Part Three - Northern Ontario School of Medicine
Transcription
Part Three - Northern Ontario School of Medicine
Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada DISTRIBUTED COMMUNITY-ENGAGED LEARNING Thunder Bay Sudbury Ottawa Aboriginal Communities First-year medical students spend four weeks in an Aboriginal community in Northern Ontario. Toronto Rural/Remote Communities Second-year medical students complete two four-week placements in small rural or remote Northern Ontario communities. Comprehensive Community Clerkship (CCC) Third-year medical students spend eight months completing the CCC in a host community in Northern Ontario. Clinical Clerkships Fourth-year medical students undertake six core rotations in a twelve month period at the hospitals in Sudbury and Thunder Bay. Postgraduate Residency Training Residency training at NOSM occurs at distributed learning sites throughout Northern Ontario. Northern Ontario Dietetic Internship Program (NODIP) Year-long internships are completed in one Ontario and the North Simcoe Muskoka area. Physician Assistant Program (PA) PA students undertake 40 weeks of supervised clinical rotations in rural and urban settings throughout Ontario. 98 Northern Ontario, a region of the province, is geographically vast at over 800,000 square kilometres, about the size of Germany and France combined; nevertheless, it has a relatively small population of only 805,250. Forty percent of the population lives in rural and remote communities within diverse communities and cultures including Aboriginal, Francophone (French speaking), and English-speaking peoples. October 9 - 14, 2012 | www.Rendez-Vous2012.ca Conference on the Move Rendez-Vous 2012 conference participants registered for Conference on the Move will take bus trips to the communities of either Marathon, Sioux Lookout, or Sudbury, where they will participate in workshops, tours, and other educational, social and cultural activities at these NOSM learning sites. Each Conference on the Move destination offers unique opportunties, so please consult the sites and options that follow for more information. Tips for the Road Conference on the Move No matter which community you will be travelling to during the Conference On the Move portion of Rendez-Vous 2012, remember these key tips: • Wear comfortable clothing while travelling on the bus. • Keep your camera on hand. You never know what Northern Ontario wildlife will make a roadside appearance. • Be mindful of your seat mate. Often times you are the first to notice if someone has not yet made it on the bus, so be sure to speak up if your seat mate is missing! • Enjoy the scenery. During the autumn, Northern Ontario’s forests explode with searing reds and golds. 99 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Cochrane Cochrane is situated in the middle of the Great Claybelt, at the end of Highway 11 North, in the heart of Canada’s expansive boreal forest. It is the home of the Polar Bear Express which operates five days per week to and from Moosonee. Cochrane’s economic strength lies in its diversity–from hydro and co-generation power stations, soft drink bottling factory, lumber industries, agriculture, recreation, tourism, restaurants, and shops to public sector services such as the Ontario Ministry of Natural Resources, the Ontario Ministry of Transportation, a Provincial Courthouse, and a Land Registry Office. The Lake Abitibi Model Forest also brings in forestry researchers and thinkers concerned with sustainable forest management. Lady Minto Hospital in Cochrane has 66 beds and is a full service health-care facility. The Minto Medical Centre and the Porcupine Health Unit also serve the health needs of residents and visitors alike, as do the resident chiropractors, dentists and optometrist. Cochrane is also served by specialists from other communities. The town has one public school and two separate schools–both systems have classes from pre-kindergarten to high school. For post secondary education, Contact North offers opportunities for students to access programs and courses from a host of Northern Ontario colleges and universities. Cochrane is an ICE (Integrated Community Experience) community for NOSM second-year medical students where two students twice a year spend four weeks undertaking clinical learning in a variety of teaching health-care settings while maintaining their academic studies through electronic technologies. 100 October 9 - 14, 2012 | www.Rendez-Vous2012.ca Greenstone The Greenstone region features a diverse group of communities spanning a vast distance along, above and below the Trans-Canada Highway 11 corridor, stretching from Orient Bay on Lake Nipigon and eastward to Caramat. Greenstone’s communities are directly dependent on the health and wellbeing of the ecosystems that provide them with renewable natural resources for extraction, processing, consumption and recreation. Despite distances of several hundred kilometres between some of its far reaching communities, the 2001 amalgamation of these eight towns links the municipal services and functions into a single entity. Geraldton serves as the region’s centre for education, health care, retail trades, transportation, professional, government and utility services and also is home to the area’s forestry workforce. Its population of 2,528 includes a substantial Francophone segment. A prosperous tourism trade has enabled Geraldton to develop a full range of facilities and services for its citizens who enjoy a safe and satisfying community life. As in many Northwestern communities, neighbouring Longlac, population of 2,000 boasts a scenic waterfront location near Long Lake. The two major industrial employers in town provide a stable economic climate and the well organized community offers an excellent quality of life with plenty of recreational and social