2015 SUMMIT ON RESILIENCY CURRICULUM IN POST-GRADUATE MEDICAL EDUCATION

RDoC’s Summit on A Resiliency Curriculum in Post-Graduate Medical Education was held on February 20, 2015 at the Wabano Centre for Aboriginal Health in Ottawa. The Summit brought together 50 participants from across Canada who represented an assortment of key groups within medical education, including:

  • Learner organizations (Resident Doctors of Canada, Fédération des médecins résidents du Québec, the Canadian Federation of Medical Students, and the College of Family Physicians of Canada’s Section of Residents)
  • Provincial housestaff organizations (Professional Association of Internes and Residents of Newfoundland, Professional Association of Internes and Residents of Saskatchewan, Professional Association of Residents in the Maritime Provinces, Professional Association of Residents of Ontario, and Resident Doctors of British Columbia)
  • National medical stakeholders (Associate of Faculties of Medicine of Canada, College of Family Physicians of Canada, Canadian Medical Association, Canadian Physician Health Institute, Medical Council of Canada, and Royal College of Physicians and Surgeons of Canada)
  • Departments of post-graduate medical education and affiliated programs (Dalhousie, McMaster, Northern Ontario School of Medicine, University of Alberta, University of Calgary, University of Ottawa, University of Toronto)

The Summit was led by Dr. Nureen Sumar, Vice-President of RDoC, and Dr. Simon Moore, former President of CAIR, and included opening remarks from Dr. Christina Nowik, RDoC President, Ms. Cathy McLeod, Parliamentary Secretary to the Minister of Health, a video greeting from the Honorable Rona Ambrose, Minister of Health, presentations by the DND/MHCC, and interactive group exercises and feedback sessions.

General themes emerging from the feedback:

  • The Resiliency Curriculum Model, the Mental Health Continuum and the Big 4+ all have great potential within medicine so long as they are tailored for the medical training environment.
  • Continue to explore convenient and innovative ways to disseminate and evaluate information (e.g., pocket cards, apps, virtual implementation, evaluation plans).
  • Resiliency Curriculum emphasis should be on optimizing function within a medical trainee’s educational, provider, and external responsibilities.
  • Resiliency Training needs to begin early, with booster sessions throughout residency and into practice.
  • Support from and collaboration with national and provincial stakeholders will be key to successful implementation. Wellness Champions and agents of change that are respected by the target audience are critical for buy-in.
  • Resiliency Training should be anchored in the competencies framework, and should complement existing wellness resources or initiatives.

Next steps:

The following next steps emerged from the summit:

  • Ongoing collaboration with the MHCC and the DND on this initiative.
  • Formulate a collaborative Focus Group (for summative & cumulative feedback) and Resiliency Team (for day-to-day / iterative feedback) to facilitate the ongoing development/adaptation and finalization of resiliency curricula for PGME in consultation with MHCC. Membership of these groups will include trainee and stakeholder representatives.
  • Produce a Resiliency Curriculum Package that will include: resident-focused-modules, leadership package, and Train-the-Trainer program.
  • Pilot the Resiliency Curriculum at one or two PGME centres.