate a lifelong commitment to reflective learning, as well as the creation, dissemination, application, and translation of medical knowledge. The Clinical Clerk will be able to:

• Demonstrate the ability for continuing self-learning.
• Discuss the principles of surgery and the application of basic sciences to surgical treatment.
• Demonstrate appropriate presentation skills, including formal and informal presentations.
• Critically evaluate medical information and its sources and apply this appropriately to clinical decisions.
• Critically appraise evidence to address a clinical question.
• Integrate critical appraisal conclusions into clinical care.

Professional

As Professionals, students are committed to health and well-being of individuals through ethical practice, profession-led regulation, and high personal standards of behavior. The Clinical Clerk will be able to:

• Exhibit professional behaviors in practice, including honesty, integrity, commitment, compassion, respect, and altruism.
• Demonstrate a commitment to delivering the highest quality care.
• Recognize and respond appropriately to ethical issues encountered in practice.
• Recognize and respect patient confidentiality, privacy, and autonomy.
• Participate in peer review.
• Manage conflicts of interest.
• Maintain appropriate relations with patients.
• Demonstrate awareness of industry influence on medical training and practice.
• Recognize personal and clinical limitations.