opportunities. Collectively, the communities comprising the Municipality of Greenstone provide a vast selection of educational opportunities. In addition to four daycare centres, the Municipality also supports five school boards consisting of nine elementary schools, and two high schools available to school-age children. Within the elementary schools residents have the ability to enroll their children in public, as well as French or English speaking separate schools. The secondary school system allows for students to attend a French or English high school. Rising to the challenge to be a healthy and nurturing community, numerous health-related services are available to residents. There are four medical clinics, two dental offices, a hospital, ambulance services and a 911 emergency telephone service. The Greenstone Region also has many different support groups and organizations assisting those who require help. 101 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Hearst Hearst has a vision of becoming an innovative cornerstone community for the world of tomorrow by creating interesting career paths for the youth and ensuring that the development is socially, environmentally, and economically sustainable. Come and enjoy the hospitality of a bilingual community where 6000 warmhearted residents live and where 85% of that population is Francophone. Located in the heart of Northeastern Ontario, Hearst lives its French heritage to the fullest. The town is located by the Mattawishkwia River, directly along Trans-Canada Highway 11. Constance Lake First Nation is located 30km west of Hearst. In Hearst, we never run out of things to do. In 2006, Hearst was officially named the “Moose Capital” of Canada. Fishing, white water rafting, kayaking, canoeing and ATV riding are a few of the available outdoor activities. Snowmobiling, cross country skiing, hockey, skating, curling, are just a few of our other winter activities. Culture is very important to the community. The Conseil des arts de Hearst is one of the most vibrant cultural organizations in the province. The community is also proud of its educational institutions. Every year they rank among the best in the province receiving numerous recognitions. The local presence of the Université de Hearst and the Collège Boréal are an important part of the community’s success over the years. The Town of Hearst has a significant number of health-care professionals involved in the delivery of health care and social services. Over 50 organizations are offering services to a catchment area of 10,000 people and this concentration of health-care services positions are improving the quality of life for the population. The main industry in Hearst is forestry. Some very interesting economic projects are presently on the drawing board. The bio-economy, the renewable energies, and the mining industry will play an important part in the community’s future. The community has a lot to offer and has a vision for the future. Come and visit us; what you will find is very unique, attractive and you might be very pleased with what you will discover. Each year, two NOSM students gain hands-on experience in this community through their third-year Comprehensive Community Clerkships (CCC). 102 October 9 - 14, 2012 | www.Rendez-Vous2012.ca Kapuskasing Kapuskasing is the largest community located directly along Highway 11 between Thunder Bay and Temiskaming Shores. The majority of the population identifies French as its first language. The town’s pulp and paper mill is served by the Canadian National Railway which crossed the Kapuskasing River in 1913. Travellers can reach Kapuskasing by motor vehicle or by plane. The economy is sustained by the Tembec pulp and paper mill, the town’s major employer. Another employer is the Agrium phosphate mine. General Motors operates the GM Cold Weather Development Centre, and Agricultural and AgriFood Canada operates an agricultural farm nearby. The town’s population of 14,000 residents benefits from several educational venues. There are French and English elementary and secondary schools (Public and Catholic), as well as two colleges, one university and an alternative education centre. Health care is delivered principally through the Sensenbrenner Hospital, a 53-bed fully accredited active treatment centre. This modern facility opened December 16, 1987. Bed allocation is as follows: 18 long term care beds, 32 medical/surgical/obstetrical beds, and a three-bed special care unit (combination intensive care/coronary care). The hospital has approximately 200 staff, full and part-time, covering a broad range of services, including Nursing, Finance and Hospital Services, Human Resources and Professional Services. Kapuskasing offers an impressive incentive package, superb earning potential and abundant opportunities to practice rural medicine. Locum opportunities are available as well as flexible work schedules and excellent teaching challenges. A modern equipped medical office complex adjacent to the hospital houses a supportive medical staff that offers many services and amenities of larger centers. Each year, four NOSM students gain hands-on experience in this community through their third-year Comprehensive Community Clerkships. 