The following sections provide agendas, minutes and attachments for PGMEAC meetings from the 2010-11 academic session to the current academic session.
At our meeting on Friday, February 25, 2022, the following highlights were shared:
At our meeting on Friday, January 28, 2022, the following highlights were shared:
Key Points:
1. TASHNe MRRP Framework
The framework on application of the Ministry of Health’s Medical Resident Redeployment Plan (MRRP) has been updated and will be distributed once finalized.
2. PGME MRRP FAQs
In consultation with PARO and PGMEAC, item #5 in the PGME FAQ has been revised to clarify the role of the Restricted Registration Certificate and MRRP.
3. Office of Learner Affairs (OLA)
OLA is available to provide support to all PG Learners relating to wellness, resource access, short-term counseling and navigating assistance. To speak with someone in the OLA office, please send an email to ola.reception@utoronto.ca. OLA resources and supports can be found here
PGME latest updates on COVID-19
Key Resources:
1. Sponsored Trainees MRRP Participation
PGME has reached out to the MOH to receive clarification. All questions relating to sponsored trainees can be directed to Shannon Spencer at sd.spencer@utoronto.ca
2. TASHNe MRRP Framework
The framework on application of the Ministry of Health’s Medical Resident Redeployment Plan (MRRP) has been approved by the Toronto Academic Health Science Network (TAHSN) Education Committee and supported to be applied consistently by all TAHSN hospitals. Quick access to the full document can be found here.
3. PARO Resources
PARO continues to support and update their resources for residents. Active involvement with discussions and decisions remains at hand. Resources for programs and residents relating to COVID-19 can be found here.
4. Office of Learner Affairs (OLA)
OLA is available to provide support to all PG Learners relating to wellness, resource access, short-term counseling and navigating assistance. To speak with someone in the OLA office, please send an email to ola.reception@utoronto.ca. OLA resources and supports can be found here.
Emergency Childcare Service information can be found in the attached document. Up-to-date information regarding approved emergency child care providers can be found here.
5. Housing Support for Self-Isolation Due to Exposure at Work
Given the current state of the pandemic, PGME has reactivated the COVID-19 Housing Subsidy Program from the Dean’s COVID-19 Priority Fund to support postgraduate trainees who require self-isolation – full details can be found in the attached document. For housing support inquiries or information, please email pgme.redeployment@utoronto.ca
PGME latest updates on COVID-19
As a result of recent discussions with key stakeholders at PGMEAC and TAHSNe, concerning the current situation with the Omicron variant, we have developed:
1. Medical Resident Redeployment Program
Regarding MRRP, Program Directors are encouraged to advocate for the use of MRRP with their Hospital Medical Education Offices and it is strongly recommended that Program Directors connect with Hospital Medical Education Offices for retroactive MRRP (to December 1, 2021), as soon as possible.
2. Recommended Redeployment Principles:
The following recommendations for resident redeployment over the next few weeks were put forward in recognition of the need for a rapid response and short term solutions. The Hospital Medical Education Offices will engage, in collaboration with the PDs and PGME, short-term (non-block based) redeployment instead of the block based and centrally coordinated process that was in place in earlier phases of the pandemic. This approach is viewed as more effective in addressing service gaps, preserving the educational experience for learners and infusing more equity in the process. While the focus of this strategy is to support local site based redeployment, PGME is committed to the ongoing support for learners and programs and to maintaining open communication. PGME will be kept informed and engaged with all redeployment activity. For redeployment related inquiries or information, please email pgme.redeployment@utoronto.ca.
3. Emergency Child Care and Other Resources:
Please note, the City of Toronto Emergency Child Care will be available for eligible workers on January 10th, 2022. Information regarding Emergency Child Care locations and eligibility can be found here: https://www.toronto.ca/home/covid-19/affected-city-services.
Please note, during January 5 to January 17, 2022:
Emergency childcare services are reserved exclusively for children of essential service workers identified in the Province of Ontario’s List of Workers Eligible for Emergency Child Care who have no other alternatives. The list of eligible workers is available at https://www.ontario.ca/laws/regulation/200082#BK11
Up to date information regarding approved emergency child care providers can be found here.
Please note additional approved sites may be added. It is recommended that the site is checked regularly for these updates.
At our meeting on Friday, November 26, 2021 the following highlights were discussed/presented:
At our meeting on Friday, October 29, 2021 the following highlights were discussed/presented:
At our meeting on Friday, September 24, 2021 the following highlights were discussed/presented:
1. Resident Report
The Community Building Fund
At our March General Council meeting, PARO discussed that current PGY1s are feeling particularly isolated during the pandemic as they were off for months before starting residency and since then have had little opportunity to meet their colleagues in person to be able to bond. To mitigate this challenge, the PARO Board has approved a specific initiative which provides us with the ability to organize and fund targeted events specifically for current PGY1s, (i.e., 2020-2021), the Community Building Fund. While the Toronto PARO GC team is currently brainstorming events to host using this fund, proposals for events can also come from general PARO members and programs. If your program is interested in hosting a virtual event for current PGY1s using this budget, please contact Sarah Reyes (sreyes@paroteam.ca), to obtain more information and the proposal form.
In addition, PARO would like to emphasize the importance of programs hosting socials for the incoming PGY1s. This will help create those social connections and bonds amongst residents in the program early on.
PARO Face Masks
As mentioned at the last PGMEAC meeting, PARO has produced 3-ply non-medical face masks that we are distributing to all residents. To date we have delivered face masks to most Toronto hospitals, with the last remaining hospitals of Toronto General, Sunnybrook, Princess Margaret, and Humber River, receiving the face masks next week. We want to thank everyone for your help delivering these face masks to Toronto residents.
PARO Awards Celebration for University of Toronto
The upcoming PARO Awards Celebration is being held virtually over two evenings to recognize U of T award winners on Tuesday May 4, and Thursday May 13, 2021. Awards include: Resident Teaching Award, Medical Student Citizenship Award, Clinical Teaching Award, Program Excellence Award, and the Dr. Robert Conn Resident Advocate Award for a Clinician.
2. PAAC Report
3. COFM/HUEC
COFM
No official meeting since the last PGMEAC meeting, but the PG Deans continue to correspond weekly with updates and best practices.
HUEC
4. Accreditation Follow Up/IRC Update
An update on accreditation follow up and IRC activities included:
G. Bandiera provided full narrative on the institutional review and requirement of an Action Plan Outcome Report (APOR), updating the committee on the rationale behind the AFIs and PGME’s action plans.
5. CaRMS 2021 Results for PGME
The CaRMS Match showed favourable results including:
6. COVID Updates
Medical Resident Redeployment Program
A formal announcement from the MOH as a result of an Orders in Council, and in collaboration with OHA and PARO that hospitals can now hire residents and any other licensed professional to do work on their behalf that aligns with COVID needs (i.e. covering extra call, working a shift on the weekend, etc). This work must be done outside of the residency program, must not interfere with residency training responsibilities, and does not replace residency work. Residents are allowed to travel across the province to meet the pandemic needs at other hospitals and will be organized through HealthForce Ontario – more details to follow in the next week from PARO and MOH. This Order in Council will be in effect until July 31, 2021.
