Elective Clerkship Rotations
University of Manitoba, Department of Community Health Sciences
Elective Description for Public Health and Preventive Medicine

This elective rotation will offer exposure to public health practice within the Winnipeg Regional Health Authority, including core and optional exposures to community-based services (e.g. public health nurse visits, public health inspections, occupational health, pre-and post-travel clinics, immigrant and refugee clinics, and PACT). Students may develop their own objectives pertaining to public/population health that will be negotiated and reviewed with a designated preceptor, and this could include a setting outside of the Winnipeg Regional Health Authority. Evaluation will be partially fulfilled through involvement with a mini-project within the rotation. Due to the nature of this task, the minimum rotation length will be three weeks.

Goal:
By the end of the elective rotation, the student will have received an exposure to the wide spectrum of public health programs and community-based services at the regional level, as well as the opportunity to undertake a mini project within public health.

LEARNING OBJECTIVES:
At the end of the elective rotation, the student will demonstrate an understanding of and be able to describe:

• Role of public health in a large urban regional health authority, as well as its link with Manitoba Health programs and policies.
• Population health assessment, epidemiology, surveillance, government policy development and processes.
• Legislation relevant to public health in Manitoba, and its basis for Medical Officer of Health functions and public health programs.
• Concepts of health, population health, health equity, determinants of health, health indicators and health status.
• Principles of risk communication and effective public/media communication.
• Intervention programs to address a public health problem.
• The roles clinicians play in the public health system (e.g. reporting cases and outbreaks of communicable diseases; participating in public health screening programs.)

Call Responsibility: No call is required.

Preceptors (to be confirmed):
Availability:
All elective periods with prior arrangement.


Occupational Medicine

The elective rotation in Occupational Health will involve three components; Clinical Occupational Health, The Worker’s Compensation Board and time with the Chief Occupational Medical officer, Workplace Safety & Health. Content:
• Two to three outpatient occupational medicine clinics per week.
• Visits to various work sites - coordinated by the Chief Occupational Medical Officer of the Province.
•  Steel toe boots are required for certain work site visits
• Orientation to Workers Compensation Board, Healthcare department, claims area, and injury statistics

Objectives: 
At the end of the rotation, the trainee will be able to:
• Clinically evaluate workers who are concerned their health has been 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 the organization, structure and function of occupational health services and the roles played by the 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.
• Describe two surveillance and epidemiology techniques in occupational health.
Call Responsibility: No call is required.
Preceptors:
 Dr. Allen Kraut
 Dr. Richard Rusk
 Dr. Mitch Cosman
Availability: All elective periods with prior arrangement.  Specific components may not be available at all times.

Manitoba Centre for Health Policy Elective Rotation

Introduction

This elective rotation on Health Policy will be located at the Manitoba Centre for Health Policy, 4th Floor, Brodie Centre. The elective will provide an opportunity for students to observe and participate in project work at the Centre. The elective rotation will be able to accommodate up to 2 students.

Learning Objectives

At the end of the elective rotation, the student will demonstrate an understanding of and be able to describe:
• Role of the Manitoba Centre for Health Policy as a research unit at the Faculty of Medicine, University of Manitoba
• Advantages and disadvantages of research using administrative data.
• Appraise and discuss major research studies produced on health care use in Manitoba (Health deliverables)
• The dissemination and integration process of research findings into policy making
Activities

The student will interact with a variety of researchers at the centre. One researcher will be chosen based on the student’s topic interest for a more in depth immersion in that researcher’s current research project(s). A minimum elective time of 4 weeks at MCHP is recommended for an adequate exposure.
Prescribed reading
Will be allocated by the researcher the student works within the immersion phase. The student will be expected to become familiar with the centre’s concept dictionary.
Student Evaluation
For all elective rotation options in the Department of Community Health Sciences, the students will be encouraged to attend the weekly Community Health Sciences colloquium presentations (Friday, 12:00 – 1:00 PM).
Assessment will include attendance, level of participation, communications skills, knowledge base, ethical conduct and ability to work with the research team.


J.A. Hildes Northern Medical Unit

The goal of this rotation is to provide medical students the opportunity to participate in health care delivery in a remote, rural, or northern community during their final two years of training.

The people of these communities are mostly indigenous to North America. The experience of medical students in the health system will be broadened by learning about the historical, cultural, and socioeconomic context of life in northern and rural Canada.

The objectives of the Aboriginal Health Electives and Rotation are to take place in an Aboriginal community and are coordinated by the Northern Medical Unit to:

  • learn about life in an First Nations or Inuit community including the culture, geography, climatic conditions, history, demography, and economic base by living in the community and through assigned readings
  • participate in the delivery of primary health care and public health in the community through ambulatory clinics, inpatient care, home visits, as well as community and public health activities
  • understand the health status of an First Nations or Inuit community and the interrelationships of health and health care to other aspects of community life through clinical work, home visits, and community work

Contact Information is available http://umanitoba.ca/faculties/medicine/units/northern_medical_unit/students/undergrad.shtml


Aboriginal Health – Traditional Teachings and Traditional Knowledge

The Traditional Teachings and Traditional Knowledge Elective opportunity for medical students will provide an experiential learning opportunity to enhance the learners’ ability to engage in culturally safe approaches to medicine and healing within the Aboriginal (First Nations, Métis and Inuit) communities.

