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Canadian Paediatric Society

Residents

Welcome to the Residents Section homepage! The Residents Section makes up nearly a quarter of the CPS membership, making residents integral members of CPS. Our residents are active in advocacy and professional development, particularly during the CPS Annual Conference.

Who We Are

The Residents Section, founded in 1990, provides a network for those in paediatric training. Read more..

Resident Advocacy

Your Residents Section is developing a database to promote trainee-led advocacy projects happening across Canada.

Who We Are

The Residents Section, founded in 1990, provides a network for those in paediatric training. The section makes up nearly a quarter of CPS membership and represents 94% of all paediatric residents in Canada. It provides a forum for residents to develop ideas and discuss issues related to the training and education of Canadian paediatric residents. The section is active in areas such as advocacy and professional development, particularly during the CPS Annual Conference.

Residents are the future of paediatrics and are integral members of the CPS. The section has representation on the CPS Board of Directors and a representative from each paediatric program in Canada is appointed to the section executive committee to act as a liaison between residents and the CPS. 

All first year residents receive complimentary CPS membership from July, when they begin their residency, until December 31 of the following year.

Welcome from the Section President

Dear paediatric residents and medical students, 

Welcome to the official Resident’s section webpage! My name is Nikki Fischer and I am very excited to serve as the president of the resident’s section for 2017/2018. Along with Amelia Kellar who is the section’s vice president we have lots of exciting goals for this year.  

But first a little bit about me – I recently moved to Toronto to start my fellowship in developmental pediatrics after completing the first three years of my pediatrics residency in Calgary. I definitely miss the Calgary mountains but I love trying all the new amazing restaurants in Toronto.

As a Section, our main goal is to promote the health of children and youth through education and advocacy. Along with this, my role includes advocating for all Canadian paediatric residents at the CPS and promoting initiatives which serve the needs of residents.  This year we plan to continue the new resident advocacy projects and I look forward to hearing about the successes of your amazing projects occurring across the country.  We also aim to run some educational sessions about how to develop advocacy skills at the local level. Our goals over the next few years will be to focus on:

  • child and youth advocacy
  • career counseling for residents and medical students
  • educational initiatives and exam preparation
  • preparation for medical practice
  • resident wellness

I hope to meet many of you as I can this year (maybe over google hangout!) and see you all in person at the annual conference in Quebec City.

À bientôt

-Nikki,
CPS Residents' Section President, 2017-2018

A letter to my younger colleagues

“A letter to my younger colleagues” is a series of essays written by selected senior Canadian paediatricians, who were named as outstanding mentors by a prominent group of their younger peers. We hope you enjoy and treasure the rich pearls of wisdom that each author offers, based on a lifetime of professional practice and personal reflections.

The essays are posted on the CPS website in the language of submission.

Archived articles

A letter to my younger colleagues - Archives

Resident Advocacy Initiatives

Advocacy is recognized as one of the key components of medical education, as outlined in CanMEDs. To support this the Residents Section started the National Resident Advocacy Project to give residents hands-on experience in the Health Advocate role and to raise awareness about critical children and youth health issues.

The Section has also created a web page to highlight trainee-led advocacy projects happening across Canada. This allows for easier access and sharing of information and resources amongst residents and medical students. 

Through the Paediatric Resident Advocacy Grant, Healthy Generations offers up to $10,000 to support paediatric residents in developing, planning and implementing a community-based research or advocacy project in child and youth health. 

Visit CPS Advocacy Centre for current public policy issues, factsheets and toolkits.

National Resident Advocacy Project

Local advocacy for local needs

The Canadian Paediatric Society welcomes and values resident participation in all our advocacy initiatives.  The National Resident Advocacy Project takes a longitudinal approach to big issues, with the aim of facilitating involvement and ensuring a more fulfilling advocacy experience for our youngest-- and probably our busiest-- members.

Led by resident representatives and based on either a provincial/territorial issue identified in the CPS status report or a specific community need, your project can be life-changing for children and youth where you live and work.

Are We Doing Enough?
The CPS status report is a great starting point for resident advocacy. It is timely, location-specific, charts tangible outcomes and aligns with CPS priorities.

Project objectives

  • To identify, advocate for and help to meet specific health needs for children and youth in tangible ways, where residents live and work.
  • To build residents’ awareness around lobbying procedures and their skills as advocates, with focus on the provincial/territorial level.
  • To inspire, collaborate with and support resident advocates on issues they choose.
  • To submit a poster at the CPS annual conference marking the end of your project.
  • To involve residents in ongoing, longer term CPS advocacy initiatives.