Redeployment
Parking Reimbursement
For all of our postgraduate trainees who have been redeployed to an alternate site and incurred additional parking costs, the Dean’s COVID Priority Fund is now providing reimbursement for their parking expenses associated with the redeployed hospital. Trainees can email lisa.bevacqua@utoronto.ca with the receipts from parking expenses incurred at their base hospital and the additional parking expenses incurred at their redeployment site.
Vaccination Status of PG Trainees – Reminder
1. Associate Dean, Postgraduate Medical Education Position
Applications are invited for the position of Associate Dean, Postgraduate Medical Education, Temerty Faculty of Medicine at the University of Toronto. This is a five-year term appointment effective September 1, 2021, renewable once following a favourable review. The closing date for applications to this position is Wednesday, April 21, 2021, 12:00 p.m. (EST). For any questions about this position, please contact Prof. Patricia Houston, Vice Dean Medical Education (patricia.houston@utoronto.ca). The Advisory Committee for the appointment of Associate Dean, Postgraduate Medical Education invites applications. Interested individuals must submit a letter of interest and CV to Vice Dean Medical Education, Prof. Patricia Houston, c/o Andrew McLeod, search coordinator at md.vicedean@utoronto.ca. Full job description is available online.
2. Resident Report
Lounge Review
After the last PGMEAC meeting results from PARO’s lounge review was shared with the committee, a couple of hospital sites have gotten back to us to thank the team for their hard work, but to also ask what residents feel is an example of a good lounge. We took this question back to our GC team and we created a list of what residents would like to have included in their ideal lounge. Please note that this is for lounges in non-COVID times when residents do not have practice physical distancing.
Call Room Review
This year, PARO is conducting a province-wide review of the resident on-call facilities to ensure that the rooms are in keeping with requirements under Article 18.2 of the PARO-CAHO Collective Agreement. The review will be taking place over the next few months and once it is complete, we would be pleased to share the results of our review with the hospitals.
PARO Face Masks
PARO has produced 3-ply non-medical face masks that we are distributing to all residents. If the learners at your hospital did not receive a mask , please contact Sarah Reyes (sreyes@paroteam.ca) and we will work together to get them delivered to your location.
Redeployment
Again, we wanted to reiterate the importance that PGME make every effort to be transparent and flexible in redeployment needs, as we have heard from residents how much they would appreciate regular updates from PGME regarding COVID and redeployment.
3. PAAC Report
4. COFM/HUEC
COFM
Important updates included:
HUEC
No meeting since last PGMEAC. The TASHn education group continues to meet weekly about vaccinations and redeployment.
5. Accreditation Follow Up/IRC Update
An update on accreditation team activities included:
6. COVID Updates
Redeployment
Vaccination/Isolation Requirements
7. Elentra for CBD Enhancements
An update on the enhancements in Elentra include:
8. BPEA Update
An update on BPEA quality improvement activities include:
9. VOTR Survey
The Voice of the Resident survey is in the field right now – response rates are a bit low – a reminder to encourage learners to complete.
9. Learner Environment
1. Resident Report
Redeployment
Vaccinations
Hospital IPAC Regulations
In relation to the COVID19 pandemic residents have noted that different IPAC regulations at each hospital, and specifically, different COVID-19 protocols, leads to confusion (for example at some hospitals you have to wear face shield, at others you do not). It would be helpful if all hospital IPACs have consistent regulations.
Lounge Review
In 2018-2019 the PARO GC team reviewed 29 resident lounges at all hospital sites. We hope to share/email the results of this lounge review with all committee members.
2. PAAC Report
3. COFM/HUEC
COFM
Important updates included:
HUEC
A presentation by the Director of Sexual Violence university office provided an overview of the resources available and presented it to hospital partners should they need help or advice.
4. Guidelines for Managing Disclosures of Learner Mistreatment
These new updated guidelines were circulated prior to the meeting for committee members input. This guideline was approved by all PGMEAC members with minor changes.
5. Accreditation Follow Up – AFI Summaries
6. COVID Updates
Redeployment
7. Operation Remote Immunity
The Temerty Faculty of Medicine is assisting Ornge to promote opportunities, as a volunteerinitiative, for teams to participate in Ornge’s Operation Remote Immunity initiative with the goal of delivering and administering COVID-19 vaccines to 31 of Ontario’s Northern Indigenous Communities that are remote and/or only accessible by air. Vaccination planning has been completed for each community in conjunction with a community leader. Each multidisciplinary team will consist of 3 Ornge personnel (a Lead, Associate Lead and an Administrator) as well as 3 to 4 medical personnel – 1 Clinician and 2 to 3 MD Clerkship Students, Residents and/or Fellows. Teams will be scheduled for one-week deployments into the remote Indigenous Communities. More details to follow.
1. Resident Report
2. PAAC Report
3. COFM/HUEC
COFM
Important updates included:
A collective letter was sent to the CPSO Policy Branch around supervisory relationships in medical education. This document is meant to replace the two separate current documents (UG and PG) by harmonizing all of the provision and guidance into one document for both groups. Both UG and PG Deans provided consolidated feedback to the CPSO as part of the consultation process from the Deans.
HUEC
TASHN operations now has a harmonized agreement on how to manage trainees during an outbreak. This guideline will be referred to by all TASHN hospitals. Undergrad is currently working on a process and aligning it with PG wherever possible
The Guideline for Managing Disclosures of Mistreatment was discussed with considerable feedback provided.
4. Guidelines for Managing Disclosures of Learner Mistreatment
These new updated guidelines were circulated prior to the meeting for committee members input. The document will be shared at a variety of groups including Vice Chairs Education and the Diversity Advocacy Group as well as input from PARO and the legal department. The guideline will be brought back to this committee in January for approval.
5. Accreditation 2020
UG Accreditation Update
6. COVID Updates
Redeployment
In preparation for the second wave, the redeployment lists will be used on a block-by-block basis as needed over the coming months, addressing the hospitals, the service involved and the needs as they arise. PGME is committed to consulting broadly with program directors, hospitals and leadership to co-create a solution for every situation of redeployment. We will continue to do our best to minimize any negative effects on the training, balance service needs with impact on the residents’ needs, their well-being and their educational continuity.
Remuneration for Resident Work
G. Bandiera addressed the important issue of remuneration for resident work. PGME is aware this has been happening and it has been addressed broadly to stop immediately. Restricted registration is allowed, and the application process is very swift with a 48-hour turnaround. Secondly, G Bandiera reminded the committee that redeployment must align with residents’ competencies and scope of practice, it must have the program’s involvement, and the reassignment must balance service to education needs for the system in order to not disrupt regulatory constraints.
