Expanding Medical Education in British Columbia within a Socially Responsible Framework

1. Expanding Medical Education in British Columbia within a Socially Responsible Framework Oscar Casiro, MD, FRCPC Head, Division of Medical Sciences, UVic Associate Dean, Island Medical Program, UBC

2. Challenges • Shortage of physicians • Recruitment and retention problems • Maldistribution of physicians

3. British Columbia • BC provides only a fraction of the 300 - 400 new physicians it needs each year. • Only 26% of physicians practicing in the province are UBC graduates. • BC has the lowest medical student spaces per capita in Canada. • Shortages of physicians in rural/northern communities • Growing, ageing population B. McBride & J. Cairns, 2001

4. The MD Undergraduate Program Distributed Model of Expansion University of Victoria: Island Medical Program (IMP) University of Northern British Columbia: Northern Medical Program (NMP) University of British Columbia: Vancouver-Fraser Medical Program (VFMP)

5. Changes in Student Enrolment in the UBC Faculty of Medicine 2003 - 2010 N=1024 N=512

6. Proposed changes to undergraduate enrolment by year 2003 - 2013 N=1024 N=504

8. University of British Columbia Faculty of Medicine Undergrad Program – Degrees of Distribution Degrees Of Distribution Partner University Campuses 1st & 2nd Year Clinical Academic Campuses Phase 4, 3rd Year Rural & Remote Affiliated Regional Centres – Types 1 & 2 Phases 5&6 Affiliated Regional Centres VCHA/FHA VGH/SPH/RCH PHSA BCCWH/ BCCA Dispersed Sites - Rural & Remote Phases 3, 5, 6 UBC UVic UNBC IHA KGH NHA PGRH VIHA Vic Gen/RJH Community Based Sites

9. Planning: Meetings Team rooms Administration: Curriculum meetings Faculty development Tutor meetings Instruction Lectures Labs PBL groups Student support Student connection Student counseling Evaluation Exams Faculty/course evaluation Uses of Technology

10. Medical Sciences Building: Home of the Island Medical Program • Officially opened December 2004 • “Green” building • Students have 24-hour access (coded security cards) • Designed to accommodate students and staff with disabilities.

11. Medical Sciences Building:Facilities • Two state-of-the-art lecture theatres • Seven PBL rooms • Two research labs • Computer lab • Reading room • Gross anatomy lab • State-of-the-art multipurpose lab

12. Medical Sciences Building

13. Island Medical ProgramVancouver Island Health Authority (VIHA)Clinical Academic Campus • Royal Jubilee Hospital • 656 bed acute care • Clinical skills facility for 1st & 2nd year IMP students • Victoria General Hospital • 379 bed acute care • Educational Centres in Central and North Island

14. The Island Medical Program’s most important asset! Class of 2008 “I had high expectations when I decided to participate in the Island Medical Program, and those expectations have been exceeded! I love being able to study with a small group of students, and I love the interaction with IMP staff – they know all the students by name!”

15. Continuum of Medical Education • Pre-Med • Undergraduate Medical Education • Postgraduate Medical Education • Continuing Professional Development (CME)

16. Develop core clerkships in Victoria • Build infrastructure to support medical education outside Victoria • Community-based integrated clerkships in Central or North Island • Community-based rural electives and selectives

17. MD Undergraduate ProgramYears 3 and 4 • Phase III- Community Practice (4-8 week practicum in rural and underserved communities) • Phase IV- (48 weeks) required clinical clerkships • Phase V- selectives and electives (first 16 weeks of year 4) • Phase VI- Effective Learning Skills for Medical Practice (16 weeks including a 2 week LMCC preparation course and 4 week senior elective)

18. Undergraduate Curriculum and Planning Model Years 3 & 4