ENHANCED SKILLS PROGRAM
| How to Apply
| Connection to Family Medicine
| Administrative structure
The PGY3 year in FPA is designed to provide residents with the skills necessary to practice anesthesia as part of a comprehensive family medicine practice. The goal is to produce physicians who can provide safe, competent, general, neuraxial and regional anesthesia for uncomplicated procedures on reasonably healthy patients including children over the age of 3 years.
This program will run a minimum of twelve months duration and will fall under the auspices of the Enhanced Skills Program Committee of the Department of Family Medicine of the University of Manitoba. The program will have core rotations of required training. The program provides training in tertiary, community, and rural hospital settings. The year consists of 13 blocks each totaling 4 weeks.
A one year return of service agreement to a rural or Northern Manitoba community is required and this is signed through the Office of Rural and Northern Health. Applicants may be family medicine residents in their R2 year or practicing physicians who wish to upgrade their skills.
The residents are provided with the objectives outlined by the College of Family Physicians of Canada.
There are also objectives provided for each of the core rotations listed below. Details of these objectives can be found on the Department of Anesthesiology website.
Mandatory Core Blocks (# blocks)
- Tertiary Anesthesia (4)
The adult tertiary rotations are the largest component of the training program. The adult tertiary experience is divided between the Health Sciences Centre and St. Boniface General Hospital. Each provides a different case mix and approach, all contributing toward the ultimate fulfillment of the Goals and Objectives outlined above.
- Community Anesthesia (1)
Options include the Victoria General Hospital, the Grace Hospital and Concordia hospital. The community anesthesia rotation has been developed with two purposes. The first is to provide residents with expertise in the aspects of anesthesia practice in a community setting. These goals and objectives reflect the skills and attributes that are necessary for successful practice in a community setting. Therefore, they are essentially the same as the Adult tertiary goals and objectives, with the exception of some surgical subspecialties. However, certain issues take a greater precedence in the community setting such as ambulatory management, and working with limited resources. The second purpose is to provide the resident with an awareness of the nature of practice in a community setting, including differences in caseloads and types and call arrangements.
- Obstetric Anesthesia (1)
Options include the Women’s Hospital at HSC or St Boniface Hospital. This rotation allows the opportunity to spend a concentrated period of time in the Obstetrical anesthesia environment, particularly with staff with a subspecialty interest. It is therefore intended to broaden and deepen the understanding of Obstetrical anesthesia. Residents will have ample opportunity to provide epidural analgesia to labouring patients, and will have excellent exposure to the obstetrical OR.
- ICU (1)
Options include Surgical ICU or Medical ICU at Health Science Centre or the mixed ICU at St Boniface Hospital. This rotation will give the resident an opportunity to develop knowledge and skills in managing critically ill patients. Residents will further enhance their airway management skills in a non operating room setting, as well as learning about and performing central vascular access with bedside ultrasound guidance.
- Pediatric Anesthesia (2)
This is offered through the HSC Pediatric OR. Residents will complete this rotation near the end of their year of training and will access to excellent teaching and hands on experience with the Pediatric Anesthesia team at Health Science Centre.
- Rural Anesthesia (1)
With the Program Director in Morden, MB. This rotation allows residents to refresh their skills in rural family practice. They will be working at the Boundary Trails Health Centre providing anesthesia for orthopaedic, general surgery, obs/gyne surgeries. They will also be providing on call expertise to the rural ICU and have an opportunity to work shifts in the rural emergency room. Lastly, they will be back in clinic one day each week to see family medicine patients.
- Vacation (1)
May be taken in one 4 week block, or divided into two 2 week vacations. If dividing the vacation up in the two 2 week option, these can only be taken during the adult tertiary blocks (ie, you can’t take 2 weeks off from the 8 week Peds anesthesia blocks)
- Selective (2)
- Any of the above mandatory core blocks
- Regional Anesthesia
Regional anesthesia techniques are used extensively at both of the teaching hospitals (Health Sciences Centre, Saint Boniface), as well as at some of the community hospitals and the Pan Am Day Surgery Centre. These techniques are aimed at managing peri-operative pain, non-operative painful conditions and as the sole or combined anesthetic for various surgical procedures. Both single shot and catheter techniques are employed. Ultrasound guidance for these techniques has recently become more common and the training program at the University of Manitoba is working to provide education and experience in this area to residents.