PG Trainees Vacation Payout
PG is still awaiting an update from the Ministry of Health regarding payout for unused vacation. Once the MOH confirms the funding package and timelines, PG will send out an update.
Outstanding Registration Requirements for PG Trainees
The TB Testing results and Mask Fit results grace period ended September 30th. A reminder that all trainees must complete their TB test and Mask Fit results as part of their registration requirements as soon as possible.
1. Resident Report
Virtual Events
Given the continuing increase in COVID-19 cases in the province, as of September 25, 2020, the PARO Board has determined that the responsible course of action is to continue to not to hold any in-person PARO events, including local social events.
Residents have continued to work through the spring and summer caring for patients across the country. Though we continue to go to work and interact with others – many of us are in fact socially isolated. As we move into fall and winter, social isolation will be an even more pressing concern, and PARO will help foster the wellbeing of our members by facilitating opportunities to connect with one another. As a Site Team we are planning and facilitating virtual events that will help to mitigate feelings of loneliness and isolation, especially with the arrival of winter and second wave.
Accreditation
From May – September 14, 2020 PARO sent out to all Toronto residents the RDOC pre-accreditation questionnaire. Over 1000 responses were gathered from residents and a summary of the comments and information were collected and will be a part of the information provided to the RDoC resident representatives/surveyors. All responses were confidential and not shared with the program, university, RCPSC or CFPC. PARO is also helping to prepare residents for the on-site review process, including helping them prepare for the meeting with the surveyors.
Access to Food While On-Call
Based on an environmental scan conducted last year, looking at which hospitals provide food to residents when on call, a formal report with suggested changes will be provided to PG with follow up to have 24/7 access to food.
2. PAAC Report
3. COFM/HUEC
COFM
Important updates included:
Discussion around harmonized approaches to vacation and trainee extensions related to COVID. Most programs/schools have a good approach that works for them (along with working with PARO).
COFM province-wide policy on learners identifying workplace mistreatment. All schools now have a rigorous approach for how to deal with it locally that refers to specific structures individual schools have in place. COFM has sunsetted this policy as schools address any matters within their institution now.
Full COFM Deans and stakeholders met recently and they continue to advocate for the return of the reduced residency spots in Ontario as well as the promised expansion from years back with an ask to the Ministry. A renewed business case was submitted addressing the observations and vulnerabilities in the system that have been exposed by COVID to re-emphasize the importance of a robust physician workforce, including the numbers, the type and the distribution.
The CPSO has committed to having a solution for individuals on a restricted licence because they were unable to write their exams. The Medical Council of Canada (MCC) have had to cancel the MCCQEII iteration at all sites because they won’t have a reference cohort due to cancellation at some large sites to write. The CFPC had data issues and the inability to provide a passing score on their exam and are working through it. PGME continues to support those individuals who are affected by these, including the Postgraduate Wellness Office. PGME continues to advocate with the MCC to go virtual with their exam delivery and it appears they have rededicated some work to find a solution. The CPSO continues to provide solutions for individuals to continue to work until this matter is resolved.
HUEC
Ongoing efforts continue to manage the pandemic, trying to keep sites functional, trying to preserve educational continuity to the extent possible for trainees. Redeployment is underway due to the recent outbreaks. There remains heterogeneity in terms of the approach that certain occ health offices take and with the interpretation of the comprehensive pathway document about how to manage certain scenarios and issues are being worked through. Sites will be contacting all individuals through contact tracing, and PGME has sent correspondence to all trainees with instructions on the procedure process. The key principle for trainees is if they don’t know what to do, contact the hospital they are working at to seek advice and when doing so, to provide as much information as possible.
4. Guidelines for Accommodations for PG Trainees with a Disability
These newly developed guidelines to accommodate PG trainees with a disability were presented at September’s meeting. PARO provided input and the revised version was presented today for approval. All members accepted the changes, and this guideline was approved.
5. Accreditation 2020
6. BPEA Update
The committee met last week to discuss a proposal to create action plans based on feedback from the user data (both qualitative and quantitative) from faculty and residents. Also reviewed data from the Elentra system in terms of EPA completion numbers and the impact of the new expiry after 7-days feature. Specific actions that PGME will be implementing based on consultation with residents and faculty with their experiences in CBD, include:
7. MD-PGME Data Management Advisory Group
As part of continuous improvement, the Data Management Advisory Group (DMAG) was formed to align with the social accountability mandate. The advisory group serves as a forum for coordinated discussion, consultation and development of recommendations regarding the collection, evaluation/analysis and reporting of MD and PGME learning experience/environment data in a harmonized and aligned manner.
Key responsibilities of the group are:
8. Guidelines for Managing Disclosures of Learner Mistreatment
This newly revised guideline on managing disclosures of mistreatment for PG learners was presented for consultation and to inform on the processes in place at the Temerty Faculty of Medicine. The revised guidelines will be sent to PGMEAC members for input and relevance to their environments (university-based and hospitals), with an accompanying briefing note and a feedback form. We want to ensure these procedures don’t create new disparities or widen disparities. The guideline will be re-visited at the November meeting for review/discussion and final approval at the January meeting.
Overview:
Improvements:
Built on the existing review and management steps that could be undertaken when an investigation is required whether lead by a university, clinical program, or hospital. Caveats include:
9. Online Asynchronous Video Interview
Guest speaker, Dr. David Latter presented his experience with online asynchronous video interviews. The virtual interview process allows equal accessibility to all applicants, even more so with the restrictions during the pandemic. This cost-efficient method proved itself beneficial in many ways including: allowing increased number of applicant interviews, ensure a fair process, interactive town halls with applicants, opportunity to practice for applicants where they learned the format of the interview and answered a practice question to prepare for the actual interview. The amount of preparation and practice offered reduced the number of “failed interviews”. An objective rater reviewed the interviews and provided their ratings. The third-party provider will record the interviews. The stations assess the applicants’ response to one of four topics: Ethics, Values, Collaboration and Reflection. Their maturity and professionalism and communication are also assessed. The reliability is comparable to in-person interviews. Feedback from applicants and raters was very positive overall.
1. Resident Report
2. PAAC Report
3. COFM/HUEC
COFM
Three major items were discussed:
HUEC
4. Recommendations – COVID App and Return to School
A formal guideline is in the works, but currently there is no provision to take leave should a trainee’s family members get sick. PGME is encouraging programs to be flexible and explore options to support a trainee should they need to be off by allowing research work or virtual care that they could be doing from home. Although, if this is not possible, then the leave will have to be without pay. PARO is reviewing this matter as well.
