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Preparing for Your Rural Rotation. Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM Director Faculty Development, SMP. Disclosure. My wife and I watch Celebrity Apprentice. Outline. Background Clinical Cultural Boundaries Safety Summary . Background. Montreal, Vancouver, Boston, Seattle
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Preparing for Your Rural Rotation Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM Director Faculty Development, SMP
Disclosure • My wife and I watch Celebrity Apprentice
Outline • Background • Clinical • Cultural • Boundaries • Safety • Summary
Background • Montreal, Vancouver, Boston, Seattle • Nelson, Burns Lake, Princeton, Kaslo
Background • You know you are a rural resident when… • Jonathan Kerr, MD • Tim Van Aerde, MD • Gabe Woollam, MD • Amy Jongerius, MD
Clinical • “You've hurled obscenities at your computer after being instructed by "Up-To-Date" that the only way to make a diagnosis is to get a STAT CT scan.” • Limited resources, high acuity patients
Clinical • Local expertise, protocol based care • BC Bedline/HART teams • Tertiary care connections • Up to Date/Dynamed/Handheld applications • Outcome
Clinical • ATLS, CARE, CASTED • Regional trauma service • Provincial trauma service • Air ambulance • Outcome
Clinical • “I just need a refill of my allopurinol”
Cultural • “Your idea of a wild weekend is a barn dance and a plowing competition”
Cultural Rodeo, barn dance pictures
Cultural • “You've spent time in a sweat lodge”
Boundaries • “At the local grocery store, one of your patients asks you to check her breast lump… right there in the middle of the aisle!” • Defining boundaries • Knowing your patients
Safety • “You've hit a deer with your car.”
Summary • Clinical • Cultural • Boundaries • Safety