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Navigating Your Rural Rotation: Tips and Insights for Medical Students

Learn how to prepare for a rural medical rotation with expert advice on clinical, cultural, boundaries, and safety considerations. Gain valuable insight into rural healthcare settings and patient interactions.

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Navigating Your Rural Rotation: Tips and Insights for Medical Students

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  1. Preparing for Your Rural Rotation Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM Director Faculty Development, SMP

  2. Disclosure • My wife and I watch Celebrity Apprentice

  3. Outline • Background • Clinical • Cultural • Boundaries • Safety • Summary

  4. Background • Montreal, Vancouver, Boston, Seattle • Nelson, Burns Lake, Princeton, Kaslo

  5. Background • You know you are a rural resident when… • Jonathan Kerr, MD • Tim Van Aerde, MD • Gabe Woollam, MD • Amy Jongerius, MD

  6. 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

  7. Clinical

  8. Clinical • Local expertise, protocol based care • BC Bedline/HART teams • Tertiary care connections • Up to Date/Dynamed/Handheld applications • Outcome

  9. Clinical

  10. Clinical • ATLS, CARE, CASTED • Regional trauma service • Provincial trauma service • Air ambulance • Outcome

  11. Clinical • “I just need a refill of my allopurinol”

  12. Clinical

  13. Cultural • “Your idea of a wild weekend is a barn dance and a plowing competition”

  14. Cultural Rodeo, barn dance pictures

  15. Cultural • “You've spent time in a sweat lodge”

  16. 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

  17. Safety • “You've hit a deer with your car.”

  18. Summary • Clinical • Cultural • Boundaries • Safety

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