5. FoM Expert Panel – Management for At Risk Trainees
Guidelines were developed by Infection Prevention & control (IPAC) with a statement of recommendation for those who have an increased susceptibility to acquiring COVID-19 and are recommending that people adhere to the PPE recommendations at their site and if they feel they (or a family member they live with) are at increased risk and the application of these guidelines cannot be achieved the case will be referred to the Expert Panel for adjudication. Please refer to this to help inform your decisions when needed. Trainees who have been working with the PG Wellness Office for accommodations, will have their case reviewed and updated or continue as planned based on this guideline.
6. Quotas Allocation
The quotas allocation proposal was shared with the committee members for approval. The proposal was approved without changes and will be submitted to the MOH.
7. PGME-Wide Social Justice Curriculum
Guest speakers G. Lorello and L. Richardson shared their broad-based, multi-factorial initiatives to try to advance key priorities around equity, diversity and inclusion in residency training programs.
The key points included:
PGME has PGCorED modules in place but it is very limited. All committee members agreed that this is an important initiative to embed in the curriculum learning in the clinical environment and half-days and other forms of learning and support this impactful and engaging initiative moving to the next step of getting the right model and these principles are very sound. A briefing note and syllabus will be shared with the PGME leadership for review and approval.
8. Accreditation 2020 (See attached)
Important information and updates were shared, including:
Full details and timelines can be found in the attached document.
9. BPEA Update (See attached)
Guidance around the updated EPA scale which was launched in early July 2020, will be sent as an accompanying document soon. Focus of the recent meeting was to review a consultation that took place with faculty and residents about what was working, what the limits were of their experience with EPAs, the online platform or model. This survey went to learners and assessors who had completed three or more assessments. This survey took place right before COVID started so with the shifted focus due to a pandemic, the response rate was lower than normal, and follow up analysis will take place before making any other changes. The platform is working well with reporting and tracking as the important next steps.
10. Continuous Improvement Working Group
In compliance with the institutional standard of continuous improvement ensuring that sites receive important information and feedback on improving the learning environment. The Data Management Committee was formed to coordinate data from UG and PG to be more efficient in collection and dissemination (what we do with the data, how we use it to make changes and how we will follow through on it). The Data Management Committee will be presented at a future PGMEAC meeting. More information can be found in the attachment.
1. Resident Report
S. Willmott provided an update on PARO activities:
2. PAAC Report
B. Baumgart provided an update on PAAC activities:
3. COFM/HUEC
COFM
HUEC
4. Redeployment
G. Bandiera provided an update that all trainees have submitted their selection of one block of redeployment and we now have a roster of trainees for each site for the whole year. Programs have been involved with the streamlined decision-making of placements at sites
5. Accreditation 2020
L.Probyn provided an update on Accreditation 2020, which included:
6. BPEA
The overall entrustment scale has been refined with new labels and descriptors, which now reflect the specific encounter and does not confer overall entrustability as that decision is made at the Competency Committee. These new scale labels will be updated this week and will replace the old ones
7. Visa Trainee Update
8. Continuous Improvement Working Group
A. Matlow shared the purpose of the CI Working Group which is to provide advice regarding the support and oversight of continuous improvement activities at U of T Learning Sites to improve the educational experience. The following recommendations to optimize oversight and management of CI activities at learning sites.
PGME should:
Review and consider:
All recommendations were approved by the PGMEAC members and next steps to carry out the recommendations will be planned in the near future.
9. Registration/Onboarding Update
1. Resident Report
S. Willmott provided an update on PARO activities:
2. PAAC Report
B. Baumgart reported that the committee has paused organizing the Program Administrator appreciation event until a new date post-COVID is released. Postponing awards deadline and keeping the application submissions open.
3. COFM/HUEC
COFM
Focused discussions and efforts, where possible, on harmonized approaches to things so that residents are not disadvantaged in one school: elective travel, managing absences, preparation for trainees coming and those scheduled to leave July 1st, ways to approach common issues for residents (wellness accommodation requests) as it is better when there is consistency across the province.
Ministry working on extending and providing licensure for trainees who have not written exam or need to extend their training due to this crisis.
All exams postponed to the fall. Residents are expressing concern about the delay. The Colleges are working on a plan for the exams.
Meeting every other day with national PG Deans discussing the ongoing issues. CPSO Provisional licenses for 6 months only so that they don’t have to go before the registration committee as per the regulations.
May see movement on what the exams look like (delivery onsite at universities as opposed to at an exam centre, whether there will or will not be oral exams) G. Bandiera is in full support of all creative options to get trainees getting their licensures as long as trainees do not have to write exams in the next three months as it would cause anticipation of time off for trainees to study and prepare for their exams as we will need them on the front lines during this pandemic.
HUEC
4. Accreditation 2020
L. Probyn provided an update on Accreditation 2020, which included:
5. CBME
C. Abrahams provided an update CBD Implementation timelines/processes with COVID19:
Lots of work going on in the background.
Elentra System Enhancements – Deferred
* Pilot for Rotation Scheduler with FM/ObGyn will involve extensive testing for extended period rather than planned deployment for July 2020
Upcoming Elentra and Tableau Training Sessions (Virtual by Zoom!)
6. BPEA
No updates as meeting was postponed.
7. COVID-19 Update
G Bandiera shared that PGME is doing its best to keep everyone informed on key decisions, a centralized system has been set up to provide answers to questions with various team members responding based on the content. General communications are continually going out as required.
Redeployment principles are in place and will be implemented next week.
CBD assessments and exams: could there be a waiver of the exam or part of the exam so that trainees can get out and practice during these unprecedented times.
TASHNe: Educational leads team is meeting daily to plan and discuss issues within the hospitals and with a focus on education as they arise during COVID.
1. Resident Report
PARO had their site meeting in February and their social schedule was planned for the year, which includes: Night at the ROM, Night at Ripley’s Aquarium, Paint Night, Yoga and many others. On June 25th, there will be an evening social for all incoming residents following the New Resident Welcome Reception.
2. PAAC Report
PAAC Awards Nomination forms have been sent out. This year PAAC has expanded the award to two awards, one for Administrative Excellence/Leadership and a second for Quality Improvement/Innovation. Deadline for submission is March 25th.
A full-day wellness session was held this week for PAs with a strong attendance and positive feedback.
New PA Intro Session will be held on Thursday March 5th. If you’d like to register, you can do so via this link:https://facmed.registration.med.utoronto.ca/search/publicCourseSearchDetails.do;jsessionid=B5D44325FCDF811F8B3BF1DF1265F08E?method=load&courseId=1745521
3. COFM/HUEC
COFM
HHR planning – still no approval from the Ministry of Health for this year’s quota submission from the schools.
International Visa Trainees – increase in diversity of trainees. Saudi Arabia Cultural Bureau will be visiting Toronto in March with PGME and others. Contract negotiations are still underway.
The Pandemic Planning document was reviewed.
HUEC
Presentations have been made to all departments regarding the Learner Environment survey results and addressing any issues. A new Professional Values statement is in its near final version being led by Pier Bryden.
The Optimizing Learning Environment recommendations are being implemented by both UG and PG.