103 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Sioux Lookout Sioux Lookout benefits from a diverse economic mix of federal and provincial government services, health-care agencies, educational institutions, forestry, tourism, and the service industry. The town supports a population of just over 5,300, the southernmost community in a district of 30,000 people. Sioux Lookout is part of a unique network of 29 remote First Nations communities, linked by numerous social and economic ties. The untamed beauty of the region’s lakes and forests is a rugged backdrop to regular traffic between communities. The First Nations communities north of Sioux Lookout range in size from about 50 to almost 2,000 people, Ojibway and Cree by heritage. The municipality’s population has gradually grown to almost half First Nations residents, most of whom have relocated to Sioux Lookout from the Northern communities for health, educational, or employment reasons. Sioux Lookout sits at the confluence of several lakes and is surrounded by many more. As such, recreational opportunities abound both indoors and outdoors, resulting in a robust tourist industry. Schools located in the Sioux Lookout area include Queen Elizabeth District High School, Sacred Heart Elementary School, Sioux Mountain Public School, Cornerstone Christian Academy, and Pelican Falls First Nations High School. With over $200 million in funding for capital construction projects to commence over the next several years, Sioux Lookout prides itself in maintaining its status as the “hub of the North” and as a thriving Northwestern Ontario community. The Meno Ya Win Health Centre provides Sioux Lookout and several northern communities with advanced health care. The health centre, including a hospital, long term care facility, community services, patient hostel and other related services, is characterized by its unique blending of mainstream and traditional Aboriginal healing. It has been designated Ontario’s Centre of Excellence for First Nations’ health care. Each year, five NOSM students gain hands-on experience in this community through their third-year Comprehensive Community Clerkships (CCC). 104 October 9 - 14, 2012 | www.Rendez-Vous2012.ca Timmins Timmins is a resource-based economy with mining and forestry activity, but the service and tourism sectors add to the diverse economy. The history of Timmins is associated with the gold discoveries of the Porcupine Camp, beginning in the early 1900s. In the 1960s, base metals such as copper, zinc and nickel began to replace gold as the primary mined deposit. Today, a variety of precious and base metals, as well as industrial minerals, are mined. Timmins is a well-rounded city of opportunity, filled with many qualities that make this community a great place to live, work, play and raise a family. Take a deep breath of fresh northern air and enjoy a superior quality of life with an abundance of employment and business options, recreational opportunities, top-rated cultural activities, and state of the art healthcare. The City of Timmins is served by four school boards for elementary and secondary levels and provide continuous programs from Junior Kindergarten to Grade 12 in both French and English with a broad range of special education programs and services. Post-secondary education is available locally with multiple post-secondary education providers. The community is made up of a diverse population. More than 50% of Timmins residents are fluently bilingual (English and French), a favourable rate in comparison to major bilingual cities in Canada including Montreal and Ottawa. Timmins hosts dozens of active cultural groups representing various European, Asian, and Aboriginal communities and is home to several cultural and tourist attractions and museums. The Timmins and District Hospital (T&DH) is a level C, fully accredited (Accreditation Canada) referral and teaching hospital serving the residents of the City of Timmins and Cochrane District as well as the adjoining areas of the Temiskaming, Sudbury and Algoma districts. T&DH is dedicated to providing health-care services that are consistent with the needs of our community and catchment area. The hospital offers a full range of medical, surgical, critical care, maternity, newborn, pediatric, long-term care and mental health services as well extensive health education and district services. T&DH houses 161 beds hospital wide and has approximately 850 frontline staff and 70 physicians. The hospital is a leader in state-of-the-art telecommunications and diagnostic equipment connecting physicians and staff to medical practitioners and specialists throughout Canada. Each year, eight NOSM students gain hands-on experience in this community through their third-year Comprehensive Community Clerkships (CCC). 105 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Wawa To many, the town of Wawa is recognizable by the giant Canada Goose perched on a rise at the town’s perimeter overlooking the Trans-Canada Highway. This Northwestern Ontario community lies between Pukaskwa Park and Lake Superior Provincial Park, a region noted for sweeping panoramic vistas in the high terrain of Lake Supeior. Dense forests and sparkling waterways attract a steady flow of tourists to a district noted for some of the largest fishing derbies in the North. Its main street, populated with many motels and restaurants, attests to the importance of tourism for the region’s economic well being. Affordable rates for fully serviced industrial, commercial and residential properties are an attraction for people and businesses willing to relocate. An enduring Aboriginal presence can be traced as far back as 1165 B.C. according to archaeological finds that discovered four Native settlements in the area. Unlike other regional communities, Wawa has never enjoyed the benefits of a sustained logging industry. But remnants of early logging camps, established during a short-lived lumbering surge along the Lake Superior Shoreline, can be found in isolated areas. Like Wawa’s early history, mining plays a critical role to the economic well-being of the community. Gold is currently the primary resource being mined and prospected in the Wawa area. Seven family practitioners provide health care at the Lady Dunn Health Centre, a facility with eight acute care and 18 long term care beds. Visiting specialists include a respirologist, internist, cardiologist, chiropodist, and orthopaedic surgeon. Four elementary schools and two secondary schools offer learning instruction in English and French. Post secondary programs are available through Confederation College, which has a local campus located at the Regional Training and Technology Centre, and Contact North. The North Algoma Literacy Coalition offers adult education programs in reading, writing, conversation, math and basic computer skills facilitated in small group formats. Wawa is an ICE (Integrated Community Experience) community for NOSM second year medical students where two students twice a year spend four weeks undertaking clinical learning in a variety of teaching health-care settings while maintaining their academic studies through electronic technologies. 