Who’s involved?
While CPS resident representatives must lead and facilitate each initiative, all residents are welcome to participate, across programs or provincial/territorial boundaries, as needed.

We can help!  
Your section executive and CPS staff will help with resources and links to individuals with expertise on your issue. Find key information at the CPS Advocacy Centre and by reading related position statements

What is considered a ‘deliverable’? A deliverable is a tangible product or service produced that is intended towards achieving the goal(s) of the project.

A few examples: Documents produced for community or provincial/territorial leaders, surveys to assess need or impact, summaries of your meetings with a local MP, MPP or city councilor, or of discussions with hospital boards or administrators, and educational initiatives in a local school or hospital, etc.

A yearly report of project progress and achievement is a prerequisite for CPS funding to attend the annual conference.

Timeline and deadlines

  • Consider projects with a 2- to 3-year timeline, to align with your own term as a resident representative, or target a problem that can be solved within 1 year. It’s up to you!
  • January 15: Submit project intent form.
  • May 1: Submit progress report and achievements to date—a requirement for funding to attend the CPS annual conference.
  • February following year: Submit poster for the annual conference

Here’s a sample project
Off-road vehicle safety legislation is a focus issue in the status report.
Possible advocacy projects could include:

  • Collecting injury rates from off-road vehicles for your hospital for children and youth, and taking this summary to your local MP as a spur to better legislation.
  • Conducting a local survey on current patient/parent knowledge of off-road vehicle safety and developing an educational initiative to raise awareness.
  • Approach ATV manufacturers about improving specific safety standards.

For more information

We welcome your comments and questions. Please contact:

Nikki Fischer, Residents’ Section President
nikkiafischer@gmail.com

Amelia Kellar, Residents’ Section Vice President
amelia.kellar@sickkids.ca

Resident advocacy projects

Your Residents Section wants to promote trainee-led advocacy projects happening across Canada, allowing for easier access and sharing of information and resources amongst residents and medical students.

 

Type-1-Diabetes in Schools: Working Towards a Provincial Policy
Sarah Johnson (University of Alberta) Liza Espinoza (University of Calgary)

This is a combined advocacy project between the University of Alberta and the University of Calgary pediatric resident groups. The impetus for the project arose from the continued fact that Alberta ranks as “poor” in terms of type 1 diabetes management on the annual CPS ‘Are We Doing Enough’ report.

We began this project in the fall of 2016, and are continuing our work on advocating for a provincial policy mandating a standard of care for children with type 1 diabetes in schools. To achieve our goal, we have met with staff in the departments of health and education, have put out several media releases, and have completed a letter writing campaign targeting paediatricians, residents, teachers, and families of children with type 1 diabetes. In the New Year, we intend to continue to meet up with members of parliament along-side members from Diabetes Canada and parent advocates. We also have also been booked to teach an information session on Type 1 Diabetes at the Calgary City Teacher’s Convention. We hope to continue this project as long as residents continue to support the initiative, and until the Alberta Government implements a provincial standard of care at schools.  For more information....

 

Le port du casque protecteur chez les moins de 18 ans à Magog
Claudia Nuncio-Naud et Émilie Robidoux, Université de Sherbrooke

D’après le rapport de la Société canadienne de pédiatrie «En faisons-nous assez?» publié en 2016, le Québec ne fait pas très bonne figure en ce qui concerne le port du casque de vélo. Pourtant, nous savons que plusieurs acteurs travaillent fort afin de remédier à la situation et d’éviter plusieurs traumatismes crâniens et autres blessures. Toutefois, ces démarches prennent du temps et sont souvent à refaire lors des changements de gouvernement. Selon la littérature, la simple implantation d’une loi améliore le taux de port du casque, et la promotion le renforce.

C’est pourquoi nous avons décidé de nous initier au lobbying en nous impliquant au niveau municipal, comme cela a été fait à Sherbrooke il y a quelques années par le Dr Claude Cyr, dans l’attente d’une loi uniforme pour la province entière. Ainsi, à travers ce projet, nous visons non seulement à faire adopter un règlement municipal obligeant le port du casque protecteur chez les moins de 18 ans dans une ville voisine de Sherbrooke (Magog), mais également à acquérir des aptitudes de leadership et de supervision en collaborant avec de jeunes adolescents désireux de s’impliquer dans leur communauté. La ville de Magog n’a pas voulu adopter la loi, mais veut bien s’impliquer pour faire une campagne de promotion et de sensibilisation du port du casque pour les jeunes, ce que nous sommes en train d’organiser.