The Streamlined Onboarding Working Group is still underway and will provide updates in the near future.
4. Accreditation 2020
Programs are in the process of returning updated versions of their AQs to PGME.
PARO, in conjunction with RDocs, held two accreditation workshops last week for residents to prepare them for what is expected of them during accreditation.
A Timeline document was shared
Pre-Survey Visit: April 28 – 29, 2020
On-site Review: November 22 – 27, 2020
5. CBME
C. Abrahams reported that we are on track with 23 programs launched in CBD and 17 programs confirmed for 2020-21 Launch with half of them piloting now. Mini-Conferences are underway and continuing with success. New efforts are underway to engage residents and program administrators through the creation of advisory groups.
6. BPEA
At the last meeting in January, it was decided to remove the blank form option from EPAs and to expire EPAs after 7 days – this will take place in April. Entrustment scales are still under discussion.
A Target Guidelines for EPAs document was drafted, but now under review based on recent comments by the Royal College related to the inclusion of contextual variables on EPA assessments.
7. Guidelines on the Appropriate Use of the Internet, Electronic Networking and Other Media
This document (in conjunction with Undergrad) was shared showing the additional principles for PGMEAC to review and approve. The document will be revised with the approved edits and returned to HUEC for approval in March; then to Faculty Council for final approval in April.
8. UG Course Objectives and Case Logs
S. Bernstein presented the document that is used in undergrad for their students to meet specific encounter requirements in line with Accreditation.
9. Elentra Rotation Scheduling and Teacher Assessment Pilot
C. Abrahams shared an overview of a new pilot in Elentra for rotation scheduling and assessments including clerkship and resident assessments together with teacher and rotation assessments. It will be tested by two departments in the 2020-21 academic year.
10. Resident Leadership Update
A Matlow and L. Probyn provided an update on the leadership activities that have been happening with senior and chief residents. They include: Chief Resident Leadership Workshop, Resident Leadership Forum, Concierge Lecture Series, PGME Leadership Certificate Program with Fireside Chats.
11. COVID-19 Update
G. Bandiera shared that there may be restrictions on elective students who are coming to Toronto from areas affected by the COVID-19 virus. More details will be shared as they come.
1. Resident Report
There continues to be an environmental scan of food options at hospitals. PARO is hosting a social for all residents at the Toronto Christmas Market.
2. PAAC Report
The new Awards sub-committee Terms of Reference will be completed in December.
The new Spotlight Appreciation project’s first publication will be released in January 2020.
3. COFM/HUEC
Full COFM
HHR planning – still no approval from the Ministry of Health for this year’s quota submission from the schools.
Resident remediation declaration to CPSO has ceased and it is no longer on the questionnaire that resident’s must complete.
Call Stipends:A province-wide review of call stipend submissions is underway. Most schools exceed their allocated call stipend allocation but remain within their overall funding envelope with the Ministry. However, some schools are getting very close to hitting their funding cap due to call stipends and it is important for schools to remain within the cap. Accordingly, PGME asks all programs to notify us before implementing any new call models.
PGME will no longer provide copies of the Final AVP form to Touchstone – only to CPSO.
HUEC
No Updates.
4. Accreditation 2020
Programs will receive their AQs back in mid-December. Corrections are due back to PGME in January.
5. CBME
CBD Launch Status was provided: 23 programs currently in CBD and 17 programs confirmed for 2020-21 Launch.
There are currently 7 of 17 July 2020 launch programs confirmed to pilot.
Many Elentra projects are underway including: Assessment Plan, Rotation Scheduler, ITARs, Rotation Evaluations, Teacher Evaluations and Case Logging.
The team is continually working on Elentra enhancements. Some recently implemented are: the management of multiple programs in My Learner section, ability to include/exclude milestones in data extract. Updates on enhancements will continue to be communicated as they roll out.
Elentra and Tableau quarterly training sessions are underway and more will continue in the new year.
6. BPEA
There is continued monitoring and advising on observations and issues which include: blank forms, EPA assessment form expiry and EPA Entrustments scales. All details are in the attached slides.
Next steps include consultation plans, clarification on current issues with CBD implementation, consideration of options (technology, resident and faculty development and more).
7. Touchstone Presentation
A Frisina presented on behalf of Touchstone and shared how they want to ensure they provide a smooth and formative transition to training for International Medical Graduates and
Visa Trainees. He provided information about their programs, and feedback from trainees who have completed the program, while consulting with PGMEAC to understand and incorporate our feedback into their programming.
8. Joule Practice Management Curriculum Seminar Presentation
J. Kaser from the CMA presented on their practice management seminar offered to trainees which focuses on the business side of medicine. More details can be found via this link: https://joulecma.ca/learn/practice-management-curriculum
9. VotR Results
The results of the Voice of the Resident survey were presented. Highlights included:
Vice Deans of PG and UG are presenting these individual results to all Chairs of departments.
1. Resident Report
PARO just completed their first workshop of the year. There is currently an environmental scan underway of food options at hospitals.
2. PAAC Report
A new Awards sub-committee has been formed and they are reviewing the Terms of Reference for the two awards, which will be presented at the November 12th PAAC meeting.
The 2019-2020 PA Information Series has been launched. We will be starting with two sessions on November 8 with presentations by the Royal College and CaRMS.
The new Spotlight Appreciation project is underway. The Spotlight is aimed to be launched in the next few months.
3. COFM/HUEC
Full COFM met and discussed HHR planning – still no approval from the Ministry of Health for this year’s quota submission from the schools. There is much advocacy from the Deans to get the 25 CMG spots back. No change to unblended streams in the second iteration. No change or increase in the submission of applications by Saudi trainees.
HUEC Subcommittee: Learner Onboarding survey is expected to be launched in the near future. The committee is asking for input from trainees.
Modules are being updated all throughout TaHSN. The goal is to update the modules across all the hospitals.
4. Accreditation 2020
L. Probyn provided an update on preparation for Accreditation 2020, which included:
AQs deadline of October 15, 2019 has passed. The accreditation team is reviewing all the AQs ensuring standardized responses for each program. Programs will receive their AQs back between mid-November to mid-December.
Workshops will be offered in the near future to prepare for onsite review.
5. CBME/BPEA
CBD Launch Status was provided: 24 programs currently in CBD and 16 programs confirmed for 2020-21 Launch.
CBD Mini-Conference Series have begun and will continue throughout the year to programs who are launching in July 2020 (Stream 1). Stream 2 series focuses on the continued launch programs and addresses changes/updates to the model, systems, etc.
If a program wishes to pilot prior to launch, they must meet certain criteria and deadlines (slide 6).
6. Policies/Guidelines
The Wellness Guidelines for PG Trainees were reviewed and approved with a few minor corrections. The guidelines will be available on the website once finalized.
