Dr. Lisa Richards
Canadian Medical Graduates
The University of Manitoba program offers a diverse range of training opportunities in Public Health and Preventive Medicine based on residents’ interests and needs. Strengths of the program, and the Department of Community Health Sciences in which it is based, include considerable opportunities for exposure to and involvement with: communicable disease epidemiology and control; Northern and Aboriginal health issues; health services research and evaluation; and well-established educational rotations with experienced regional medical officers of health and the Chief Provincial Public Health Officer.
Residents in Public Health and Preventive Medicine must develop a comprehensive knowledge of the sciences of Public Health and Preventive Medicine, and the skills to apply this knowledge to a broad range of community health issues in the socio-political and cultural contexts in which they occur. They must demonstrate the knowledge, skills and attitudes relating to socio-economic status, gender, culture and ethnicity of the populations with which they work. In addition, all residents must demonstrate an ability to incorporate these factors in research methodology, data presentation and analysis. During training, all residents will be expected to acquire a substantial knowledge of and necessary skills in: concepts of health and illness and their determinants, methods in community health, health services organizations, trans-organization collaboration, community health programs, communication and advocacy. In addition, residents are encouraged to develop a higher level of expertise in one of these fields, and to acquire knowledge in other academic subjects relevant to their own interests.
This residency program is for 5 years. Program length of training does not exceed the Royal College or College of Family Physicians of Canada standard. The program is designed to fulfill the Royal College of Physicians and Surgeons of Canada General and Specific Training Objectives for Public Health and Preventive Medicine. There are three main components to the curriculum: clinical, academic, and applied field training. 1. Clinical component Residents entering the program at the PGY-1 level are required to complete two years of clinical training under the auspices of the Family Medicine Residency Program, leading to eligibility for certification in family medicine (CCFP). Supplementary clinical experience is available in a variety of areas, depending on interests and career plans. 2. Academic component One year full-time is spent on academic preparation for Public Health and Preventive Medicine. All residents take courses towards either a Master of Science in Community Health Sciences or a Master of Public Health. Core courses include: principles of epidemiology, biostatistics, research methods, and health care system organization and financing. A broad range of elective courses is available, including but not limited to: applied epidemiology, advanced biostatistics, principles of occupational and environmental health, program planning and evaluation, economic evaluation of health care, and the epidemiology of cancer, chronic disease, and communicable disease. The M.Sc. is a thesis-based degree, and residents can go on to complete a thesis before or soon after completion of the residency program. 3. Applied field training The remaining training time (minimum 18 months) is spent in field rotations in community medicine, under the supervision of the program’s preceptors. Residents take on a greater degree of responsibility over this period, assuming a high level of responsibility by their senior year. Core rotations include: Urban Regional Medical Officer of Health; Rural Regional Medical Officer of Health; Provincial Public Health Branch (includes Chief Provincial Public Health Officer, Communicable Disease Control, Health Promotion and Chronic Disease Control, Epidemiology and Surveillance, and Environmental Health); Provincial Public Health Laboratory; Occupational Health; and First Nations, Metis, and Inuit Health. Elective rotations are developed individually based on resident interests. Overview of the residency program: 2 years of clinical training in Family Medicine An academic year One year of coursework required by the Royal College Course work completed between September and May of that academic year Most residents opt to complete an MPH or MSc degree 2 years of public health rotations Mandatory rotations include:
Elective rotations include:
If taking an MPH for the academic year, 3 blocks of electives are used for the practicum placement (not required for the MSc degree) Can be done locally, interprovincially or internationally, dependent on program director approval Example electives done by residents in the past include:
————————————————————————- Other Residency Program Activities and Requirements include:
The Department of Community Health Sciences has a weekly colloquium called “Bold Ideas” (similar to Grand Rounds), from September through May most Fridays from 12:00 to 1:00 pm. Presenters include CHS faculty, as well as invited speakers from other departments of the Rady Faculty of Health Sciences, or the University in general, as well as visiting speakers from other provinces or internationally. For the colloquium schedule, go to the Community Health Sciences website. Attendance is expected during the academic year of residency, and optional (but encouraged) during the clinical and Public Health rotation years.
The Winnipeg Regional Health Authority holds a monthly journal club (critical appraisal), which can be attended in person or by teleconference. Residents are expected to attend journal club in their senior years of residency, and to present at least once per year starting in R3.
There is an expectation of involvement with teaching medical students during the residency training. This includes but is not limited to the following activities:
Every resident will have the opportunity to become chief / senior resident during the residency program, for a variable period (usually 6-12 months) sometime during the senior years of residency (R4-R5). Duration and timing of being chief is dependent on the number of residents, as well as their stages in training, and will be determined by the program director. Responsibilities of the chief / senior resident include, but are not limited to the following:
The applied training sites include:
The academic component uses resources from the Department of Community Health Sciences.
See also, terms of the contract of the Professional Association of Residents and Interns of Manitoba (PARIM – www.parim.org). ACLS is required for some programs and is provided at the University of Manitoba. View the PARIM contract.
Registration Fee / Tuition Fee
University course registration/tuition fees are paid by the Winnipeg Regional Health Authority.