Frequently Asked Questions
Frequently Asked Questions

What is happening with Academic Half Days & Teaching Rounds?


What is happening with out-of-province electives and mandatory rotations?

Is there a plan by PGME for those residents who were planning to write their CFPC/RCPSC exams this year? Many were planning to start working, or have been accepted to fellowship programs and it is extremely uncertain how they will navigate this. 

What if a trainee was/is concerned that they have a medical condition that may potentially impact their ability to care for patients in the current setting? Is there any advice/precautions in place that Shared Health has for these employees? Should we try and keep these trainees away from "high risk settings" like COVID ward and MICU?  

What are the rules for a pregnant resident? Should they be removed from clinical service and moved to a non-clinical rotation? 

We have residents preparing for rotations up North. Programs were wondering if Shared Health had any direction with respect to wanting to limit any exposure to the North and protecting the northern population?

What are the exact rules regarding travel (international & domestic) for a residents and who do they contact upon return? 


What happens if a resident has a trip/vacation planned months in advance, and they decide to travel regardless of the advisory to NOT travel outside of Manitoba? Should this resident get paid? It has been noted PARIM has strongly advocated that residents NOT travel.

What happens if I must self-isolate for 14 days and will be absent for more than 75% of my rotation, will I consequently fail the rotation?

Can residents be seconded to care for patients outside their training stream? If so, who is the supervising physician? Do residents need different licensure/liability if they are seconded to treat patients outside of their training stream?   

Residents are an essential part of the health care system and if residents need to self-isolate or become ill, what will happen to clinical coverage? Is there a contingency plan so that attendings are able to step in, especially if some services experience a shortage?
There has been a call for help by Doctors Manitoba, especially for coverage for testing in clinics and ED. Many residents have indicated their interest in doing this (on evenings and weekends when they are not on call). However, it puts them at risk of getting infected. What should residents do in these cases?

What is Shared Health doing for employees who have children in school during the closure period and have no alternate childcare arrangements? Are they excused from work, will they be paid? 

Where do Residents go if they have symptoms or exposure? What if symptoms develop at home? Do they come to the hospital for testing?

What is happening with maintaining the general operations of Programs?
Is the PGME Office operating during this time?

Who do I contact if I have more COVID-19/PGME related questions?




Question: What is happening with Academic Half Days & Teaching Rounds?

Answer: Departments should consider using alternative methods of delivery (SKYPE, ZOOM, TeleHealth) etc.… Please speak to your Department Business Manager and/or Managing Director for more information.


Question: What is happening with out-of-province electives and mandatory rotations?

Answer:  As discussed at the PGME Executive Meeting on Tuesday, May 12, 2020, the hold on out-of-province elective will be lifted effective July 1, 2020.**  Programs should proceed with the usual process for requesting and approving electives.

Shared Health has confirmed that residents can use sick time for self-isolation when doing out-of-province electives, if they run out of sick time, they will have to use vacation. Prior to approving an elective, please consider the self-isolation requirements of both the host province and Manitoba and what impact this may have on training and service needs. Program Directors should also discuss with residents how the elective may impact their sick time, vacation and training so that an informed decision can be made. Academic activities that can be completed while on self-isolation i.e. research, attending virtual academic day sessions, etc. should be done to minimize the impact on training time.  

It is important to remember that restrictions might change and approvals may be rescinded to meet the challenges of COVID-19 (including redeployment needs). It is strongly encouraged that a contingency plan is developed for elective experiences in the event that there is need for last-minute cancellation for both incoming and outgoing residents.

**EXCEPTION TO THE ABOVE: In light of the COVID19 pandemic the Canadian Association of Internal Medicine Program Directors are cancelling all outgoing Core Internal Medicine interuniversity electives for Block 1-3 of the coming academic year. Please speak to your Program Director for more information.



Question: Is there a plan by PGME for those residents who were planning to write their CFPC/RCPSC exams this year? Many were planning to start working, or have been accepted to fellowship programs and it is extremely uncertain how they will navigate this. 

Answer: The College of Family Physician of Canada and Royal College of Physicians and Surgeons of Canada have both agreed to allow licensing without supervision on basis of University of Manitoba declaration of completion.   


Question: What if a trainee was/is concerned that they have a medical condition that may potentially impact their ability to care for patients in the current setting? Is there any advice/precautions in place that Shared Health has for these employees? Should we try and keep these trainees away from "high risk settings" like COVID ward and MICU? 

Answer:  Program directors are encouraged to have a discussion with residents from their program who are currently being accommodated with non-clinical or limited clinical duties due to immunocompromised or other chronic medical condition about a return to full clinical duties.  Access to appropriate PPE as well as the ability to properly don and doff required PPE is mandatory with any clinical work. Please note, Residents who are immunosuppressed should avoid work on designated COVID units.

Prolonged accommodation from clinical work may have implications on duration of training, meeting required program competencies and ultimately career choice, given the anticipated duration of COVID precautions.

https://sharedhealthmb.ca/files/covid-19-information-for-hcws-with-underlying-medical-conditions.pdf

Residents with concerns about return to clinical work should discuss this with their program directors and ultimately may need to pursue an accommodation via Student Accessibility Services and according to the existing accommodations policy.  Residents are encouraged to connect with PGME Student Affairs and Wellness office if they have ongoing concerns.

http://umanitoba.ca/faculties/health_sciences/medicine/education/pgme/media/Accommodation_PolicyPGME.SENATE.Nov2014.pdf



Question: What are the rules for a pregnant resident? Should they be removed from clinical service and moved to a non-clinical rotation?

Answer:  We have received updates regarding pregnant health care workers during COVID 19. Program directors should have a conversation with pregnant residents about any potential accommodation and clinical duties.  Access to appropriate PPE as well as the ability to properly don and doff required PPE is mandatory with any clinical work.