7. CaRMS Enhancements
CaRMS has introduced an enhancement to interview selections, which includes a “selected to interview”, “not selected to interview” or “waitlisted” option which must be entered for each applicant. The question was raised if applicants will be informed of these enhancements – C. Abrahams will follow up with CaRMS.
8. Continuous Improvement Working Group
This working group provides advice, support and oversight of continuous improvement activities at UofT learning sites. The working group consists of representatives from fully-affiliated and community-affiliated sites and residents.
9. Postgraduate Wellness Office Update
J. Maggi provided an update on the Postgraduate Wellness Office. The name and branding is complete. There has been a slight increase in visits to the office each year. There are many projects underway including research projects, Voice Of The Resident/Fellow (VOTR) survey, guideline development and collaboration with Faculty of Medicine teams.
1. Quotas Allocation (See attached)
The QA Committee’s recommendations for assignment of the 407 residency positions by PGY1 program for 2020 intake were reviewed and approved. There will be no change in the 70 positions allocated for IMGs at UofT, compared to 2019 other than a redistribution in Lab Medicine programs. The distribution of the 9 position cuts by program over the last 5 years was presented. Government HHR planning data by specialty was reviewed, identifying specialties in need and those in over-supply. A provincial summary chart was presented reflecting the allocation of the 1,188 residency positions across the 6 schools for the 2020 PGY1 match. DFCM is considering offering positions for the Department of National Defense. Discussions are underway for a joint NOSM/UofT position in Ob/Gyn.
2. Resident Report
PARO is engaged in its strategic planning exercise and is focusing on transition to practice programming and compiling information on funding of its members doing graduate programs. The call room audit report will be released, and an audit of resident lounges is also underway. Resident representatives will be engaged in the working groups/committees reviewing orientation and on-boarding programs at hospitals.
3. PAAC Report
Topics for this year’s information sessions have been agreed upon. A Wellness Retreat is planned. The PAAC awards will be expanded to include a focus on leadership and community service. Committee members will participate in the learner environment/hospital on-boarding working groups.
4. COFM/HUEC
– At HUEC, working Groups have been formed to review the on-boarding experience in hospitals and Teacher Assessment. A pilot for a new model for Teacher Assessment will be launched in January.
– At COFM, Emergency Preparedness Guidelines outline the role of residents.
– The COFM Immunization Policy states that the flu vaccine is mandatory during the flu season. There were concerns on how to operationalize and record this requirement.
5. Accreditation 2020
– L. Probyn provided an update on preparation for Accreditation 2020
– The last meeting of the Internal Review Committee is next week
– AQs have been sent to all programs and are due back to PGME by October 15, 2019
– Save the Date: Sunday November 22, 2020 – evening reception for Program Directors to meet their surveyors
6. PGMEAC Program Representation
Probyn reviewed the Committee’s membership to ensure all programs had a representative at the table, that members understood their role in bringing forward concerns of the programs they represent, and also disseminating PGMEAC discussions and decisions.
7. CBME/BPEA (See attached)
Regular communications on CBME implementation tools and resources are sent out 2x/month, and are available on the PostMD website. Training in Elentra and Tableau is available, and faculty/learner development support in Elentra is ongoing. 70% of the assessments in Elentra were completed in less than 24 hours after act completion, triggered by faculty.
8. Policies/Guidelines
Maggi reviewed the newly developed Accommodation Guidelines for Learners and requested members for input on the content and work flow.
The Wellness guidelines were also presented, outlining the resources of the PG Wellness Office and considerations/questions to guide programs developing their own Wellness programming.
The Guidelines on Appropriate Use of the Internet Electronic network and Other Media were developed in 2008 specifically for learners. The question raised at HUEC was whether they should also be applicable to Faculty members. The question and guidelines will be referred to Dr. Bryden in her role as Director, Professional Issues in the faculty.
9. Medical Assistance in Dying
Tan reviewed the development of the MAID project. The accommodation of resident requests to gain experience/do a rotation in MAID was discussed. A Learner Request Form has been developed but approval must be sought from a learner’s current supervisor to “attend”.
10. Teaching Effectiveness Scores/Rotation Evaluation Scores
Probyn reported that assessments in both areas in POWER have decreased from the previous year. L. Probyn is speaking directly with PDs or VC Ed. of those programs with low completion rates to discuss strategies for improvement. With the introduction of Elentra, Faculty will be seeking alternative assessment methods.
11. Other
Accommodation re mask fitting for learners with beards was discussed. The committee was reminded that mask-fit is a requirement of hospitals who are implementing Ontario Ministry of Labour specifications. The expectation is that all residents will fulfill employer requirements unless exempt for specific reasons such as religious or medical. The matter will be brought forward to HUEC.
1. Resident Report
PARO is preparing for the new residents who will start in July. Plans are underway for the Toronto new resident orientation where call kits will be handed out and a post-event social to welcome the incoming residents.
PARO is collecting feedback on best practices for hospital sites that do registration and onboarding and will have the information ready to share at HUEC later this month.
PARO is collecting more information about call room requirements for residents on home call and will report back on final decisions.
PARO 24/7 Helpline that is completely confidential and staffed by Crisis Workers trained to work with medical residents. http://www.myparo.ca/helpline/
2. PAAC Report
PAAC Award 2019 winner was Ed Ang from Family Medicine which was presented at the PA Appreciation Event on April 24th.
The PAAC committee will review the criteria for the award and explore possible expansion, which would include overall support to the program/residents and one for innovation.
PA Appreciation Event was well attended with over 75 participants.
New Project is underway with a working group on strengthening the relationship between Hospital Medical Education offices and Program Administrators to ensure that information is streamlined and efficiently sent in a timely manner to both groups. The working group will also look at creating a standard template for registration at all sites.
PAAC Executive Changes include: Bernice Baumgart, Chair (replacing Bryan Abankwah); Savannah Clancey, Vice Chair (replacing Bernice Baumgart); Catherine Wong, Secretary (replacing Paula Nixon) – membership updates effective September 2019.
3. Accreditation 2020
Probyn provided an update on preparation for Accreditation 2020.
AQs have been sent to all programs and are due back to PGME by October 15, 2019.
Accreditation Workshop Dates: May 21, May 31, June 18 and June 21 – more details to follow soon!
4. CBME/BPEA
Onboarding total as of July 1st this year will be 23 programs; 13 of those will be new programs to CBD.
Tool building and ITARs are underway.
Elentra Faculty and resident development is ongoing.
Elentra Bulletin will start going out to all faculty, residents, PDs and PAs bi-weekly.
CBME Learner Focus Groups are underway with two completed and one more in the next week.
CBME Faculty Focus Groups are underway with one completed and two more taking place next week.
EPA completion rates are being studied currently.
5. Policies/Guidelines
BPEA Guideline: Reporting on Assessment Results was approved.
Wellness Subcommittee Terms of Reference were reviewed and approved with one addition of adding a PAAC member to the committee.
6. BOE Update
Hynes provided an update on their role in assisting residents in academic difficulty. Full details can be found in the attachment.