106 October 9 - 14, 2012 | www.Rendez-Vous2012.ca Marathon Conference on the Move Friday, October 12, 2012 Start End 09:45 EST Activities and Location Pick-up at the Scandia entrance of the Valhalla Inn by Norcan Tours. Facilitators: Dr. Sarah Newbery and Kimberley Larkin 1 Valhalla Inn Road, Thunder Bay, ON (807-577-1121) 11:25 EST Quick stop in Rossport at Serendipity Café for coffee if you wish to purchase on your own. 222 Main Street, Rossport, ON P0T 2R0 (807-924-2890) 13:15 EST Arrival at Wilson Memorial Hospital. Welcome & Lunch 26 Peninsula Road, Bag “W” Marathon, ON P0T 2E0 14:00 EST Introduction to Pain and Addiction in the Context of Rural Community Practice 14:30 EST Before Prescribing Opioids: Assessment and Patient Selection 15:00 EST Safe Opioid Prescribing in the Rural Family Physician’s Office 15:30 EST Break (Provided by Wilson Memorial Hospital) 15:45 EST Comprehensive Care of Pain Patients 16:45 EST Closing Comments 17:30 EST Yoga, Light Stretching 18:00 EST Check in at Marathon Harbour Inn. 67 Pennisula Road, Marathon, ON (807-229-2121) 19:00 EST Dinner at Peninsula Golf Course 141 Penisula Road, Marathon, ON P0T 2E0 (807-229-2121) 107 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Marathon Conference on the Move Saturday, October 13, 2012 Start End Activities and Location 07:00 EST Complimentary Continental breakfast provided by Marathon Harbour Inn. 07:45 EST Bus pick-up and travel to: Wilson Memorial Hospital, 26 Peninsula Road, Marathon, ON 08:00 EST Welcome and Opening Boardroom, Wilson Memorial Hospital 08:15 EST Titration and Monitoring of Patients on Opioids 08:45 EST Opioid Addiction Approaches 09:15 EST Participants Case Discussion 10:15 EST Break 10:45 EST UDT/Management of Patients on High Opioid Doses 11:15 EST Participants Case Discussion 12:15 EST Closing Ceremonies, Remarks and Lunch 13:00 EST Videoconference of Plenary Speaker from the Valhalla Inn • 14:00 EST 18:30 EST 108 Dr. Ian Couper, John Macleod Oration Depart Wilson Memorial Arrive at the Valhalla Inn Re-check into your hotel. Dinner is on your own. October 9 - 14, 2012 | www.Rendez-Vous2012.ca Sioux Lookout Conference on the Move Friday, October 12, 2012 Start End 09:30 EST Activities and Location Pick-up at the back door of the Valhalla Inn by HT Leasing. (08:30 CST) Facilitators: Brock Chisholm and Lisa Kokanie Valhalla Inn, 1 Valhalla Inn Road, Thunder Bay, ON (807-577-1121) 13:00 CST Arrival at Meno Ya Win Health Centre for Lunch & Tour. 1 Meno Ya Win Way, Sioux Lookout, ON P8T 1B4 (807-737-3030) 15:30 CST Depart Meno Ya Win Health Centre and travel to Sunset Inn Suites – Check-in. 14 Hillcrest Drive, Sioux Lookout, ON (807-737-7177) 17:00 CST Depart Sunset Inn Suites, travel to Meno Ya Win Health Centre. 17:30 CST Dinner: Meno Ya Win Health Centre 18:30 CST Aboriginal Cultural Appreciation: Meno Ya Win Health Centre 19:30 CST Impact of NOSM and Medical Education in Northwestern Ontario: Meno Ya Win Health Centre Saturday. October 13, 2012 Start End Activities and Location 7:45 CST Breakfast at Sunset Inn Suites (complimentary) 8:45 CST Board the bus and travel to Meno Ya Win Health Centre 9:00 CST Welcome and Opening Ceremonies 9:30 CST Integrating Learners in Sioux Lookout Teaching Practices and Settings 10:00 CST Innovative Treatment Approaches for Narcotic Drug use in Aboriginal Communities 10:30 CST Break 10:45 CST First Nations Women’s Perspective on Menopause 11:15 CST Lunch at Meno Ya Win Health Centre 12:00 CST Videoconference of Plenary Speaker from the Valhalla Inn • Dr. Ian Couper, John Macleod Oration 13:00 CST Depart Meno Ya Win Health Centre. 15:00 CST Stop at Beaver Post, English River, ON. 19:00 EST Return to Valahalla Inn, Thunder Bay, ON. Dinner is on your own. 109 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Conference on the Move On Thursday, October 11, 2012, two coach buses will depart Thunder Bay, host site of Rendez-Vous 2012, to travel to Sudbury with multiple community stops along the way. The Conference on the Move bus excursion will also include innovative learning activities that engage conference participants in lively discussions of health care, education, and research. Conference participants will gain an understanding of living and practising in small Canadian communities as a health professional, a clinical teacher, researcher, and a member of the community. You will see some of the most colorful landscapes of rocks and water of Northern Ontario traveling along the Trans Canada’s highway and along the Canadian Shield and Lake Superior. Sudbury Conference on the Move Northern Route Thursday, October 11, 2012 Start End Activities and Location 07:00 EST Check-out of your room in Thunder Bay. Bring luggage to Valhalla coat check near the Ballroom with Conference on the Move luggage tag visible. 08:00 EST Plenary 09:30 EST Break 10:00 EST Educational Sessions 12:00 EST Pick-up at the Scandia door of the Valhalla Inn by Winning Streak Coach. 