Norlien Foundation Grant in Addiction Education (2014)
Dr. Nathalie Ranger, PGY-2 in family medicine
Dr. Nathalie Ranger used her Norlien Foundation Grant in Addiction Education to attend nine sessions and meetings on addiction medicine at Family Medicine Forum 2014 in Québec, Quebec, including “Primary Care Management of At-Risk Drinking and Alcohol Use Disorders” and “The Yin and Yang of Clinical Decision-Making Before Prescribing Medical Marijuana.” Dr. Ranger also met with mentors after three of these sessions.
In her written reflection, Dr. Ranger noted that while “primary care providers are ideally suited to screen for and address substance abuse issues … it seems that many patients are unable to access addiction medicine care through their primary care provider.” She said “one of the barriers … is the perception that there is not enough time to address (substance abuse issues), especially since these issues are often identified when the patient has come in for another reason.” Dr. Ranger took note of a variety of screening approaches and clinical tools to incorporate into office visits, including Alcohol Screening, Brief Intervention & Referral: A Clinical Guide. Dr. Ranger said she was “excited to learn about these tools” and plans to use them in her own practice and share them with colleagues. Overall, these sessions provided her with an “abundance of information on how important it is for family physicians to address and offer management of substance abuse issues” and gave her “confidence that (this) is feasible.”
Janus CPD Grant (2013)
Dr. Seth Bloom
Dartmouth, Nova Scotia
While Dr. Seth Bloom runs a family practice in Dartmouth, Nova Scotia, he also works in a rural emergency department in Windsor, Nova Scotia, where he is the sole physician in a hospital located next to a ski hill and a highway. As such, he occasionally attends to patients with critical illnesses and trauma. He used his Janus CPD Grant to complete a one-week clinical traineeship in critical care and anesthesia with the intention of improving these skills. He spent the week working under the supervision of intensivist Dr. Ward Patrick in an intensive care unit in Halifax, Nova Scotia.
After completing his traineeship, Dr. Bloom found he was more comfortable when managing critically ill patients, specifically in selecting appropriate vasopressor medications in patients with hemodynamic compromise and appropriate medications to sedate critically ill patients during transport. Overall, receiving the Janus CPD Grant helped Dr. Bloom acquire both confidence and critical tools to serve his emergency patients in rural Nova Scotia better.
C. Robert Kemp Palliative Care Grant (2011)
Dr. Irene Ying
As a recipient of the C. Robert Kemp Palliative Care Grant, for two months Dr. Irene Ying spent every Friday with Dr. Russell Goldman of the Temmy Latner Centre for Palliative Care, a home palliative care service based out of Mount Sinai Hospital in Toronto, Ontario, driving around his catchment area making patient visits. She was struck by how comfortable and engaged patients were when in a familiar environment, highlighting not only the importance of such a service but also the gaps in her family medicine residency when it came to home visits. During her weekly visits Dr. Ying became more familiar with common medications used in the field, and beyond the clinical aspects of medicine she became more comfortable having honest discussions with patients about death and dying. She explains that “although I had stepped outside of my role as a family physician, I had never felt more like one.”
After completing her two-month observership, Dr. Ying began practising home palliative care once a week. She eventually decided to pursue a fellowship in palliative care, a direction she never would have predicted for her career prior to the experiences granted to her through the C. Robert Kemp Palliative Care Grant.