CPSO Renewal Application: residents have to self disclose remediation for Professional, Collaborator, Communicator.
7. PGME Innovation Opportunity
McDonald, a resident at Western shared and innovation opportunity that she is a part of with other trainees in Ottawa. My On Call pager app (MOC) is a simulated pager program. An educational tool for trainees in addition to helping programs to monitor/assess safety of autonomy.
Cost is free for 2019-20 pilot year; then $750/program for question development ($50/hr x 15 hrs paid question development) and a project coordinator.
8.CCME Update
CaRMS is rolling out a new feature for how programs select whether candidates will be interviewed or not.
BPAS Implementation was shared and PGME will assist with the progress.
1. Resident Report
The call room audits for the specific sites are ongoing. Isolated issues have been brought to site leads. It was agreed that PGME will look into specific issues related to availability of call rooms with the OHA as part of the OHA/PARO agreement.
PARO is pleased to hear that the resident registration matters are being addressed.
A number of fun events are planned for the Spring including a Jazz Night and others.
2. PAAC Report
PAAC Award Nominations are now closed with 28 nominations. The award recipient will soon be announced and presented at the PA Appreciation event on April 24th. All nominees will be recognized at the Appreciation Event.
3. COFM
PARO is interested in identifying leading practices in fatigue risk management. PG deans emphasized that, while they will champion centralized policies and discussions, this will require a major culture change that will require some time, likely years, to improve.
CAHO is interested in identifying best practices in resident wellness. Ari Zaretsky will reach out to wellness offices to collate current initiatives.
PARO did a provincial call room audit and almost all were compliant.
PARO requested support in adhering to both ‘leave after call’ policies, and in managing vacation requests. Vacation can ONLY be denied to a resident if service delivery cannot be met and an alternative must be offered in the same rotation. Threatening to evaluate the rotation as ‘incomplete’ is inappropriate. Though residents who do take major time off during a rotation are at risk of failure/incompletion, this can only be determined at the end of the rotation when performance is assessed against goals and objectives.
Maximum of 8 weeks of electives in a single discipline cap in all Canadian UG programs moving forward. Logistics being sorted by UG deans, final version to be completed hopefully at CCME. Will take effect in 2021. Programs will need to adjust their expectations that applicants will have multiple electives in their discipline (because they won’t be able to anymore).
The MOHLTC presented confidential new health human resources modelling data. The data includes projections based on both their Needs Based Model and supply models. Further discussions are required between MOH and PG deans to understand the implications of their modelling on quotas implications.
HUEC
Standardization of Teaching Evaluations is a new working group led by Drs. Bandiera and Houston to make recommendations regarding the possible and appropriate standardization and enhancements of faculty teaching assessment across the MD and Post MD Education Programs.
PGMEAC guideline on Assignment of Medical trainees to sites that had been approved at PGMEAC last month was endorsed by HUEC.
HUEC was updated on accreditation preparation for both UG and PG programs, both of which are scheduled for 2020.
HUEC was updated on the 2019 CaRMS results, fewer undergraduates went unmatched from U of T this year, and more U of T students received interviews at U of T. The percentage that matched to U of T, however, was similar to past years.
4. Internal Review Committee (IRC)
Probyn presented the current status of IRC activity for both Postgrad and Family Medicine.
5. Accreditation 2020
Probyn provided an update on preparation for Accreditation 2020.
Bandiera has been meeting with all the Department Chairs to review the programs’ needs.
PGME will share the Accreditation Questionnaires (AQs) with Vice Chairs and VPs Education for all hospitals to ensure that everyone is on the same page and able to address any needs.
Tip Sheet is a guide for programs to assist with the wording for the AQs, and can be added to by programs as needed.
6.CBME/BPEA
Implementation of CBD in Elentra is going very well. Programs values the features offered. Much of April/May will be spent building tools for launched and newly launched programs as part of the migration to core Elentra. Checklists to assist programs in onboarding to Elentra, either as a full launch program or to pilot will shortly be available online on the PGME website.
Family Medicine is using Elentra as field notes now.
Tableau is a data visualization platform to inform Competency Committees on assessment data with over 10 programs using it now. Some hospitals were experiencing access issues to Tableau due to their firewalls, and this issue is now almost fully resolved.
7. Policies/Guidelines
The following Guidelines are approved and can be accessed on the PGME website via this link: https://pgme.utoronto.ca/about-pgme/policies-guidelines/
Assignment and Removal of Trainees from Teaching Sites
Program Support for PDs and PAs
Post MD Education Goals will be adopted and created to align with PGME following the UG Education Goals. More details to follow.
BPEA Guideline: Reporting on Assessment Results was discussed but due to time constraints, will be carried over for more discussion at the April meeting.
8. CaRMs Update
Abrahams provided an update on the first iteration of the CaRMS match.
9. PGMEAC Membership
The Terms of Reference were reviewed and approved.
Membership will be shared with the Department Chairs to decide who will represent core and subspecialty programs.
1. Resident Report
PARO has had a full General Council and a Toronto site meeting. The goals this year are to help residents navigate what to do if an issue arises (contract violations, etc). Quality of Life for residents is a main focus (solutions for common badge, registration, repetitive modules, etc). The call room audits for the specific sites are complete. Social events are ongoing.
2. PAAC Report
PAAC Award Nomination submission deadline is: Friday March 1st. The award recipient will be announced at the PA Appreciation event in April. PA Appreciation event plans are underway.
3. COFM
Call Room Audits are difficult to track. Suggested model plans with more flexibility.
PARO/CAHO issues – PG Deans wrote a letter to CAHO/PARO expressing their desire to have more input on this matter. Dialogue is ongoing.
CPSO is looking at registration processes and ways to expedite where they can. Some recommendations were put forward to allow straight forward cases to be reviewed at the assessor/manager level, rather than having to go to Registration Committee. This decision will reduce the volume by 20% and will decrease delays for programs who have trainees awaiting decisions from Reg Comm.
SAEGIS is a wholly-owned subsidiary of CMPA whose mission is to protect the professional integrity of physicians and promote safe medical care in Canada. They offer many workshops, programs, and professional development for physicians
and healthcare professionals. For more information please visit https://saegis.solutions/en
HUEC
Interoperability of Systems was discussed and HUEC expressed interest in taking an initiative to help reduce barriers for learners to both onboard at hospitals and carry out their work through better coordination and harmonization of IT systems and registration processes.
Guideline: Assignment and Removal of Trainees from Teaching Sites was reviewed and a few additional principles were added for PGMEAC to review and approve. The document will be revised with the approved edits and be returned to HUEC for final approval in March.