1 Valhalla Inn Road, Thunder Bay, ON (807-577-1121) Box lunch is provided on the bus. Facilitators: Tim Dube and Melanie Dellaire 13:00 EST Visit at Lake Helen Reserve 15:00 EST Arrival at Chill on the Corner in Geraldton for a quick coffee if you wish to purchase on your own. Chill on the Corner, 100, 3rd Avenue North West, Geraldton, ON P0T 1M0 18:30 EST Arrival in Hearst for overnight stay. 18:30 EST Dinner at Le Conseil des Arts de Hearst C.P. 2350, 75, 9 Rue, Hearst, ON (705-362-4900) 19:30 EST Check in at Companion Hotel Motel 930 Front Street, Hearst, ON (705-362-4304) Enjoy free time for the remainder of the night. 110 October 9 - 14, 2012 | www.Rendez-Vous2012.ca Sudbury Conference on the Move Northern Route Enroute Educational Activity The Last Straw! A Board Game on the Social Determinants of Health© Learning Objectives: The Last Straw! Promote discussion about the social determinants of health as defined by Health Canada and the World Health Organization, including: • Income and Social Status Developed by: • Social Support Networks Dr. Kate Rossiter, M.A., Ph.D., is an Assistant Professor in Health Studies at the Brantford campus of Wilfrid Laurier University. • Education and Literacy Dr. Kate Reeve, M.H.Sc., M.D., is currently a Community Medicine Resident at the University of Toronto. • Physical Environments The Last Straw! A Board Game on the Social Determinants of Health© • Biology and Genetic Endowment The Last Straw! was originally developed for a health promotion class in 2004 at the University of Toronto. It went on to win several awards from organizations such as the University of Toronto and CommunityCampus Partnerships for Health. • Employment and Working Conditions • Social Environment • Personal Health Practices and Coping Skills • Healthy Child Development • Health Services • Gender • Culture • Discuss why and how the social determinants of health may vary from community to community (e.g. Across Northern Ontario, Canada, and internationally). • Explain how the different distribution of determinants of health may influence health status. • Promote collaborative and reflective learning in a fun and supportive environment. Case Studies Learning Objectives: Case Studies Discussion on case studies with particular attention to: critical issues regarding population health (e.g. Francophone and Aboriginal people in Ontario), culturally sensitive health care access and programming, and approaches to health and health care • Explain how culture affects health and health outcomes. Use of Critical Incident Reports for Reflective Learning and Effective Knowledge Exchange Flanagan (1954, p. 327) defined what he meant by critical incidents, “by an incident is meant any observable human activity that is sufficiently complete in itself to permit inferences and predictions to be made. To be critical, an incident must occur in a situation where the purpose or intent of the act seems fairly clear to the observer and when its consequences are sufficiently definite to leave little doubt concerning its effects”. • Discuss the health challenges faced by Aboriginal people in Northern Ontario. • Discuss the impact of income and education on health outcomes. • Discuss strategies for improving health treatment and outcomes, while taking into consideration the role of cultural in creating an effective and manageable treatment plan. Learning Objectives: Reflective Learning Using self-reflection as a method of professional exploration and growth: • Articulate biases. • Record observations. • Relate meaning of personal and professional experiences. • Reflect on personal transformation. • Reflect on learning experiences and how they contribute to your own professional development. • Assess, when appropriate, the influence of one’s own perspectives on gender, race, lifestyle choices, and ethnocultural issues. 111 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Sudbury Conference on the Move Northern Route Friday, October 12, 2012 Start End 07:00 EST Activities and Locations Breakfast at Companion Hotel Motel Check out and bring luggage to the bus. 07:45 EST Load bus 8:00 EST Travel to Cochrane 10:30 EST Arrive in Cochrane - visit the Polar Bear Habitat 1 Drury Park Road, Cochrane, ON (705-271-5201) The Cochrane Polar Bear Habitat is the only captive bear facility in the world dedicated solely to polar bears. Through exceptional animal care standards, educational programs and research partnerships, the Cochrane Polar Bear Habitat is becoming an internationally respected centre for polar bears. 11:30 EST Arrive at Lady Minto Hospital for tour and lunch. 241 8th Street, Cochrane, ON (705-272-7200) 12:30 EST Travel to Timmins 14:30 EST Arrive in Timmins for a quick coffee break and snack if you wish to purchase your own. Tim Hortons, 562 Algonquin Blvd East, Timmins, ON 14:50 EST Travel to Sudbury 19:00 EST 19:30 EST Check into Travelway Inn Sudbury. 1200 Paris Street, Sudbury, ON Catered Dinner at Travelway Inn Saturday, October 13, 2012 “Dynamic Express” in Greater Sudbury Start End 07:00 EST 08:00 EST 08:00 EST Activities and Locations Breakfast at Travelway Inn Pick up at Travelway Inn by Winning Streak Coach. 08:10 EST Arrive at Dynamic Earth, 122 Big Nickel Road, Sudbury, ON. 08:20 EST NOSM Greetings and Welcome 08:30 EST Dynamic Earth Tour 10:00 EST Depart for Maison Vale Hospice, 1028 South Bay Road, Sudbury, ON. 10:30 EST Maison Vale Hospice tour and discussion 11:30 EST Arrive at Laurentian University, 955 Ramsey Lake Road, Sudbury, ON. Visit to Apology Cairn and Drumming 11:45 EST Walk to Vale Living with Lakes Centre at Laurentian University 12:00 EST Lunch with Guest Speaker 13:00 EST Travel to Shkagamik-Kwe Health Centre, 161 Applegrove Street, Sudbury, ON. 13:30 EST 15:15 EST Travel to the Northern Ontario School of Medicine, 955 Ramsey Lake Road, Sudbury, ON. 15:30 EST 16:30 EST Arrive at NOSM – Experiential learning with simulation session, Medical School East Room 135. Travel to Travelway Inn. 16:40 EST 17:30 EST 112 Arrive at Shkagamik-Kwe Health Centre for tour and group discussion. Travelway Inn to relax and refresh. Meet in hotel lobby to walk across the street from Hotel to dinner at Curious Thymes Bistro 100 Ramsey Lake Road, Sudbury, ON. 17:45 EST Opening, Greetings, and Welcoming Remarks 18:05 EST Dinner October 9 - 14, 2012 | www.Rendez-Vous2012.ca Sudbury Conference on the Move Northern Route 19:50 EST 18:00 Closing Remarks Walk back to hotel and enjoy the rest of your evening. 