ice fishing
DESCRIPTION
Fishing for a Longitudinal Integrated Clerkship at McMaster Jonel Miklea, MD CCFP Asst Prof, Undergraduate Program Director Dept of Family Medicine McMaster University Hamilton, ON, Canada. Locations Shelters Fishing equipment Modern ice fishing Dangers Contests - PowerPoint PPT PresentationTRANSCRIPT
Fishing for a Longitudinal Integrated Clerkship
at McMaster
Jonel Miklea, MD CCFPAsst Prof, Undergraduate Program Director
Dept of Family MedicineMcMaster University
Hamilton, ON, Canada
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Ice Fishing
• Locations• Shelters• Fishing equipment• Modern ice fishing• Dangers• Contests• Current Fishing Conditions• References
Location
• Canada• Finland• Estonia• Latvia• Norway • Russia• Sweden• Ukraine• Germany• USA
Flinders Minnesota USF Harvard UBC Calgary Edmonton NOSM …and soon McMaster
Shelters
• Shelter = ice shanty, ice shack, fish house, bobhouse, or ice hut.
LIC will be sheltered in our 2 distant campuses; Niagara campus and Kitchener/Waterloo
Fishing Equipment
• Ice saw• Skimmer• Heater• Fishing rod• Lures
Buy in from faculty, deans and community
Interest among students
Budget
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Modern Ice Fishing
• Power drills• Flashers (sonar)• Snowmobiles
• Evidence: students perform as well or better
than colleagues in traditional clerkship programs
graduates overwhelmingly choose primary care specialties
in rurally based programs, at least 50% of grads choose rural practice locations
Dangers
• Walking - 10cm (6cm)• Sleds, Snowmobiles -
12cm• Light cars - 25cm • Frostbites, CO
poisoning from fish-house heaters
Student’s anxiety re exam performance, Exam structure
Administration - central
Equitable experiences
Program evaluation
Contests
• Catching a big fish, no matter what the species, is always a thrill, and it usually requires exceptional fishing skill.
Improved resiliency
Comfort with uncertainty
Patient-centred care
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Current fishing conditions
COMPASS
• Concept-oriented• Multidisciplinary• Problem-based• Practice for transfer• Simulations in clerkship• Streaming
Pre-Clerkship FM Experience
• STUDENTS: Mandatory 6 week at the beginning of Med School or optional 12 weeks
• FACULTY: teaching Clinical Skills, Precepting 6 week Mandatory FM, strong presence in Professional Competencies
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Professional Competencies Domains
• Effective Communication• Professionalism and Role Recognition• Self Awareness and Self Care• Lifelong Learning • Social and Community Context of Health Care• Moral Reasoning and Ethical Judgment• Clinical Examination
Family Medicine Clerkship
• FM Clerkship = 6 week rotation
• 6-7 half days/week with FM clinical preceptor integrated with other teaching activities
• Total # students 182: Local 108 & Rural 76
• 1 tutorial per week
• Daily evaluations & Key Feature Exam
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Integration
4 half days of Palliative Care3 half days of Early years2 half days of Global Health 1 half day of Care of the Elderly2 half days FM Selective2 half days of Complementary/Alternative
Medicine
Our Success
• 50% of our students choose FM as a career choice
• National average 32.5%
LIC Pilot at Mac
• November 2011 • distant campuses Niagara and Kitchener
Waterloo• 8 mo in FM, 1.5 month ward based Peds, 1.5
month ward based IM and 2 month elective• More to share at the 2010 Global Community
Engaged Medical Education Conference, Barossa Valley
References
• Fishing:Gruenwald, Tom and Genz, Dave (1999) Modern
Methods of Ice Fishing
LIC literature:Paul WorleyGwen HalaasLucie WaltersMolly Cook
Conclusions• If students have their clinical training mainly in hospitals,
especially tertiary care hospitals, they will get the message: ‘this is what disease is and this method for investigating it, is the method of medicine.’ If they never care for a patient at home, the message will be ‘the home is no place for a physician.’ If they are taught mainly by specialists, they will get the message: ‘this is where authority, prestige, and power lie.’
Ian McWhinney
• Many men go fishing all of their lives without knowing that it is not fish they are after.
Henry David Thoreau
Thank You!