If a pregnant resident has a concern about participating in clinical duties, this should be discussed with their program director and their regular care provider. The SOGC has provided the following updated statement to assist with accommodation decision making. Please note, Residents who are pregnant should avoid work on designated COVID units. Program Directors may direct questions to Dr. Cliff Yaffe, Associate Dean, PGME.

https://sogc.org/common/Uploaded%20files/SOGC%20Statement%20on%20Pregnant%20WorkersMay%2015_FINAL%20(3).pdf

Residents with concerns about return to clinical work should discuss this with their program directors and ultimately may need to pursue an accommodation via Student Accessibility Services and according to the existing accommodations policy.  Residents are encouraged to connect with PGME Student Affairs and Wellness office if they have ongoing concerns.

http://umanitoba.ca/faculties/health_sciences/medicine/education/pgme/media/Accommodation_PolicyPGME.SENATE.Nov2014.pdf


Question: We have residents preparing for rotations up North. Programs were wondering if Shared Health had any direction with respect to wanting to limit any exposure to the North and protecting the northern population?

Answer: If a resident is a risk to the North, they are an equal risk to patients in Winnipeg.  No limiting from a Shared Health perspective.  Please refer to the most recent Shared Health directives for more information on travel restrictions.



Question: What are the exact rules regarding travel (international & domestic) for a residents and who do they contact upon return?


Answer: Please always refer to the most recent Shared Health directives regarding travel.  

As of June 21st, Manitoba is in Phase 3 of restoring services in the Province. With this new phase, there is no longer a 14 day self isolation required when travelling to Manitoba from BC, Alberta, Saskatchewan, NW Ontario east to Terrance Bay, Northwest Territories, Nunavut and Yukon. If you are an incoming resident/fellow from any of these areas you will not be required to self-isolate upon arrival however, we do require you to be tested for COVID-19 if you meet the following:

  • Are symptomatic – please use the MB Health Self Assessment tool for COVID-19 to determine whether you should be tested https://sharedhealthmb.ca/covid19/screening-tool/
  • Have had clinical contacts with a COVID-19 suspect or confirmed case within the last 14 days prior to coming to Manitoba

Anyone that tests positive should stay home and should notify OESH (1-888-203-4066.)

Any residents/fellows travelling to Manitoba outside of BC, Alberta, Saskatchewan, NW Ontario east to Terrance Bay, Northwest Territories, Nunavut and Yukon will be required to self-isolate for 14 days. This time will be coded as income protection (sick leave). Please connect with your Program Director for more information specific to your training. If you are symptomatic or have had clinical contacts with a COVID-19 suspect or confirmed case within the last 14 days prior to arriving in Manitoba you should be tested. Anyone that tests positive should stay home and notify OESH (1-888-203-4066.)



Question: What happens if a resident has a trip/vacation planned months in advance, and they decide to travel regardless of the advisory to NOT travel outside of Manitoba? Should this resident get paid? It has been noted PARIM has strongly advocated that residents NOT travel.

Answer: If a resident decides to travel regardless of current travel advisories, they will not be paid for self isolation and will be responsible for making up lost time before completion of training.


Question: What happens if I must self-isolate for 14 days and will be absent for more than 75% of my rotation, will I consequently fail the rotation?

Answer: Waivers for the 75% ruling will be considered on a case by case basis and may be granted for exceptional circumstances such as the quarantine. Residents could do select readings and other available virtual learning related to the rotation while isolated.



Question: Can residents be seconded to care for patients outside their training stream? If so, who is the supervising physician? Do residents need different licensure/liability if they are seconded to treat patients outside of their training stream?  

Answer: Yes they can be seconded, and the supervising physician would be reflective of the area they are seconded to. There is no difference in licensure and no difference in liability (CMPA), Residents are still considered a resident, and still have a supervisor who is responsible for their actions.

In addition, please note PGME requires notification of any trainees being seconded.  Please send their name and the unit they are being seconded to in an email to pgme@umanitoba.ca 



Question: Residents are an essential part of the health care system and if residents need to self-isolate or become ill, what will happen to clinical coverage? Is there a contingency plan so that attendings are able to step in, especially if some services experience a shortage?

Answer: A plan is being developed by Shared Health to ensure there is coverage in place should residents be required to self-isolate and there are clinical coverage shortfalls.  


Question: There has been a call for help by Doctors Manitoba, especially for coverage for testing in clinics and ED. Many residents have indicated their interest in doing this (on evenings and weekends when they are not on call). However, it puts them at risk of getting infected. What should residents do in these cases?  

Answer: We are supportive of residents volunteering if they are able to.


Question: What is Shared Health doing for employees who have children in school during the closure period and have no alternate childcare arrangements? Are they excused from work, will they be paid?

Answer:   This is under review as a priority and further information will be provided as soon as possible.


Question: Where do Residents go if they have symptoms or exposure? What if symptoms develop at home? Do they come to the hospital for testing?

Answer: Please refer to the most recent Shared Health directives regarding testing locations and who to contact if symptoms or exposure occur.


Question: What is happening with maintaining the general operations of Programs?

Answer: Please speak to your Department’s Business Manager or Managing Director to discuss operations and work arrangements during this time.


Question: Is the PGME Office operating during this time?

Answer: Yes the PGME Office is still operating, however all staff are working remotely.  Please send an email to the applicable person as per our Communication Chart.  We are currently encouraging emails over phone calls at this time. Thanks for your understanding.


Question: Who do I contact if I have more questions related to PGME and COVID-19?

Answer: Please send an email to us at PGME with your questions. 


For PGME related questions regarding COVID-19 please contact us at
:

PGME


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