- Chronic Pain Service
The Chronic Pain Clinic at the University of Manitoba consists of the HSC and the Pan am sites. The Pain Clinic provides a comprehensive management approach including multi-disciplinary input, systemic, behavioural and interventional techniques as applicable. Resident will gain an exposure to all aspects of chronic pain management, and should emerge with the ability to manage simple chronic pain problems and understand the issues and principles involved in the management of more complex cases.
- Other Options depending on availability and schedule.
- Options for extra chest ultrasound (cardiac and respiratory) teaching offered through the Royal College Program Director who shares an interest in preparing the FPAs for their future practice. These types of learning opportunities can be individualized and are coordinated through the residents and the program directors.
How to Apply
1) Confirm your eligibility
All applicants must meet the following requirements:
- You are eligible for full registration with the College of Physicians and Surgeons of Manitoba.
- You have successfully completed/or are in the process of completing a two-year family medicine residency (or equivalent) and/or have received the CCFP designation.
- You are a Canadian citizen or landed immigrant
- You have current ACLS certification
- You have a job offer from a rural or northern community within Manitoba (regional health authority or facility) that begins upon completion of your training. The offer includes the opportunity to provide anesthesia as part of the practice.
2) Gather your documents
You will require the following:
- Three signed letters of reference written no more than six months before the application deadline
- Letter of intent, briefly outlining your career and learning goals for the program
- Certificate of Professional Standing from the College of Physicians and Surgeons of Manitoba or from the regulatory body of your home province.
- Job offer / work support letter from a rural or northern community within Manitoba (regional health authority or facility) that begins upon completion of your training. The offer includes the opportunity to provide anesthesia as part of the practice.
3) Complete your application
Your application is considered complete when you have successfully submitted the documents outlined above. No additional application forms are required.
Your documents can be provided to the program coordinator by mail, fax or email (contact information in the column to the right.).
The deadline for submission is November 1 of each year.
You can expect a response to your application by the second week of November. In person interviews are held sometime in the first two weeks of December. Consideration to video interview will be considered by request. Offers are usually sent out by email in the 3rd week of December. Successful applicants will begin the program July 1st of the following year.
Accepting an Offer and Completing a Return of Service Agreement
Once candidates accept their offer of training they must sign a return of service agreement before their acceptance if deemed official. Manitoba Health requires all residents in the Family Practice Anesthesia Program sign a Return of Service Agreement confirming that they will practice in a rural or northern area in the Province of Manitoba for a time equal to the period that was funded. This is coordinated through the Office of Rural and Northern Health.
Upon successful completion of the FP Anesthesia Enhanced Skills program you will receive a diploma from the University of Manitoba’s Max Rady College of Medicine. Successful graduates also receive a Certificate of Added Competency in Family Practice Anesthesia.
Connection to Family Medicine
- Once per month, the resident will liaise with Dr. Convery to review progress and evaluations. Residents also have a mandatory Rural Anesthesia Block where they will be working with FP Anesthesiologists including one day in a family medicine clinic each week.
Enhanced Skills Director – Dr Edward Tan
Enhanced Skills Family Practice Anesthesia Program Director – Dr. Kevin Convery
Administrative support – Collette Thiessen
Residents are assessed according to the Priority Topics for the Assessment of Competence. ITERS that include specific skill acquisition will be provided to supervising physicians in the Department of Anesthesia or Family Medicine as appropriate. Feedback will occur on a daily basis with staff in the operating room and on a monthly basis through Dr. Convery. Residents also have the opportunity to provide feedback on the various components of the program as well as the faculty when they meet monthly with Dr. Convery.