4. Internal Review Committee (IRC)
Probyn presented the current status of IRC activity. Self-study reports were distributed to programs in mid-January. Sessions on the new Accreditation Standards are ongoing. (slides attached)
PGME External Review Update
Bandiera summarized the report from our external review that was held on November 7 & 8 2018. The Areas for Improvement (AFIs) and persistent weakness will be the main focus of the PGME in preparation for the upcoming Accreditation in 2020. (slides attached)
5. Accreditation 2020
Accreditation Management System (AMS) The University of Toronto residency training programs will be held to the new accreditation standards at our upcoming on-site visit in the Fall 2020. In preparation for this accreditation visit there will be a new accreditation questionnaire (replacing the old PSQ) that corresponds to the new standards for each program to complete. Timelines regarding the questionnaire can be found in the attached slides.
6. CBME/BPEA
Elentra “Core” Reminder that PGME is switching back to the “core” version of Elentra for the 2019-20 academic year. The version we launched in 2018-19 was highly customized for U of T needs, but does not offer certain features (i.e. being able to preview a form before triggering it for completion). In moving back to the core version we will be able to easily take advantage of system enhancements contributed by all consortium partners.
BPEA will have sample mock reports in Tableau to share at the PGMEAC meeting in March.
7. Translational Research Program
Ferenbok presented the Master program at UofT, the Translational Research Program. He is reaching out to trainees and faculty who might be interested in improving their translational skills while earning an MHSc in Translational Research. Please visit the website at https://trp.utoronto.ca for more details.
8. Registration Update
Morris presented on the registration process throughout the academic year, including important date reminders. The dates for the next CMPA Resident Symposium can be found in the attached slides.
9. PGMEAC Membership
To ensure full representation of all training programs (PGY1 entry and subspecialties), we will be reviewing the PGMEAC membership identifying gaps. Further discussion on this issue at the next PGMEAC meeting in March.
10. MBA Opportunity for Residents
Professor William Mitchell met with Dr. Bandiera about securing support for residents to undertake a full time MBA. Rotman is willing to offer TWO Dean’s Fellowships to cover $90, 000 of the $110, 000 tuition. Program details and application details are in the attached briefing note. Please circulate to all eligible residents.
1. Resident Report
PARO’s first Toronto site meeting is next week and they will be planning social and wellness events for the year. Call room audits at various hospitals will be complete by the end of this month.
2.COFM & HUEC Updates
COFM
Quotas Ministry of Health has not reached a decision yet regarding additional positions for the PGY1 match. Members will be informed of any updates. Touchstone has revised the Canadian Medicine Primer course for international learners entering training. PGME is considering how best to prepare incoming trainees and the role Touchstone will have for UofT in the future. MOH announced a recent re-organization. The HHR Workforce Planning Unit has been restructured and is now part of the Capital and Capacity Planning Branch. David Lamb is still the Director. AFMC report re Unmatched Students issue suggests unblending of IMGs and CMGs in second round of match. This means CMGs and IMGs would compete separately for specific CMG and IMG positions. Dialogue is ongoing.
HUEC
Support and Resources for Breastfeeding Mothers Across Teaching Sites Survey was recently conducted for an environmental scan of what hospitals are currently doing. From the report, the recommendations were: 1) If something is in place at a hospital to support this, make sure it is known to trainees. 2) If nothing is in place at a hospital, work on something being put in place to ensure the support is happening. Incident Meetings with hospital HR and a Trainee As these meetings can be intimidating for a trainee, they can now request a representative from PG Wellness office for support and to attend the meeting with them.
WSIB Coverage for Fellows was discussed regarding the issue of a fellow on rotation at various hospitals. Coverage of the clinical fellows and responsibility for WSIB premium payments is schedule for discussion at the Fellowship Education Advisory Committee and results will be discussed at a future meeting. Common Badge & standardization across sites still does not have a resolution as it an operational matter at hospitals. There was a previous survey of hospital procedures regarding badge production. It was recommended that the Edu Deans office
update the survey and the results discussed at a future meeting.
3. Internal Review Committee (RC)
L. Probyn presented the current status of the IRC activity. There have been four separate workshops on the new Accreditation Standards and more will be offered in the near future. Newsletters with information and status updates to Accreditation will be
sent out to all programs shortly.
4. CBME/BPEA
G. Bandiera shared that the second set of mini-conference/workshops are complete, organized for programs onboarding next year.
CBME Leads met with the Royal College at the recent ICRE conference. There continues to be net migration away from e-Portfolio and schools are either using Elentra or a home grown IT Platform. Work around Tableau as an application to report on assessments is underway. Use of the Tableau software is free via the University license. PGME staff will offer a base configuration of assessment reports in Tableau to residency programs implementing CBME. PGME is switching back to the “core” version of Elentra for the 2019-20 academic year. The version we launched in 2018-19 was highly customized for U of T needs, but does not offer certain features (i.e. being able to preview a form before triggering it for completion). In moving back to the core version we will be able to easily take advantage of enhancements. Vice Chair Education meetings continue with Dr. Bandiera and Dr. Susan Glover Takahashi to provide CBD updates and ensure support is in place for all programs.
5. PGME External Review
Our PGME External Review preparations continue and are almost finalized and ready for the review meetings which will be held on November 7th and 8th.
6. Guideline: Assignment and Removal of Trainees from Teaching Sites were due for review. Suggested changes or comments are due back to the Associate Dean by Friday, November 2nd.
7. PG Wellness Office Update
J. Maggi presented on the current status and updates in wellness. The Resident Wellness Office name has changed to Postgraduate Wellness Office to reflect that they serve residents and clinical fellows. There is a Wellness Subcommittee that meets quarterly. An invitation will be sent out shortly to residents/fellows to sit on this committee. Docs for Docs is a project in the works to match each trainee with a family doctor. Multiple wellness workshops are available throughout the year. For more details on each workshop, please visit the Postgraduate Wellness Office website.
8. Saudi Trainees
G. Bandiera shared that the situation is evolving quickly. Conditional offers have been sent to trainees and funding contracts for MSM trainees will be honoured.
9. Relations with Industry Module
J. Goguen shared a DRAFT module that all faculty will need to complete in the near future. It will provide scenarios and what to do if there is a conflict in a variety of situations. This is in keeping with the University’s Conflict of Interest and Relationships with Industry policies. More details to follow in the near future.
At our March 23, 2018 meeting, the following was discussed:
2018
Tuesday, November 6th – Specialties
Thursday, November 8th – Specialties
2019
Tuesday, March 5th – Specialties
Wednesday, March 6th – Specialties
At our February 23, 2018 meeting, the following was discussed:
At our January 26, 2018 meeting, the following was discussed:
At our November 24, 2017 meeting, the following was discussed:
At our October 27, 2017 PGMEAC meeting, the following was discussed:
There was no November meeting.
This PGMEAC meeting was cancelled.
The June 2015 PGMEAC meeting was cancelled.
The April 2015 PGMEAC meeting was cancelled.
The April 2014 PGMEAC meeting was cancelled.
There was no PGMEAC meeting, instead members of the RCPSC visited PGME.