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?

Sent on behalf of Dr. Brian Postl, Dean and Vice-Provost Rady Faculty of Health Sciences
 
Current provincial public health guidance is that Manitoba residents are strongly discouraged from non-essential travel outside the province.  Individuals travelling east of Terrance Bay Ontario in Canada and outside of Canada are subject to a 14 day quarantine requirement when they return to the province. Residents/fellows in the course of their training normally have a number of options and sometimes requirements to go out of province for parts of their training.   The current COVID situation with escalating cases in parts of Canada and new variants with increased transmissibility being identified globally and in some locals in Canada has led the University of Manitoba to review and update its policy to external training for residents/fellows. For Block 8 and Block 9 (January 14th to March 10th inclusive).
 
For future requests for external rotations/electives:
1. Externally required rotations for completion of training requirements.  Some aspects of residents/fellows training requirements are not available in Manitoba.  If possible, these rotations should be deferred to later in the training program when the COVID situation has stabilized.  If not possible, and by not completing this aspect of their training the resident would not have completed their program, the resident/fellow should be allowed to go for out of province training.  They will be subjected to the regular quarantine requirements when they return to the province. If the training is being suggested by their program for the fellow to provide future service to Manitobans  when they complete their training this should be allowed.  Again, subject to the regular travel restrictions.
 
2. Other external rotations. For elective rotations where the resident/fellow has an option of doing the rotation outside of Manitoba should be limited to Manitoba only options at this time. If possible the residents/fellows rotations should be rearranged to give the resident/fellow the option to have this training opportunity outside the province at a later date.
For currently in process or approved requests for external rotations/electives:
• If a Manitoba resident/fellow is currently on an approved elective out of province. They can finish their elective as planned. Provincial travel self-isolation requirements must be followed upon return to Manitoba.
• A Manitoba resident/fellow is currently approved for an out of province elective and travel is booked and cannot be cancelled without penalty. They can continue on their elective as planned and must follow provincial travel self-isolation requirements upon return to Manitoba. Please report these situations to the PGME office.
 
Please contact the PGME office with any questions. A further update will be provided closer to the end of Block 9 on how we will proceed at that time. Thanks very much in advance for your patience and understanding while we adjust our processes to stay in line with Public Health recommendations.
 



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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