Addictions
ENHANCED SKILLS PROGRAM

The FM-Addiction Medicine Program at the University of Manitoba is twelve-month PGY3 residency offered by the Department of Family Medicine in collaboration with the Department of Psychiatry. The program is designed to enhance the competencies of family physicians to become expert resources and leaders in addiction medicine within their communities.

Goals and objectives

  • Develop the requisite knowledge, skills, and attitudes to support and extend the delivery of addiction prevention and treatment across a variety of treatment settings
  • Expand their administrative skills, knowledge and leadership abilities to work effectively with interprofessional team members in multiple settings involved in the treatment of addictions
  • Deepen their scholarship as it relates to addiction medicine, including education, policy, program development and research.

Curriculum

The program consists of a twelve-month (13 block) schedule of rotations, depending on the needs of the resident and which training site they have been designated to

Rotation

Duration

Academic block “bootcamp”, first 2 weeks

½ block

Hospital based Withdrawal management - 4 weeks AU

1 block

Community based withdrawal management - 2 weeks MWMS, 2 weeks Main Street Project (or Eaglewood, or Brandon)

1 block

Addiction Consult Service - 4 weeks HSC, 4 weeks SBH

2 blocks

AFM Residential treatment - 2 weeks men’s, 2 weeks women’s

1 block

Primary Care + Addictions - 4 weeks (Nine Circles, 601 Aikens, Klinic…) OR RURAL PRIMARY CARE

1 block

NORTHERN REMOTE

1 block

Co-occurring disorders (CODI) - 4 weeks

  • Including co-facilitating DBT skills group on AU and CODI DBT groups

1 block

Electives (may occur out of province)

  • therapeutic community - ex. BHF - 2 weeks
  • Indigenous treatment centre - 2-4 weeks
  • iOAT clinic - 2-4 weeks
  • managed alcohol - 2-4 weeks
  • supervised consumption/harm reduction - 2-4 weeks
  • research elective - 2-4 weeks
  • perinatal addictions - 2-4 weeks
  • HIV or HCV/hepatology clinic - 2-4 weeks
  • NICU
  • Youth – AFM Compass, YASU – withdrawal management and in house treatment
  • LGBTQ – Transgender clinic

2.5 blocks

Pain management - 2 weeks acute pain service, 2 weeks chronic pain clinic

1 block

Longitudinal (may vary dependent on interest and experience) – MOST clinic, OAT clinic, CARMA clinic, RAAM, contingency management...

longitudinal

Vacation

1 block (4 weeks)


Continuity of care experiences

The curriculum of the FM-Addictions Medicine training program at the University of Manitoba includes longitudinal addictions clinic exposure that will be tailored to resident’s interests and previous experience, based on consultation with the Program Director, and may include Opioid Agonist Therapy clinic (MOST clinic), outpatient addiction consult (CARMA) clinic, contingency management (or other group facilitation) and/or RAAM for 0.5-1 day per day week.

There is also the opportunity for each resident to maintain his or her clinic-based family medicine experience during the training

Scholarly requirements

Journal Club

As part of their lifelong learning, practicing physicians commonly participate in journal clubs. Journal clubs provide an opportunity for peer-assisted review of recent publications relevant to the field of practice. In addition to providing an opportunity to practice critical appraisal, they provide residents with an opportunity to succinctly present methodology, results, and interpretations of journal articles in order to develop oral communication skills.

Journal Clubs are held on a monthly  basis.  All residents shall present a minimum of twice per year at a journal club.

Manitoba Opioid Agonist Treatment (MOAT) group held quarterly – a review of current literature and provincial case studies/discussion.

Seminars/Academic Rounds

Residents will attend hour long sessions focusing on issues related to addictions . Preceptors or other members of the inter-professional team facilitate the seminars.

While on rotation at HSC, residents attend twice weekly teaching sessions Tuesday and Thursday mornings at 8:30 AM.  Relevant grand rounds presentations in psychiatry, internal medicine, anesthesiology and other specialties will also be highlighted for attendance.

Scholarly Project

Each resident will be expected to complete a scholarly project during the course of the enhanced skill program. The scholarly projects can take the form of an in-depth literature review of a topic relevant to addictions that would be fit for publication, a quality improvement project, or a research project in an area relevant to the prevention or treatment of addictions.  All residents will be encouraged to pursue presentation at a peer-reviewed conference and/or publication in a peer-reviewed journal during the course of their training.

Connection to Family Medicine

  • Once per month, the resident will liaise with the Program Director 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) Complete your application

Visit the CaRMS website for deadlines and application procedures. This is also where candidates apply for the program.

Certification

Upon successful completion of the Enhanced Skills Addictions program you will receive a diploma from the University of Manitoba’s Max Rady College of Medicine. Residents will also have also option to obtain Certification by the International Society of Addiction Medicine or American Board of Addiction Medicine, as these are the current two avenues to obtain Certification by the Canadian Society of Addiction Medicine, and family physicians licensed by the CFPC will have the opportunity to receive a Certificate of Added Competence in Addiction Medicine.

Administrative structure

Enhanced Skills Director – Dr Edward Tan
Enhanced Skills Addictions Program Director – TBD
Administrative support – Collette Thiessen

Assessment

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 the Program Director 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.

Contact Us

Click for contact information and a detailed team profile.

Apply

To apply or to ask questions about the process, please contact:

Collette Thiessen
Tel: 204-594-5352
Fax: 204-272-3090

P228 Pathology
770 Bannatyne Ave.
Winnipeg, MB R3M 3E9