 

Autism - Where to next
Robert Myette, Garth Smith, Elizabeth Grier, Dawa Samdup, Karen Grewal, Queen's University

We are looking to create a "transition program" to assist youth with autism while they transition from paediatric to adult services.

 

Funding for pediatric newcomers to Canada: a pediatric resident resource
Sara Citron (University of Ottawa), Robyn Duffus (NOSM), Alyssa Kim (University of Ottawa), Eva Ouyang (University of Ottawa)

Newcomers to Canada often face enormous difficulties resettling in a new, unfamiliar place especially when attempting to access healthcare services where they encounter language, social, cultural, and economic barriers. The Interim Federal Health Program (IFHP) provides limited and temporary coverage for basic and supplemental health services to different classes of newcomers, awaiting
provincial or territorial health insurance. Differences in coverage, access to funding, and how to provide care for those covered under the IFHP can create additional complexities. Failure to understand these complexities can result in inappropriate and failed treatment plans, physicians turning away newcomers or charging them upfront and thereby, further impacting the health of children and their families. Newcomers with medical complexity and who require special equipment and services are a particularly vulnerable population.

Our resident advocacy project is led by four pediatric residents, under the supervision of Dr. Audcent and Dr. Rowan-Legg. Two other residents are also involved in this project, which is aimed at creating a resource document for pediatric clinicians to (1) Provide definitions for different classifications of newcomers. (2) Identify medical coverage based on newcomer status. (3) introduce clinicians to
the IFHP funding grid and (4) Identify financial assistance available to newcomers with children with special needs in Ottawa and surrounding areas.

To date, we performed an environmental scan of resources from existing tool-kits and online resources and conducted semi structured interviews with healthcare professionals and patient navigators involved in the care of newcomers. We have also created a hard copy reference document for pediatric clinicians aimed at helping them understand and navigate the various forms of medical coverage that is available for different classifications of pediatric newcomers. The document introduces IFHP and services provided under this insurance plan, and further highlights areas of funding for pediatric patients with medical complexity and fragility. We plan on disseminating this document to pediatric residents and clinicians.

As a subsequent step, we plan to gather feedback from pediatric residents and practitioners about how we might improve this resource or potentially create an online version of it. We hope to continue this project over the next 6 months.

 

Brushing up on the dental health needs of Hamilton's children
Kal Mungovan and Paige Landy, McMaster University

As pediatric residents, we have encountered countless patients during our training presenting to the hospital for other reasons, with teeth in varying states of decay. However we do not have the knowledge or the tools to address this issue and more often than not, it gets overlooked. Many of these children have never seen a dentist in their life. Hospital visits thus represent an important point of contact with the health care system for these vulnerable patients. We would like to bridge this gap by providing our trainees with the education and resources to address this aspect of our patients’ health. We would also like to provide resources to families regarding dental hygiene practices and affordable dental care for children in the community. 

The project will involve ~10 pediatric residents and will take place over the next two years. Our target population is the children of Hamilton who visit McMaster's emergency department, those admitted on the wards, and children seen in the outpatient resident clinic.

 

Promoting literacy: Reading with children in the Resident Continuity Clinic waiting room
Catherine Rich, Marie-Pier Dumas, McGill University

The CPS statement posted in 2006 “Read, speak, sing: Promoting literacy in the physician’s office”, states that children’s early experiences with reading and books prepare them for school, increase their vocabulary and influence their current and future health both directly and indirectly. Physicians can have a positive role in promoting literacy among their young patients, and need to be aware
of the scope of this problem, provide anticipatory guidance to families, and promote reading to babies and children in their practices.

The CPS statement also reports that we should ensure that clinic waiting areas encourage literacy.
We have a well implemented literacy program at the Montreal Children’s Hospital, in which we distribute books to the patients we see in the Resident Continuity Clinic (RCC), along with age-adapted information booklets explaining the benefits of reading to patients and families. However, our waiting rooms are currently not equipped to encourage literacy, via culturally and age-appropriate reading materials, posters, information on literacy resources, or volunteer readers.

