Preparing for Your Rural Rotation

Preparing for Your Rural Rotation

Mike Purdon, BSc, BA, MDCM, MCFP, dipABFM

Director Faculty Development, SMP

My wife and I watch Celebrity Apprentice

Disclosure

Background Clinical Cultural Boundaries Safety Summary

Outline

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

Background

“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

Clinical

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

Clinical

Clinical

ATLS, CARE, CASTED Regional trauma service Provincial trauma service Air ambulance Outcome

Clinical

“I just need a refill of my allopurinol”

Clinical

Clinical

“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”

Cultural

“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

Boundaries

“You've hit a deer with your car.”

Safety

Clinical Cultural Boundaries Safety

Summary