1200 Paris Street, Sudbury, ON Sunday, October 14, 2012 Rendez-Vous 2012 Closing Ceremonies 07:00EST Breakfast at Travelway Inn. Check-out and bring luggage to the shuttle service travelling to the NOSM Campus. 08:00 EST Travel to the Northern Ontario School of Medicine, 955 Ramsey Lake Road, Sudbury, ON. 08:30 EST 12:00 EST By videoconference (Sudbury and Thunder Bay) MSE 107 Generation of Conference Statement Declaration and Closing Ceremonies Travel to airport via your own transportation. 113 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Sudbury Conference on the Move Southern Route Thursday, October 11 2012 Start End 07:00 EST Activities and Location Check-out of your room in Thunder Bay. Bring luggage to Valhalla coat check near the ballroom with Conference on the Move luggage tag visible. 08:00 EST Plenary 09:30 EST Break 10:00 EST Educational Sessions 12:00 EST Pick-up at the Scandia door of the Valhalla Inn by Winning Streak Coach. 1 Valhalla Inn Road, Thunder Bay, ON (807-577-1121) Box lunch is provided on the bus. Facilitators: Dr. Rachel Ellaway and Mr. Sam Senecal 13:30 EST 14:00 EST Stop at Nipigon District Hospital Depart Nipigon. 17:00 EST Arrive in Wawa. Check-in to: Wawa Motor Inn, 118 Mission Road, Wawa, ON P0S 1K0 (705-856-2278) 114 19:00 EST Dinner at Wawa Motor Inn 20:30 EST Free Time October 9 - 14, 2012 | www.Rendez-Vous2012.ca Sudbury Conference on the Move Southern Route Enroute Educational Activity The Last Straw! A Board Game on the Social Determinants of Health© Learning Objectives: The Last Straw! Promote discussion about the social determinants of health as defined by Health Canada and the World Health Organization, including: • Income and Social Status Developed by: • Social Support Networks Dr. Kate Rossiter, M.A., Ph.D., is an Assistant Professor in Health Studies at the Brantford campus of Wilfrid Laurier University. • Education and Literacy Dr. Kate Reeve, M.H.Sc., M.D., is currently a Community Medicine resident at the University of Toronto. • Physical Environments The Last Straw! A Board Game on the Social Determinants of Health© • Biology and Genetic Endowment The Last Straw! was originally developed for a health promotion class in 2004 at the University of Toronto. It went on to win several awards from organizations such as the University of Toronto and CommunityCampus Partnerships for Health. • Employment and Working Conditions • Social Environment • Personal Health Practices and Coping Skills • Healthy Child Development • Health Services • Gender • Culture • Discuss why and how the social determinants of health may vary from community to community (e.g. Across Northern Ontario, Canada, and internationally). • Explain how the different distribution of determinants of health may influence health status. • Promote collaborative and reflective learning in a fun and supportive environment. Case Studies Learning Objectives: Case Studies Discussion on case studies with particular attention to: critical issues regarding population health (e.g. Francophone and Aboriginal people in Ontario), culturally sensitive health-care access and programming, and approaches to health and health care. • Explain how culture affects health and health outcomes. Use of Critical Incident Reports for Reflective Learning and Effective Knowledge Exchange Flanagan (1954, p. 327) defined what he meant by critical incidents, “by an incident is meant any observable human activity that is sufficiently complete in itself to permit inferences and predictions to be made. To be critical, an incident must occur in a situation where the purpose or intent of the act seems fairly clear to the observer and when its consequences are sufficiently definite to leave little doubt concerning its effects.” • Discuss the health challenges faced by Aboriginal people in Northern Ontario. • Discuss the impact of income and education on health outcomes. • Discuss strategies for improving health treatment and outcomes, while taking into consideration the role of cultural in creating an effective and manageable treatment plan. Learning Objectives: Reflective Learning Using self-reflection as a method of professional exploration and growth: • Articulate biases. • Record observations. • Relate meaning of personal and professional experiences. • Reflect on personal transformation. • Reflect on learning experiences and how they contribute to your own professional development. • Assess, when appropriate, the influence of one’s own perspectives on gender, race, lifestyle choices, and ethnocultural issues. 115 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Sudbury Conference on the Move Southern Route Friday, October 12, 2012 07:00 EST Breakfast at Wawa Motor Inn Check out and bring luggage to the bus. 08:00 EST Travel to Garden River First Nation. Stop at the Water Tower Inn, 360 Great Northern Road, Sault Ste. Marie, ON P6B 4Z7 (705-949-8111). Pick up box lunches. 10:30 EST Garden River Artisan Market Garden River Community Centre, 7 Shingwalk Street, Garden River, ON P6A 6Z5 (705-946-2614) 11:15 EST 14:00 EST 14:00 EST 15:00 EST Garden River to M’Chigeeng Lunch on the bus Wilderness Medicine with WildER Group Location: TBA 15:00 EST 16:00 EST Ojibwe Cultural Awareness Activity 16:00 EST 18:00 EST Travel to Sudbury 18:00 EST Arrive at Travelway Inn, Sudbury. Check-in: 1200 Paris Street, Sudbury, ON, ON P3E 5V4 (705-522-1122). 