ENHANCED SKILLS PROGRAM
This program will run a minimum of six 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. Some allowance may be possible for flexibility in the gynecology part of the program (half day per week) depending on the needs and interests of the applicant. Applicants may be residents in their R2 year or practicing physicians who wish to upgrade their skills. For the 12-month program, preference will be given to those candidates who intend to practice in a rural setting in Manitoba.
Goals and objectives
- To train family physicians to meet community needs with respect to the provision of enhanced women’s health services and serve as a resource to other physicians in their community
- To understand the unique challenges of providing quality care in underserviced female populations
- To train family physicians to deliver maternity care that meets the needs of their community including advanced obstetrical techniques including assisted deliveries, third- and fourth-degree repairs, caesarean sections if appropriate, basic ultrasound evaluation, fetal monitoring
- To train family physicians to have comprehensive knowledge of the following issues as they pertain to women:
- Reproductive health including infertility, prenatal and intrapartum care
- Life cycle passages including adolescent and menopausal wellbeing with the particular psychological and medical issues that are prevalent through these stages of a woman’s life
- Disease prevention and health promotion throughout a woman’s lifetime
- Mental health issues, including eating disorders and postpartum depression
Six Month Program
A) Three months obstetrics training to include achieving additional competency in the following:
- Assisted deliveries
- Options for induction of labour
- Management of chorioamnionitis
- Interpreting FHR tracings
- Management of complicated pregnancies including gestational DM, HTN, GDM
- Basic obstetrical ultrasound skills
- Recognition of third and fourth degree repairs and cervical lacerations with consultation as needed
- Manual removal of placenta
- Management of obstructed labour, including recognition when caesarean section indicated
Residents will also participate in antenatal clinics, coverage of triage and antepartum and postpartum wards. Rotations will occur at both St Boniface General Hospital and Women’s Hospital Health Sciences Centre. Residents function in the same capacity as an R2 Ob/Gyn resident and are part of the Ob/Gyn call schedule. A primary preceptor will be appointed to collate evaluations from supervising clinicians. There may also be an opportunity to collaborate with midwifery to enhance understanding between care providers.
B) Three months office gynecology with maintenance of obstetrical skills
Participation in outpatient clinics to achieve additional knowledge in the management of the following:
- Basic workup of primary and secondary infertility
- Contraceptive choices including IUD insertion
- Sexual dysfunction
- Dysfunctional uterine bleeding including medical management, endometrial biopsy and referral when indicated
- Early pregnancy loss – surgical and medical management
- Cervical dysplasia
- Vulvar diseases
- Urinary incontinence, pessary use and pharmacological management
- Management of pelvic pain and endometriosis
- Menopausal symptoms
- Adolescent gynecological problems
- Postpartum mood disorders
- Eating disorders
- Breast issues, including fibrocystic breast disease, identification of abnormal breast tissue
Included in this portion of the program will be labour floor coverage and on-call responsibilities
Twelve month program
This program is intended for physicians who require the capability to perform caesarean sections in their community on completion of the program with a demonstrated need in that community
A) Nine months of obstetrics including all of the above as well as training in caesarean sections. Residents are in the call rota with Ob/Gyn residents, managing patients on the wards, in triage and on labour floor. They also participate in antenatal clinics. There may also be an opportunity to collaborate with midwifery to enhance understanding between care providers.
B) Three months of gynecology as in the six-month program
Residents are expected to:
- Attend Obstetrics and Gynecology academic sessions
- Present once at obstetrical rounds
- Do a chart audit (12-month program only)
- Assist in undergraduate teaching of Ob/Gyn skills
- Present once at Academic Day presentations for family medicine residents
Connection to Family Medicine
- The resident will participate in a general family medicine clinic one half day per week at Kildonan Medical Centre.
- Once per month, the resident will liaise with Dr. Kredentser to review progress and evaluations.
How to apply
1) Confirm your eligibility
All applicants must meet the following requirements:
- You have successfully completed a two-year family medicine residency (or equivalent) and/or have received the CCFP designation, or you may be enrolled in an R2 year of a residency program with the intent of sitting the CFPC Certification examination prior to the commencement of the Enhanced Skills Program.
2) Gather your documents
You will require the following:
- A current curriculum vitae
- Three signed letters of reference written no more than three months before the application deadline
- Letter of intent, briefly outlining your career and learning goals for the program and stating the value that such training may bring to the community in which you intend to practice
- Certificate of Professional Standing from the College of Physicians and Surgeons of Manitoba or from the regulatory body of your home province
- If relevant, you may also include an indication of the level of community need from the appropriate regional health authority
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. Successful applicants will begin the program July 1 of the following year.
Enhanced Skills Director – Dr Edward Tan
Enhanced Skills Obstetrics and Women’s Health Program Director – Dr. Sarah Kredentser
Administrative support – Collette Thiessen
Postgraduate Director or designate, Department of Obstetrics and Gynecology
Residents are assessed according to the CanMeds FM roles and the achievement of required competencies. ITERS that include specific skill acquisition will be provided to supervising physicians. Feedback will occur on a monthly basis through Dr. Kredentser as well as the supervising clinician on the specific block, and will include assessment from all supervisors involved in the teaching of the resident. Residents also have the opportunity to provide feedback on the various components of the program as well as the faculty.