The goal of our project is to decrease wasted time for our pediatric patients in the RCC waiting room, while promoting literacy in a proactive way. We are working to have volunteers come read to children in the waiting room of the RCC while they wait for their appointment. We want volunteers to be trained to help us distribute the books. We are also thinking that there could be a formal intervention of someone reading out loud in the waiting room with the kids and modelling tips/tricks to read to children. This is often done in community libraries for instance.

 

Mental Health in London-Middlesex: A Paediatric Resident - Adolescent Education Curriculum
Dara Petel, Western University

The purpose of this project is to provide workshops targeting wellness and mental health to at-risk teenagers in a community setting in the London-Middlesex region. A focus group is currently working on developing workshops, and all paediatric residents will contribute to their implementation. This project will be incorporated into Western's Social Pediatrics curriculum starting in July.

 

Advocating for Children in Foster Care in NL
Marika Hirtle-Lewis, Michael Forrester, Erin Maszczakiewicz, Lisa Liang, Luana Farren-Dai, Memorial University

In Newfoundland & Labrador (NL), there are 4,810 children receiving protection services under the Department of Children, Seniors, and Social Development (CSSD; previously CYFS), and these numbers are increasing. A recently completed literature and clinical services review, highlighting inadequacies of tracking information for foster children in NL. For the reasons, the pediatric residents at the Janeway have chosen to direct advocacy efforts towards supporting this vulnerable and underserviced population. There is a need for a multidisciplinary NL Child Advocacy Clinic, dedicated to the appropriate team-based care of these at-risk children and youth. Thus offering continuity of health services and bio-psycho-social support, as is now available in many provinces across Canada.
 

Objectives
The short term goals of this project are to:

  • Improve knowledge and utilize skills regarding lobbying (ex. communicating expertise to legislators, building relationships with MHAs, MPs, advocating for legislative priorities)
  • Understand determinants of health for children involved with CSSD
  • Work with Drs Luscombe and Newhook to bolster support for this vulnerable population
  • Develop clinical tool (history and physical) to enable evidence-based and comprehensive care
  • Build Advocacy curriculum into Paediatric resident Academic Half Days

The long term goals of this project are to:

  • Study epidemiology and medical outcomes of children under CSSD services in NL through a case-control measure of health outcomes in children in-care versus those who are not.
  • Explore the possibility of a Paediatric resident-lead clinic for children in-care
  • Assist lobbying efforts towards an interdisciplinary clinic with stakeholders including Dr Luscombe and Key Assets

 

 

HPV Vaccination Awareness
Claire O'Brien, Kelly Anne Cox, University of British Columbia

Based on the new program in British Columbia that offers the HPV vaccine to both boys and girls in school, myself and Kelly Anne gave an educational lecture for the pediatric residents on this topic. The purpose of the presentation was to inform upcoming pediatricians regarding the importance, risks, benefits, and research behind the HPV vaccine and equip them with tools to troubleshoot patient
vaccine hesitancy around HPV as well as other vaccinations in general. We complete the presentation during our Academic Half day, in conjunction with an Adolescent Medicine themed teaching afternoon. We collaborated with pediatricians who specialize in vaccine research and Adolescent Med to support the content of our talk.

 

 

Drowning Prevention and Water Safety
Katie Boone, Laura Betcherman Priya Sharma, Carsten Krueger, Sophia Sweatman, Adam Yan, University of Toronto

Posted in THE STAR June 25, 2018 - https://www.thestar.com/opinion/contributors/2018/06/25/how-to-prevent-children-drowning-this-summer.html

1. Promote swimming lessons in at risk populations

  • Research data behind swim lessons for children of all ages/who gets swimming lessons before school age
  • Contacted the Lifesaving Society to learn more about crucial swim skills vs formal swimming lessons
  • List of free swimming lessons in the area for parent nights for POP (Pediatric Outreach Program) clinic, a refugee health clinic in Scarborough

2. Update CPS statement on drowning prevention

  • New data on the role of early swimming lessons has emerged since the last statement was published and the AAP now has a new guideline that contradicts elements of the old CPS guideline
  • New data on at risk populations has emerged

3. Media release for Spring 2018

  • Update the “About Kids Health” information sheet on water safety to include new data
  • Film a video clip for the sickkids website
  • Reach out to local newspapers
  • Try to get a segment on CityTV/ Breakfast Television

4. Advocacy poster

  • Data on four-sided fencing & municipal by-laws as they apply to drowning prevention
  • Promote swimming lessons & new evidence

5. Future goals

  • Updating Rourke Baby records to include water safety
  • Drowning prevention conference

Last updated: Jun 29 2018