Learning Objectives:
During the elective period, the learner will have the opportunity:

  • To gain a general understanding of the spectrum of cultural teachings and ceremonies within the Anishinabe community in Manitoba
  • To gain an understanding of the role that traditional and cultural practices play in supporting physical, emotional, intellectual and spiritual wellness and well-being
  • To gain an understanding of the influence that historical policies and legislation have had on the current traditional and cultural approaches to spirituality

Elective Requirements:
The learner will engage in many activities and opportunities throughout the course of the elective period that will allow the learner to meet the above noted learning objectives. 

The learner will be expected to engage in the following activities:

  • Two day cultural awareness workshop that is focused on the Aboriginal culture and other workshops as identified as relevant to the learning objectives.
  • The traditional/cultural ceremonies and related activities held at the Centre for Aboriginal Health Education during the scheduled elective timeframe.  This may include sweat lodge ceremonies, full-moon ceremonies, traditional teaching sessions, smudge ceremonies and sharing circles at the Centre.
  • Clinical experiences in a range of settings within the Manitoba Aboriginal community that focus on the integration of traditional knowledge with clinical practice. Settings may include urban, community-based programs and remote/rural contexts

The student will participate fully throughout the elective period in all activities planned and delivered by the Elder-in-Residence of the Center for Aboriginal Health Education, Faculty of Medicine, University of Manitoba.  This may involve attendance at meetings and gatherings requiring involvement by the Elder-in-Residence.  These activities will focus on the requirement for cultural relevance and content for the many reports and activities supporting the University or the Aboriginal community, and may include curriculum development opportunities, conference planning, program supports or student teaching opportunities.  The learner should utilize this opportunity to connect with additional resources (human and literary academic) that will further enhance this elective experience.

The student is expected to complete the following during the elective:

  • Daily journal will be maintained that documents the following:
    • The insights or impressions of the learner as a result of the daily experiences and opportunities
    • Reflections on the impact of the teachings:
      • On a personal level, and
      • How this experience/knowledge could be integrated into your professional life and practice*Reflections from the journal will be used as a basis for discussion between the student, clinical supervisor(s) and Elder-in-Residence throughout the elective.
  • Final presentation: The student will develop and deliver a brief presentation using PowerPoint (approx. 20 minutes + time for discussion) that addresses the following:
    • An overview of the activities and experiences from the elective period:
    • A brief literature review on the application of traditional and cultural approaches to wellness in clinical practice;
    • A summary and personal reflection of a key teaching experienced during the elective period; and
    • Discussion of how the learner may integrate traditional knowledge and approaches to health in their practice as a physician.

An electronic and printed copy of the presentation will be provided to the supervisor / Elder-in-Residence at the conclusion of the elective.

The student will be provided with a schedule of activities at the beginning of the elective.  Opportunities for self-directed learning will be provided and will provide an opportunity for self-reflection. 

Application, Approval and Evaluation Process
The learner will complete all relevant application forms for elective approval and will complete a student feedback evaluation of the elective.  The learner will participate in an evaluation process with the clinical supervisor and Elder-in-Residence at the conclusion of the elective period.

Suggested Readings:
Cameron, A.  (1981).  Daughters of Copper Woman.  Harbor Publishing.

Ellerby, J.  (2001).  Working with Aboriginal Elders.  Native Studies Press.

Helin, C.  (2006).  Dances with Dependency.  Ravencrest Publishing.

St. Pierre, M. and Long Soldier, T.  (1995).  Walking in the Sacred Manner.  Simon & Shuster.

Bopp, J.  (1992).  The Sacred Tree:  Reflections on Native American Spirituality.  Lotus Press.

Contact Information:


Public Health and Preventive Medicine
Dr. Lisa Richards
490 Hargrave St.
Winnipeg, Manitoba
R3L 0X7
Phone: (204) 940-3607
E-mail: lrichards@wrha.mb.ca


Occupational Medicine
Dr. Allen Kraut
S108J - 750 Bannatyne Ave
Winnipeg, Manitoba
R3E 0W3
Phone: (204) 789-3294
E-mail: Allen.Kraut@umanitoba.ca 


Manitoba Centre for Health Policy
Dr. Alan Katz
408- 727 McDermot Ave
Winnipeg, Manitoba
R3P 3E5
Phone: (204) 789-3442
Fax (204) 789-3910
E-mail: alan_katz@cpe.umanitoba.ca


J.A. Hildes Northern Medical Unit  

Kathy Risk

Fly-in Physician Coordinator/

Undergrad Elective Coordinator

Section of First Nations, Metis & Inuit Health
Dept. of Community Health Sciences

J.A. Hildes Northern Medical Unit

Faculty of Medicine

T162-770 Bannatyne Avenue

Winnipeg MB R3E 0W3

Tel:  (204) 789-3598

Email: Kathy.Risk@med.umanitoba.ca


Aboriginal Health -  Traditional Teachings and Traditional Knowledge
Dr. Barry Lavallee
Centre for Aboriginal Health Education
A101 -753 McDermot Avenue
Phone: (204) 789-3621
Email: Barry.Lavallee@med.umanitoba.ca