19:00 EST Catered Dinner at Travelway Inn, 1200 Paris Street Sudbury, ON, ON P3E 5V4 (705-522-1122) Saturday, October 13, 2012 “Dynamic Express” in Greater Sudbury 07:00 EST 08:00 EST 08:00 EST Breakfast at Travelway Inn, 1200 Paris Street, Sudbury, ON, P3E 5V4 (705-522-1122). Pick up at Travelway Inn (doors) by Winning Streak Coach. 08:10 EST Arrive at Dynamic Earth, 122 Big Nickel Road, Sudbury, ON. 08:20 EST NOSM Greetings and Welcome 08:30 EST Dynamic Earth Tour 10:00 EST Depart for Maison Vale Hospice, 1028 South Bay Road, Sudbury, ON. 10:30 EST 11:30 EST Maison Vale Hospice Tour and Discussion Arrive at Laurentian University, 955 Ramsey Lake Road, Sudbury, ON. Visit to Apology Cairn and Drumming 11:45 EST 12:00 EST Lunch with Guest Speaker 13:00 EST Travel to Shkagamik-Kwe Health Centre, 161 Applegrove Street, Sudbury, ON. 13:30 EST 15:15 EST 15:30 EST Arrive at NOSM – Experiential Learning with simulation session, Medical School East Room 135 Travel to Travelway Inn. 16:40 EST 17:30 EST 116 Arrive at Shkagamik-Kwe Health Centre for tour and group discussion. Travel to the Northern Ontario School of Medicine, 955 Ramsey Lake Road, Sudbury, ON. 16:30 EST 20:00 EST Walk to Vale Living with Lakes Centre at Laurentian University. Travelway Inn to relax and refresh. Meet in hotel lobby to walk across the street from hotel to dinner at Curious Thymes Bistro. 100 Ramsey Lake Road, Sudbury, ON. 17:45 EST Opening, Greetings, and Welcoming Remarks 18:05 EST Dinner 19:50 EST Closing Remarks Walk back to hotel and enjoy the rest of your evening 1200 Paris Street, Sudbury, ON. October 9 - 14, 2012 | www.Rendez-Vous2012.ca Sudbury Conference on the Move Southern Route Sunday, October 14, 2012 Rendez-Vous 2012 Closing Ceremonies 07:00EST Breakfast at Travelway Inn. Check-out and bring luggage to the shuttle service travelling to the NOSM Campus. 08:00 EST Travel to the Northern Ontario School of Medicine, 955 Ramsey Lake Road, Sudbury, ON. 08:30 EST 12:00 EST By videoconference (Sudbury and Thunder Bay) Generation of Conference Statement Declaration and Closing Ceremonies Travel to airport via your own transportation. 117 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Sponsor Acknowledgement Thank you to the sponsors of Rendez-Vous 2012! World Explorer Voyageur Ontario’s Distance Education & Training Network Le réseau d’éducation et de formation à distance de l’Ontario Hosts Northern Ontario School of Medicine (NOSM) The Network: Towards Unity for Health (The Network: TUFH) Wonca Working Party on Rural Practice Flinders University School of Medicine The Training for Health Equity Network (THEnet) Consortium for Longitudinal Integrated Curricula (CLIC) Extraordinary People Doing Extraordinary Things Rendez-Vous 2012 recognizes the kind generosity of over 75 conference registrant donors and other sponsors! The funds raised provided low income country conference participants with the resources to attend. This year, over $65,000 was donated, resulting in sponsorship funds for 16 learners and 14 faculty members from nine different countries around the world. 118 October 9 - 14, 2012 | www.Rendez-Vous2012.ca 119 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada October 9 - 14, 2012 | www.Rendez-Vous2012.ca ©2012 Cisco Systems, Inc. All rights reserved INSPIRE BRILLIANCE TOGETHER INSPIRE BRILLANCE TOGETHER It’s it’swhere wherelearning learning doesn’t doesn’t always always take take place place in in aa classroom classroom and and where where discovery can happen anywhere, at any time. It’s where videoconferencing discovery can happen anywhere, at any time. it’s where video has opened has the doorand to learning and collaborating inway, a whole way, the opened door to learning collaborating in a whole new and new where class and where class is always in session. It’s where every single person can is always in session. it’s where every single person can connect with connect of all kinds theywhere may be. It’sminds wherecan great teacherswith of allteachers kinds wherever theywherever may be. it’s great minds can easily come together, so it’s also where the sky is the limit. easily come together, so it’s also where the sky is the limit. Get tools you youneed needto tocreate create aa 21st 21st century Get the the innovative innovative tools century learning learning environment. Cisco Connected Learning solutions enables youto toimprove improve environment. Cisco Connected Learning solutions enables you student outcomes, increase efficiency, enhance safety and security, student outcomes, increase efficiency, enhance safety and security, and and expand research capabilities. expand research capabilities. Cisco’s of intelligent, intelligent,network-centric network-centric Cisco'scomprehensive comprehensivesolution solution portfolio portfolio of solutions, video,collaboration, collaboration,and andvirtualization, virtualization, help you meet solutions, including including video, help you meet your most-pressing education imperatives. your most-pressing education imperatives. Learn more more at at cisco.com/ca cisco.com/ca Learn 120 October 9 - 14, 2012 | www.Rendez-Vous2012.ca Author Index A C E LAST NAME FIRST NAME PAGE LAST NAME FIRST NAME PAGE LAST NAME Abara Emmanuel 65, 73, 95 Campbell David 88 Elgack Razaz 66 Abrandt Dahlgren Madeleine 62 Cedicol Niko 78 Ellaway Rachel 61, 67 Cervin Catherine 86, 93 Ellies Vanessa 65 Acharya Samita 75 Chacko Thomas 64, 73 Ellis Rose 68 Adams-Carpino Gayle 76 Chalmers Sara 92 Epperly Ted 47 Addison Michelle 79 Chater Bruce 51 Erickson Jay 79 Adesina Oluwakemi 66 Chaves Rigoberto 92 Espitia Erik 82 Adonizio Christian 80, 94 Chhabra Shakuntala 63, 77, 79 Evans Tim 39 Ahmed Ashraf 63, 68, 74 Christensen Raymond 69 Aja Godwin 77, 78, 83 Cielo Patricia Mae 72 F Apiribu Felix 82 Clithero Amy 64 LAST NAME FIRST NAME PAGE Arndell Cynthia 76 Conradie Hoffie 80 Farah Amgad 65, 77, 87 Couper Ian 50 