Hospital Generalist

VIDEO: Postgraduate Medical Education at the University of Ottawa
Hospital Generalist
The PGY3 Hospital Generalist program equips family physicians who plan on providing routine hospital-based care as part of their comprehensive practice. For information regarding the Montfort stream click here.
Goals & Objectives
- Competency with providing general acute and subacute inpatient medical care in any setting (rural/ remote, urban, subspecialty)
- Cost effective and efficient care in inpatient medicine
- Preparation for research and/ or education in inpatient medicine
- Following CanMEDS-FM goals and objectives to achieve the following competencies:
- Medical Expert
- Communicator
- Collaborator
- Manager
- Scholar
- Health Advocate
- Professional
- The resident will be able to recognize and appropriately manage the following conditions (in the acute and chronic phases, knowing when to refer) as outlined in the Society of Hospitalist Medicine Core Competencies (2006, revised 2017):
- Section 1: Clinical Conditions
- Abdominal Pain
- Acute Coronary Syndrome
- Acute Kidney Injury
- Alcohol and Drug Withdrawal
- Asthma
- Cardiac Arrhythmia
- Chronic Obstructive Pulmonary Disease
- Community Acquired Pneumonia
- Delerium and Dementia
- Diabetes Mellitus
- Gastrointestinal Bleed
- Heart Failure
- Hospital-Acquired and Healthcare-Associated Pneumonia
- Hyponatremia
- Pain Management
- Perioperative Medicine
- Sepsis Syndrome
- Skin and Soft Tissue infections
- Stroke
- Syncope
- Urinary Tract Infection
- Venous THromboembolism
- Section 2: Procedures
- Arthrocentesis
- Chest Radiograph Interpretation
- Electrocardiogram Interpretation and Telemetry Monitoring
- Emergency Procedures – Intubation, Central Line insertion, etc
- Lumbar Puncture
- Paracentesis
- Thoracentesis
- Vascular Access
- Section 3: Healthcare Systems
- Care of the Older Patient
- Care of Vulnerable Populations
- Communication
- Diagnostic Decision-Making
- Drug Safety, Pharmacoeconomics, and Pharmacoepidemiology
- Equitable Allocation of Resources
- Evidence-Based Medicine
- Hospitalist as Educator
- Information Management
- Leadership
- Management Practices
- Medical Consultation and Co-management
- Nutrition and the Hospitalized Patient
- Palliative Care
- Patient Education
- Patient Hand-off
- Patient Safety
- Practice-Based Learning and Improvement
- Prevention of Healthcare-Associated Infections and Antimicrobial Resistance
- Professionalism and Medical Ethics
- Quality Improvement
- Risk Management
- Team Approach and Multidisciplinary Care
- Transitions of Care
- Section 1: Clinical Conditions
- To equip family physicians who plan on providing routine hospital-based care as part of their comprehensive practice
- Competency with providing general acute and subacute inpatient medical care in any setting (rural/ remote, urban, subspecialty)
- Cost effective and efficient care in inpatient medicine
- Preparation for research and/or education in inpatient medicine
- Following CanMEDS-FM goals and objectives to achieve the following competencies:
- Medical Expert
- Communicator
- Collaborator
- Manager
- Scholar
- Health Advocate
- Professional
Proposed Structure & Rotations
Block
Rotation
Acute Care
1
Internal Medicine Consults
2
RACE team
3
TOH Family Medicine inpatient service – Civic and General
4
TOH Family Medicine inpatient service – Civic and General
Rural & Remote
5
Rural – Pembroke or Winchester
6
Rural – Pembroke or Winchester
7
Remote – Nunavut, NWT (or rural block)
8
Remote – Nunavut, NWT (or rural block)
Rehabilitation
9
TOH Neurospinal Rehab + Wound care
10
Bruyere Stroke Rehab
11
St. Vincent’s Complex Continuing Care + Wound Care
12
Rehab selective – Resp, Complex Orthopedic Rehab, Short Term Rehab, Acquired Brain Injury;
13
Elective
ICU, Subspecialty IM, Pediatric Inpatient, MedOnc Hospitalist, Orthopedic Hospitalist, Care of the elderly (Bruyere), Palliative Care
Continuity
Courses & Qualifications
Research
Evaluation
Half day back in family medicine clinic
Optional continuity with OB/ER for rural-focused residents
ACLS
ECG Interpretation
POCUS
Serious illness conversations
ATLS – optional for rural
QI project
Patient safety and quality of care
End of rotation evaluations from supervisor
Field notes for procedures
American Hospital Medicine Board Exam (annually in October)