Nanaimo & Northern Emergency Education Programs
It can be challenging for family practice residents, or physicians who wish to locum in rural areas, to gain needed experience and comfort to deliver emergency medicine in rural communities. The Nanaimo and Northern Emergency Education Programs are changing this. The Programs offer participants a three-month clinical and academic fellowship in emergency medicine that focuses on emergency medicine, procedures, point-of-care ultrasound, and resuscitations. They are also creating an environment that allows for cross-pollination with the Certification in the College of Family Physicians–Emergency Medicine, or CCFP(EM), program, and for local leadership in the transfer of these skill sets to practicing rural physicians.
Doubled the number of fellowship positions with Program expansion into northern British Columbia
Enhanced pediatric training for fellows and instructors
Advanced the recognized competency of the Emergency Education Programs
Increased number of Program fellows and CCFP(EM)-certified physicians in rural BC
Looking ahead
It has been a year of substantive growth for the Nanaimo Emergency Education Program. In 2021, it expanded to a second site in Prince George, resulting in the formation of the Northern Emergency Education Program. This move not only allows for the doubling of offered positions; it creates the infrastructure needed for the University of British Columbia (UBC) to extend its CCFP(EM) certification training further afield, outside the Lower Mainland. The initial cohort of residents selected for the Northern Emergency Education Program will begin their fellowships in July 2021.
From a programmatic standpoint, the Emergency Education Programs have significantly improved pediatric training, thanks to the addition of a pediatric simulation mannequin in Nanaimo’s Simulation Lab. The arrival of this equipment is beneficial for fellows and instructors, alike.
The competence of the Emergency Education Programs was further recognized this past year, after receiving the following accreditations:
- CCFP(EM) Accreditation
- Leading Practice/Innovations (1): A collaborative approach to align programs with societal need, working with rural communities, Indigenous collaborators, the Ministry of Health, the Rural Coordination Centre of BC, and others, in developing new programs and modifying, or expanding, existing ones is a model approach to social accountability.
- Leading Practice/Innovations (2): In the emergency medicine program, the Nanaimo site incorporates exposure to physicians who blend emergency medicine and family medicine in small communities. This includes a deliberate exposure to remote indigenous communities.
The positive impact that the Emergency Education Programs have and will continue to make in future is clear. Numerous Emergency Education Program fellows, signified by red dots on the map, above, have gone on to challenge and pass the CCFP(EM) certification examinations. Meanwhile, blue dots on the map represent communities in which past fellows are practicing as of November 2020. These fellows and newly-minted certified emergency physicians are acting as local resources to their communities, and as role models for CCFP (EM) certified physicians with mixed practices.
In the coming year, the Nanaimo and Northern Emergency Education Programs will apply for a grant extension to continue their highly effective work. They will also explore expansion opportunities into another BC community where it may, again, be possible to lay the infrastructure for UBC to expand CCFP(EM) certification training outside the Lower Mainland. The Programs will also work to expand their ultrasound training budget to continue providing high-quality training. The Programs also expect to launch a new website in the coming year.
How have we shown or built resilience in BC during a challenging year?
“We had to cancel our Spring cohort, which was due to start in April 2020, on short notice. The support staff and steering committee were unbelievable in their capacity to adapt on the fly. They deconstructed a program on short notice and made arrangements for ongoing development. In light of the pandemic, teaching hands-on critical Point-of-Care Ultrasound Skills was very challenging, but the staff was able to think outside of the box and partner with our local school division to use abandoned school space to deliver COVID-safe training with the Autumn 2020 cohort.”
Dr. Kevin McMeel
Medical Lead, Nanaimo Emergency Education Program, RCCbcTeam Members: Elisa Chow, Ashley Medwid
Some Related Areas
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Rural Retention Program Review
Click to Read More
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Real-Time Virtual Support Program
Click to Read More
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The CARE Course
Click to Read More
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Intelligent Network for Point-of-Care Ultrasound
Click to Read More
“We had to cancel our Spring cohort, which was due to start in April 2020, on short notice. The support staff and steering committee were unbelievable in their capacity to adapt on the fly. They deconstructed a program on short notice and made arrangements for ongoing development. In light of the pandemic, teaching hands-on critical Point-of-Care Ultrasound Skills was very challenging, but the staff was able to think outside of the box and partner with our local school division to use abandoned school space to deliver COVID-safe training with the Autumn 2020 cohort.”