Farrell Siobhan 71 Couturier Francois 69, 81 Coward Jel 84 Cummings Beth-Ann 61 Curran Jeff 78 Aslam Rukhsana 77 B LAST NAME FIRST NAME PAGE Baingana Rhona K. 97 Bali-Mahabal Kamayani 62 BarbeauRodrigue Danielle 64, 90 Barnard Amanda 80 Bartlett Maggie 61, 96 Behroozi Farzaneh 67 Bello Alvarez Laura Margarita 74 Bezuidenhout Juanita 72, 75, 96 Bhandary Shital 69, 74 Bin Ghouth Abdulla 81 Bohler Hillary 64 Boelen Charles 44 Boothe Julia 91 Bor David 94 Brooks Kathleen 76, 85 Brotchie Kathy 62, 67 Bryan Sean 66 Burch Vanessa 89 Burton Heather 82 D FIRST NAME PAGE Flack Penelope 69 Flinkenflogel Maaike 87 Forget Amy 93 Forman Dawn 60, 67, 73, 80 Fornari Alice 79 Czarina Gay 78 John 72 LAST NAME FIRST NAME PAGE Gaede Bernhard 80, 88 Garcia-Mancilla Jesus 97 Garg Bishan 78, 81, 87 Garne David 87 Gautam Akshaya 90 Ghimire Satish 82 Giba Barbara 86 Goertzen James 73, 84 LAST NAME FIRST NAME PAGE Forto Dahlberg Johanna 76 Friesen Dakubo Crescentia 85, 88 Dandash Khadiga 71 Day Renee 72, 94 De Kempeneer Aricia 60 De Maeseneer Jan 60 De Saer Elke 60 De Witt Dawn 63 Deckelbaum Richard 84 Derese Anselme 60 Dharamsi Shafik 68, 73 Donovan Denise 93 Dorsamy Vino 68 Gonzalez de Leon Deyanira 88 Doty Barbara 75 Grand'Maison Paul 62 Downie Jill 48 Greenhill Jennene 63, 85 Dubé Tim 76 Groom Bobbi 85 Dzuba Erica 72 Grzybowski Stefan 67, 87 Gu Yuan 88 G 121 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Author Index H M K LAST NAME FIRST NAME PAGE LAST NAME FIRST NAME PAGE LAST NAME FIRST NAME PAGE Haggarty John 75 Kaufman Arthur 84 MacKenzie Mark 61 Bryan 46 Haigh Cathy 63 Kelly Len 81 MacLeod Halls Heather 81 Kelly (nee Craig) Sara 65 Mahoney Sarah 61 Giselle 69, 83 Halvorsen Peder A. 79 Keppel Peter 96 Manalo Hammad Bashayer 89 Khalil Hanan 85 Manning Dianne 81 Gabriel 86 Hansen Lori 94 Khalili Hossein 76, 96 Mapeso Hayes Bruce 82 Khatiwada Prashant 89 Marsh Teresa 69 Lindsay 72, 84 Hayes Colleen 63 Khatri Roshan 62, 81 Mazotti Hazavehei Seyyed M. M. 92 Khoza Lunic 93 McCaskill Ainsley 41 Mandy 76 Hebib Lana 65 Kiepek Niki 62, 75, 86 McCulloch Heddle William 91 Kiguli-Malwadde Elsie 42 McKenzie Suzanne 67, 71 Katharine 80 Hendrickson Stephanie 65 Kim Arnold 84 Meacham Hester Julie 77, 80 Kistnasamy Barry 40 Meili Ryan 73 Gladys 85 Hettenhausen William 66 Knight Stephen 62, 72 Mengich Hindle Hugh 93 Konkin Jill 47, 61, 94 Menon Meenakshi 91 67, 88 Mian Oxana 75, 86 Mitchell Doris 44 Moattari Marzieh 74 Mohamed Mothafar 63 Montes Roberto 65 Mora-Carrasco Fernando 75 Mostert-Wentzel Karien 70 Moukhyer Mohamed 64 Mukhopadhyay Baijayanta 81 Munabi I.G. 70 Musibi Felix 92 Myhre Douglas 61, 88 Hippe Janelle 66, 90 Kornik Hirsh David 73, 76 L Horton Graeme 88 Hudson Judith (Nicky) 70, 86 Jackie 73, 87 Hummelbrunner I Saul LAST NAME FIRST NAME PAGE Lacarte Sara 75 Lamus Francisco 69, 91 Larkins Sarah 87 Lawrence Kathy 79 LAST NAME FIRST NAME PAGE Lazarevich Irina 65 Indrapichate Korakod 65 Lewis Judy 87, 95 Inem Victor 81 Lindley Rebecca 67 Iputo Jehu 82 Lionis Christos 81, 86 Irogue Eghosa 78 Loeliger Scott 67 Istvan Peter 84 Lopez-Abuin Jose M 66 Ivory Kimberley 63, 76 J LAST NAME FIRST NAME PAGE Jackson Joseph 68 Jaiswal Dhiraj 82 Johnston Mary 79 Jong Michael 69 122 N LAST NAME FIRST NAME PAGE Naria Marianne Joy 74 Nayiga Joyce 93 Ndimande John 62, 74, 89 Nel Maria 72, 89 Norris Thomas 73 Nowrouzi Behdin 86 October 9 - 14, 2012 | www.Rendez-Vous2012.ca O R LAST NAME FIRST NAME PAGE LAST NAME O'Connor Dennis 93, 95 Radomski Rahayu 86 Raja Inbaraj Leeberk 83 89 Raman Stéphanie 68, 93 Refaat 60 Oliveira Rosangela 71 Olopade Segun 83 Ong Orchard Oria Orkin Puay Hoon Jay Hussein Aaron Orrantia Eliseo 86 Osama Soha 65 P S FIRST NAME PAGE LAST NAME FIRST NAME PAGE Natalie 80, 86 Sacevich Calen 64 Gandes Retno 67 Savage David 75 Scott-Jones Joseph 74, 91 Sen Gupta Tarun 74, 82, 90 92 Sewankambo Nelson 75 Amany 77 Shah Henal 66 RegaladoPaterno Elizabeth 64, 97 Shannon Sarah 60 Reid John Binda Sheline Barbara 60, 70, 73 Reid Steve 63, 78, 79 Shephard Mark 96 Reinikka Kirsti 91 Shrestha Nihaar 96 Singh Tejinder 91 Smith Anne 70 Smith Preston 74 Solarsh Geoff 68, 75 Sood Rita 82 Sosa Marco 91, 97 Soto Luz 83, 97 Soucat Agnes 42 Ssentongo Katumba 96 Stagg Pamela 76, 90, 95 LAST NAME FIRST NAME PAGE Rendon Violeta 82 Palsdottir Bjorg 84 Restrepo Prado 77, 88 Pant Chet Raj 77 Carmen Eugenia Paterno Ramon Pedro 64, 89 Reyniers Klara 83 Ritchie Stephen 78 Harris Ariel 66 Roberton Gayle 68 Roedde Gretchen 43 Peñaranda Molina Peters Karen 62, 71 Ronderos Osorio Jaime 77 Pineda Morales Jennifer Xiomara 97 Ross Simone 69 Poncelet Ann 60 Rotha Gerda 62, 64 Pond Constance 89 Rourke James 69 Poola Charlene 78 Rourke Leslie 77 Porcellato Roger 89 Ryder Courtney 63, 64, 81 Preston Robyn 62 Prinsloo Engela 64, 83, 84 Stewart Ruth 96 Strasser Sarah 69 Suhoyo Yoyo 82 Supe Avinash 67 LAST NAME FIRST NAME PAGE Talib Zohray 60 Targa Leonardo Vieira 95 Taylor Kerry 91, 92 Ticha Lawrence 63 Timony Patrick 81 Tiyani Edith Mabunda 65 Tomlinson Kristy 62 Tryssenaar Joyce 85 T 123 Rendez-Vous 2012 | Thunder Bay, Nor thern Ontario, Canada Author Index U Y LAST NAME FIRST NAME PAGE LAST NAME FIRST NAME Umahi Esther Nnennaya 83 Yadav Sonu 78 Yarnold Della 45 Umahi Gaius Anonaba 77 Z Upadhyay Shambhu 71, 82 LAST NAME FIRST NAME PAGE Zhu Shanzhu 62, 96 V LAST NAME FIRST NAME PAGE Van Wyk Jacqueline 76, 96 Vandecruys Amber 66 VanderBurgh David 79 Verma Sarita 97 Vos Jolien 96 Vyas Rashmi 73, 84 LAST NAME FIRST NAME PAGE Wala Kemejika 71, 83, 97 Walker Judi 60, 68 W Walker Leesa 85 Walters Lucie 61, 88, 92 Wang Harry Hx 63, 92 Wang Jia Ji 85 Watt Maggie 91, 95 Webb Allison 79 Weigle Nancy 94 Wells Patrick 87 Wheeler Erica 40 Wiles Robert 93 Willems Sara 79 Winn Christopher 87 Worley Paul 60 124 PAGE October 9 - 14, 2012 Northern Ontario, Canada Consortium for Longitudinal Integrated Curricula Rural Health The Wonca Working Party on Rural Practice